PMID- 21147820 OWN - NLM STAT- MEDLINE DCOM- 20110623 LR - 20211020 IS - 1879-0844 (Electronic) IS - 1388-9842 (Print) IS - 1388-9842 (Linking) VI - 13 IP - 3 DP - 2011 Mar TI - Determinants of extracellular matrix remodelling are differentially expressed in paediatric and adult dilated cardiomyopathy. PG - 271-7 LID - 10.1093/eurjhf/hfq184 [doi] AB - AIMS: The left ventricular phenotype of idiopathic dilated cardiomyopathy (DCM) can appear similar in paediatric and adult patients. However, the aetiology of paediatric DCM is usually idiopathic, and often leads an aggressive clinical course. A structural underpinning of DCM is extracellular matrix changes, which are determined by a balance between matrix metalloproteinases (MMPs) and tissue inhibitors of MMPs (TIMPs). This study tested the hypothesis that different MMP/TIMP profiles occur in paediatric and adult DCM patients. METHODS AND RESULTS: Left ventricular samples from paediatric (age 9 +/- 5 years; n = 10) and adult (age 62 +/- 3 years; n = 20) DCM (at time of transplant) were subjected to an MMP/TIMP multiplex array and immunoassay in order to measure the MMP subclasses; collagenases (MMP-8, -13), gelatinases (MMP-2, -9), stromelysin/matrilysin (MMP-3, -7), membrane type (MT1-MMP), as well as for the four known TIMPs. MMP-8 and -9 levels increased by over 150% (P < 0.05), whereas MMP-3 and -7 levels decreased by over 30% (P < 0.05) in paediatric DCM when compared with adult DCM. TIMP-1 and -2 levels increased two-fold (P < 0.05), but TIMP-3 fell by 41% (P < 0.05) in paediatric DCM. Myocardial levels of specific interleukins (IL-1beta, IL-2, IL-8) were increased by approximately 50% in paediatric DCM. CONCLUSIONS: These unique findings demonstrated that a specific MMP/TIMP profile occurs in paediatric DCM when compared with adult DCM, and that local cytokine induction may contribute to this process. These distinct differences in the determinants of myocardial matrix structure and function may contribute to the natural history of DCM in children. FAU - Hsia, Tain-Yen AU - Hsia TY AD - Division of Cardiothoracic Surgery, Medical University of South Carolina, 114 Doughty Street, Charleston, SC 29403, USA. FAU - Ringewald, Jeremy M AU - Ringewald JM FAU - Stroud, Robert E AU - Stroud RE FAU - Forbus, Geoffrey A AU - Forbus GA FAU - Bradley, Scott M AU - Bradley SM FAU - Chung, Wendy K AU - Chung WK FAU - Spinale, Francis G AU - Spinale FG LA - eng GR - HL057952-08/HL/NHLBI NIH HHS/United States GR - HL059165-09/HL/NHLBI NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. DEP - 20101208 PL - England TA - Eur J Heart Fail JT - European journal of heart failure JID - 100887595 RN - 0 (Cytokines) RN - 0 (Tissue Inhibitor of Metalloproteinases) RN - EC 3.4.24.- (Matrix Metalloproteinases) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Cardiomyopathy, Dilated/*metabolism/physiopathology MH - Child MH - Child, Preschool MH - Cytokines/metabolism MH - Extracellular Matrix/*metabolism MH - Female MH - Humans MH - Male MH - Matrix Metalloproteinases/*metabolism MH - Middle Aged MH - Myocardium/*metabolism MH - Tissue Inhibitor of Metalloproteinases/*metabolism PMC - PMC3041467 EDAT- 2010/12/15 06:00 MHDA- 2011/06/24 06:00 PMCR- 2012/03/01 CRDT- 2010/12/15 06:00 PHST- 2010/12/15 06:00 [entrez] PHST- 2010/12/15 06:00 [pubmed] PHST- 2011/06/24 06:00 [medline] PHST- 2012/03/01 00:00 [pmc-release] AID - hfq184 [pii] AID - 10.1093/eurjhf/hfq184 [doi] PST - ppublish SO - Eur J Heart Fail. 2011 Mar;13(3):271-7. doi: 10.1093/eurjhf/hfq184. Epub 2010 Dec 8.