PMID- 23131422 OWN - NLM STAT- MEDLINE DCOM- 20130619 LR - 20121123 IS - 1096-0023 (Electronic) IS - 1043-4666 (Linking) VI - 61 IP - 1 DP - 2013 Jan TI - Elevated serum MMP-9/TIMP-1 ratio in patients with homozygous familial hypercholesterolemia: effects of LDL-apheresis. PG - 194-8 LID - S1043-4666(12)00708-9 [pii] LID - 10.1016/j.cyto.2012.09.016 [doi] AB - OBJECTIVE: Matrix degradation within an atherosclerotic plaque is an important pathogenic factor in atherosclerosis, and is largely modulated by the balance between matrix metalloproteinases (MMPs) and their endogenous inhibitors (i.e., tissue inhibitor of MMPs [TIMPs]). Familial hypercholesterolemia (FH) is a rare inherited disorder associated with premature coronary heart disease. The aim of the present study was to examine MMP-9 and TIMP-1 on plasma and cellular mRNA levels in homozygous FH patients (n=7) compared with age- and sex-matched heterozygous FH patients (n=6), and with healthy subjects (n=7), and to test whether once-weekly LDL-apheresis (three consecutive sessions) of homozygous FH patients show short-term effects on these variables. RESULTS: The main findings were that (i) Compared to healthy control subjects, homozygous FH patients have significantly higher serum levels of MMP-9 and lower levels of TIMP-1, and consequently significantly higher MMP-9/TIMP-1 ratio, potentially reflecting higher MMP-9 activity. (ii) Peripheral blood mononuclear cells (PBMC) isolated from FH homozygotes have significantly higher mRNA levels of MMP-9 compared to cells from heterozygotes. (iii) TNFalpha-stimulated PBMC from FH homozygotes released borderline-significantly more MMP-9 than cells from heterozygotes and healthy controls. (iv) LDL-apheresis (one day before treatment versus fifteen days later, on the day after the weekly treatment) had no significant short-term effect on any of the MMP-9 and TIMP-1 variables measured in serum and cells. CONCLUSIONS: The data may suggest that homozygous FH patients have an enhanced matrix degrading potential as compared with heterozygous FH patients and healthy controls, potentially contributing to the increased cardiovascular risk observed in these patients. CI - Copyright (c) 2012 Elsevier Ltd. All rights reserved. FAU - Nenseter, Marit S AU - Nenseter MS AD - Lipid Clinic, Oslo University Hospital Rikshospitalet, and Department of Nutrition, Institute for Basic Medical Sciences, University of Oslo, Oslo, Norway. marit.s.nenseter@rr-research.no FAU - Narverud, Ingunn AU - Narverud I FAU - Graesdal, Asgeir AU - Graesdal A FAU - Bogsrud, Martin P AU - Bogsrud MP FAU - Halvorsen, Bente AU - Halvorsen B FAU - Ose, Leiv AU - Ose L FAU - Aukrust, Pal AU - Aukrust P FAU - Holven, Kirsten B AU - Holven KB LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20121104 PL - England TA - Cytokine JT - Cytokine JID - 9005353 RN - 0 (Lipoproteins, LDL) RN - 0 (RNA, Messenger) RN - 0 (Tissue Inhibitor of Metalloproteinase-1) RN - 0 (Tumor Necrosis Factor-alpha) RN - EC 3.4.24.35 (Matrix Metalloproteinase 9) SB - IM MH - Adolescent MH - Adult MH - Atherosclerosis/immunology MH - Blood Component Removal MH - Cardiovascular Diseases/genetics MH - Child MH - Female MH - Humans MH - Hyperlipoproteinemia Type II/*blood/genetics MH - Inflammation MH - Leukocytes, Mononuclear/*cytology/drug effects MH - Lipoproteins, LDL/*blood/genetics MH - Male MH - Matrix Metalloproteinase 9/*blood/genetics MH - Middle Aged MH - RNA, Messenger/analysis MH - Tissue Inhibitor of Metalloproteinase-1/*blood MH - Tumor Necrosis Factor-alpha/pharmacology MH - Young Adult EDAT- 2012/11/08 06:00 MHDA- 2013/06/20 06:00 CRDT- 2012/11/08 06:00 PHST- 2012/03/20 00:00 [received] PHST- 2012/09/03 00:00 [revised] PHST- 2012/09/23 00:00 [accepted] PHST- 2012/11/08 06:00 [entrez] PHST- 2012/11/08 06:00 [pubmed] PHST- 2013/06/20 06:00 [medline] AID - S1043-4666(12)00708-9 [pii] AID - 10.1016/j.cyto.2012.09.016 [doi] PST - ppublish SO - Cytokine. 2013 Jan;61(1):194-8. doi: 10.1016/j.cyto.2012.09.016. Epub 2012 Nov 4.