PMID- 24033327 OWN - NLM STAT- MEDLINE DCOM- 20140929 LR - 20220223 IS - 1530-0277 (Electronic) IS - 0145-6008 (Print) IS - 0145-6008 (Linking) VI - 38 IP - 2 DP - 2014 Feb TI - Alcohol modulation of cardiac matrix metalloproteinases (MMPs) and tissue inhibitors of MMPs favors collagen accumulation. PG - 448-56 LID - 10.1111/acer.12239 [doi] AB - BACKGROUND: Chronic alcohol consumption has been shown in human and animal studies to result in collagen accumulation, myocardial fibrosis, and heart failure. Cardiac fibroblasts produce collagen and regulate extracellular matrix (ECM) homeostasis through the synthesis and activity of matrix metalloproteinases (MMPs) and tissue inhibitors of MMPs (TIMPs), with the balance of MMPs/TIMPs determining the rate of collagen turnover. Dynamic changes of MMP and TIMP expression were reported in alcohol-induced hepatic fibrosis; however, the effect of alcohol on MMP/TIMP balance in the heart and cardiac fibroblasts is unknown. We hypothesized that alcohol exposure alters cardiac fibroblast MMP and TIMP expression to promote collagen accumulation in the heart. METHODS: Cardiac fibroblasts isolated from adult rats were cultured in the presence of alcohol (12.5 to 200 mM) for 48 hours. MMP, TIMP, and collagen type I and III expression were assayed by Western blot analysis. Hydroxyproline (HPro) was used as a marker of collagen production. The in vivo cardiac effects of ethanol (EtOH) were determined using rats exposed to EtOH vapor for 2 weeks, resulting in blood alcohol levels of 150 to 200 mg/dl. Cardiac collagen volume fraction (CVF), as well as MMP, TIMP, and collagen expression, was assessed. RESULTS: EtOH-exposed rats exhibited up-regulation of TIMP-1, TIMP-3 and TIMP-4 in the heart, with no significant increases in MMPs. Cardiac fibroblasts exhibited transformation to a profibrotic phenotype following exposure to alcohol. These changes were reflected by increased alpha-smooth muscle actin and collagen I and III expression, as well as increased collagen secretion. In vivo EtOH exposure also produced fibrosis, indicated by increased CVF and expression of collagens. CONCLUSIONS: Alcohol exposure modulates cardiac fibroblast MMP/TIMP expression favoring a profile associated with collagen accumulation. Our data suggest that this disrupted MMP/TIMP profile may contribute to the development of myocardial fibrosis and cardiac dysfunction resulting from chronic alcohol abuse. CI - Copyright (c) 2013 by the Research Society on Alcoholism. FAU - El Hajj, Elia C AU - El Hajj EC AD - Department of Physiology , School of Medicine, Louisiana State University Health Science Center, New Orleans, Louisiana. FAU - El Hajj, Milad C AU - El Hajj MC FAU - Voloshenyuk, Tetyana G AU - Voloshenyuk TG FAU - Mouton, Alan J AU - Mouton AJ FAU - Khoutorova, Elena AU - Khoutorova E FAU - Molina, Patricia E AU - Molina PE FAU - Gilpin, Nicholas W AU - Gilpin NW FAU - Gardner, Jason D AU - Gardner JD LA - eng GR - P60 AA009803/AA/NIAAA NIH HHS/United States GR - P20 RR016456/RR/NCRR NIH HHS/United States GR - 5P60AA09803-19/AA/NIAAA NIH HHS/United States GR - P20RR016456/RR/NCRR NIH HHS/United States GR - R25 AA021304/AA/NIAAA NIH HHS/United States GR - P20 RR018766/RR/NCRR NIH HHS/United States GR - R00AA018400/AA/NIAAA NIH HHS/United States GR - R00 AA018400/AA/NIAAA NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20130819 PL - England TA - Alcohol Clin Exp Res JT - Alcoholism, clinical and experimental research JID - 7707242 RN - 0 (Actins) RN - 0 (Central Nervous System Depressants) RN - 0 (Tissue Inhibitor of Metalloproteinases) RN - 0 (smooth muscle actin, rat) RN - 3K9958V90M (Ethanol) RN - 9007-34-5 (Collagen) RN - EC 3.4.24.- (Matrix Metalloproteinases) RN - RMB44WO89X (Hydroxyproline) SB - IM MH - Actins/metabolism MH - Alcoholism/enzymology/pathology MH - Animals MH - Blotting, Western MH - Central Nervous System Depressants/*pharmacology MH - Collagen/*metabolism MH - Ethanol/*pharmacology MH - Fibroblasts/drug effects/enzymology/metabolism MH - Fibrosis MH - Heart/*drug effects MH - Hydroxyproline/metabolism MH - Male MH - Matrix Metalloproteinases/*metabolism MH - Myocardium/*enzymology MH - Rats MH - Rats, Sprague-Dawley MH - Tissue Inhibitor of Metalloproteinases/*metabolism PMC - PMC4080812 MID - NIHMS510076 OTO - NOTNLM OT - Ethanol OT - Extracellular Matrix Remodeling OT - Fibrosis OT - Heart OT - Proteinase EDAT- 2013/09/17 06:00 MHDA- 2014/09/30 06:00 PMCR- 2015/02/01 CRDT- 2013/09/17 06:00 PHST- 2012/10/03 00:00 [received] PHST- 2013/07/01 00:00 [accepted] PHST- 2013/09/17 06:00 [entrez] PHST- 2013/09/17 06:00 [pubmed] PHST- 2014/09/30 06:00 [medline] PHST- 2015/02/01 00:00 [pmc-release] AID - 10.1111/acer.12239 [doi] PST - ppublish SO - Alcohol Clin Exp Res. 2014 Feb;38(2):448-56. doi: 10.1111/acer.12239. Epub 2013 Aug 19.