PMID- 24523321 OWN - NLM STAT- MEDLINE DCOM- 20141125 LR - 20211021 IS - 1946-6242 (Electronic) IS - 1946-6234 (Print) IS - 1946-6234 (Linking) VI - 6 IP - 223 DP - 2014 Feb 12 TI - Local hydrogel release of recombinant TIMP-3 attenuates adverse left ventricular remodeling after experimental myocardial infarction. PG - 223ra21 LID - 10.1126/scitranslmed.3007244 [doi] AB - An imbalance between matrix metalloproteinases (MMPs) and tissue inhibitors of MMPs (TIMPs) contributes to the left ventricle (LV) remodeling that occurs after myocardial infarction (MI). However, translation of these observations into a clinically relevant, therapeutic strategy remains to be established. The present study investigated targeted TIMP augmentation through regional injection of a degradable hyaluronic acid hydrogel containing recombinant TIMP-3 (rTIMP-3) in a large animal model. MI was induced in pigs by coronary ligation. Animals were then randomized to receive targeted hydrogel/rTIMP-3, hydrogel alone, or saline injection and followed for 14 days. Instrumented pigs with no MI induction served as referent controls. Multimodal imaging (fluoroscopy/echocardiography/magnetic resonance imaging) revealed that LV ejection fraction was improved, LV dilation was reduced, and MI expansion was attenuated in the animals treated with rTIMP-3 compared to all other controls. A marked reduction in proinflammatory cytokines and increased smooth muscle actin content indicative of myofibroblast proliferation occurred in the MI region with hydrogel/rTIMP-3 injections. These results provide the first proof of concept that regional sustained delivery of an MMP inhibitor can effectively interrupt adverse post-MI remodeling. FAU - Eckhouse, Shaina R AU - Eckhouse SR AD - Cardiothoracic Surgery, Medical University of South Carolina, Charleston, SC 29425, USA. FAU - Purcell, Brendan P AU - Purcell BP FAU - McGarvey, Jeremy R AU - McGarvey JR FAU - Lobb, David AU - Lobb D FAU - Logdon, Christina B AU - Logdon CB FAU - Doviak, Heather AU - Doviak H FAU - O'Neill, Jason W AU - O'Neill JW FAU - Shuman, James A AU - Shuman JA FAU - Novack, Craig P AU - Novack CP FAU - Zellars, Kia N AU - Zellars KN FAU - Pettaway, Sara AU - Pettaway S FAU - Black, Roy A AU - Black RA FAU - Khakoo, Aarif AU - Khakoo A FAU - Lee, Taeweon AU - Lee T FAU - Mukherjee, Rupak AU - Mukherjee R FAU - Gorman, Joseph H AU - Gorman JH FAU - Gorman, Robert C AU - Gorman RC FAU - Burdick, Jason A AU - Burdick JA FAU - Spinale, Francis G AU - Spinale FG LA - eng GR - R01 HL111090/HL/NHLBI NIH HHS/United States GR - T32 HL007954/HL/NHLBI NIH HHS/United States GR - T32HL007954/HL/NHLBI NIH HHS/United States GR - R01 HL057952/HL/NHLBI NIH HHS/United States GR - R01 HL095608/HL/NHLBI NIH HHS/United States GR - R01 HL059165/HL/NHLBI NIH HHS/United States GR - I01 BX000168/BX/BLRD VA/United States GR - HL095608/HL/NHLBI NIH HHS/United States GR - T32HL007260/HL/NHLBI NIH HHS/United States GR - HL057952/HL/NHLBI NIH HHS/United States GR - HL059165/HL/NHLBI NIH HHS/United States GR - T32 HL007260/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, Non-P.H.S. PL - United States TA - Sci Transl Med JT - Science translational medicine JID - 101505086 RN - 0 (Tissue Inhibitor of Metalloproteinase-3) RN - 25852-47-5 (Hydrogel, Polyethylene Glycol Dimethacrylate) SB - IM MH - Animals MH - Disease Models, Animal MH - Hydrogel, Polyethylene Glycol Dimethacrylate/administration & dosage/*chemistry MH - Myocardial Infarction/*drug therapy/*metabolism MH - Tissue Inhibitor of Metalloproteinase-3/*administration & dosage/metabolism/*therapeutic use MH - Ventricular Remodeling/drug effects/*physiology PMC - PMC4365799 MID - NIHMS669509 EDAT- 2014/02/14 06:00 MHDA- 2014/12/15 06:00 PMCR- 2015/03/19 CRDT- 2014/02/14 06:00 PHST- 2014/02/14 06:00 [entrez] PHST- 2014/02/14 06:00 [pubmed] PHST- 2014/12/15 06:00 [medline] PHST- 2015/03/19 00:00 [pmc-release] AID - 6/223/223ra21 [pii] AID - 10.1126/scitranslmed.3007244 [doi] PST - ppublish SO - Sci Transl Med. 2014 Feb 12;6(223):223ra21. doi: 10.1126/scitranslmed.3007244.