PMID- 28288884 OWN - NLM STAT- MEDLINE DCOM- 20171212 LR - 20171212 IS - 1615-5947 (Electronic) IS - 0890-5096 (Linking) VI - 43 DP - 2017 Aug TI - The Profile of Circulating Matrix Metalloproteinases in Patients Undergoing Lower Limb Endovascular Interventions for Peripheral Arterial Disease. PG - 188-196 LID - S0890-5096(17)30385-0 [pii] LID - 10.1016/j.avsg.2016.11.010 [doi] AB - BACKGROUND: Matrix metalloproteinases (MMPs) play a significant role in the development and progression of atherosclerotic vascular disease. We aimed to document the profile of circulating MMPs in peripheral arterial disease (PAD) patients undergoing lower limb endovascular revascularization. METHODS: A total of 46 patients (37 male; mean age 66 +/- 11 years) undergoing elective lower limb percutaneous revascularization (angioplasty/stent) for symptomatic PAD were recruited from 2 vascular centers. Exclusion criteria were: acute limb ischemia, active infection and/or wet gangrene, liver disease, end-stage renal disease, and cancer. Patients having open revascularization or hybrid (open combined with endovascular) procedures were also excluded. Peripheral venous blood samples were taken on admission and 24 hrs after the procedure. Levels of MMP-2, MMP-3, MMP-7, and MMP-9 were measured along with tissue inhibitors of MMPs (TIMPs) 1 and 2. RESULTS: Compared to baseline values, there was a significant elevation in serum MMP-3 (P = 0.014) and MMP-7 (P = 0.008) levels, whereas serum MMP-9 showed a nonsignificant trend to increase (P = 0.169). On the other hand, no significant alterations were found 24 hrs after angioplasty/stenting with regard to the MMP-2 level and TIMP-1 and 2 levels. CONCLUSIONS: This study documented the periprocedural profile of circulating MMPs in patients undergoing angioplasty/stenting for PAD. The implications of increased MMP-3 and MMP-7 activity after peripheral endovascular interventions and their potential clinical relevance require further investigation. CI - Copyright (c) 2017 Elsevier Inc. All rights reserved. FAU - Giagtzidis, Ioakeim T AU - Giagtzidis IT AD - The Fifth Department of Surgery, Aristotle University of Thessaloniki, Thessaloniki, Greece. FAU - Kadoglou, Nikolaos P AU - Kadoglou NP AD - Department of Vascular Surgery, "Attikon" University Hospital, University of Athens, Athens, Greece. FAU - Mantas, George AU - Mantas G AD - Department of Vascular Surgery, "Attikon" University Hospital, University of Athens, Athens, Greece. FAU - Spathis, Aris AU - Spathis A AD - Department of Cytopathology, "Attikon" University Hospital, Athens, Greece. FAU - Papazoglou, Konstantinos O AU - Papazoglou KO AD - The Fifth Department of Surgery, Aristotle University of Thessaloniki, Thessaloniki, Greece. FAU - Karakitsos, Petros AU - Karakitsos P AD - Department of Cytopathology, "Attikon" University Hospital, Athens, Greece. FAU - Liapis, Christos D AU - Liapis CD AD - Department of Vascular Surgery, "Attikon" University Hospital, University of Athens, Athens, Greece. FAU - Karkos, Christos D AU - Karkos CD AD - The Fifth Department of Surgery, Aristotle University of Thessaloniki, Thessaloniki, Greece. Electronic address: ckarkos@hotmail.com. LA - eng PT - Journal Article PT - Multicenter Study DEP - 20170311 PL - Netherlands TA - Ann Vasc Surg JT - Annals of vascular surgery JID - 8703941 RN - 0 (TIMP1 protein, human) RN - 0 (TIMP2 protein, human) RN - 0 (Tissue Inhibitor of Metalloproteinase-1) RN - 127497-59-0 (Tissue Inhibitor of Metalloproteinase-2) RN - EC 3.4.24.- (Matrix Metalloproteinases) RN - EC 3.4.24.17 (MMP3 protein, human) RN - EC 3.4.24.17 (Matrix Metalloproteinase 3) RN - EC 3.4.24.23 (MMP7 protein, human) RN - EC 3.4.24.23 (Matrix Metalloproteinase 7) RN - EC 3.4.24.24 (MMP2 protein, human) RN - EC 3.4.24.24 (Matrix Metalloproteinase 2) RN - EC 3.4.24.35 (MMP9 protein, human) RN - EC 3.4.24.35 (Matrix Metalloproteinase 9) SB - IM MH - Aged MH - Aged, 80 and over MH - *Angioplasty/instrumentation MH - Female MH - Greece MH - Humans MH - Lower Extremity/*blood supply MH - Male MH - Matrix Metalloproteinase 2/blood MH - Matrix Metalloproteinase 3/blood MH - Matrix Metalloproteinase 7/blood MH - Matrix Metalloproteinase 9/blood MH - Matrix Metalloproteinases/*blood MH - Middle Aged MH - Peripheral Arterial Disease/blood/diagnostic imaging/enzymology/*therapy MH - Prospective Studies MH - Stents MH - Time Factors MH - Tissue Inhibitor of Metalloproteinase-1/blood MH - Tissue Inhibitor of Metalloproteinase-2/blood MH - Treatment Outcome EDAT- 2017/03/16 06:00 MHDA- 2017/12/13 06:00 CRDT- 2017/03/15 06:00 PHST- 2016/07/28 00:00 [received] PHST- 2016/11/02 00:00 [revised] PHST- 2016/11/04 00:00 [accepted] PHST- 2017/03/16 06:00 [pubmed] PHST- 2017/12/13 06:00 [medline] PHST- 2017/03/15 06:00 [entrez] AID - S0890-5096(17)30385-0 [pii] AID - 10.1016/j.avsg.2016.11.010 [doi] PST - ppublish SO - Ann Vasc Surg. 2017 Aug;43:188-196. doi: 10.1016/j.avsg.2016.11.010. Epub 2017 Mar 11.