PMID- 31707811 OWN - NLM STAT- MEDLINE DCOM- 20200617 LR - 20240229 IS - 1942-0080 (Electronic) IS - 1941-9651 (Print) IS - 1941-9651 (Linking) VI - 12 IP - 11 DP - 2019 Nov TI - Application of Hybrid Matrix Metalloproteinase-Targeted and Dynamic (201)Tl Single-Photon Emission Computed Tomography/Computed Tomography Imaging for Evaluation of Early Post-Myocardial Infarction Remodeling. PG - e009055 LID - 10.1161/CIRCIMAGING.119.009055 [doi] AB - BACKGROUND: The induction of matrix metalloproteinases (MMPs) and reduction in tissue inhibitors of MMPs (TIMPs) plays a role in ischemia/reperfusion (I/R) injury post-myocardial infarction (MI) and subsequent left ventricular remodeling. We developed a hybrid dual isotope single-photon emission computed tomography/computed tomography approach for noninvasive evaluation of regional myocardial MMP activation with (99m)Tc-RP805 and dynamic (201)Tl for determination of myocardial blood flow, to quantify the effects of intracoronary delivery of recombinant TIMP-3 (rTIMP-3) on I/R injury. METHODS: Studies were performed in control pigs (n=5) and pigs following 90-minute balloon occlusion-induced ischemia/reperfusion (I/R) of left anterior descending artery (n=9). Before reperfusion, pigs with I/R were randomly assigned to intracoronary infusion of rTIMP-3 (1.0 mg/kg; n=5) or saline (n=4). Three days post-I/R, dual isotope imaging was performed with (99m)Tc-RP805 and (201)Tl along with contrast cineCT to assess left ventricular function. RESULTS: The ischemic to nonischemic ratio of (99m)Tc-RP805 was significantly increased following I/R in saline group (4.03+/-1.40), and this ratio was significantly reduced with rTIMP-3 treatment (2.22+/-0.57; P=0.03). This reduction in MMP activity in the MI-rTIMP-3 treatment group was associated with an improvement in relative MI region myocardial blood flow compared with the MI-saline group and improved myocardial strain in the MI region. CONCLUSIONS: We have established a novel hybrid single-photon emission computed tomography/computed tomography imaging approach for the quantitative assessment of regional MMP activation, myocardial blood flow, and cardiac function post-I/R that can be used to evaluate therapeutic interventions such as intracoronary delivery of rTIMP-3 for reduction of I/R injury in the early phases of post-MI remodeling. FAU - Thorn, Stephanie L AU - Thorn SL AD - Section of Cardiovascular Medicine, Department of Internal Medicine (S.L.T., A.F., M.R.S., A.J.S.), Yale University, School of Medicine, New Haven, CT. AD - Yale Translational Research Imaging Center, Department of Internal Medicine, New Haven, CT (S.L.T., A.F., M.R.S., A.J.S.). FAU - Barlow, Shayne C AU - Barlow SC AD - Department of Cell Biology and Anatomy, Surgery, Cardiovascular Translational Research Center, WJB Dorn Veteran Affairs Medical Center, University of South Carolina School of Medicine, Columbia (S.C.B., H.D., J.J., K.Z., F.G.S.). FAU - Feher, Attila AU - Feher A AD - Section of Cardiovascular Medicine, Department of Internal Medicine (S.L.T., A.F., M.R.S., A.J.S.), Yale University, School of Medicine, New Haven, CT. AD - Yale Translational Research Imaging Center, Department of Internal Medicine, New Haven, CT (S.L.T., A.F., M.R.S., A.J.S.). FAU - Stacy, Mitchel R AU - Stacy MR AD - Section of Cardiovascular Medicine, Department of Internal Medicine (S.L.T., A.F., M.R.S., A.J.S.), Yale University, School of Medicine, New Haven, CT. AD - Yale Translational Research Imaging Center, Department of Internal Medicine, New Haven, CT (S.L.T., A.F., M.R.S., A.J.S.). FAU - Doviak, Heather AU - Doviak H AD - Department of Cell Biology and Anatomy, Surgery, Cardiovascular Translational Research Center, WJB Dorn Veteran Affairs Medical Center, University of South Carolina School of Medicine, Columbia (S.C.B., H.D., J.J., K.Z., F.G.S.). FAU - Jacobs, Julia AU - Jacobs J AD - Department of Cell Biology and Anatomy, Surgery, Cardiovascular Translational Research Center, WJB Dorn Veteran Affairs Medical Center, University of South Carolina School of Medicine, Columbia (S.C.B., H.D., J.J., K.Z., F.G.S.). FAU - Zellars, Kia AU - Zellars K AD - Department of Cell Biology and Anatomy, Surgery, Cardiovascular Translational Research Center, WJB Dorn Veteran Affairs Medical Center, University of South Carolina School of Medicine, Columbia (S.C.B., H.D., J.J., K.Z., F.G.S.). FAU - Renaud, Jennifer M AU - Renaud JM AD - Division of Cardiology, University of Ottawa Heart Institute, ON, Canada (J.M.R., R.K., R.dK.). FAU - Klein, Ran AU - Klein R AD - Division of Cardiology, University of Ottawa Heart Institute, ON, Canada (J.M.R., R.K., R.dK.). FAU - deKemp, Robert A AU - deKemp RA AD - Division of Cardiology, University of Ottawa Heart Institute, ON, Canada (J.M.R., R.K., R.dK.). FAU - Khakoo, Aarif Y AU - Khakoo AY AD - Amgen, CardioMetabolic Disorders, South San Francisco, CA (A.Y.K., T.W.). FAU - Lee, TaeWeon AU - Lee T AD - Amgen, CardioMetabolic Disorders, South San Francisco, CA (A.Y.K., T.W.). FAU - Spinale, Francis G AU - Spinale FG AD - Department of Cell Biology and Anatomy, Surgery, Cardiovascular Translational Research Center, WJB Dorn Veteran Affairs Medical Center, University of South Carolina School of Medicine, Columbia (S.C.B., H.D., J.J., K.Z., F.G.S.). FAU - Sinusas, Albert J AU - Sinusas AJ AD - Section of Cardiovascular Medicine, Department of Internal Medicine (S.L.T., A.F., M.R.S., A.J.S.), Yale University, School of Medicine, New Haven, CT. AD - Department of Radiology and Biomedical Imaging (A.J.S.), Yale University, School of Medicine, New Haven, CT. AD - Yale Translational Research Imaging Center, Department of Internal Medicine, New Haven, CT (S.L.T., A.F., M.R.S., A.J.S.). LA - eng GR - R42 HL131280/HL/NHLBI NIH HHS/United States GR - R01 HL113352/HL/NHLBI NIH HHS/United States GR - R01 HL137365/HL/NHLBI NIH HHS/United States GR - I01 BX000168/BX/BLRD VA/United States GR - R01 HL078650/HL/NHLBI NIH HHS/United States GR - R01 HL130972/HL/NHLBI NIH HHS/United States GR - T32 HL098069/HL/NHLBI NIH HHS/United States GR - S10 RR025555/RR/NCRR NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20191111 PL - United States TA - Circ Cardiovasc Imaging JT - Circulation. Cardiovascular imaging JID - 101479935 RN - EC 3.4.24.- (Matrix Metalloproteinases) SB - IM CIN - Circ Cardiovasc Imaging. 2019 Nov;12(11):e009915. PMID: 31707812 MH - Animals MH - Male MH - Coronary Circulation/physiology MH - Disease Models, Animal MH - *Heart Ventricles/growth & development/metabolism/physiopathology MH - *Matrix Metalloproteinases/metabolism MH - *Myocardial Infarction/diagnosis/metabolism/physiopathology MH - *Myocardium/metabolism MH - *Single Photon Emission Computed Tomography Computed Tomography/methods MH - Swine MH - *Ventricular Function, Left/physiology MH - *Ventricular Remodeling/physiology PMC - PMC7250243 MID - NIHMS1548954 OTO - NOTNLM OT - balloon occlusion OT - matrix metalloproteinases OT - myocardial infarction OT - reperfusion injury OT - ventricular remodeling EDAT- 2019/11/12 06:00 MHDA- 2020/06/17 06:00 PMCR- 2020/11/11 CRDT- 2019/11/12 06:00 PHST- 2019/11/12 06:00 [entrez] PHST- 2019/11/12 06:00 [pubmed] PHST- 2020/06/17 06:00 [medline] PHST- 2020/11/11 00:00 [pmc-release] AID - 10.1161/CIRCIMAGING.119.009055 [doi] PST - ppublish SO - Circ Cardiovasc Imaging. 2019 Nov;12(11):e009055. doi: 10.1161/CIRCIMAGING.119.009055. Epub 2019 Nov 11.