Abstract-We have recently demonstrated that the blockade of matrix metalloproteinases by local overexpression of the intrinsic inhibitor tissue inhibitor of matrix metalloproteinase-1 (TIMP-1) reduces intimal hyperplasia. We now report a major change in the elastin content of the intima of rat carotid arteries seeded with TIMP-1-overexpressing smooth muscle cells. To understand the mechanism responsible for elastin accumulation, synthesis and degradation of elastin in TIMP-1 and control cell-seeded rats were measured. There were no differences in elastin mRNA or elastin synthesis, as documented by 14 [C]proline incorporation between TIMP-1 and control cell-seeded arteries. In contrast, there was an increase in cross-linked elastin in the TIMP-1 group. In addition, in TIMP-1 and control rats, an elastase activity of approximately 28 kD was detected by elastin zymography and was decreased in TIMP-1 cell-seeded vessels. The 28 kD elastolytic activity was inhibited by exogenously added TIMP-1 and EDTA but not by PMSF, suggesting that it was a metalloelastase. Therefore, we have demonstrated that a shift of the proteolytic balance toward protease inhibition by TIMP-1 overexpression does not change elastin synthesis but rather changes posttranslational processing, resulting in increased elastin accumulation. 1 We now report a major change in the elastin constitution in the intima of rat carotid arteries seeded with TIMP-1-overexpressing smooth muscle cells (SMCs), as demonstrated by histochemical and biochemical analysis. To understand the mechanism responsible for elastin accumulation, we looked at changes in synthesis and degradation of elastin between TIMP-1-and control-seeded rats. There were no changes in elastin synthesis, as documented by 14 [C]proline incorporation. Similarly, there were no changes in elastin mRNA level between TIMP-1 and control cell-seeded arteries. In contrast, there was an increase in cross-linked elastin in the TIMP-1 group, as measured by desmosine content. In addition, characterization of elastolytic activities in TIMP-1 and control rats by use of elastin zymography demonstrated a metalloelastase activity of approximately 28 kD that was decreased in TIMP-1-seeded compared with control cell-seeded vessels. The 28 kD elastolytic activity was inhibited by exogenously added TIMP-1 and EDTA but not by PMSF, suggesting that it is a metalloelastase. Therefore, we have demonstrated that a shift of the proteolytic balance toward protease inhibition by TIMP-1 overexpression does not change elastin synthesis but rather changes posttranslational processing, resulting in increased elastin accumulation.Elastin is one of the major connective components of the blood vessel wall and is responsible for the elastic properties of the vessel. The mature elastin fibers have an extremely slow turnover rate, so that while elastin is rapidly synthesized in young growing vessels, newly synthesized elastin is virtually nonexistent in older, mature vessels.2 It is only during injury or other pathological condition...