SummaryTo investigate whether focal adhesion kinase (FAK) can participate in the secretion of matrix metalloproteinase 9 (MMP9) after CD147 stimulation in THP-1 induced macrophages; thus, to explore the potential treatment perspectives for acute coronary syndrome (ACS).Phorbol-12-myristate-13-acetate (PMA) was used to induce THP-1 cells to differentiate into macrophages. To confirm the peak mRNA and protein expression of FAK and MMP9 after the stimulation of CD147, the macrophages were divided into 5 groups (0, 3, 6, 9, and 12 hours), with 0 hours group as control group. To investigate the role of FAK in the secretion of MMP9, with stimulation of CD147 for 9 hours, FAK inhibitor 14 was used to inhibit FAK Y397 phosphorylation. The mRNA and protein expressions were quantified by qRT-PCR and western blotting, respectively.(1) Relative mRNA expression of FAK and MMP9 were both significantly up-regulated (all P < 0.05) after stimulation of CD147, FAK peaked at 9 hours (3.908 ± 0.106 versus 1, P < 0.05), whereas MMP9 peaked at 6 hours (2.522 ± 0.062 versus 1, P < 0.05). (2) Relative protein expression of FAK, pFAK, and MMP9 were all significantly increased after CD147 stimulation (all P < 0.05), FAK (1.930 ± 0.024 versus 1, P < 0.05) and pFAK (1.737 ± 0.021 versus 1, P < 0.05) peaked at 9 hours, whereas MMP9 peaked at 6 hours (1.527 ± 0.033 versus 1, P < 0.05). (3) CD147 up-regulates FAK, pFAK, and MMP9 mRNA and protein expressions in a dosedependent manner. (4) FAK inhibitor 14 significantly reduced the relative protein expression level of pFAK (0.077 ± 0.012 versus 1, P < 0.05) and MMP9 (0.133 ± 0.012) at 9 hours after CD147 stimulation.The results demonstrated that FAK Y397 phosphorylation was involved in the secretion of MMP9 after CD147 stimulation in macrophages and may play a role in the regulation of ACS.(Int Heart J Advance Publication) Key words: Antigens, Focal adhesion protein-tyrosine kinases, Acute coronary syndrome A cute coronary syndrome (ACS) is one of the leading causes of mortality, 1,2) even if there has been a great improvement in the treatment. The formation of thrombus as the progression of vulnerable plaque is an important cause of acute coronary syndromes. The key features of vulnerable plaques include large necrotic core, thin fibrous cap, and abundant foam cells. 3) Great advances have been made in the signaling pathways involved in the formation of unstable plaques for developing therapeutic methods. However, despite the considerable efforts, the mechanisms underlying the vulnerable plagues remain incompletely understood.The imbalance, which leads to plaque rupture, is between the extracellular matrix (ECM) deposition and matrix destruction. CD147, first identified in tumor cells and also known as extracellular matrix metalloproteinase inducer (EMMPRIN), can induce the production of various matrix metalloproteinases (MMPs). 4) MMPs are a family of zinc-dependent proteinases capable of degrading various structural components of ECM, thus leading to ECM destruction and plaque rupture. 5) Th...