2002
DOI: 10.1161/hc0602.103674
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Selective Matrix Metalloproteinase Inhibition Reduces Left Ventricular Remodeling but Does Not Inhibit Angiogenesis After Myocardial Infarction

Abstract: Background-Broad inhibition of matrix metalloproteinases (MMPs) attenuates left ventricular remodeling after myocardial infarction (MI). However, it is not clear if selective MMP inhibition strategies will be effective or if MMP inhibition will impair angiogenesis after MI. Methods and Results-We used a selective MMP inhibitor (MMPi) that does not inhibit MMP-1 in rabbits, which, like humans but unlike rodents, express MMP-1 as a major collagenase. On day 1 after MI, rabbits were randomized to receive either i… Show more

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Cited by 178 publications
(136 citation statements)
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“…This has indeed been borne out with basic proof of concept studies (20), particularly with the inhibition of MMP-9, one of the major gelatinases involved in postinfarct remodelling (21,22). Most of these studies demonstrate a reduction in ventricular size and improvement in ventricular function with administration of the MMP inhibitors (23)(24)(25).…”
Section: Mmps In Cardiovascular Diseasementioning
confidence: 99%
“…This has indeed been borne out with basic proof of concept studies (20), particularly with the inhibition of MMP-9, one of the major gelatinases involved in postinfarct remodelling (21,22). Most of these studies demonstrate a reduction in ventricular size and improvement in ventricular function with administration of the MMP inhibitors (23)(24)(25).…”
Section: Mmps In Cardiovascular Diseasementioning
confidence: 99%
“…MMPs are regulated at multiple levels, including transcription, translation, secretion, and activation. 17 Plasmin, TGFß1, TNFa, and IL-1ß are some examples for the mediators that are involved in the MMP regulation; 16 however, it remains unclear which are secreted by the stem cells and how the beneficial effects are induced.…”
mentioning
confidence: 99%
“…We focused on the evaluation of the amount of inflammatory cells infiltrating the myocardium between day 0 and day 7 post-MI as it is well established that healing process of the myocardium takes place mainly during this time frame. Indeed, leukocytes invade the myocardial wound within the first day post-MI and regulate extracellular matrix metabolism through the synthesis of matrix metalloproteinases (MMPs), cytokines, and growth factors (9,31,32). In particular, neutrophils migrate to the site of ischemia 24-48 h post-MI followed by monocytes to participate in removal of necrotic cardiomyocytes (33).…”
Section: Discussionmentioning
confidence: 99%