Expression of Matrix Metalloproteinases in Patients With Acute Myocardial Infarction
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概要
- 論文の詳細を見る
This study investigated the clinical significance of matrix metalloproteinases(MMPs) in acute myocardial infarction(AMI) and the involvement of peripheral blood mononuclear cells(PBMCs), which are a possible source of MMPs in AMI. Forty patients with AMI were recruited. Plasma and PBMCs were isolated from peripheral blood on days 1, 7, 14 and 21 after the onset of AMI. Levels of MMP-1 and MMP-2 were measured by enzyme-linked immunosorbent assay. The MMP-1 level in the culture medium of PBMCs after incubation for 24h was designated as 'PBMC-MMP-1 level.' Plasma MMP-1 did not significantly change during the course of AMI, but the plasma MMP-2 levels increased gradually after the onset of AMI with maximum elevation on day 21 after onset. Plasma MMP-2 activity also became significantly elevated during the course of AMI. PBMC-MMP-1 levels in the patients were significantly higher than those in control subjects over the course of AMI. Significant positive correlations were observed between maximum PBMC-MMP-1 levels and maximum plasma C-reactive protein levels (r=+0.55, p<0.01) and left ventricular end-diastolic volume index (r=+0.63, p<0.001). In conclusion, plasma MMP-2 levels and activity and MMP-1 production by PBMCs are increased in patients with AMI. Inflammation after AMI may enhance production of MMP-1 by PBMCs. These changes may play an important role in the ventricular remodeling that occurs after AMI by promoting the degradation of the extracellular matrix.
- 社団法人日本循環器学会の論文
- 2001-01-20
著者
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SHIMADA Kazuyuki
Department of Medicine, Jichi Medical University
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Hojo Yukihiro
Department of Cardiology, Jichi Medical School
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IKEDA Uichi
Department of Cardiovascular Medicine, Shinshu University Graduate School of Medicine
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UENO Shuichi
Department of Communication and Integrated Systems, Tokyo Institute of Technology
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Ueno Shuichi
Division Of Cardiovascular Medicine Department Of Medicine Jichi Medical School
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ARAKAWA Hiroshi
Department of Biophysics, Graduate School of Science, Kyoto University
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Arakawa Hiroshi
Department Of Cardiology Jichi Medical School
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Ikeda Uichi
Department Of Cardiology Jichi Medical School
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Hojo Yukihiro
Department Of Cardiology Jichi Medical School
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Shimada Kazuyuki
Department Of Anatomy School Of Medicine Showa University
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Ueno Shuichi
Department Of Communication And Integrated Systems Tokyo Institute Of Technology
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Ueno Shuichi
Department Of Biological Science Faculty Of Science Yamaguchi University
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