Elevation of Plasma Matrix Metalloproteinase-9 in the Culprit Coronary Artery in Patients With Acute Myocardial Infarction : Clinical Evidence From Distal Protection
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概要
- 論文の詳細を見る
Background Although the elevation of circulating plasma matrix metalloproteinase (MMP)-9 levels in patients with acute myocardial infarction (AMI) has been documented, the origin of MMP-9 remains unclear. Methods and Results Plasma MMP-9 levels in both the peripheral circulation and coronary arteries were measured in patients with AMI (n=23) and with stable angina pectoris (SAP, n=10) during percutaneous coronary intervention (PCI) with a distal protection device. Blood samples were collected from the femoral artery (FA) and the coronary artery before (Initial) and after (Second) dilation of the culprit lesion. Coronary sinus blood samples were obtained immediately after PCI (n=7). Coronary artery plaque fragments were aspirated in patients with AMI (n=20) and compared with those from patients with SAP who underwent directional atherectomy (n=10). MMP-9 levels in Initial and Second were significantly higher in patients with AMI than in patients with SAP (p<0.01). In AMI patients MMP-9 levels were significantly higher in Initial than in the FA (p<0.05), and were further increased in Second (p<0.0001), whereas those in the coronary sinus were similar to the FA. Immunohistochemistry revealed augmented MMP-9 expression in the coronary artery plaque fragments from AMI patients. Conclusions MMP-9 is mainly released into the coronary circulation from the coronary artery plaque in patients with AMI.
- 社団法人日本循環器学会の論文
- 2005-09-20
著者
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Nanto Shinsuke
Kansai Rosai Hospital
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Nakano Susumu
Department Of Advanced Cardiovascular Therapeutics Osaka University Graduate School Of Medicine
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Morozumi Takakazu
Kansai Rosai Hospital
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Uematsu Masaaki
Kansai Rosai Hospital
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YAMAGISHI Masakazu
Kanazawa University Graduate School of Medicine
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Yamagishi Masakazu
Division Of Cardiology First Department Of Medicine Osaka University School Of Medicine
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Ohara Tomoki
Kansai Rosai Hospital
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Ohara Tomoki
Osaka Police Hospital
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Awata Masaki
Kansai Rosai Hospital
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Nagata Seiki
Kansai Rosai Hospital
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Ohara Tomoki
Center For Advanced Medical Engineering And Informatics Osaka University
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Ohtani Tomohito
Department Of Internal Medicine And Therapeutics Osaka University Graduate School Of Medicine
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Higo Shuichiro
Kansai Rosai Hospital
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Ishibashi Hatsue
Divisions of Pathology, National Cardiovascular Center
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Yamasaki Masao
Department Of Cardiovascular Medicine The Graduate School Of Medicine The University Of Tokyo
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Higo Syuichirou
Kansai Rosai Hospital
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Yamagishi Masakazu
Division Of Cardiology Department Of Internal Medicine Kanazawa University Graduate School Of Medici
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Ishibashi Hatsue
Divisions Of Pathology National Cardiovascular Center
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