Inhibiting Matrix Metalloproteinase by Cell-Based Gene Transfer Effectively Treats Acute and Chronic Ischemic Cardiomyopathy

After a myocardial infarction (MI), an increase in the cardiac ratio of matrix metalloproteinases (MMPs) relative to their inhibitors (TIMPs) causes extracellular matrix modulation that leads to ventricular dilatation and congestive heart failure. Cell therapy can mitigate these effects. In this stu...

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Main Authors: Hai Tian M.D., Ph.D., Ming-Li Huang, Kai-Yu Liu, Zhi-Bo Jia, Lu Sun, Shu-Lin Jiang, Wei Liu, Heather Y. Mcdonald Kinkaid, Jun Wu, Ren-Ke Li M.D., Ph.D.
Format: Article
Language:English
Published: SAGE Publishing 2012-05-01
Series:Cell Transplantation
Online Access:https://doi.org/10.3727/096368911X601000
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author Hai Tian M.D., Ph.D.
Ming-Li Huang
Kai-Yu Liu
Zhi-Bo Jia
Lu Sun
Shu-Lin Jiang
Wei Liu
Heather Y. Mcdonald Kinkaid
Jun Wu
Ren-Ke Li M.D., Ph.D.
author_facet Hai Tian M.D., Ph.D.
Ming-Li Huang
Kai-Yu Liu
Zhi-Bo Jia
Lu Sun
Shu-Lin Jiang
Wei Liu
Heather Y. Mcdonald Kinkaid
Jun Wu
Ren-Ke Li M.D., Ph.D.
author_sort Hai Tian M.D., Ph.D.
collection DOAJ
description After a myocardial infarction (MI), an increase in the cardiac ratio of matrix metalloproteinases (MMPs) relative to their inhibitors (TIMPs) causes extracellular matrix modulation that leads to ventricular dilatation and congestive heart failure. Cell therapy can mitigate these effects. In this study, we tested whether increasing MMP inhibition via cell-based gene transfer of Timp-3 further preserved ventricular morphometry and cardiac function in a rat model of MI. We also measured the effect of treatment timing. We generated MI (coronary artery ligation) in adult rats. Three or 14 days later, we implanted medium (control) or vascular smooth muscle cells transfected with empty vector (VSMCs) or Timp-3 (C-TIMP-3) into the peri-infarct region ( n = 15—24/group). We assessed MMP-2 and −9 expression and activity, TIMP-3, and TNF-α expression, cell apoptosis, infarct size and thickness, ventricular morphometry, and cardiac function (by echocardiography). Relative to medium, VSMCs delivered at either time point significantly reduced cardiac expression and activity of MMP-2 and −9, reduced expression of TNF-α, and increased expression of TIMP-3. Cell therapy also reduced apoptosis and scar area, increased infarct thickness, preserved ventricular structure, and reduced functional loss. All these effects were augmented by C-TIMP-3 treatment. Survival and cardiac function were significantly greater when VSMCs or C-TIMP-3 were delivered at 3 (vs. 14) days after MI. Upregulating post-MI cardiac TIMP-3 expression via cell-based gene therapy contributed additional regulation of MMP, TIMP, and TNF-α levels, thereby boosting the structural and functional effects of VSMCs transplanted at 3 or 14 days after an MI in rats. Early treatment may be superior to late, though both are effective.
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spelling doaj.art-3aa524e8a99c432db16b6538eba473bc2022-12-21T23:51:53ZengSAGE PublishingCell Transplantation0963-68971555-38922012-05-012110.3727/096368911X601000Inhibiting Matrix Metalloproteinase by Cell-Based Gene Transfer Effectively Treats Acute and Chronic Ischemic CardiomyopathyHai Tian M.D., Ph.D.0Ming-Li Huang1Kai-Yu Liu2Zhi-Bo Jia3Lu Sun4Shu-Lin Jiang5Wei Liu6Heather Y. Mcdonald Kinkaid7Jun Wu8Ren-Ke Li M.D., Ph.D.9Key Laboratories of Myocardial Ischemia Mechanism and Treatment, Harbin Medical University, Ministry of Education, Harbin, ChinaDepartment of Gynecology and Obstetrics, First Clinical College of Harbin Medical University, Harbin, ChinaKey Laboratories of Myocardial Ischemia Mechanism and Treatment, Harbin Medical University, Ministry of Education, Harbin, ChinaKey Laboratories of Myocardial Ischemia Mechanism and Treatment, Harbin Medical University, Ministry of Education, Harbin, ChinaKey Laboratories of Myocardial Ischemia Mechanism and Treatment, Harbin Medical University, Ministry of Education, Harbin, ChinaKey Laboratories of Myocardial Ischemia Mechanism and Treatment, Harbin Medical University, Ministry of Education, Harbin, ChinaKey Laboratories of Myocardial Ischemia Mechanism and Treatment, Harbin Medical University, Ministry of Education, Harbin, ChinaDepartment of Surgery, Division of Cardiovascular Surgery, University of Toronto and Toronto General Research Institute, University Health Network, Toronto, Ontario, CanadaDepartment of Surgery, Division of Cardiovascular Surgery, University of Toronto and Toronto General Research Institute, University Health Network, Toronto, Ontario, CanadaDepartment of Surgery, Division of Cardiovascular Surgery, University of Toronto and Toronto General Research Institute, University Health Network, Toronto, Ontario, CanadaAfter a myocardial infarction (MI), an increase in the cardiac ratio of matrix metalloproteinases (MMPs) relative to their inhibitors (TIMPs) causes extracellular matrix modulation that leads to ventricular dilatation and congestive heart failure. Cell therapy can mitigate these effects. In this study, we tested whether increasing MMP inhibition via cell-based gene transfer of Timp-3 further preserved ventricular morphometry and cardiac function in a rat model of MI. We also measured the effect of treatment timing. We generated MI (coronary artery ligation) in adult rats. Three or 14 days later, we implanted medium (control) or vascular smooth muscle cells transfected with empty vector (VSMCs) or Timp-3 (C-TIMP-3) into the peri-infarct region ( n = 15—24/group). We assessed MMP-2 and −9 expression and activity, TIMP-3, and TNF-α expression, cell apoptosis, infarct size and thickness, ventricular morphometry, and cardiac function (by echocardiography). Relative to medium, VSMCs delivered at either time point significantly reduced cardiac expression and activity of MMP-2 and −9, reduced expression of TNF-α, and increased expression of TIMP-3. Cell therapy also reduced apoptosis and scar area, increased infarct thickness, preserved ventricular structure, and reduced functional loss. All these effects were augmented by C-TIMP-3 treatment. Survival and cardiac function were significantly greater when VSMCs or C-TIMP-3 were delivered at 3 (vs. 14) days after MI. Upregulating post-MI cardiac TIMP-3 expression via cell-based gene therapy contributed additional regulation of MMP, TIMP, and TNF-α levels, thereby boosting the structural and functional effects of VSMCs transplanted at 3 or 14 days after an MI in rats. Early treatment may be superior to late, though both are effective.https://doi.org/10.3727/096368911X601000
spellingShingle Hai Tian M.D., Ph.D.
Ming-Li Huang
Kai-Yu Liu
Zhi-Bo Jia
Lu Sun
Shu-Lin Jiang
Wei Liu
Heather Y. Mcdonald Kinkaid
Jun Wu
Ren-Ke Li M.D., Ph.D.
Inhibiting Matrix Metalloproteinase by Cell-Based Gene Transfer Effectively Treats Acute and Chronic Ischemic Cardiomyopathy
Cell Transplantation
title Inhibiting Matrix Metalloproteinase by Cell-Based Gene Transfer Effectively Treats Acute and Chronic Ischemic Cardiomyopathy
title_full Inhibiting Matrix Metalloproteinase by Cell-Based Gene Transfer Effectively Treats Acute and Chronic Ischemic Cardiomyopathy
title_fullStr Inhibiting Matrix Metalloproteinase by Cell-Based Gene Transfer Effectively Treats Acute and Chronic Ischemic Cardiomyopathy
title_full_unstemmed Inhibiting Matrix Metalloproteinase by Cell-Based Gene Transfer Effectively Treats Acute and Chronic Ischemic Cardiomyopathy
title_short Inhibiting Matrix Metalloproteinase by Cell-Based Gene Transfer Effectively Treats Acute and Chronic Ischemic Cardiomyopathy
title_sort inhibiting matrix metalloproteinase by cell based gene transfer effectively treats acute and chronic ischemic cardiomyopathy
url https://doi.org/10.3727/096368911X601000
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