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Newby AC. Matrix metalloproteinases regulate migration, proliferation, and death of vascular smooth muscle cells by degrading matrix and nonmatrix substrates. Cardiovasc Res 2006; 69:614-624.
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Sluijter JPG, Pulskens WPC, Schoneveld AH, et al. Matrix metalloproteinase 2 is associated with stable and matrix metalloproteinases 8 and 9 with vulnerable carotid atherosclerotic lesions: a study in human endarterectomy specimen pointing to a role for different extracellular matrix metalloproteinase inducer glycosylation forms. Stroke 2006; 37:235-239. The authors examined 150 carotid endarterectomy specimens for levels of MMP 2, 8, and 9 and related these to the morphologic characteristics of the most stenotic segment. MMP 2 levels correlated with fibrous smooth muscle cell-rich lesions while MMP 9 and 12 correlated with vulnerable macrophage-rich lesions. The pattern of MMP expression was also related to the isotype of the extracellular MMP inducer.
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Choi ET, Collins ET, Marine LA, et al. Matrix metalloproteinase-9 modulation by resident arterial cells is responsible for injury-induced accelerated atherosclerotic plaque development in apolipoprotein E-deficient mice. Arterioscler Thromb Vasc Biol 2005; 25:1020-1025.
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Filippov S, Koenig GC, Chun TH, et al. MT1-matrix metalloproteinase directs arterial wall invasion and neointima formation by vascular smooth muscle cells. J Exp Med 2005; 202:663-671. Migration of smooth muscle cells from aortic explants into three-dimensional collagen gels in response to platelet-derived growth factor and fibroblast growth factor 2 was shown to depend on the activity of MMP 14 by using wild-type and knockout cells. The results translated into in-vivo responses to carotid ligation that were significantly blunted in MMP 14 heterozygotes compared with wild-type mice. Previous studies identifying a role for other MMPs in migration suggest that in-vitro conditions (e.g. species, two-dimensional compared with three-dimensional culture, presence of inflammatory agents) influence the results. In-vivo findings imply that MMPs 2, 9 and 14 probably cooperate to mediate neointima formation.
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Filippov, S.1
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Wu Y-J, Bond M, Sala-Newby GB, Newby AC. Altered S-phase kinase-associated protein-2 levels are a major mediator of cyclic nucleotide-induced inhibition of vascular smooth muscle cell proliferation. Circ Res 2006; 98:1141-1150. Proliferation of rat smooth muscle cells in culture or in the rat carotid artery after balloon injury is associated (spatially and temporarily) with the upregulation of the ubiquitin ligase subunit Skp-2. Overexpression and siRNA silencing demonstrated that Skp-2 mediated the downregulation of p27 cyclin-dependent kinase inhibitor that was required for cells to enter S phase. Addition of 8Br-cyclic adenosine monophosphate or forskolin inhibited focal adhesion kinase, which led to inhibition of Skp-2 and hence proliferation. The demonstration of this pathway in vitro and in vivo provides a mechanistic basis for the effects of matrix-integrin actions on smooth muscle cell proliferation by modulating focal adhesion kinase and Skp-2.
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Wu, Y.-J.1
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Cheng C, Tempel D, van Haperen R, et al. Atherosclerotic lesion size and vulnerability are determined by patterns of fluid shear stress. Circulation 2006; 113:2744-2753. A tapered collar was placed around the carotid arteries in mice to generate upstream low shear and downstream high shear regions. Plaque morphology and susceptibility to angiotensin II-induced disruption showed that the larger plaques in low-shear areas were also more vulnerable.
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Kuzuya M, Nakamura K, Sasaki T, et al. Effect of MMP-2 deficiency on atherosclerotic lesion formation in ApoE-deficient mice. Arterioscler Thromb Vasc Biol 2006; 26:1120-1125. Knockout of MMP 2 in apoE knockout mice fed a Western-type diet decreased lesion size in the aortic root. The levels of lipid and macrophages were unaffected but the smooth muscle cells were highly depleted, suggesting a role for MMP 2 in building the fibrous cap.
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Kuzuya, M.1
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Silence J, Lupu F, Collen D, Lijnen HR. Persistence of atherosclerotic plaque but reduced aneurysm formation in mice with stromelysin-1 (MMP-3) gene inactivation. Arterioscler Thromb Vasc Biol 2001; 21:1440-1445.
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Johnson JL, George SJ, Newby AC, Jackson CL. Divergent effects of matrix metalloproteinases 3, 7, 9, and 12 on atherosclerotic plaque stability in mouse brachiocephalic arteries. Proc Natl Acad Sci U S A 2005; 102:15575-15580. In this study, four different apoE/MMP double-knockout mice were compared with sibling-matched single apoE knockout mice. Lesions in the proximal brachiocephalic artery were phenotyped by established morphologic criteria of plaque vulnerability; counting buried fibrous caps was used as an additional marker of silent plaque rupture. Based on these criteria, MMP 3 and MMP 9 knockout made lesions bigger and less stable; MMP 7 had little effect, and MMP 12 knockout produced smaller, more stable plaques. The finding of opposite effects of different MMP knockouts in the same model adds weight to the idea that individual MMPs could be protective or harmful at a given site and stage of disease.
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Luttun A, Lutgens E, Manderveld A, et al. Loss of matrix metalloproteinase-9 or matrix metalloproteinase-12 protects apolipoprotein E-deficient mice against atherosclerotic media destruction but differentially affects plaque growth. Circulation 2004; 109:1408-1414.
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Johnson JL, Carson K, Williams HM, et al. Plaque rupture after short periods of fat-feeding in the apolipoprotein E knockout mouse: model characterisation, and effects of pravastatin treatment. Circulation 2005; 111:1422-1430. Complex lipid-rich atherosclerotic plaques, 62% with evidence of acute plaque disruption, were found in the brachiocephalic artery of 17-week-old apoE knockout mice fed with a lard-rich and cholesterol-rich diet for the preceding 8 weeks. On average plaques had approximately one buried fibrous cap, and lesions with buried caps were significantly more likely to stain for fibrin, which implied that buried caps represented healed silent ruptures. The frequency of buried caps was reduced by pravastatin - the gold standard plaque-stabilizing therapy. The authors suggest that the model represents a convenient test bed for genetic manipulations and pharmacologic proof-of-principle testing.
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Johnson, J.L.1
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Suppression of atherosclerotic plaque progression and instability by tissue inhibitor of metalloproteinase-2: Involvement of macrophage migration and apoptosis
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Johnson JL, Baker AH, Oka K, et al. Suppression of atherosclerotic plaque progression and instability by tissue inhibitor of metalloproteinase-2: involvement of macrophage migration and apoptosis. Circulation 2006; 113:2435-2444. Systemic overexpression of TIMP 2 but not TIMP 1 from a first-generation adenovirus inhibited MMP activity for 14 days and decreased atherosclerosis formation in the apoE null mouse brachiocephalic artery over 8 weeks of fat feeding. TIMP 2 also promoted plaque stability measures by preponderance of macrophages over smooth muscle cells or on the basis of buried fibrous caps. Sustained TIMP 2 overexpression from a helper-dependent adenovirus halted the development and promotes stability of established 8-week lesions over a further 10 weeks of high-fat diet. Proposed mechanisms included blocking monocyte migration into lesions.
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Pearce E, Tregouet D-A, Samnegard A, et al. Haplotype effect of the matrix metalloproteinase-1 gene on risk of myocardial infarction. Circ Res 2005; 97:1070-1076. The authors identified seven promoter polymorphisms, i.e. -1607 (GG/G, i.e. G insertion/deletion), -839 (G/A), -755 (G/T), -519 (A/G), -422 (T/A), -340 (T/C), and -320 (T/C), and two silent mutations in the coding region of the MMP 1 gene. Although no individual promoter polymorphism predicted myocardial infarction, both the A-519-C-340 and G-519-T-340 haplotypes had 30% less chance of myocardial infarction, whereas the G-519-C-340 haplotype had almost 100% more chance of myocardial infarction compared with the A-519-T-340 haplotype. Exceptionally, the results were replicated in a Swedish population. The haplotypes associated with protection from myocardial infarction caused lower promoter activity in THP-1 monocytic cells in vitro and reduced binding of promoter fragments to THP-1 DNA and, where measurable, gave lower levels of MMP 1 mRNA in carotid endarterectomy tissues. The study provides additional strong support for an association between increased MMP 1 activity and myocardial infarction in humans.
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Pearce, E.1
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