TNF-α and myocardial matrix metalloproteinases in heart failure:: relationship to LV remodeling
TNF-α and myocardial matrix metalloproteinases in heart failure:: relationship to LV remodeling
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DOI:
10.1152/ajpheart.00526.2001
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发表时间:
2002-04-01
影响因子:
4.8
通讯作者:
Spinale, FG
中科院分区:
文献类型:
--
作者:
Bradham, WS;Moe, G;Spinale, FG
The cytokine tumor necrosis factor (TNF)-alpha has been causally linked to left ventricular (LV) remodeling, but the molecular basis for this effect is unknown. Matrix metalloproteinases (MMPs) have been implicated in cardiac remodeling and can be regulated by TNF-alpha. This study tested the central hypothesis that administration of a TNF-alpha blocking protein would prevent the induction of MMPs and alter the course of myocardial remodeling in developing LV failure. Adult dogs were randomly assigned to the following groups: 1) chronic pacing (250 beats/min, 28 days, n = 12), 2) chronic pacing with concomitant administration of a TNF-alpha blocking protein (TNF block) using a soluble p75 TNF receptor fusion protein (TNFR: Fc; administered at 0.5 mg/kg twice a week subcutaneously, n = 7), and 3) normal controls (n = 10). LV end-diastolic volume increased from control with chronic pacing (83 +/- vs. 118 +/- ml, P