Congestive heart failure is associated with extracellular matrix (ECM) remodeling resulting from an imbalance in the synthesis and degradation of ECM collagen.1,2) Severe degrees of cardiac remodeling are associated with an increased risk of heart failure, morbidity, and mortality in patients with heart failure. 3,4) Neurohumoral activation plays a key role in compensatory mechanisms and myocardial remodeling in patients with heart disease, and is accompanied by the expression of matrix metalloproteinases (MMPs). 2,3,5,6) The MMPs compose a family of enzymes that contribute to ECM remodeling in several disease states, by promoting ECM degradation. Interestingly, several studies have shown that increased MMP expression and activation are involved in myocardial remodeling processes associated with several heart diseases. 4,[7][8][9] In addition, animal models of heart disease showed increases in MMP activity and left ventricular (LV) remodeling. [10][11][12] Likewise, MMP inhibition and deletion are reported to prevent LV remodeling and dysfunction, suggesting the potential usefulness of MMP inhibitors (MMPi) in patients with heart failure. Spontaneously hypertensive rats showed increased collagen accumulation and MMP activation, which were reversed after treatment with an MMPi. 6) MMP knockout mice showed preserved cardiac function and decreased myocardial fibrosis in myocardial infarction. 13,14) Furthermore, the MMPi doxycycline was reported to prevent cardiac hypertrophy, MMP activity, and myocardial fibrosis in rats with myocardial ischemia. 15) However, few studies have examined the effects of doxycycline on b-agonist-induced myocardial fibrosis. Therefore, we investigated the effects of doxycycline on isoproterenol-induced myocardial fibrosis and MMP expression.
MATERIALS AND METHODSFour-week-old Wistar-Kyoto rats (nϭ42) were obtained from a commercial laboratory (Charles River, Yokohama, Japan). The rats were housed individually in an air-conditioned room with a 12-h dark-light cycle and were given a standard diet with ad libitum access to tap water. The rats were divided into 3 groups: control (CTL), isoproterenol (ISO), and isoproterenol with doxycycline (ISOϩDOX). This study was approved by the Institutional Laboratory Animal Care and Use Committee of the School of Veterinary Medicine of Kitasato University, Japan.Study 1 Four-week-old rats (nϭ18; body weight, 90-110 g) were divided into 3 groups: control (nϭ6), ISO (nϭ 6), and ISOϩDOX (nϭ6). Animals were anesthetized with an intraperitoneal injection of pentobarbital (50 mg/kg). A 3Fr catheter was implanted into the jugular vein and the drug was administered with an infusion pump (Nihon Kohden, Tokyo, Japan). The rats were stabilized for 15 min and placed in the prone position above an ultrasound standoff pad (3M Health Care Ltd., Tokyo). Control rats were infused 0.9% saline alone. L-Isoproterenol (Sigma-Aldrich Co., St. Louis, MO, U.S.A.) was infused at 0.5 and 1.0 mg/kg/min for 5 min. In ISOϩDOX rats, doxycycline hydrochloride was infused at 17-18 m...