2002
DOI: 10.1152/ajpheart.00711.2001
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Viscoelastic properties of pressure overload hypertrophied myocardium: effect of serine protease treatment

Abstract: To determine whether and to what extent one component of the extracellular matrix, fibrillar collagen, contributes causally to abnormalities in viscoelasticity, collagen was acutely degraded by activation of endogenous matrix metalloproteinases (MMPs) with the serine protease plasmin. Papillary muscles were isolated from normal cats and cats with right ventricular pressure overload hypertrophy (POH) induced by pulmonary artery banding. Plasmin treatment caused MMP activation, collagen degradation, decreased th… Show more

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Cited by 60 publications
(44 citation statements)
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References 42 publications
(106 reference statements)
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“…33 Degradation of collagen in pressure-overloaded, hypertrophied papillary muscles with plasmin did not reduce muscle stiffness to levels observed in normal muscles. 34 Similarly, in the present study, patients with DHF and low CVFs still had higher LVEDP, , and E than did controls (Figure 3). Therefore, our data support the concept that diastolic LV dysfunction in the presence of a low CVF is explained by the higher F passive of the cardiomyocytes.…”
Section: In Vitro Versus In Vivosupporting
confidence: 78%
“…33 Degradation of collagen in pressure-overloaded, hypertrophied papillary muscles with plasmin did not reduce muscle stiffness to levels observed in normal muscles. 34 Similarly, in the present study, patients with DHF and low CVFs still had higher LVEDP, , and E than did controls (Figure 3). Therefore, our data support the concept that diastolic LV dysfunction in the presence of a low CVF is explained by the higher F passive of the cardiomyocytes.…”
Section: In Vitro Versus In Vivosupporting
confidence: 78%
“…Because excessive accumulation of collagen in the cardiac interstitium is associated with pressure-overload hypertrophy, we speculate that myofibroblast conversion and the accompanying increase in collagenous ECM deposition by myofibroblasts contributes to increased amounts of collagen (24,42). Overdeposition of collagen in the heart has been associated with cardiac dysfunction, particularly in respect to relaxation of the ventricles during diastole (33,44). Potentially, a distinct ECM synthesized by myofibroblasts could induce changes in integrin-mediated cell signaling, display different susceptibility to collagenase digestion by matrix metalloproteinases, and/or exhibit disparate structural properties.…”
Section: Discussionmentioning
confidence: 99%
“…In POH, the accumulation of ECM and eventual myocardial fibrosis significantly contributes to LV function. In particular, enhanced synthesis and deposition of myocardial ECM is directly associated with increased LV myocardial stiffness properties, which in turn causes poor filling characteristics during diastole (12,35,159,191,194,312,314,421,488). Indeed, recent clinical evidence suggests that progressive ECM accumulation and diastolic dysfunction are important underlying pathophysiological mechanisms for heart failure in patients with POH (196,544,545).…”
Section: Myocardial Remodeling In Overload Statesmentioning
confidence: 99%