Frontiers in Cellular and Infection Microbiology (Mar 2022)

Matrix Metalloproteinase 2 and 9 Enzymatic Activities are Selectively Increased in the Myocardium of Chronic Chagas Disease Cardiomyopathy Patients: Role of TIMPs

  • Monique Andrade Baron,
  • Monique Andrade Baron,
  • Monique Andrade Baron,
  • Ludmila Rodrigues Pinto Ferreira,
  • Ludmila Rodrigues Pinto Ferreira,
  • Ludmila Rodrigues Pinto Ferreira,
  • Ludmila Rodrigues Pinto Ferreira,
  • Priscila Camillo Teixeira,
  • Priscila Camillo Teixeira,
  • Priscila Camillo Teixeira,
  • Ana Iochabel Soares Moretti,
  • Ronaldo Honorato Barros Santos,
  • Amanda Farage Frade,
  • Amanda Farage Frade,
  • Amanda Farage Frade,
  • Andréia Kuramoto,
  • Andréia Kuramoto,
  • Victor Debbas,
  • Luiz Alberto Benvenuti,
  • Fabio Antônio Gaiotto,
  • Fernando Bacal,
  • Pablo Pomerantzeff,
  • Christophe Chevillard,
  • Jorge Kalil,
  • Jorge Kalil,
  • Edecio Cunha-Neto,
  • Edecio Cunha-Neto,
  • Edecio Cunha-Neto

DOI
https://doi.org/10.3389/fcimb.2022.836242
Journal volume & issue
Vol. 12

Abstract

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Chronic Chagas disease (CCC) is an inflammatory dilated cardiomyopathy with a worse prognosis compared to other cardiomyopathies. We show the expression and activity of Matrix Metalloproteinases (MMP) and of their inhibitors TIMP (tissue inhibitor of metalloproteinases) in myocardial samples of end stage CCC, idiopathic dilated cardiomyopathy (DCM) patients, and from organ donors. Our results showed significantly increased mRNA expression of several MMPs, several TIMPs and EMMPRIN in CCC and DCM samples. MMP-2 and TIMP-2 protein levels were significantly elevated in both sample groups, while MMP-9 protein level was exclusively increased in CCC. MMPs 2 and 9 activities were also exclusively increased in CCC. Results suggest that the balance between proteins that inhibit the MMP-2 and 9 is shifted toward their activation. Inflammation-induced increases in MMP-2 and 9 activity and expression associated with imbalanced TIMP regulation could be related to a more extensive heart remodeling and poorer prognosis in CCC patients.

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