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Deleterious effects of lack of cardiac PAI-1 after coronary occlusion in mice and their pathophysiologic determinants.

Abstract
We sought to delineate mechanisms through which the lack of plasminogen activator inhibitor (PAI)-1 in the heart affects remodeling of the heart early after myocardial infarction (MI). MI was induced by coronary occlusion in 10-weeks old PAI-1 knockout (KO) and control mice. Three days after MI, systolic and diastolic function was assessed with high-resolution echocardiography, infarct size was determined biochemically and histologically and accumulation of acute inflammatory cells in zones of infarction was characterized by immunocytochemistry. PAI-1 KO mice exhibited markedly thickened diastolic left ventricular anterior walls (1.38 +/- 0.38 mm vs. 0.77 +/- 0.13 SD), more profound depression of global and regional cardiac function (19 vs. 22% fractional shortening), and greater evidence of diastolic dysfunction (average E wave amplitude = 568 vs. 675 mm/s) all of which were significant. Markedly greater extent of infarction was demonstrated biochemically and histologically in knockout mice compared with controls (76 vs. 29% of the left ventricle, P < 0.05) associated with striking hemorrhage and intense inflammation. Fibrosis normalized for infarct size was markedly reduced (0.006 vs. 0.022 microg hydroxyproline/mg dry weight). Thus, lack of PAI-1 in the heart exerted deleterious effects mediated, at least in part by increased inflammation and hemorrhage and attenuating of fibrosis.
AuthorsA K M Tarikuz Zaman, Satoshi Fujii, David J Schneider, Douglas J Taatjes, H Roger Lijnen, Burton E Sobel
JournalHistochemistry and cell biology (Histochem Cell Biol) Vol. 128 Issue 2 Pg. 135-45 (Aug 2007) ISSN: 0948-6143 [Print] Germany
PMID17576591 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Plasminogen Activator Inhibitor 1
Topics
  • Animals
  • Coronary Occlusion (etiology, pathology, physiopathology)
  • Disease Models, Animal
  • Echocardiography
  • Inflammation (metabolism)
  • Mice
  • Mice, Inbred BALB C
  • Mice, Knockout
  • Myocardial Infarction (physiopathology)
  • Plasminogen Activator Inhibitor 1 (deficiency, genetics)
  • Ventricular Dysfunction, Left (physiopathology)
  • Ventricular Remodeling (physiology)

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