Why the study?
MMP-2 is activated during IR injury and cleaves sarcomeric proteins; carvedilol and nebivolol were hypothesized to reduce MMP activation in myocytes and protect against IR-related cardiac contractile dysfunction.
Does carvedilol, nebivolol, or metoprolol improve cardiac mechanical function and reduce MMP-2 activation in isolated rat hearts subjected to ischemia-reperfusion injury?
Does carvedilol, nebivolol, or metoprolol improve cardiac mechanical function and reduce MMP-2 activation in isolated rat hearts subjected to ischemia-reperfusion injury?
Carvedilol, but not nebivolol or metoprolol, protects against myocardial ischemia-reperfusion injury in isolated rat hearts, likely by inhibiting MMP-2 activation.
Hypothesis-generating for carvedilol-specific IR protection in rats; clinical trials needed before any practice implications.
Matrix metalloproteinase 2 (MMP-2) is activated in hearts upon ischemia-reperfusion (IR) injury and cleaves sarcomeric proteins. It was shown that carvedilol and nebivolol reduced the activity of different MMPs. Hence, we hypothesized that they could reduce MMPs activation in myocytes, and therefore, protect against cardiac contractile dysfunction related with IR injury. Isolated rat hearts were subjected to either control aerobic perfusion or IR injury: 25 min of aerobic perfusion, followed by 20 min global, no-flow ischemia, and reperfusion for 30 min. The effects of carvedilol, nebivolol, or metoprolol were evaluated in hearts subjected to IR injury. Cardiac mechanical function and MMP-2 activity in the heart homogenates and coronary effluent were assessed along with troponin I content in the former. Only carvedilol improved the recovery of mechanical function at the end of reperfusion compared to IR injury hearts. IR injury induced the activation and release of MMP-2 into the coronary effluent during reperfusion. MMP-2 activity in the coronary effluent increased in the IR injury group and this was prevented by carvedilol. Troponin I levels decreased by 73% in IR hearts and this was abolished by carvedilol. Conclusions: These data suggest that the cardioprotective effect of carvedilol in myocardial IR injury may be mediated by inhibiting MMP-2 activation.
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Skrzypiec‐Spring et al. (2021) studied this question.
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