Key result
Induced AMI in rats raises plasma ADAMTS-7 by ~288%, correlating with ventricular remodeling.
Why the study?
High ADAMTS-7 levels are associated with AMI, but its involvement in ventricular remodeling remains unclear.
RCT (n=60)
Randomized
Absolute Event Rate: 13.2% vs 3.4%
p-value: p=<0.05
ADAMTS-7 levels increase following AMI in rats and correlate with markers of ventricular remodeling, suggesting it may serve as a biomarker for this process.
Hypothesis-generating for ADAMTS-7 as post-MI remodeling biomarker; human validation required before clinical consideration.
BACKGROUND/AIMS: High ADAMTS-7 levels are associated with acute myocardial infarction (AMI), although its involvement in ventricular remodeling is unclear. In this study, we investigated the association between ADAMTS-7 expression and cardiac function in a rat AMI model. METHODS: Sprague-Dawley rats were randomized into AMI (n = 40) and sham (n = 20) groups. The left anterior descending artery was sutured to model AMI. Before surgery and 7, 14, 28, and 42 days post-surgery, ADAMTS-7 and brain natriuretic peptide (BNP), and cartilage oligomeric matrix protein (COMP) were assessed by ELISA, western blot, real-time RT-PCR, and/or immunohistochemistry. Cardiac functional and structural parameters were assessed by M-mode echocardiography. RESULTS: After AMI, plasma ADAMTS-7 levels increased, peaking on day 28 (AMI: 13.2 ± 6.3 vs. sham: 3.4 ± 1.3 ng/ml, P < 0.05). Compared with the sham group, ADAMTS-7 expression was higher in the infarct zone at day 28. COMP present in normal myocardium was degraded by day 28 post-AMI. Plasma ADAMTS-7 correlated positively with BNP (r = 0.642, P = 0.025), left ventricular end-diastolic diameter (r = 0.695, P = 0.041), left ventricular end-systolic diameter (r = 0.710, P = 0.039), left ventricular ejection fraction (r = 0.695, P = 0.036), and left ventricular short-axis fractional shortening (r = 0.721, P = 0.024). CONCLUSIONS: ADAMTS-7 levels may reflect the degree of ventricular remodeling after AMI.
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Wu et al. (2016) conducted an RCT in Acute Myocardial Infarction (AMI) (n=60). Acute myocardial infarction induction via left anterior descending artery suturing vs. Sham surgery was evaluated on Plasma ADAMTS-7 levels at day 28 (p=<0.05). Inducing acute myocardial infarction in rats significantly increased plasma ADAMTS-7 levels at 28 days compared to sham surgery (13.2 vs. 3.4 ng/ml, P<0.05), correlating with ventricular remodeling.
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