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BioMed Research International
Volume 2013 (2013), Article ID 730721, 9 pages
http://dx.doi.org/10.1155/2013/730721
Research Article

Preexisting High Expression of Matrix Metalloproteinase-2 in Tunica Media of Saphenous Vein Conduits Is Associated with Unfavorable Long-Term Outcomes after Coronary Artery Bypass Grafting

1Departments of Cardiac Surgery and Transplantology, Poznan University of Medical Sciences, ul. Dluga 1/2, 61-848 Poznan, Poland
2Histology and Embryology, Poznan University of Medical Sciences, ul. Dluga 1/2, 61-848 Poznan, Poland
3Pediatric Cardiology and Nephrology, Poznan University of Medical Sciences, ul. Dluga 1/2, 61-848 Poznan, Poland
4Anesthesiology and Intensive Therapy, Poznan University of Medical Sciences, ul. Dluga 1/2, 61-848 Poznan, Poland

Received 8 June 2013; Accepted 19 August 2013

Academic Editor: Rei Shibata

Copyright © 2013 Bartlomiej Perek et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. Migration of the smooth muscle cells (SMCs) to the tunica media in the saphenous vein (SV) transplants is facilitated by matrix metalloproteinases (MMPs). The aim of this study was to identify any associations between expression of MMP-2 or endogenous tissue inhibitors (TIMP-2 and TIMP-3) in the SV segments and late failure of the SV grafts. Methods. Two hundred consecutive patients with a mean age of 63.1 ± 8.9 years who underwent primary isolated venous CABG were examined. Patients were retrospectively split into two subgroups, with the SV graft disease (SVGD (+); ) or without it (SVGD (−); ). In the SV segments, immunohistochemical analysis of the expression of the MMP-2, TIMP-2, and -3 was performed. Results. In the SVGD (+) patients, tissue expression of MMP-2 was stronger, whereas that of both TIMPs was weaker than in the SVGD (−) patients. In majority of the SV segments obtained from the SVGD (−) individuals, a balance in MMP and TIMP expressions was found, whereas an upregulation of MMP-2 expression was usually noted in the SVGD (+) subjects. Conclusion. The strong expression of MMP-2 accompanied by reduced immunostaining of both TIMPs is associated with the development of the SV graft disease and unfavorable CABG outcomes.