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What is the Best Age for Mice to Have Myocardial Infarction: 
Modulating Matrix Metalloproteinase-9 to Answer the Question 
Andriy Yabluchanskiy1, Yonggang Ma1, Dustin R. Bratton1,, Ying Ann Chiao2, 
Andrew P. Voorhees1,3, Hai-Chao Han1,3, Yu-Fang Jin1,4, and Merry L. Lindsey1,5 
1 San Antonio Cardiovascular Proteomics Center, Mississippi Center for Heart Research, UMMC, 2Department of Pathology, UW, 3Department of 
Mechanical Engineering, UTSA, 4Department of Electrical and Computer Engineering, UTSA, and 5Research Service, G.V. (Sonny) Montgomery Veterans 
Affairs Medical Center 
INTRODUCTION 
• Matrix metalloproteinase (MMP)-9 increases in the aging left 
ventricle (LV) 
• MMP-9 deletion in young mice attenuates LV remodeling and 
improves cardiac function post-myocardial infarction (MI) 
Inputs: 
• C57BL/6J (WT, n=93) and 
MMP-9 Null (Null, n=95) mice, 
males and females, 11-36 month 
old 
• WT (n=12) and Null (n=11) mice, 
males and females, 3-6 month old 
(young mice, reference control) 
• Left anterior descending coronary 
artery ligation 
Output measurements: 
• Plasma MMP-9 protein levels 
• Infarct area and survival rate 
• LV function by echocardiography 
• RT quantitative PCR: infarcted 
LV and isolated macrophages 
• Immunohistology: MAC-3 
staining 
200 μm 
WT Null WT Null 
WT Null WT Null 
This study is supported by NIH/NHLBI SC2 HL101430, 
HL095852, HHSN 268201000036C (N01-HV-00244), 
R01HL075360,NIH HL051971, GM104357, and 
5I01BX000505. 
MMP-9 deletion improves LV remodeling post-MI in aged mice 
Figure 1. A). MMP-9 plasma 
levels at day 7 post-MI increased 
with age (n=45). B). Infarct area 
was similar between WT and 
Null groups, confirming similar 
initiating ischemic insult. C). Null 
mice showed improved survival. 
Infarct area (%) 
WT Null 
HYPOTHESIS 
METHODS 
RESULTS 
CONCLUSION 
Percent survival 
Days 
C 
Null 
75/85 
WT 
45/59 
% stained area 
p=0.041 
%change from baseline 
WT 
ESV 
r=0.38 
p=0.01 
Age (months) Age (months) 
0 10 20 30 
Figure 2. WT mice showed a linear increases in the extent of post- 
MI LV dilation with age, as evidenced by increases in change of end 
systolic volume (ESV; n=42), and a progressive decrease in the 
ejection fraction (EF; upper panel). MMP-9 deletion abolished the 
age relationship (n=75; lower panel). 
WT Null 
WT Null 
WT 
Null 
Aging + MI 
↑MMP-9 
LV dysfunction 
MMP-9 
deletion 
M2 macrophage 
polarization 
↑Inflammation 
0 Age (months) 36 0 Age (months) 36 
Ccl1 
Ccl6 
Ccl9 
Ccr1 
IL11 
IL1r2 
IL8rb 
Mif 
Pf4 
Figure 3. WT mice showed linear age-dependent increases in 3 
pro-inflammatory genes (red), while Null mice showed increases in 
3 pro-inflammatory genes (red) and 7 anti-inflammatory genes 
(blue). Sample sizes are n=22 for WT and n=35 for Null, all p<0.05. 
Macrophages 
p=0.12 
WT Null 
Figure 4. WT and Null 
mice showed similar 
numbers of 
macrophages in the LV 
infarct (p=0.12). 
2-ΔCt 
IL-1β (M1) 
p=0.11 
2-ΔCt 
TNF-α (M1) 
p=0.56 
2-ΔCt 
CD206 (M2) 
p=0.04 
2-ΔCt 
TGF-β (M2) 
p=0.01 
Figure 5. MMP-9 deletion did not affect the expression of 
M1 markers in isolated macrophages from the LV infarcts at 
day 7 post-MI (upper panel, red), but promoted the M2 
polarization (lower panel, blue). n=12 per group. 
0 10 20 30 40 
%change from baseline 
Age (months) 
Null 
ESV 
r=0.08 
p=0.47 
0 10 20 30 
Age (months) 
WT 
Plasma 
r=0.46 
p<0.001 
0 10 20 30 40 
MMP-9 (ng/mL) 
C3 
Ccl4 
Cx3cl1 
Ccl5 
A 
p=0.33 
* * 
200 μm 
ACKNOWLEDGEMENTS 
B 
Age (months) 
%change from baseline 
0 10 20 30 40 
%change from baseline 
WT 
EF 
r=-0.35 
p=0.02 
Null 
EF 
r=0.01 
p=0.91 
n=45 n=75

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AY aha poster Final

  • 1. What is the Best Age for Mice to Have Myocardial Infarction: Modulating Matrix Metalloproteinase-9 to Answer the Question Andriy Yabluchanskiy1, Yonggang Ma1, Dustin R. Bratton1,, Ying Ann Chiao2, Andrew P. Voorhees1,3, Hai-Chao Han1,3, Yu-Fang Jin1,4, and Merry L. Lindsey1,5 1 San Antonio Cardiovascular Proteomics Center, Mississippi Center for Heart Research, UMMC, 2Department of Pathology, UW, 3Department of Mechanical Engineering, UTSA, 4Department of Electrical and Computer Engineering, UTSA, and 5Research Service, G.V. (Sonny) Montgomery Veterans Affairs Medical Center INTRODUCTION • Matrix metalloproteinase (MMP)-9 increases in the aging left ventricle (LV) • MMP-9 deletion in young mice attenuates LV remodeling and improves cardiac function post-myocardial infarction (MI) Inputs: • C57BL/6J (WT, n=93) and MMP-9 Null (Null, n=95) mice, males and females, 11-36 month old • WT (n=12) and Null (n=11) mice, males and females, 3-6 month old (young mice, reference control) • Left anterior descending coronary artery ligation Output measurements: • Plasma MMP-9 protein levels • Infarct area and survival rate • LV function by echocardiography • RT quantitative PCR: infarcted LV and isolated macrophages • Immunohistology: MAC-3 staining 200 μm WT Null WT Null WT Null WT Null This study is supported by NIH/NHLBI SC2 HL101430, HL095852, HHSN 268201000036C (N01-HV-00244), R01HL075360,NIH HL051971, GM104357, and 5I01BX000505. MMP-9 deletion improves LV remodeling post-MI in aged mice Figure 1. A). MMP-9 plasma levels at day 7 post-MI increased with age (n=45). B). Infarct area was similar between WT and Null groups, confirming similar initiating ischemic insult. C). Null mice showed improved survival. Infarct area (%) WT Null HYPOTHESIS METHODS RESULTS CONCLUSION Percent survival Days C Null 75/85 WT 45/59 % stained area p=0.041 %change from baseline WT ESV r=0.38 p=0.01 Age (months) Age (months) 0 10 20 30 Figure 2. WT mice showed a linear increases in the extent of post- MI LV dilation with age, as evidenced by increases in change of end systolic volume (ESV; n=42), and a progressive decrease in the ejection fraction (EF; upper panel). MMP-9 deletion abolished the age relationship (n=75; lower panel). WT Null WT Null WT Null Aging + MI ↑MMP-9 LV dysfunction MMP-9 deletion M2 macrophage polarization ↑Inflammation 0 Age (months) 36 0 Age (months) 36 Ccl1 Ccl6 Ccl9 Ccr1 IL11 IL1r2 IL8rb Mif Pf4 Figure 3. WT mice showed linear age-dependent increases in 3 pro-inflammatory genes (red), while Null mice showed increases in 3 pro-inflammatory genes (red) and 7 anti-inflammatory genes (blue). Sample sizes are n=22 for WT and n=35 for Null, all p<0.05. Macrophages p=0.12 WT Null Figure 4. WT and Null mice showed similar numbers of macrophages in the LV infarct (p=0.12). 2-ΔCt IL-1β (M1) p=0.11 2-ΔCt TNF-α (M1) p=0.56 2-ΔCt CD206 (M2) p=0.04 2-ΔCt TGF-β (M2) p=0.01 Figure 5. MMP-9 deletion did not affect the expression of M1 markers in isolated macrophages from the LV infarcts at day 7 post-MI (upper panel, red), but promoted the M2 polarization (lower panel, blue). n=12 per group. 0 10 20 30 40 %change from baseline Age (months) Null ESV r=0.08 p=0.47 0 10 20 30 Age (months) WT Plasma r=0.46 p<0.001 0 10 20 30 40 MMP-9 (ng/mL) C3 Ccl4 Cx3cl1 Ccl5 A p=0.33 * * 200 μm ACKNOWLEDGEMENTS B Age (months) %change from baseline 0 10 20 30 40 %change from baseline WT EF r=-0.35 p=0.02 Null EF r=0.01 p=0.91 n=45 n=75