Abstract:Objective To explore the expressions of microRNA-183 and matrix metalloproteinase-9 (MMP-9) in acute aortic dissection (AAD) and the mechanisms underlying their regulation of extracellular matrix of smooth muscle cells.Methods The tissue samples of 20 patients with AAD and 20 patients with coronary heart disease without the involvement of aorta were collected and set as AAD group and NC group, respectively. The relative expressions of miR-183 and MMP-9 in these samples were detected. The human aortic smooth muscle cells (HASMC) were divided into mimic group, inhibitor group and control group, where the cells were transfected with miRNA-183 mimics, miRNA-183 inhibitors or untreated. The expressions of miRNA-183, MMP-9 mRNA, MMP-9 protein, and its substrate elastin were detected.Results The relative expression of miRNA-183 in AAD group was lower than that in NC group (P < 0.05), while the relative expression of MMP-9 protein in AAD group was higher than that in NC group (P < 0.05). Compared with the control group, the expressions of microRNA-183 and elastin were increased, but the mRNA and protein expressions of MMP-9 were decreased in mimic group (P < 0.05). In contrast, the expressions of microRNA-183 and elastin were decreased, but the mRNA and protein expressions of MMP-9 were increased in inhibitor group relative to those in control group (P < 0.05).Conclusions MicroRNA-183 may participate in the extracellular matrix remodeling by regulating the expression of MMP-9 in smooth muscle cells, thereby promoting the development of acute aortic dissection.