To investigate if increased activation of matrix metalloproteinases (MMPs) may contribute to the large cardiovascular risk
associated with obesity-related insulin resistance, we examined the effects of physiologically elevated levels of insulin
and free fatty acid (FFA) on three MMPs and their physiologic inhibitors (tissue inhibitors of MMP [TIMPs]) in aortic tissue
of male rats during euglycemic-hyperinsulinemic clamping. Hyperinsulinemia increased the active forms of MMP-2 (∼ sixfold),
MMP-9 (∼ 13-fold), and membrane type 1-MMP (MT1-MMP; ∼ eightfold) (all Western blots), and the gelatinolytic activity (zymography)
of MMP-2 (twofold); it did not affect TIMP-1 and TIMP-2. FFA augmented the insulin-mediated increases in MMP-2 (from ∼ six-to
∼ 11-fold), MMP-9 (from ∼ 13-to ∼ 23-fold), MT1-MMP (from ∼ eight-to ∼ 20-fold), and MMP-2 gelatinolytic activity (from two-to
threefold). FFA also increased JNK and p38 mitogen-activated protein kinase activities. The insulin-and FFA-induced hyperactivity
of three proatherogenic MMPs in vascular tissues may promote degradation of extracellular matrix over time, leading to thinning
of atherosclerotic capsules and acute vascular problems.