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Updated: May 22, 2026

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Published on: September 12, 2018
Neurovascular matrix metalloproteinases and the blood-brain barrier
Ji Hae Seo1, Shuzhen Guo, Josephine Lok
1Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Abstract:
Blood-brain barrier (BBB) leakage and brain edema is a critical part of stroke pathophysiology. In this mini-review, we briefly survey the potential role of matrix metalloproteinases (MMPs) in BBB dysfunction. A large body of data in both experimental models as well as clinical patient populations suggests that MMPs may disrupt BBB permeability and interfere with cell-cell signaling in the neurovascular unit. Hence, ongoing efforts are underway to validate MMPs as potential biomarkers in stroke as well as pursue MMP blockers as therapeutic opportunities. Because BBB perturbations may also occur in neurodegeneration, MMPs and associated neurovascular unit mechanisms may also be potential targets in a broader range of CNS disorders.
Insights
Matrix metalloproteinases (MMPs) contribute to blood-brain barrier (BBB) leakage and brain edema in stroke. Targeting MMPs offers potential for stroke biomarkers and therapeutics, and may benefit other CNS disorders.
Area of Science:
- Neuroscience
- Biochemistry
- Pathophysiology
Background:
- Blood-brain barrier (BBB) dysfunction and brain edema are key aspects of stroke pathology.
- Matrix metalloproteinases (MMPs) are implicated in disrupting the BBB.
- The neurovascular unit's integrity is crucial for brain health.
Purpose of the Study:
- To review the role of MMPs in BBB dysfunction.
- To explore MMPs as potential biomarkers for stroke.
- To investigate MMP inhibitors as therapeutic strategies for CNS disorders.
Main Methods:
- Literature review of experimental models and clinical studies.
- Analysis of data on MMPs' effects on BBB permeability.
- Examination of MMPs' role in neurovascular unit signaling.
Main Results:
- Evidence suggests MMPs increase BBB permeability.
- MMPs interfere with cell-cell signaling within the neurovascular unit.
- MMP involvement is observed in both experimental stroke models and human patients.
Conclusions:
- MMPs are significant contributors to BBB breakdown in stroke.
- MMPs show promise as stroke biomarkers.
- Targeting MMPs presents therapeutic opportunities for stroke and potentially other CNS disorders.
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