Matrix metalloproteases as a pharmacological target in cardiovascular diseases

E Hopps1, G Caimi

  • 1Dipartimento Biomedico di Medicina Interna e Specialistica, School of Medicine, University of Palermo, Palermo, Italy. eugenia.hopps@unipa.it.

Abstract

Insights

Certain cardiovascular drugs can modulate matrix metalloproteinases (MMPs) and their inhibitors (TIMPs), potentially improving cardiovascular outcomes. Therapeutic strategies should consider targeting MMPs for better heart health.

Area of Science:

  • Biochemistry
  • Pharmacology
  • Cardiology

Background:

  • Matrix metalloproteinases (MMPs) and tissue inhibitors of metalloproteinases (TIMPs) play a role in atherosclerosis and cardiovascular disease progression.
  • Altered MMP/TIMP profiles are observed in conditions like hypertension, diabetes, obesity, and heart failure.

Purpose of the Study:

  • To review existing literature on the effects of common cardiovascular drugs on MMP and TIMP expression and activity.
  • To explore potential therapeutic strategies targeting MMPs in cardiovascular disease management.

Main Methods:

  • Literature search of PubMed and Medline databases.
  • Keywords included "matrix metalloproteinases," "TIMP," "activity regulation," "pharmacological therapy," "cardiovascular disease," "antihypertensives," "antidiabetic drugs," "statins," and "antiplatelet agents."
  • Inclusion of review articles.

Main Results:

  • Various drugs, including diuretics, calcium-channel blockers, angiotensin receptor blockers, ACE inhibitors, statins, antidiabetic agents, and antiplatelet agents, influence the MMP/TIMP pattern.
  • These drug-induced changes in MMPs and TIMPs appear to have beneficial effects on cardiovascular outcomes.

Conclusions:

  • Current therapeutic strategies may need reconsideration to effectively inhibit MMPs.
  • Targeting MMPs could offer a promising approach for improving cardiovascular health and outcomes.

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