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Updated: Apr 5, 2026

Author Spotlight: Studying Cardiac Cell-Matrix Interactions In Vitro
Published on: March 22, 2024
Effects of aging on cardiac extracellular matrix in men and women
Elke Dworatzek1,2, Istvan Baczko3, Georgios Kararigas1,2
1Institute of Gender in Medicine and Center for Cardiovascular Research, Charite University Hospital, Berlin, Germany.
Insights
Cardiac extracellular matrix (ECM) changes with age, showing sex-specific differences in protein levels. This age-related myocardial remodeling impacts heart function and repair.
Area of Science:
- Cardiovascular Biology
- Aging Research
- Extracellular Matrix Biology
Background:
- Aging significantly impacts tissue health and is a primary risk factor for various diseases.
- The specific effects of aging on cardiac extracellular matrix (ECM) components in healthy individuals remain unclear.
- Understanding these changes is crucial for addressing age-related cardiovascular decline.
Purpose of the Study:
- To investigate the age-related alterations in key cardiac extracellular matrix (ECM) proteins.
- To determine if these changes exhibit sex-specific patterns in the human heart.
- To characterize the impact of aging on myocardial ECM composition in individuals without cardiovascular disease.
Main Methods:
- Utilized left ventricular (LV) myocardial tissue from non-diseased human organ donors (n=31, ages 17-68).
- Samples were categorized into younger (17-40 years) and older (50-68 years) age groups.
- Protein levels of specific ECM components were quantified and analyzed for age and sex interactions.
Main Results:
- Demonstrated age-dependent and sex-specific regulation of collagen types I, III, and VI.
- Observed significant age- and sex-related changes in tissue inhibitor of metalloproteinase 3, SMAD2, and SMAD3 levels.
- Younger women had lower levels of these proteins compared to younger men, while older women had higher levels than older men.
Conclusions:
- Age-mediated myocardial ECM remodeling influences the aging heart's adaptability to stress and injury.
- Targeting ECM homeostasis could offer promising therapeutic strategies for age-related cardiac conditions.
- Sex-specific ECM changes highlight the need for tailored approaches in cardiovascular care for aging populations.
Purpose:
Aging has severe implications for tissue damage and is a major risk factor for disease. However, the effects of aging on cardiac extracellular matrix (ECM) components in individuals free of cardiovascular disease are incompletely understood. We aimed at the characterization of the effects of aging on major ECM proteins in the heart of men and women.
Experimental Design:
Left ventricular (LV) samples of nondiseased human hearts technically unusable for transplantation obtained from general organ donors (n = 31; age 17-68 years; 48% women) were used for protein isolation. We separated the group into 17-40 years (n = 7 men and 7 women) and 50-68 years (n = 9 men and 8 women).
Results:
Analysis of ECM proteins demonstrated an age-dependent sex-specific regulation of collagen type I and III (interaction p < 0.05), type VI (interaction p = 0.01), tissue inhibitor of metalloproteinase 3 (interaction p < 0.05), SMAD2 (interaction p < 0.05), and SMAD3 (interaction p = 0.001). Overall, the levels of these proteins in younger individuals were lower in women than men, while in older individuals they were higher in women than men.
Conclusions And Clinical Relevance:
This age-mediated myocardial ECM remodeling might play a key role in the limited ability of the aging heart to adapt adequately to altered work load and to respond to tissue damage. Therapeutic agents that target ECM homeostasis represent promising prevention strategies.
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