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Coronary Progenitor Cells and Soluble Biomarkers in Cardiovascular Prognosis after Coronary Angioplasty
Published on: January 28, 2020
Matrix metalloproteinases in coronary artery disease and myocardial infarction
Hanna Bräuninger1,2, Saskia Krüger3, Lucas Bacmeister1
1Department of Cardiology and Angiology, University Heart Center Freiburg-Bad Krozingen, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany.
Insights
Matrix metalloproteinases (MMPs) are crucial in cardiovascular diseases (CVDs) like atherosclerosis and myocardial infarction (MI). Understanding MMP expression and genetic variations offers insights into disease mechanisms and potential therapeutic targets.
Area of Science:
- Biomedical research
- Cardiovascular science
- Molecular biology
Background:
- Cardiovascular diseases (CVDs) are a leading global cause of mortality.
- Atherosclerosis and myocardial infarction (MI) are major CVDs often linked to tissue remodeling.
- Matrix metalloproteinases (MMPs) regulate extracellular matrix and are implicated in CVD progression.
Purpose of the Study:
- To review MMP expression profiles in coronary artery and left ventricular tissues.
- To explore the association between MMP gene polymorphisms and CVD development/outcomes.
- To summarize current knowledge on MMPs in atherosclerosis and MI for potential therapeutic strategies.
Main Methods:
- Analysis of publicly available gene expression datasets (whole tissue to single-cell resolution).
- Review of human studies investigating MMP gene polymorphisms.
- Compilation of data from preclinical and clinical trials on MMP inhibition.
Main Results:
- MMP expression patterns in cardiovascular tissues provide insights into disease processes.
- MMP gene polymorphisms may influence susceptibility and outcomes in CVDs.
- Evidence suggests a role for MMPs in atherosclerosis and post-MI remodeling.
Conclusions:
- MMPs are critical players in the pathogenesis of atherosclerosis and myocardial infarction.
- Further research into MMPs and their polymorphisms could lead to novel diagnostic and therapeutic approaches for CVDs.
- Targeting MMPs pharmacologically shows potential but requires careful consideration based on diverse MMP functions.
Abstract:
Cardiovascular diseases (CVDs) remain the leading cause of death worldwide. Most cardiovascular deaths are caused by ischaemic heart diseases such as myocardial infarction (MI). Hereby atherosclerosis in the coronary arteries often precedes disease manifestation. Since tissue remodelling plays an important role in the development and progression of atherosclerosis as well as in outcome after MI, regulation of matrix metalloproteinases (MMPs) as the major ECM-degrading enzymes with diverse other functions is crucial. Here, we provide an overview of the expression profiles of MMPs in coronary artery and left ventricular tissue using publicly available data from whole tissue to single-cell resolution. To approach an association between MMP expression and the development and outcome of CVDs, we further review studies investigating polymorphisms in MMP genes since polymorphisms are known to have an impact on gene expression. This review therefore aims to shed light on the role of MMPs in atherosclerosis and MI by summarizing current knowledge from publically available datasets, human studies, and analyses of polymorphisms up to preclinical and clinical trials of pharmacological MMP inhibition.
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