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Published on: June 14, 2016
MMP-2 and its implications on cardiac function and structure: Interplay with inflammation in hypertension
Thaís Ribeiro Vitorino1, Alejandro Ferraz do Prado2, Stefany Bruno de Assis Cau3
1Unit of Biotechnology, University of Ribeirao Preto, UNAERP, Brazil; Department of Pharmacology, Faculty of Medical Sciences, University of Campinas, UNICAMP, Brazil.
Insights
Hypertension contributes to heart failure through inflammation. Targeting matrix metalloproteinase-2 (MMP-2) may reduce cardiac damage and inflammation in hypertensive heart disease.
Area of Science:
- Cardiovascular Medicine
- Molecular Biology
- Immunology
Background:
- Hypertension is a primary risk factor for heart failure development.
- Inflammatory cells and cytokines play a crucial role in cardiac remodeling and dysfunction.
- Cardiac remodeling involves the activation of extracellular matrix metalloproteinases (MMPs).
Purpose of the Study:
- To review the role of matrix metalloproteinase-2 (MMP-2) in hypertension-induced cardiac remodeling and injury.
- To explore signaling pathways involving cytokines and inflammatory cells in MMP-2 regulation.
- To investigate the interplay between MMP-2 and inflammation in maintaining cardiac function.
Main Methods:
- Review of preclinical and clinical studies.
- Analysis of signaling pathways regulating MMP-2 transcription, secretion, and activation.
- Exploration of the interaction between MMP-2 and inflammatory mediators.
Main Results:
- Increased MMP-2 levels contribute to cardiac remodeling and injury in hypertension.
- Cytokines and inflammatory cells significantly influence MMP-2 activity.
- MMP-2 and inflammation exhibit coordinated action impacting the cardiac cycle.
Conclusions:
- MMP-2 is a key mediator in hypertension-related cardiac damage.
- Targeting MMP-2 presents a potential therapeutic strategy for hypertensive heart disease.
- Therapeutic interventions focused on MMP-2 may reduce inflammatory biomarkers and cardiac injury.
Abstract:
Hypertension is one of the leading risk factors for the development of heart failure. Despite being a multifactorial disease, in recent years, preclinical and clinical studies suggest strong evidence of the pivotal role of inflammatory cells and cytokines in the remodeling process and cardiac dysfunction. During the heart remodeling, activation of extracellular matrix metalloproteinases (MMPs) occurs, with MMP-2 being one of the main proteases secreted by cardiomyocytes, fibroblasts, endothelial and inflammatory cells in cardiac tissue. In this review, we will address the process of cardiac remodeling and injury induced by the increase in MMP-2 and the main signaling pathways involving cytokines and inflammatory cells in the process of transcriptional, secretion and activation of MMP-2. In addition, an interaction and coordinated action between MMP-2 and inflammation are explored and significant in maintaining the cardiac cycle. These observations suggest that new therapeutic opportunities targeting MMP-2 could be used to reduce inflammatory biomarkers and reduce cardiac damage in hypertension.
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