Abstract
The major function of the extracellular matrix (ECM) is to provide a mechanical framework to hold cells together in tissue and organs. Besides this function, it is becoming widely accepted that the ECM is a dynamic entity that interacts with cells and regulates cell phenotype. In this regard, the matrix profoundly affects cell behavior through signaling by integrins, which form direct contacts between cells and the ECM [1]. Second, proteoglycans in the ECM sequester growth factors like TGF-ß, FGF, VEGF and various cytokines that regulate some of the most fundamental cellular processes, such as proliferation, differentiation and survival [2]. Third, in order for cells to migrate, they have to disconnect from the ECM and degrade the matrix molecules that lie along the path they want to traverse. To control their ECM turnover, to release growth factors from the ECM and to migrate through the ECM, cells produce a wide range of proteolytic enzymes, in particular the matrix metalloproteinases (MMPs). MMPs are involved in many physiological processes, such as embryonic development, ovulation, bone remodeling and wound healing and their enhanced activity has been implicated in numerous disease processes associated with inflammatory destruction or invasion of metastatic cancer [3-7]. MMPs, which are present in the myocardium are the driving force behind myocardial matrix remodeling. Recent studies have demonstrated that preventing the breakdown of the myocardial extracellular matrix with pharmacological broad spectrum MMP inhibitors in animal models of cardiomyopathy and myocardial infarction has favorable effects on the left ventricular (LV) remodeling process.
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Creemers, E.E.J.M., Cleutjens, J.P.M., Daemen, M.J.A.P., Smits, J.F.M. (2003). The role of matrix metalloproteinases in LV remodeling following myocardial infarction. In: Feuerstein, G.Z., Libby, P., Mann, D.L. (eds) Inflammation and Cardiac Diseases. Progress in Inflammation Research. Birkhäuser, Basel. https://doi.org/10.1007/978-3-0348-8047-3_4
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