Abstract
Type 2 diabetes mellitus is the most common form and constitutes a major diabetic population in all countries. The complications of diabetes mellitus (DM) include nephropathy, neuropathy, retinopathy, and cardiovascular disease. Type 2 diabetic nephropathy (DN) is a devastating complication of DM and a main cause of end-stage renal failure. Evidences show that susceptibility to Type 2 DN has a significant genetic component in addition to environmental factors. In Type 2 DN, hyperglycemia-induced changes include extracellular matrix (ECM) deposition, basement membrane (BM) thickening, as well as vascular smooth muscle and mesangial cell growth. ECM proteins are degraded by zinc-dependent endopeptidases called matrix metalloproteases (MMPs) which in turn are regulated by tissue inhibitors of metalloproteases (TIMPs). The proteases (MMPs) and antiproteases (TIMP) offer the opportunity to identify the determinants of the disease that are very likely to be causative and might lead to new therapeutics with strong molecular underpinning.
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Srilatha Reddy, G., Surekha Rani, H. (2017). Matrix Metalloproteases: Potential Role in Type 2 Diabetic Nephropathy. In: Chakraborti, S., Dhalla, N. (eds) Pathophysiological Aspects of Proteases. Springer, Singapore. https://doi.org/10.1007/978-981-10-6141-7_25
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