Metalloproteinases and vulnerable atherosclerotic plaques

被引:213
作者
Newby, Andrew C. [1 ]
机构
[1] Univ Bristol, Bristol Royal Infirm, Bristol Heart Inst, Bristol BS2 8HW, Avon, England
关键词
D O I
10.1016/j.tcm.2007.09.001
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Plaque rupture is the main cause of myocardial infarctions and strokes. Ruptured plaques have thin, highly inflamed, and collagen-poor fibrous caps that contain elevated levels of proteases, including metalloproteinases (MMPs), which might weaken plaque caps and promote rupture. On the other hand, MMPs facilitate migration and proliferation vascular smooth muscle cells, which should promote fibrous cap stability. Given the dual effects of MMPs, therapies should selectively target harmful MMPs or the processes that cause MMP activity to rise to destructive levels.
引用
收藏
页码:253 / 258
页数:6
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