“…In fact, neither MMP-11 nor MMP-23 have any known ECM substrates, exhibiting only very weak ECM activity[22,23,56,57]. This pleiotropy leads to a myriad of effects in enzyme activation[58], cell signaling regulation[59], chemokine processing[60], and membrane shedding[61], with ultimately larger-scale impacts in embryogenesis and embryo development[62], tissue morphogenesis[63], tissue homeostasis[64], wound healing[65], and inflammation[53]. As expected with the wide range of effects, MMP dyshomeostasis has been associated with several diseases, including arthritis[66], cardiovascular diseases[67], pulmonary diseases[68], and cancer[69].…”