2007
DOI: 10.1172/jci31044
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ECM remodeling in hypertensive heart disease

Abstract: Hypertensive heart disease (HHD) occurs in patients that clinically have both diastolic and systolic heart failure and will soon become the most common cause of heart failure. Two key aspects of heart failure secondary to HHD are the relatively highly prevalent LV hypertrophy and cardiac fibrosis, caused by changes in the local and systemic neurohormonal environment. The fibrotic state is marked by changes in the balance between MMPs and their inhibitors, which alter the composition of the ECM. Importantly, th… Show more

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Cited by 772 publications
(619 citation statements)
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References 81 publications
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“…In fact, beyond a significant elevation in blood pressure (both SBP and DBP), HFD rats had an increased perivascular CT in the myocardium. This finding corroborates a previous report that relates hypertension to cardiac fibrosis (Berk et al 2007) and contrasts well with the findings in ER rats, where the lowest BW, blood pressures, and myocardium CT content were verified. Still, they showed an agerelated trend too.…”
Section: Discussionsupporting
confidence: 90%
“…In fact, beyond a significant elevation in blood pressure (both SBP and DBP), HFD rats had an increased perivascular CT in the myocardium. This finding corroborates a previous report that relates hypertension to cardiac fibrosis (Berk et al 2007) and contrasts well with the findings in ER rats, where the lowest BW, blood pressures, and myocardium CT content were verified. Still, they showed an agerelated trend too.…”
Section: Discussionsupporting
confidence: 90%
“…Dysbalances in MMPs and TIMPs are related to the complex processes of the initiation and progression of both diastolic and systolic heart failure (for review see [42]). In VDR knockout mice, dysregulated MMP/TIMP expression, which was characterized by upregulation of MMP-2 and MMP-9 as well as downregulation of TIMP-1 and TIMP-3, was associated with myocardial fibrosis and hypertrophy [43].…”
Section: Vitamin D Effects On Extracellular Matrix Turnovermentioning
confidence: 99%
“…During wound repair and certain pathologies, changes occur in the composition of the ECM, providing signals to the cells that mediate repair or if misregulated, can result in development of various pathologies (Berk et al 2007;Darby and Hewitson 2007;Grzesik and Narayanan 2002;Midwood et al 2004;Raines 2000). In 2000, Paul Bornstein proposed that there was a family of secreted ECM proteins that could be linked through their common functionality.…”
Section: Introductionmentioning
confidence: 99%