“…Accelerated matrix breakdown caused by increased activity of MMPs and/or quantitative imbalance between MMP and their inhibitors can result in vascular diseases [1,2,3]. Indeed, increased circulating levels and in situ overexpression of MMP-2, MMP-9 and elastase have been detected in adult humans with aortic and intracranial aneurysms, suggesting an important role for some proteases in arterial wall destruction and resultant aneurysm formation [2,3,4,5,6,7,8,9,10]. These findings raise the possibility that proteases might also be involved in the pathophysiology of spontaneous cervical artery dissection (SCAD), a vascular disease supposed to be related to a yet unidentified ECM defect or fragility [11,12,13,14] and associated with intracranial aneurysms [15, 16].…”