2012
DOI: 10.2174/1568026611208011166
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Matrix Metalloproteinases and Vulnerable Atheromatous Plaque

Abstract: Atherosclerotic coronary artery disease, the underlying basis for ischemic heart disease, is the leading cause of death and disability in the USA and recent trends indicate that coronary artery disease is also becoming a major public health problem in developing countries [1]. Atherosclerosis is a continuous process that is initiated early in life, which gradually progresses with potentially devastating consequences: atherosclerotic plaque rupture is the most common underlying pathological mechanism creating a… Show more

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Cited by 25 publications
(10 citation statements)
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“…The aortic expression of MMP-2 and MMP-9 was increased in the later stages of atherosclerosis progression. As reported previously, MMP-2 and MMP-9 are mainly expressed in advanced atherosclerotic plaque in a mouse model (28) , and have been shown to induce carotid plaque instability (29) .…”
Section: Cd68 Cd36supporting
confidence: 70%
“…The aortic expression of MMP-2 and MMP-9 was increased in the later stages of atherosclerosis progression. As reported previously, MMP-2 and MMP-9 are mainly expressed in advanced atherosclerotic plaque in a mouse model (28) , and have been shown to induce carotid plaque instability (29) .…”
Section: Cd68 Cd36supporting
confidence: 70%
“…Monocytes contribute directly to atherosclerosis as effectors of innate immunity. MMPs are involved in the monocyte functions [44] and participate in the destabilization of atherosclerotic plaques [45,46]. Moreover, MMPs can degrade extracellular matrix (ECM) proteins and are implicated in the dysfunction of connective tissue and remodelling of atherosclerotic lesions [47,48].…”
Section: Discussionmentioning
confidence: 99%
“…Extrinsic features include increased blood pressure, hemodynamic shear stress, and vasospam [62,[70][71][72][73][74]. Plaque rupture tends to occur at the shoulder region, which is associated with cap thinning and macrophage infiltration [75]; the shoulder region is also the area of the plaque exposed to the greatest shear stress [74]. Macrophages control many of the inflammatory processes within the plaque, and are the principal cells responsible for the production of MMPs [49].…”
Section: Introductionmentioning
confidence: 99%