“…In addition, CMV modifies a number of cellular functions that then mediate viral spread, persistence and immune evasion. For instance, CMV also induces cellular factors involved in angiogenesis and wound repair processes including adhesion molecules (ICAM-1, VCAM-1, VAP-1, and E-selectin,) and growth factors and receptors (TGF-β, PDGF-AA, VEGF, and PDGFR) [37,52,[55][56][57][58][59][60][61][62][63][64][65]. In addition, increased matrix metalloproteinase (MMP)-2 activity is observed in HCMV infected cells in conjunction with a reduction in matrix gene expression, resulting in a malleability to SMC migration, an alteration in vessel remodeling which promotes a vasculopathy [49,50].…”