Copyright © 2004 by the European Society of Cardiology.
Editorial
Matrix metalloproteinase gene polymorphisms in heart failure: new pieces to the myocardial matrix puzzle
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This editorial refers to "Prognostic impact of matrix metalloproteinase gene polymorphisms in patients with heart failure according to the aetiology of left ventricular systolic dysfunction"1 by Bauters et al. on page 688
An important structural milestone in patients with progressive heart failure is myocardial remodelling, although the inciting stimuli can be diverse. Pharmacological interventions targeted at altering this adverse left ventricular (LV) myocardial remodelling process hold therapeutic promise. However, designing an appropriate therapeutic regimen for interrupting the progression of myocardial remodelling requires an understanding of the basic molecular and cellular mechanisms that drive this process. Myocardial remodelling can be defined as the changes that occur within both the cellular and extracellular compartments and result in alterations in LV myocardial and chamber geometry. It is now well recognised that changes in the myocardial extracellular matrix contribute to the progressive remodelling process. Therefore, the identification
Matrix metalloproteinases (MMPs) and the heart failure process
MMP transcriptional control and gene polymorphisms
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Related articles in EHJ:
- Prognostic impact of matrix metalloproteinase gene polymorphisms in patients with heart failure according to the aetiology of left ventricular systolic dysfunction
- Frédérique Mizon-Gérard, Pascal de Groote, Nicolas Lamblin, Xavier Hermant, Jean Dallongeville, Philippe Amouyel, Christophe Bauters, and Nicole Helbecque
EHJ 2004 25: 688-693.[Abstract] [FREE Full Text]
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