New Insights into the Role of Matrix Metalloproteinases in Preeclampsia.

New Insights into the Role of Matrix Metalloproteinases in Preeclampsia.
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DOI:
10.3390/ijms18071448
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发表时间:
2017-07-20
影响因子:
5.6
通讯作者:
Estrada-Gutierrez G
Estrada-Gutierrez G
中科院分区:
生物学2区
文献类型:
--
作者:
Espino Y Sosa S;Flores-Pliego A;Espejel-Nuñez A;Medina-Bastidas D;Vadillo-Ortega F;Zaga-Clavellina V;Estrada-Gutierrez G

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先兆子痫是全球范围内严重的妊娠并发症,其特征是胎盘形成不良引发血管功能障碍。基质金属蛋白酶(MMP)表现出与滋养层侵入子宫壁的效率有关的蛋白水解活性,并且这些酶的失调与先兆子痫有关。 MMP-2 和 MMP-9 的减少会干扰妊娠早期螺旋动脉的正常重塑,导致先兆子痫的最初病理生理变化。妊娠后期,MMP-2 和 MMP-9 升高会导致调节高血压的血管活性因子异常释放。尽管这两种酶起主导作用,但其他 MMP(如 MMP-1 和 MMP-14)似乎在这种病理学中也发挥着作用。这篇综述收集了最近发表的关于不同 MMP 对先兆子痫的影响以及这些酶作为新兴生物标志物和生物治疗靶点的潜在用途的证据,重点关注涉及人类受试者的研究。
Preeclampsia is a severe pregnancy complication globally, characterized by poor placentation triggering vascular dysfunction. Matrix metalloproteinases (MMPs) exhibit proteolytic activity implicated in the efficiency of trophoblast invasion to the uterine wall, and a dysregulation of these enzymes has been linked to preeclampsia. A decrease in MMP-2 and MMP-9 interferes with the normal remodeling of spiral arteries at early pregnancy stages, leading to the initial pathophysiological changes observed in preeclampsia. Later in pregnancy, an elevation in MMP-2 and MMP-9 induces abnormal release of vasoactive factors conditioning hypertension. Although these two enzymes lead the scene, other MMPs like MMP-1 and MMP-14 seem to have a role in this pathology. This review gathers published recent evidence about the implications of different MMPs in preeclampsia, and the potential use of these enzymes as emergent biomarkers and biological therapeutic targets, focusing on studies involving human subjects.
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