Extracellular matrix alterations in hypertensive vascular remodeling.

Abstract:

:Vascular cells are very sensitive to their hemodynamic environment. Any change in blood pressure or blood flow can be sensed by endothelial and vascular smooth muscle cells and ultimately results in structural modifications within the vascular wall that accommodate the new conditions. In the case of hypertension, the increase in arterial stretch stimulates vessel thickening to normalize the tensile forces. This process requires modification of the extracellular matrix and of cell-matrix interactions, which mainly involves extracellular proteases. In hypertension, chronic exposure of the arterial wall to stretch leads to vascular remodeling, arterial stiffness and calcification, which finally affect target organ function. This review surveys how mechanical stretch regulates extracellular proteases, considering the signaling pathways involved and the consequences on the cardiovascular system.

journal_name

J Mol Cell Cardiol

authors

Lemarié CA,Tharaux PL,Lehoux S

doi

10.1016/j.yjmcc.2009.09.018

subject

Has Abstract

pub_date

2010-03-01 00:00:00

pages

433-9

issue

3

eissn

0022-2828

issn

1095-8584

pii

S0022-2828(09)00426-X

journal_volume

48

pub_type

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