Dynamic changes in myocardial matrix and relevance to disease: translational perspectives.

Abstract:

:The cardiac extracellular matrix (ECM) provides the architectural scaffold to support efficient contraction and relaxation of cardiomyocytes. The elegant design of the ECM facilitates optimal force transduction, electric transmission, intercellular communication, and metabolic exchange within the myocardial microenvironment. In the setting of increased wall stress, injury, or disease, the ECM can undergo a series of dynamic changes that lead to favorable chamber remodeling and functional adaptation. Over time, sustained matrix remodeling can impair diastolic and systolic function caused by excess deposition of interstitial fibrous tissue. These pathological alterations in ECM structure/function are considered central to the evolution of adverse cardiac remodeling and the development of heart failure. This review discusses the complex dynamics of the cardiac ECM in the setting of myocardial infarction, pressure overload, and volume overload. We also summarize the current status of ECM biomarkers that may have clinical value in prognosticating cardiac disease progression in patients. Finally, we discuss the most current status of drugs under evaluation for use in cardiac fibrosis.

journal_name

Circ Res

journal_title

Circulation research

authors

Li AH,Liu PP,Villarreal FJ,Garcia RA

doi

10.1161/CIRCRESAHA.114.302819

subject

Has Abstract

pub_date

2014-02-28 00:00:00

pages

916-27

issue

5

eissn

0009-7330

issn

1524-4571

pii

CIRCRESAHA.114.302819

journal_volume

114

pub_type

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