Abstract
Matrix metalloproteinases (MMPs) are involved in the pathogenesis of several diseases of the central nervous system (CNS) that share common pathophysiological processes, such as bloodbrain barrier (BBB) disruption, oxidative stress, remodelling of the extracellular matrix (ECM) and inflammation. In ischaemic brain injury, MMPs are implicated in various stages of the disease. MMPs contribute to the disruption of BBB leading to vasogenic oedema and to the influx of leucocytes into the CNS. The ability of MMPs to digest the basal lamina of capillaries increases the risk of haemorrhagic transformation (HT) of the ischaemic tissue. During the acute ischaemic phase, maintenance of the ECM is essential for neuronal survival. However, ECM degradation and its reconstitution are critical to tissue recovery. MMPs, as key modulators of ECM homeostasis, play a role in the cascades leading to neuronal cell death and tissue regeneration. Yet they may have a detrimental or beneficial role depending on the type and the stage of brain injury. This pleiotropic implication of MMPs in brain injury has opened new areas of investigation, which should lead to innovative therapeutic strategies.
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Gasche, Y., Copin, JC. (2008). Matrix metalloproteinases and inflammatory diseases of the central nervous system. In: Lagente, V., Boichot, E. (eds) Matrix Metalloproteinases in Tissue Remodelling and Inflammation. Progress in Inflammation Research. Birkhäuser Basel. https://doi.org/10.1007/978-3-7643-8585-9_8
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