Copyright © 2006, European Society of Cardiology
Myocardial proteases and matrix remodeling in inflammatory heart disease
Department of Cardiology and Pneumology, Charite, University Medicine Berlin, Campus Benjamin Franklin, Hindenburgdamm 30, 12200 Berlin, Germany
* Corresponding author. Tel.: +49 30 8445 2344; fax: +49 30 8445 3565. Email address: matthias.pauschinger{at}charite.de
Recently, it has been demonstrated that myocardial inflammation plays a pivotal role in the development and progression of congestive heart failure. The myocardial inflammatory reaction not only affects myocardial hypertrophy and apoptosis, but it has a major influence on the regulation of extracellular matrix turnover. The balance between collagen synthesis and degradation is of crucial relevance in maintaining the structural integrity of the heart. Therefore, the overwhelming inflammatory response, as seen in acute myocarditis or inflammatory cardiomyopathy, could lead to a breakdown of this tightly regulated system. This is an additional key factor in the development and progression of heart failure.
This review summarizes the importance of myocardial inflammation in respect to extracellular matrix remodeling and its possible patho-physiological role in the development and progression of left ventricular dysfunction in inflammatory heart disease.
KEYWORDS Myocarditis; DCM; Inflammation; MMP; Matrix
Time for primary review 22 days
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