Editorials |
From the Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ontario, Canada.
Correspondence to Michelle P. Bendeck, University of Toronto, Department of Laboratory Medicine and Pathobiology, Medical Sciences Building, Room 6217A, 1 Kings College Circle, Toronto, ON M5S 1A8, Canada. E-mail michelle.bendeck@utoronto.ca
Key Words: matrix metalloproteinases angiogenesis macrophages extracellular matrix vascular biology
An extract of the first 250 words of the full text is provided, because this article has no abstract. |
Angiogenesis is the formation of new blood vessels from existing endothelial celllined vessels. It occurs during normal development, and in many pathological conditions including tumor growth, would healing, inflammation, ischemia, and atherosclerosis. The development of new vessels can occur by abluminal sprouting of endothelial cells to form new branches or by the longitudinal splitting of existing vessels in a process termed "intussusception." The activation phase of angiogenesis begins with increased vascular permeability leading to extravasation of fibrin, degradation of the endothelial cell basement membrane, and migration and proliferation of endothelial cells to form new vascular channels. The resolution phase of angiogenesis involves the cessation of endothelial cell proliferation and migration, synthesis of new basement membrane, junctional complex maturation, and recruitment and differentiation of pericytes or smooth muscle cells. It is increasingly recognized that the structure and composition of the extracellular matrix in the microenvironment surrounding the cells plays an important role regulating the process of angiogenesis.
Matrix metalloproteinases (MMPs) are a family of enzymes that have in common the ability to degrade many molecules of the extracellular matrix (>25 MMPs have been identified). MMP activity can be inhibited by endogenous tissue inhibitors of metalloproteinases (TIMPs), and the net proteolytic activity within a tissue is a function of the balance of MMPs/TIMPs. Numerous studies have shown that various MMPs and TIMPs are expressed by endothelial cells during angiogenesis. Furthermore, experiments using broad-spectrum synthetic or natural inhibitors of the MMPs have shown that blocking MMPs can inhibit angiogenesis; however, the role of
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