Document Detail


Biomarkers of extracellular matrix turnover.
MedLine Citation:
PMID:  19631182     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The extracellular cardiac matrix (ECCM) plays an important role in the support of myocytes and fibroblasts. ECCM turnover is influenced by ischemia, stretch, inflammation, and neurohormonal mediators. Myocardial fibrosis is the consequence of several pathologic processes mediated by mechanical, neurohormonal, and cytokine factors. It is a major determinant of diastolic dysfunction and pumping capacity and may result in tissue heterogeneity, dys-synchrony, and arrhythmias. The measurement of various serum peptides arising from the metabolism of collagen types 1 and 3, of degradation fragments, and of specific metalloproteinases may provide noninvasive assessment of fibrosis. ECCM biomarkers are clinically useful tools, particularly given the potential for cardioprotective and cardioreparative pharmacologic strategies.
Authors:
Faiez Zannad; Bertram Pitt
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Heart failure clinics     Volume:  5     ISSN:  1551-7136     ISO Abbreviation:  -     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-07-27     Completed Date:  2009-10-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101231934     Medline TA:  Heart Fail Clin     Country:  United States    
Other Details:
Languages:  eng     Pagination:  589-99     Citation Subset:  IM    
Affiliation:
Hôpital Jeanne d'Arc, Dommartin-les-Toul, France.
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MeSH Terms
Descriptor/Qualifier:
Aldosterone Antagonists / therapeutic use
Biological Markers / blood
Extracellular Matrix / drug effects,  pathology*
Heart Failure / blood*,  diagnosis*,  etiology
Humans
Myocardial Infarction / etiology
Myocardial Ischemia / etiology
Chemical
Reg. No./Substance:
0/Aldosterone Antagonists; 0/Biological Markers

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