Abstract
Cell–matrix homeostasis is vital in the CNS. In a large number of CNS disorders, abnormal activation of extracellular proteases may disrupt neuronal function by degrading neurovascular matrix integrity. This chapter surveys the role of a key family of extracellular proteases, the matrix metalloproteinases (MMPs), in stroke and brain injury. Blood–brain barrier (BBB) leakage and brain edema is a critical part of stroke pathophysiology. A large body of data in both experimental models as well as clinical patient populations suggests that MMPs may disrupt BBB permeability and interfere with cell–cell signaling between neuronal, glial, and vascular compartments. Hence, ongoing efforts are underway to validate MMPs as potential therapeutic targets as well as biomarkers in stroke. Because BBB perturbations may also occur in neurodegeneration, MMPs and associated neurovascular mechanisms may also be potential targets in a broader range of CNS disorders.
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Acknowledgments
Supported in part by grants from NIH, the Claflin Foundation, and the Rappaport Foundation. This chapter is based on ideas previously discussed in Rosell et al., Curr Opin Pharmacol 2008, and Seo et al., Curr Pharm Des 2012.
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Seo, J.H., Guo, S., Lok, J., Navaratna, D., Xing, C., Lo, E.H. (2014). The Role of Matrix Metalloproteinases in Neurovascular Injury. In: Dhalla, N., Chakraborti, S. (eds) Role of Proteases in Cellular Dysfunction. Advances in Biochemistry in Health and Disease, vol 8. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-9099-9_5
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DOI: https://doi.org/10.1007/978-1-4614-9099-9_5
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