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Metalloprotienase and Diabetes

APS Renal Section
Suresh C. Tyagi

M.R. Hayden, S. Tyagi, D. Lovett and Z.Galis

Accumulation of excessive extracellular matrix (ECM) impairs cardiac muscle contraction and relaxation, vascular distensibility, and renal function. In particular, the increased matrix accumulation leads to cardiovascular and renal dysfunction in diabetes, left ventricle hypertrophy (LVH), and hypertension. It is unclear, however, whether the matrix accumulation is due to an imbalance between the levels of matrix metalloproteinases (MMPs) and their target inhibitors (TIMPs). Although MMPs play a significant role in remodeling the connective tissue in cardiovascular-renal injury, the role of MMP and TIMPs in excessive matrix deposition in diabetes, LVH, and hypertension is unclear. It is possible that during diabetes matrix accumulation between the tubular-interstitium interferes with salt and water resorption and leads to hypertension. This comprehensive and translational symposia will focuses on the role of metalloproteinases in cardiac hypertrophy and fibrosis, vascular remodeling and glomerular, vascular and tubulointerstitial disease in hypertension and diabetes. This symposium will assemble the premiere investigators, working on metalloproteinases in heart, kidney and vessel, together and will impart on the mechanism of cardiovascular and renal remodeling in diabetes and hypertension.