Plasma levels of matrix metalloproteinases and their inhibitors in hypertension: a systematic review and meta-analysis.

C Marchesi, F Dentali, E Nicolini, AM Maresca, MH Tayebjee, M Franz, L Guasti, A Venco, EL Schiffrin, Gregory Lip, AM Grandi

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70 Citations (Scopus)

Abstract

BACKGROUND: Hypertension is a major cause of cardiovascular remodeling. In the cardiovascular system, the remodeling of the extracellular matrix is controlled by the matrix metalloproteinases (MMPs) and the tissue inhibitors of MMPs (TIMPs). The aim of this meta-analysis is to elucidate the behavior of plasma MMP and TIMP levels in hypertension and their relationship to cardiovascular remodeling. METHODS: MEDLINE and EMBASE databases were searched up to July 2011. Studies were considered eligible if they provided values of plasma MMPs and TIMPs in hypertensive patients. Given the high variability of the plasma biomarker values among studies, the standardized mean difference (SMD) was calculated. RESULTS: Ten studies provided plasma MMP-9; the SMD between 778 hypertensive patients and 669 controls was 1.95 units (P 
Original languageEnglish
JournalJournal of Hypertension
DOIs
Publication statusPublished - 30 Nov 2011

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