The role of matrix metalloproteinases in the pathogenesis of abdominal wall hernias
Surgical treatment of abdominal wall hernia has been based for many decades on observational evidence, as the disease physiopathology was ambiguous. The long‐standing hypothesis of abnormal collagen metabolism as a causative factor of hernia disease seems to become substantiated by modern investigat...
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Published in | European journal of clinical investigation Vol. 39; no. 11; pp. 953 - 959 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
Oxford, UK
Blackwell Publishing Ltd
01.11.2009
Wiley-Blackwell |
Subjects | |
Online Access | Get full text |
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Summary: | Surgical treatment of abdominal wall hernia has been based for many decades on observational evidence, as the disease physiopathology was ambiguous. The long‐standing hypothesis of abnormal collagen metabolism as a causative factor of hernia disease seems to become substantiated by modern investigations, demonstrating a link between abnormal matrix metalloproteinase (MMP) expression and abdominal wall hernia. Current evidence suggests a strong correlation between MMP‐2 and direct inguinal hernia, while the role of this MMP in indirect, incisional and recurrent hernias has not been completely elucidated yet. Furthermore, MMP‐1 and MMP‐13 seem to be implicated in the physiopathology of recurrent hernia, while limited data link MMP‐1 also with incisional hernia formation. Despite the importance of MMP‐9 in wound healing mechanisms, its role in hernia pathogenesis has not been adequately investigated. Future research is expected to decipher the complex physiopathological mechanisms of hernia development and provide a basis for potential therapeutic applications. |
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Bibliography: | ArticleID:ECI2199 istex:2125F3590049C057DA37EEC9CD56CDC676DD05DB ark:/67375/WNG-5V59B59F-7 S. A. Antoniou and G. A. Antoniou contributed equally to this study. ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 ObjectType-Article-2 ObjectType-Feature-3 ObjectType-Review-1 |
ISSN: | 0014-2972 1365-2362 |
DOI: | 10.1111/j.1365-2362.2009.02199.x |