PMID- 18322650 OWN - NLM STAT- MEDLINE DCOM- 20080709 LR - 20220330 IS - 1420-682X (Print) IS - 1420-682X (Linking) VI - 65 IP - 10 DP - 2008 May TI - Regulatory mechanisms of atrial fibrotic remodeling in atrial fibrillation. PG - 1489-508 LID - 10.1007/s00018-008-7408-8 [doi] AB - Electrical, contractile and structural remodeling have been characterized in atrial fibrillation (AF), and the latter is considered to be the major contributor to AF persistence. Recent data show that interstitial fibrosis can predispose to atrial conduction impairment and AF induction. The interplay between cardiac matrix metalloproteinases (MMPs) and their endogenous inhibitors, tissue inhibitors of MMPs (TIMPs), is thought to be critical in atrial extracellular matrix (ECM) metabolism. At the molecular level, angiotensin II, transforming growth factor-beta1, inflammation and oxidative stress are particularly important for ECM dysregulation and atrial fibrotic remodeling in AF. Therefore, we review recent advances in the understanding of the atrial fibrotic process, the major downstream components in this remodeling process, and the expression and regulation of MMPs and TIMPs. We also describe the activation of bioactive molecules in both clinical studies and animal models to modulate MMPs and TIMPs and their effects on atrial fibrosis in AF. FAU - Lin, C-S AU - Lin CS AD - Department of Biological Science and Technology, National Chiao Tung University, No. 75 Po-Ai Street, Hsinchu, Taiwan. lincs@mail.nctu.edu.tw FAU - Pan, C-H AU - Pan CH LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - Switzerland TA - Cell Mol Life Sci JT - Cellular and molecular life sciences : CMLS JID - 9705402 RN - 0 (Antihypertensive Agents) RN - 0 (Peptide Fragments) RN - 0 (Tissue Inhibitor of Metalloproteinases) RN - 0 (Transforming Growth Factor beta1) RN - 0 (ras GTPase-Activating Proteins) RN - 11128-99-7 (Angiotensin II) RN - 9041-90-1 (Angiotensin I) RN - EC 3.4.24.- (Matrix Metalloproteinases) RN - IJ3FUK8MOF (angiotensin I (1-7)) SB - IM MH - Angiotensin I/pharmacology MH - Angiotensin II/genetics/physiology MH - Animals MH - Antihypertensive Agents/pharmacology MH - Atrial Fibrillation/genetics/*physiopathology MH - Endomyocardial Fibrosis/genetics/*physiopathology MH - Heart Atria/*pathology MH - Humans MH - Inflammation/genetics/physiopathology MH - Matrix Metalloproteinases/genetics/physiology MH - Models, Biological MH - Oxidative Stress/genetics/physiology MH - Peptide Fragments/pharmacology MH - Signal Transduction/genetics MH - Tissue Inhibitor of Metalloproteinases/genetics/physiology MH - Transforming Growth Factor beta1/physiology MH - Ventricular Remodeling/*genetics MH - ras GTPase-Activating Proteins/genetics/physiology RF - 224 EDAT- 2008/03/07 09:00 MHDA- 2008/07/10 09:00 CRDT- 2008/03/07 09:00 PHST- 2008/03/07 09:00 [pubmed] PHST- 2008/07/10 09:00 [medline] PHST- 2008/03/07 09:00 [entrez] AID - 10.1007/s00018-008-7408-8 [doi] PST - ppublish SO - Cell Mol Life Sci. 2008 May;65(10):1489-508. doi: 10.1007/s00018-008-7408-8.