PMID- 31863819 OWN - NLM STAT- MEDLINE DCOM- 20201211 LR - 20201214 IS - 1879-016X (Electronic) IS - 0163-7258 (Linking) VI - 207 DP - 2020 Mar TI - The past, present and future perspectives of matrix metalloproteinase inhibitors. PG - 107465 LID - S0163-7258(19)30217-7 [pii] LID - 10.1016/j.pharmthera.2019.107465 [doi] AB - Matrix metalloproteinases (MMPs) are a large family of enzymes that degrade the extracellular matrix (ECM). Under pathologic conditions, overexpression of MMPs or insufficient control by tissue inhibitors of MMPs (TIMPs) results in the dysregulation of tissue remodeling and causes a variety of diseases such as encephalomyelitis, rheumatoid arthritis, Alzheimer's disease and tumors. Therefore, the high affinity of MMPs for biomolecules renders them attractive targets for inhibition when homeostasis breaks down in the ECM. There are 4 generations of MMP inhibitors (MMPIs), ranging from small molecules or peptides to antibodies and protein-engineered inhibitors of metalloproteinase. Although a plethora of MMPIs has been synthesized, most of them have failed in clinical trials or are still in the laboratory stage of development. The present review summarizes the development of MMPIs, their associated problems and discusses future directions for the development of the future generations of MMPIs. CI - Copyright (c) 2019. Published by Elsevier Inc. FAU - Li, Kang AU - Li K AD - Paediatric Dentistry and Orthodontics, Faculty of Dentistry, The University of Hong Kong, Prince Philip Dental Hospital, 34 Hospital Road, Sai Ying Pun, Hong Kong. FAU - Tay, Franklin R AU - Tay FR AD - College of Graduate Studies, Augusta University, Augusta, GA, USA. Electronic address: ftay@gru.edu. FAU - Yiu, Cynthia Kar Yung AU - Yiu CKY AD - Paediatric Dentistry and Orthodontics, Faculty of Dentistry, The University of Hong Kong, Prince Philip Dental Hospital, 34 Hospital Road, Sai Ying Pun, Hong Kong. Electronic address: ckyyiu@hku.hk. LA - eng PT - Historical Article PT - Journal Article PT - Review DEP - 20191218 PL - England TA - Pharmacol Ther JT - Pharmacology & therapeutics JID - 7905840 RN - 0 (Matrix Metalloproteinase Inhibitors) SB - IM MH - Animals MH - History, 20th Century MH - History, 21st Century MH - Humans MH - *Matrix Metalloproteinase Inhibitors/history/pharmacology/therapeutic use OTO - NOTNLM OT - Inhibitor OT - MMP OT - MMPI OT - Matrix metalloproteinase COIS- Declaration of Competing Interest The authors declare that there are no conflicts of interest. EDAT- 2019/12/22 06:00 MHDA- 2020/12/15 06:00 CRDT- 2019/12/22 06:00 PHST- 2019/10/11 00:00 [received] PHST- 2019/12/13 00:00 [accepted] PHST- 2019/12/22 06:00 [pubmed] PHST- 2020/12/15 06:00 [medline] PHST- 2019/12/22 06:00 [entrez] AID - S0163-7258(19)30217-7 [pii] AID - 10.1016/j.pharmthera.2019.107465 [doi] PST - ppublish SO - Pharmacol Ther. 2020 Mar;207:107465. doi: 10.1016/j.pharmthera.2019.107465. Epub 2019 Dec 18.