PMID- 37878770 OWN - NLM STAT- MEDLINE DCOM- 20240304 LR - 20240304 IS - 1876-4479 (Electronic) IS - 1873-9946 (Print) IS - 1873-9946 (Linking) VI - 18 IP - 3 DP - 2024 Mar 1 TI - Matrix metalloproteinases in intestinal fibrosis. PG - 462-478 LID - 10.1093/ecco-jcc/jjad178 [doi] AB - Intestinal fibrosis is a common complication in patients with inflammatory bowel disease [IBD], in particular Crohn's disease [CD]. Unfortunately, at present intestinal fibrosis is not yet preventable, and cannot be treated by interventions other than surgical removal. Intestinal fibrosis is characterized by excessive accumulation of extracellular matrix [ECM], which is caused by activated fibroblasts and smooth muscle cells. Accumulation of ECM results from an imbalanced production and degradation of ECM. ECM degradation is mainly performed by matrix metalloproteinases [MMPs], enzymes that are counteracted by tissue inhibitors of MMPs [TIMPs]. In IBD patients, MMP activity [together with other protease activities] is increased. At the same time, CD patients have a generally lower MMP activity compared to ulcerative colitis patients, who usually do not develop intestinal strictures or fibrosis. The exact regulation and role[s] of these MMPs in fibrosis are far from understood. Here, we review the current literature about ECM remodelling by MMPs in intestinal fibrosis and their potential role as biomarkers for disease progression or druggable targets. CI - (c) The Author(s) 2023. Published by Oxford University Press on behalf of European Crohn's and Colitis Organisation. FAU - Biel, Carin AU - Biel C AUID- ORCID: 0000-0002-0599-1857 AD - Department of Pharmaceutical Technology and Biopharmacy, University of Groningen, the Netherlands. FAU - Faber, Klaas Nico AU - Faber KN AD - Department of Gastroenterology and Hepatology, University Medical Center Groningen, Groningen, The Netherlands. FAU - Bank, Ruud A AU - Bank RA AD - Department of Pathology and Medical Biology, University of Groningen, University Medical Center Groningen, 9713 GZ Groningen, The Netherlands. FAU - Olinga, Peter AU - Olinga P AUID- ORCID: 0000-0003-4855-8452 AD - Department of Pharmaceutical Technology and Biopharmacy, University of Groningen, the Netherlands. LA - eng PT - Journal Article PT - Review PL - England TA - J Crohns Colitis JT - Journal of Crohn's & colitis JID - 101318676 RN - EC 3.4.24.- (Matrix Metalloproteinases) SB - IM MH - Humans MH - Intestines MH - *Crohn Disease/metabolism MH - *Inflammatory Bowel Diseases MH - Fibrosis MH - Matrix Metalloproteinases/metabolism PMC - PMC10906956 COIS- There are no conflicts of interest to declare. EDAT- 2023/10/25 18:42 MHDA- 2024/03/04 06:43 PMCR- 2023/10/25 CRDT- 2023/10/25 14:43 PHST- 2023/02/20 00:00 [received] PHST- 2023/10/03 00:00 [revised] PHST- 2023/10/24 00:00 [accepted] PHST- 2024/03/04 06:43 [medline] PHST- 2023/10/25 18:42 [pubmed] PHST- 2023/10/25 14:43 [entrez] PHST- 2023/10/25 00:00 [pmc-release] AID - 7329683 [pii] AID - jjad178 [pii] AID - 10.1093/ecco-jcc/jjad178 [doi] PST - ppublish SO - J Crohns Colitis. 2024 Mar 1;18(3):462-478. doi: 10.1093/ecco-jcc/jjad178.