The Interplay of Senescence and MMPs in Myocardial Infarction: Implications for Cardiac Aging and Therapeutics

Overview

Journal Biogerontology

Date 2025 Jan 20

PMID 39832057

Authors

Ashok Kumar Balaraman

Abdulmalik Saleh Alfawaz Altamimi

M Arockia Babu

Kavita Goyal

G Padmapriya

Pooja Bansal

Sumit Rajotiya

M Ravi Kumar

Pranchal Rajput

Mohd Imran

Gaurav Gupta

Lakshmi Thangavelu

Affiliations

Soon will be listed here.

Abstract

Aging is associated with a marked increase in cardiovascular diseases, such as myocardial infarction (MI). Cellular senescence is also a crucial factor in the development of age-related MI. Matrix metalloproteinases (MMPs) interaction with cellular senescence is a critical determinant of MI development and outcomes, most notably in the aged heart. After experiencing a heart attack, senescent cells exhibit a Senescence-Associated Secretory Phenotype (SASP) and are involved in tissue regeneration and chronic inflammation. MMPs are necessary for extracellular matrix proteolysis and have a biphasic effect, promoting early heart healing and detrimental change if overexpressed shortly. This review analyses the complex connection between senescence and MMPs in MI and how it influences elderly cardiac performance. Critical findings suggest that increasing cellular senescence in aged hearts elevates MMP activity and aggravates extended ventricular remodeling and dysfunction. Additionally, we explore potential therapeutics that address MMPs and senescence to enhance old MI patient myocardial performance and regeneration.

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