ADAMTS proteases in cardiovascular physiology and disease

The a disintegrin-like and metalloproteinase with thrombospondin motif (ADAMTS) family comprises 19 proteases that regulate the structure and function of extracellular proteins in the extracellular matrix and blood. The best characterized cardiovascular role is that of ADAMTS-13 in blood. Moderately...

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Main Authors: Salvatore Santamaria, Rens de Groot
Format: Article
Language:English
Published: The Royal Society 2020-12-01
Series:Open Biology
Subjects:
Online Access:https://royalsocietypublishing.org/doi/pdf/10.1098/rsob.200333
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author Salvatore Santamaria
Rens de Groot
author_facet Salvatore Santamaria
Rens de Groot
author_sort Salvatore Santamaria
collection DOAJ
description The a disintegrin-like and metalloproteinase with thrombospondin motif (ADAMTS) family comprises 19 proteases that regulate the structure and function of extracellular proteins in the extracellular matrix and blood. The best characterized cardiovascular role is that of ADAMTS-13 in blood. Moderately low ADAMTS-13 levels increase the risk of ischeamic stroke and very low levels (less than 10%) can cause thrombotic thrombocytopenic purpura (TTP). Recombinant ADAMTS-13 is currently in clinical trials for treatment of TTP. Recently, new cardiovascular roles for ADAMTS proteases have been discovered. Several ADAMTS family members are important in the development of blood vessels and the heart, especially the valves. A number of studies have also investigated the potential role of ADAMTS-1, -4 and -5 in cardiovascular disease. They cleave proteoglycans such as versican, which represent major structural components of the arteries. ADAMTS-7 and -8 are attracting considerable interest owing to their implication in atherosclerosis and pulmonary arterial hypertension, respectively. Mutations in the ADAMTS19 gene cause progressive heart valve disease and missense variants in ADAMTS6 are associated with cardiac conduction. In this review, we discuss in detail the evidence for these and other cardiovascular roles of ADAMTS family members, their proteolytic substrates and the potential molecular mechanisms involved.
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spelling doaj.art-275b912dc7714f73b080e8eee78204392022-12-21T22:48:13ZengThe Royal SocietyOpen Biology2046-24412020-12-01101210.1098/rsob.200333200333ADAMTS proteases in cardiovascular physiology and diseaseSalvatore SantamariaRens de GrootThe a disintegrin-like and metalloproteinase with thrombospondin motif (ADAMTS) family comprises 19 proteases that regulate the structure and function of extracellular proteins in the extracellular matrix and blood. The best characterized cardiovascular role is that of ADAMTS-13 in blood. Moderately low ADAMTS-13 levels increase the risk of ischeamic stroke and very low levels (less than 10%) can cause thrombotic thrombocytopenic purpura (TTP). Recombinant ADAMTS-13 is currently in clinical trials for treatment of TTP. Recently, new cardiovascular roles for ADAMTS proteases have been discovered. Several ADAMTS family members are important in the development of blood vessels and the heart, especially the valves. A number of studies have also investigated the potential role of ADAMTS-1, -4 and -5 in cardiovascular disease. They cleave proteoglycans such as versican, which represent major structural components of the arteries. ADAMTS-7 and -8 are attracting considerable interest owing to their implication in atherosclerosis and pulmonary arterial hypertension, respectively. Mutations in the ADAMTS19 gene cause progressive heart valve disease and missense variants in ADAMTS6 are associated with cardiac conduction. In this review, we discuss in detail the evidence for these and other cardiovascular roles of ADAMTS family members, their proteolytic substrates and the potential molecular mechanisms involved.https://royalsocietypublishing.org/doi/pdf/10.1098/rsob.200333adamtsproteoglycansatherosclerosisaortic aneurysmsheart valvecardiovascular
spellingShingle Salvatore Santamaria
Rens de Groot
ADAMTS proteases in cardiovascular physiology and disease
Open Biology
adamts
proteoglycans
atherosclerosis
aortic aneurysms
heart valve
cardiovascular
title ADAMTS proteases in cardiovascular physiology and disease
title_full ADAMTS proteases in cardiovascular physiology and disease
title_fullStr ADAMTS proteases in cardiovascular physiology and disease
title_full_unstemmed ADAMTS proteases in cardiovascular physiology and disease
title_short ADAMTS proteases in cardiovascular physiology and disease
title_sort adamts proteases in cardiovascular physiology and disease
topic adamts
proteoglycans
atherosclerosis
aortic aneurysms
heart valve
cardiovascular
url https://royalsocietypublishing.org/doi/pdf/10.1098/rsob.200333
work_keys_str_mv AT salvatoresantamaria adamtsproteasesincardiovascularphysiologyanddisease
AT rensdegroot adamtsproteasesincardiovascularphysiologyanddisease