From: Impaired angiogenesis in ageing: the central role of the extracellular matrix
 | Ageing-related change | Impact | Refs. |
---|---|---|---|
ECM | |||
 Collagen | Longer and thicker fibrillar structures; formation and cross-linking by AGEs | Decreased integrity of the vascular network and reduced vascular sprouting | |
 Elastin | Thinner, more fractured, and disordered structure, with a higher degree of calcification | Increased ECM stiffness and interference with angiogenesis | |
 Laminin | Increased LAMB1 and decreased LAMB2 expression | Impaired EC formation and migration, disrupting vascular cord formation | [42] |
 FN | Glycation and changes in globular structure | Increased ECM stiffness, disrupting vascular cord formation | |
 Perlecan | Decreased levels | Disruption of vascular morphogenesis | [47] |
 Decorin | Shorter GAG length | Increased ECM stiffness, hindering angiogenesis | |
 HA | Decreased levels | Increased ECM stiffness, hindering angiogenesis | [47] |
MMPs and inhibitors | |||
 MMP-1 | Unknown | Unknown |  |
 MMP-2 | Increased levels | Endovascular thickening and remodelling | [142] |
 MMP-3 | Unknown | Unknown |  |
 MMP-7 | Increased levels | Promotion of fibrosis | [143] |
 MMP-8 | No significant change | – | [143] |
 MMP-9 | Increased levels | Enhanced proliferation and migration of parietal cells; intimal hyperplasia, leading to atherosclerosis; upregulation of endothelial statin, impairing angiogenesis | |
 MMP-12 | Decreased levels | Reducing arterial elastin and altering axial arterial mechanics | [146] |
 MT1-MMP | Decreased levels | Inhibiting of lumen formation and reducing of pericyte chemotactic proliferation in ECs | [142] |
 TIMP-1 | Increased levels | Inhibiting the activity of MMPs, imbalance of MMPs and TIMPs | [143] |
 TIMP-2 | Increased levels | Inhibiting the activity of MMP-2 and MT1-MMP, impairing ageing-related angiogenesis | [142] |
 TIMP-3 | Increased levels | Inhibiting normal matrix remodelling, limiting neovascularisation | [147] |
Angiogenic growth factor | |||
 VEGF | Decreased levels | Imbalance of pro- and anti-angiogenic factors, impairing angiogenesis | |
 PDGF | Decreased levels | [150] | |
 FGF-2 | Decreased levels | [151] | |
 TGF-β | Decreased levels | [152] | |
 Ang-1, -2 | No change | [148] | |
Anti-angiogenic growth factor | |||
 TSP-1 | Increased levels | Imbalance of pro- and anti-angiogenic factors, impairing angiogenesis | |
 TSP-2 | Increased levels | [74] | |
 TNF-α | Increased levels | [154] |