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Native extracellular matrix remodeling refers to the complex and dynamic process by which the extracellular matrix (ECM) within tissues is continuously modified through cycles of synthesis and degradation[1][2][3][4][5]. This process is mediated by numerous enzymes, most notably matrix metalloproteinases (MMPs), ADAMTS (a disintegrin and metalloproteinase with thrombospondin motifs), serine proteases (like plasmin and neutrophil elastase), and others[1]. ECM remodeling is essential for development, tissue repair, wound healing, angiogenesis, and maintenance of tissue homeostasis. Dysregulated ECM remodeling contributes to pathological states such as fibrosis, cancer, and chronic inflammation[1][2][3][4][5]. The process is not a discrete target but a modulatory event controlled by a network of interacting proteins, enzymes, growth factors, and cell-surface receptors (such as integrins and discoidin domain receptors)[1][3]. In therapeutics, drugs target individual enzymes or pathways involved in ECM turnover, not the process of "native ECM remodeling" itself. Please note: "Native extracellular matrix remodeling" is not a canonical molecular target but a biological process. Therefore, most structured target data fields are not applicable or require mapping to specific ECM-modifying enzymes or receptors (such as MMPs, integrins, or specific proteases) to fulfill the role of a therapeutic target[1][3].
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