“…The two studies mentioned above, which suggest a role for PADI4 in heart development and demonstrate a non-cell-autonomous role in heart fibrosis, both report that loss of PADI4 leads to the reduction of genes associated with the ECM (Singh et al [ 7 ] ; Van Bruggen et al [ 11 ]). Additionally, an excellent review by Saifi & Ho, details the current knowledge on the mechanisms and functions associated with citrullination of matrisomal proteins [ 12 ]. The authors focus in particular on how aberrant citrullination of such proteins may impact disease development and the clinical potential of manipulating ECM protein citrullination.…”