“…2,31,33 Particularly noteworthy is that expressions of TGF-β1 and MMP-9 may depend on the secretion of other proteins, such as cytokines, growth factors, transcriptional factors, other matrix metalloproteinases and tissue inhibitors of matrix metalloproteinases (TIMPs). 2,3,4,5,6,31,32,33,34,35,36 Experiments using MMP-9 knockout mice 14 evidenced that these animals exhibited larger periapical lesions with greater inflammation, indicating a central participation of MMP-9 in the development of periapical lesions. The presence of TGF-β1 and MMP-9 in periapical lesions denotes their important role in the maintenance, development and exacerbation of chronic processes, 5,14,34,35 although further studies are needed to evaluate the possible molecular mechanisms involved in the progression of these lesions.…”