ALDH7A1 and pulmonary arterial hypertension: In recent years, several pharmacological interventions in PAH, including MMP inhibitors, endothelin antagonist, angiotensinogen inhibitors and phosphodiesterase (PDE) inhibitors that target either the MMP cascades or endogenous vascular elastases, proved to be beneficial in experimental PAH models, with most of these agents being applied prior to full establishment of the disease [7-11].