Vascular calcification: Molecular mechanisms and therapeutic interventions

Abstract Vascular calcification (VC) is recognized as a pathological vascular disorder associated with various diseases, such as atherosclerosis, hypertension, aortic valve stenosis, coronary artery disease, diabetes mellitus, as well as chronic kidney disease. Therefore, it is a life‐threatening st...

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Main Authors: Wei Pan, Wei Jie, Hui Huang
Format: Article
Language:English
Published: Wiley 2023-02-01
Series:MedComm
Subjects:
Online Access:https://doi.org/10.1002/mco2.200
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author Wei Pan
Wei Jie
Hui Huang
author_facet Wei Pan
Wei Jie
Hui Huang
author_sort Wei Pan
collection DOAJ
description Abstract Vascular calcification (VC) is recognized as a pathological vascular disorder associated with various diseases, such as atherosclerosis, hypertension, aortic valve stenosis, coronary artery disease, diabetes mellitus, as well as chronic kidney disease. Therefore, it is a life‐threatening state for human health. There were several studies targeting mechanisms of VC that revealed the importance of vascular smooth muscle cells transdifferentiating, phosphorous and calcium milieu, as well as matrix vesicles on the progress of VC. However, the underlying molecular mechanisms of VC need to be elucidated. Though there is no acknowledged effective therapeutic strategy to reverse or cure VC clinically, recent evidence has proved that VC is not a passive irreversible comorbidity but an active process regulated by many factors. Some available approaches targeting the underlying molecular mechanism provide promising prospects for the therapy of VC. This review aims to summarize the novel findings on molecular mechanisms and therapeutic interventions of VC, including the role of inflammatory responses, endoplasmic reticulum stress, mitochondrial dysfunction, iron homeostasis, metabolic imbalance, and some related signaling pathways on VC progression. We also conclude some recent studies on controversial interventions in the clinical practice of VC, such as calcium channel blockers, renin–angiotensin system inhibitions, statins, bisphosphonates, denosumab, vitamins, and ion conditioning agents.
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spelling doaj.art-5267f33ef0d24f34b6795d9ac28f908d2023-02-11T14:06:29ZengWileyMedComm2688-26632023-02-0141n/an/a10.1002/mco2.200Vascular calcification: Molecular mechanisms and therapeutic interventionsWei Pan0Wei Jie1Hui Huang2Department of Cardiology, the Eighth Affiliated Hospital Sun Yat‐sen University Shenzhen Guangdong ChinaDepartment of Cardiology, the Eighth Affiliated Hospital Sun Yat‐sen University Shenzhen Guangdong ChinaDepartment of Cardiology, the Eighth Affiliated Hospital Sun Yat‐sen University Shenzhen Guangdong ChinaAbstract Vascular calcification (VC) is recognized as a pathological vascular disorder associated with various diseases, such as atherosclerosis, hypertension, aortic valve stenosis, coronary artery disease, diabetes mellitus, as well as chronic kidney disease. Therefore, it is a life‐threatening state for human health. There were several studies targeting mechanisms of VC that revealed the importance of vascular smooth muscle cells transdifferentiating, phosphorous and calcium milieu, as well as matrix vesicles on the progress of VC. However, the underlying molecular mechanisms of VC need to be elucidated. Though there is no acknowledged effective therapeutic strategy to reverse or cure VC clinically, recent evidence has proved that VC is not a passive irreversible comorbidity but an active process regulated by many factors. Some available approaches targeting the underlying molecular mechanism provide promising prospects for the therapy of VC. This review aims to summarize the novel findings on molecular mechanisms and therapeutic interventions of VC, including the role of inflammatory responses, endoplasmic reticulum stress, mitochondrial dysfunction, iron homeostasis, metabolic imbalance, and some related signaling pathways on VC progression. We also conclude some recent studies on controversial interventions in the clinical practice of VC, such as calcium channel blockers, renin–angiotensin system inhibitions, statins, bisphosphonates, denosumab, vitamins, and ion conditioning agents.https://doi.org/10.1002/mco2.200endoplasmic reticulum stressmitochondrial dysfunctionmolecular mechanismtherapeutic interventionsvascular calcification
spellingShingle Wei Pan
Wei Jie
Hui Huang
Vascular calcification: Molecular mechanisms and therapeutic interventions
MedComm
endoplasmic reticulum stress
mitochondrial dysfunction
molecular mechanism
therapeutic interventions
vascular calcification
title Vascular calcification: Molecular mechanisms and therapeutic interventions
title_full Vascular calcification: Molecular mechanisms and therapeutic interventions
title_fullStr Vascular calcification: Molecular mechanisms and therapeutic interventions
title_full_unstemmed Vascular calcification: Molecular mechanisms and therapeutic interventions
title_short Vascular calcification: Molecular mechanisms and therapeutic interventions
title_sort vascular calcification molecular mechanisms and therapeutic interventions
topic endoplasmic reticulum stress
mitochondrial dysfunction
molecular mechanism
therapeutic interventions
vascular calcification
url https://doi.org/10.1002/mco2.200
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