Yamaguchi Akira, Akashi Takumi
Section of Oral Pathology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University.
Clin Calcium. 2010 Nov;20(11):1669-76.
Vascular calcification often associates with bone-cartilage formation. Artery sclerotic lesions accompany the expression of bone matrix proteins such as osteopontin, osteocalcin and matrix Gla protein and transcription factors including Runx2, osterix and Sox9. These lesions also express BMP, osteoprotegerin (OPG) and RANKL, which are important factor regulating bone formation and resorption. MGP-deficient mice exhibited extensive artery calcification as well as OPG-deficient mice. Thus, bone metabolism-related factors actively participate in vascular calcification, which had been interpreted as a passive calcification due to dystrophic calcification.
血管钙化常与骨软骨形成相关。动脉粥样硬化病变伴随着骨基质蛋白如骨桥蛋白、骨钙素和基质γ-羧基谷氨酸蛋白的表达以及转录因子如Runx2、osterix和Sox9的表达。这些病变还表达骨形态发生蛋白、骨保护素(OPG)和核因子κB受体活化因子配体(RANKL),它们是调节骨形成和吸收的重要因子。基质γ-羧基谷氨酸蛋白缺陷小鼠与骨保护素缺陷小鼠一样表现出广泛的动脉钙化。因此,骨代谢相关因子积极参与血管钙化,而血管钙化曾被解释为由于营养不良性钙化导致的被动钙化。