Vadana Mihaela, Cecoltan Sergiu, Ciortan Letitia, Macarie Razvan D, Mihaila Andreea C, Tucureanu Monica M, Gan Ana-Maria, Simionescu Maya, Manduteanu Ileana, Droc Ionel, Butoi Elena
Biopathology and Therapy of Inflammation, Institute of Cellular Biology and Pathology "Nicolae Simionescu", 050568 Bucharest, Romania.
Cardiovascular Surgery Department, Central Military Hospital, 010825 Bucharest, Romania.
Int J Mol Sci. 2022 Mar 29;23(7):3776. doi: 10.3390/ijms23073776.
Parathyroid hormone (PTH) is a key regulator of calcium, phosphate and vitamin D metabolism. Although it has been reported that aortic valve calcification was positively associated with PTH, the pathophysiological mechanisms and the direct effects of PTH on human valvular cells remain unclear. Here we investigated if PTH induces human valvular endothelial cells (VEC) dysfunction that in turn could impact the switch of valvular interstitial cells (VIC) to an osteoblastic phenotype. Human VEC exposed to PTH were analyzed by qPCR, western blot, Seahorse, ELISA and immunofluorescence. Our results showed that exposure of VEC to PTH affects VEC metabolism and functions, modifications that were accompanied by the activation of p38MAPK and ERK1/2 signaling pathways and by an increased expression of osteogenic molecules (BMP-2, BSP, osteocalcin and Runx2). The impact of dysfunctional VEC on VIC was investigated by exposure of VIC to VEC secretome, and the results showed that VIC upregulate molecules associated with osteogenesis (BMP-2/4, osteocalcin and TGF-β1) and downregulate collagen I and III. In summary, our data show that PTH induces VEC dysfunction, which further stimulates VIC to differentiate into a pro-osteogenic pathological phenotype related to the calcification process. These findings shed light on the mechanisms by which PTH participates in valve calcification pathology and suggests that PTH and the treatment of hyperparathyroidism represent a therapeutic strategy to reduce valvular calcification.
甲状旁腺激素(PTH)是钙、磷和维生素D代谢的关键调节因子。尽管已有报道称主动脉瓣钙化与PTH呈正相关,但PTH对人瓣膜细胞的病理生理机制和直接作用仍不清楚。在此,我们研究了PTH是否会诱导人瓣膜内皮细胞(VEC)功能障碍,进而影响瓣膜间质细胞(VIC)向成骨细胞表型的转变。通过qPCR、蛋白质免疫印迹、海马实验、酶联免疫吸附测定和免疫荧光对暴露于PTH的人VEC进行分析。我们的结果表明,VEC暴露于PTH会影响VEC的代谢和功能,这些改变伴随着p38丝裂原活化蛋白激酶(p38MAPK)和细胞外信号调节激酶1/2(ERK1/2)信号通路的激活以及成骨分子(骨形态发生蛋白2、骨桥蛋白、骨钙素和Runx2)表达的增加。通过将VIC暴露于VEC分泌组来研究功能失调的VEC对VIC的影响,结果表明VIC上调与成骨相关的分子(骨形态发生蛋白2/4、骨钙素和转化生长因子-β1),下调I型和III型胶原蛋白。总之,我们的数据表明PTH诱导VEC功能障碍,进而进一步刺激VIC分化为与钙化过程相关的促骨生成病理表型。这些发现揭示了PTH参与瓣膜钙化病理的机制,并表明PTH和甲状旁腺功能亢进的治疗代表了一种减少瓣膜钙化的治疗策略。
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