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Am J Physiol Heart Circ Physiol (April 10, 2009). doi:10.1152/ajpheart.00099.2009
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00099.2009v1
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Submitted on January 28, 2009
Revised on March 17, 2009
Accepted on April 6, 2009

Role of the MAPK/ERK pathway in valvular interstitial cell calcification

Xiaoxiao Gu1 and Kristyn S Masters1*

1 University of Wisconsin

* To whom correspondence should be addressed. E-mail: kmasters{at}wisc.edu.

Much remains to be discovered about the etiology of heart valve disease and the molecular-level mechanisms that drive it. The MAPK/ERK pathway influences calcification in many cell types, and has been linked to the expression of a contractile phenotype in valvular interstitial cells (VICs). However, a direct correlation between MAPK/ERK pathway activity and VIC calcification has not been previously described. Thus, the role of the MAPK pathway in the calcification of VIC cultures was investigated by measuring ERK activation in both calcifying and non-calcifying VIC environments, and then, conversely, analyzing the effects of ERK pathway inhibition on VIC calcification and phenotype. Prolonged elevation of phosphorylated ERK 1/2 was found in calcifying VIC cultures, while directly blocking phosphorylation of ERK 1/2 resulted in a dramatic decrease in nodule number, nodule size, and total calcified area. Application of the ERK pathway inhibitor was also associated with a dramatic decrease in apoptosis, which may have contributed to the decreased nodule formation obtained via ERK inhibition. Real-time PCR analysis revealed that calcified samples exhibited significantly elevated expression of several myofibroblastic and osteoblastic markers, while ERK inhibition substantially reduced the expression of these markers, often to levels comparable to the non-calcifying control. These data suggest that the MAPK pathway plays an important role in regulating the phenotype and calcification of VICs, wherein sustained pathway activation is associated with increased VIC calcification. These findings may be used to further elucidate the mechanisms of valvular disease and identify potential treatment targets.







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