Oxidized HDL, as a Novel Biomarker for Calcific Aortic Valve Disease, Promotes the Calcification of Aortic Valve Interstitial Cells

Calcific aortic valve disease (CAVD) is characterized by progressive mineralization of the aortic valve. Lipid infiltration and oxidative stress are the driving forces for the initiation and development of this disease. However, it remains unknown whether oxidized high-density lipoprotein (ox-HDL) plays a role in the mineralization of aortic valve interstitial cells (AVICs). Serum ox-HDL levels were determined in 168 severe CAVD patients and 168 age- and gender-matched non-CAVD controls. Results showed that ox-HDL concentrations were significantly increased in CAVD compared with the control group (131.52 ± 30.96 ng/mL vs. 112.58 ± 32.20 ng/mL, P < 0.001) and were correlated with CAVD severity. Multivariable logistic regression revealed that ox-HDL levels were independently associated with CAVD after adjusting for the incidence of coronary artery disease (CAD) (odds ratio 1.019, 95% CI 1.012-1.027, P < 0.001) or atherosclerotic risk factors (odds ratio 1.027, 95% CI 1.017-1.037, P < 0.001). Chronic ox-HDL stimulation of AVICs increased alkaline phosphatase activity (ALP) and calcium deposits in AVICs in vitro. Mechanistic studies further showed that ox-HDL upregulated several osteogenic factors, including BMP-2, Runx2, and Msx2 expressions in AVICs. This is the first study to demonstrate a relationship between increased ox-HDL concentration and CAVD incidence.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:12

Enthalten in:

Journal of cardiovascular translational research - 12(2019), 6 vom: 31. Dez., Seite 560-568

Sprache:

Englisch

Beteiligte Personen:

Sun, Jia Teng [VerfasserIn]
Chen, Yuan Yuan [VerfasserIn]
Mao, Jing Yan [VerfasserIn]
Wang, Yan Ping [VerfasserIn]
Chen, Ya Fen [VerfasserIn]
Hu, Xiang [VerfasserIn]
Yang, Ke [VerfasserIn]
Liu, Yan [VerfasserIn]

Links:

Volltext

Themen:

Alkaline Phosphatase
Aortic valve interstitial cells
BMP2 protein, human
Bone Morphogenetic Protein 2
Calcific aortic valve disease
Calcification
Core Binding Factor Alpha 1 Subunit
EC 3.1.3.1
Homeodomain Proteins
Journal Article
Lipoproteins, HDL
MSX2 protein
Oxidized HDL
RUNX2 protein, human
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 15.06.2020

Date Revised 15.06.2020

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s12265-019-09903-3

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM299793508