Shh–Gli2–Runx2 inhibits vascular calcification

ABSTRACT Background In patients with chronic kidney disease (CKD), vascular calcification (VC) is common and is associated with a higher risk of all-cause mortality. Shh, one ligand for Hedgehog (Hh) signaling, participates in osteogenesis and several cardiovascular diseases. However, it remains unc...

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Veröffentlicht in:Nephrology, dialysis, transplantation dialysis, transplantation, 2024-01, Vol.39 (2), p.305-316
Hauptverfasser: Huang, Aoran, Xu, Tianhua, Lu, Xiaomei, Ma, Ling, Ma, Haiying, Yu, Yanqiu, Yao, Li
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container_end_page 316
container_issue 2
container_start_page 305
container_title Nephrology, dialysis, transplantation
container_volume 39
creator Huang, Aoran
Xu, Tianhua
Lu, Xiaomei
Ma, Ling
Ma, Haiying
Yu, Yanqiu
Yao, Li
description ABSTRACT Background In patients with chronic kidney disease (CKD), vascular calcification (VC) is common and is associated with a higher risk of all-cause mortality. Shh, one ligand for Hedgehog (Hh) signaling, participates in osteogenesis and several cardiovascular diseases. However, it remains unclear whether Shh is implicated in the development of VC. Methods Inorganic phosphorus 2.6 mM was used to induce vascular smooth muscle cells (VSMCs) calcification. Mice were fed with adenine diet supplement with 1.2% phosphorus to induce VC. Results Shh was decreased in VSMCs exposed to inorganic phosphorus, calcified arteries in mice fed with an adenine diet, as well as radial arteries from patients with CKD presenting VC. Overexpression of Shh inhibited VSMCs ostosteoblastic differentiation and calcification, whereas its silencing accelerated these processes. Likewise, mice treated with smoothened agonist (SAG; Hh signaling agonist) showed alleviated VC, and mice treated with cyclopamine (CPN; Hh signaling antagonist) exhibited severe VC. Additionally, overexpression of Gli2 significantly reversed the pro-calcification effect of Shh silencing on VSMCs, suggesting that Shh inhibited VC via Gli2. Mechanistically, Gli2 interacted with Runx2 and promoted its ubiquitin proteasomal degradation, therefore protecting against VC. Of interest, the pro-degradation effect of Gli2 on Runx2 was independent of Smurf1 and Cullin4B. Conclusions Our study provided deeper insight to the pathogenesis of VC, and Shh might be a novel potential target for VC treatment. Graphical Abstract Graphical Abstract
doi_str_mv 10.1093/ndt/gfad165
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Shh, one ligand for Hedgehog (Hh) signaling, participates in osteogenesis and several cardiovascular diseases. However, it remains unclear whether Shh is implicated in the development of VC. Methods Inorganic phosphorus 2.6 mM was used to induce vascular smooth muscle cells (VSMCs) calcification. Mice were fed with adenine diet supplement with 1.2% phosphorus to induce VC. Results Shh was decreased in VSMCs exposed to inorganic phosphorus, calcified arteries in mice fed with an adenine diet, as well as radial arteries from patients with CKD presenting VC. Overexpression of Shh inhibited VSMCs ostosteoblastic differentiation and calcification, whereas its silencing accelerated these processes. Likewise, mice treated with smoothened agonist (SAG; Hh signaling agonist) showed alleviated VC, and mice treated with cyclopamine (CPN; Hh signaling antagonist) exhibited severe VC. Additionally, overexpression of Gli2 significantly reversed the pro-calcification effect of Shh silencing on VSMCs, suggesting that Shh inhibited VC via Gli2. Mechanistically, Gli2 interacted with Runx2 and promoted its ubiquitin proteasomal degradation, therefore protecting against VC. Of interest, the pro-degradation effect of Gli2 on Runx2 was independent of Smurf1 and Cullin4B. Conclusions Our study provided deeper insight to the pathogenesis of VC, and Shh might be a novel potential target for VC treatment. Graphical Abstract Graphical Abstract</description><identifier>ISSN: 0931-0509</identifier><identifier>ISSN: 1460-2385</identifier><identifier>EISSN: 1460-2385</identifier><identifier>DOI: 10.1093/ndt/gfad165</identifier><identifier>PMID: 37451818</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Adenine ; Animals ; Core Binding Factor Alpha 1 Subunit - genetics ; Core Binding Factor Alpha 1 Subunit - metabolism ; Hedgehog Proteins - genetics ; Hedgehog Proteins - metabolism ; Hedgehog Proteins - pharmacology ; Humans ; Mice ; Myocytes, Smooth Muscle - metabolism ; Phosphorus - metabolism ; Renal Insufficiency, Chronic - pathology ; Vascular Calcification - etiology ; Vascular Calcification - metabolism ; Vascular Calcification - prevention &amp; control</subject><ispartof>Nephrology, dialysis, transplantation, 2024-01, Vol.39 (2), p.305-316</ispartof><rights>The Author(s) 2023. Published by Oxford University Press on behalf of the ERA. 2023</rights><rights>The Author(s) 2023. Published by Oxford University Press on behalf of the ERA.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c278t-8f00c389aa9d8c7c2d6d2f55782e0428c00953271c8f67007d0fcde92d8408f93</cites><orcidid>0000-0003-0965-349X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1578,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37451818$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Huang, Aoran</creatorcontrib><creatorcontrib>Xu, Tianhua</creatorcontrib><creatorcontrib>Lu, Xiaomei</creatorcontrib><creatorcontrib>Ma, Ling</creatorcontrib><creatorcontrib>Ma, Haiying</creatorcontrib><creatorcontrib>Yu, Yanqiu</creatorcontrib><creatorcontrib>Yao, Li</creatorcontrib><title>Shh–Gli2–Runx2 inhibits vascular calcification</title><title>Nephrology, dialysis, transplantation</title><addtitle>Nephrol Dial Transplant</addtitle><description>ABSTRACT Background In patients with chronic kidney disease (CKD), vascular calcification (VC) is common and is associated with a higher risk of all-cause mortality. Shh, one ligand for Hedgehog (Hh) signaling, participates in osteogenesis and several cardiovascular diseases. However, it remains unclear whether Shh is implicated in the development of VC. Methods Inorganic phosphorus 2.6 mM was used to induce vascular smooth muscle cells (VSMCs) calcification. Mice were fed with adenine diet supplement with 1.2% phosphorus to induce VC. Results Shh was decreased in VSMCs exposed to inorganic phosphorus, calcified arteries in mice fed with an adenine diet, as well as radial arteries from patients with CKD presenting VC. Overexpression of Shh inhibited VSMCs ostosteoblastic differentiation and calcification, whereas its silencing accelerated these processes. Likewise, mice treated with smoothened agonist (SAG; Hh signaling agonist) showed alleviated VC, and mice treated with cyclopamine (CPN; Hh signaling antagonist) exhibited severe VC. Additionally, overexpression of Gli2 significantly reversed the pro-calcification effect of Shh silencing on VSMCs, suggesting that Shh inhibited VC via Gli2. Mechanistically, Gli2 interacted with Runx2 and promoted its ubiquitin proteasomal degradation, therefore protecting against VC. Of interest, the pro-degradation effect of Gli2 on Runx2 was independent of Smurf1 and Cullin4B. Conclusions Our study provided deeper insight to the pathogenesis of VC, and Shh might be a novel potential target for VC treatment. 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Shh, one ligand for Hedgehog (Hh) signaling, participates in osteogenesis and several cardiovascular diseases. However, it remains unclear whether Shh is implicated in the development of VC. Methods Inorganic phosphorus 2.6 mM was used to induce vascular smooth muscle cells (VSMCs) calcification. Mice were fed with adenine diet supplement with 1.2% phosphorus to induce VC. Results Shh was decreased in VSMCs exposed to inorganic phosphorus, calcified arteries in mice fed with an adenine diet, as well as radial arteries from patients with CKD presenting VC. Overexpression of Shh inhibited VSMCs ostosteoblastic differentiation and calcification, whereas its silencing accelerated these processes. Likewise, mice treated with smoothened agonist (SAG; Hh signaling agonist) showed alleviated VC, and mice treated with cyclopamine (CPN; Hh signaling antagonist) exhibited severe VC. Additionally, overexpression of Gli2 significantly reversed the pro-calcification effect of Shh silencing on VSMCs, suggesting that Shh inhibited VC via Gli2. Mechanistically, Gli2 interacted with Runx2 and promoted its ubiquitin proteasomal degradation, therefore protecting against VC. Of interest, the pro-degradation effect of Gli2 on Runx2 was independent of Smurf1 and Cullin4B. Conclusions Our study provided deeper insight to the pathogenesis of VC, and Shh might be a novel potential target for VC treatment. Graphical Abstract Graphical Abstract</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>37451818</pmid><doi>10.1093/ndt/gfad165</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0003-0965-349X</orcidid></addata></record>
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subjects Adenine
Animals
Core Binding Factor Alpha 1 Subunit - genetics
Core Binding Factor Alpha 1 Subunit - metabolism
Hedgehog Proteins - genetics
Hedgehog Proteins - metabolism
Hedgehog Proteins - pharmacology
Humans
Mice
Myocytes, Smooth Muscle - metabolism
Phosphorus - metabolism
Renal Insufficiency, Chronic - pathology
Vascular Calcification - etiology
Vascular Calcification - metabolism
Vascular Calcification - prevention & control
title Shh–Gli2–Runx2 inhibits vascular calcification
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