Regulation of Vascular Calcification: Roles of Phosphate and Osteopontin

Vascular calcification is prevalent in aging as well as a number of pathological conditions, and it is now recognized as a strong predictor of cardiovascular events in the general population as well as diabetic and end-stage renal disease patients. Vascular calcification is a highly regulated proces...

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Veröffentlicht in:Circulation research 2005-04, Vol.96 (7), p.717-722
Hauptverfasser: Giachelli, Cecilia M, Speer, Mei Y, Li, Xianwu, Rajachar, Rupak M, Yang, Hsueh
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container_issue 7
container_start_page 717
container_title Circulation research
container_volume 96
creator Giachelli, Cecilia M
Speer, Mei Y
Li, Xianwu
Rajachar, Rupak M
Yang, Hsueh
description Vascular calcification is prevalent in aging as well as a number of pathological conditions, and it is now recognized as a strong predictor of cardiovascular events in the general population as well as diabetic and end-stage renal disease patients. Vascular calcification is a highly regulated process involving inductive and inhibitory mechanisms. This article focuses on two molecules, phosphate and osteopontin, that have been implicated in the induction or inhibition of vascular calcification, respectively. Elevated phosphate is of interest because hyperphosphatemia is recognized as a major nonconventional risk factor for cardiovascular disease mortality in end-stage renal disease patients. Studies to date suggest that elevated phosphate stimulates smooth muscle cell phenotypic transition and mineralization via the activity of a sodium-dependent phosphate cotransporter. Osteopontin, however, appears to block vascular calcification most likely by preventing calcium phosphate crystal growth and inducing cellular mineral resorption.
doi_str_mv 10.1161/01.RES.0000161997.24797.c0
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subjects Animals
Biological and medical sciences
Calcinosis - etiology
DNA-Binding Proteins - physiology
Fundamental and applied biological sciences. Psychology
Humans
Muscle, Smooth, Vascular - cytology
Osteopontin
Phosphates - physiology
Sialoglycoproteins - physiology
Transcription Factor Pit-1
Transcription Factors - physiology
Vascular Diseases - etiology
Vertebrates: cardiovascular system
title Regulation of Vascular Calcification: Roles of Phosphate and Osteopontin
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