Complement Upregulates Runx-2 to Induce Profibrogenic Change in Aortic Valve Interstitial Cells.
Complement Upregulates Runx-2 to Induce Profibrogenic Change in Aortic Valve Interstitial Cells.
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DOI:
10.1016/j.athoracsur.2020.12.058
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发表时间:
2021-12
期刊:
影响因子:
--
通讯作者:
Jaggers J
中科院分区:
文献类型:
--
作者:
Deng XS;Meng X;Fullerton D;Stone M;Jaggers J
Calcium accumulation and fibrotic activities are principal mechanisms for calcific aortic valve disease (CAVD). Active complement products are observed in human stenotic aortic valves. Runt-related transcription factor 2 (Runx-2) is involved in tissue calcification. We hypothesized that complement up-regulates Runx-2 to induce pro-fibrogenic change in human aortic valve interstitial cells (AVICs). AVICs were isolated from 6 normal and 6 CAVD donor valves. Cells were treated with complement cocktails. Pro-fibrogenic activities and associated signaling molecules were analyzed by Western blot assay and collagen staining. Complement time and dose dependently enhanced pro-fibrogenic activities in AVICs, and complement exposure also induced total collagen deposition in AVICs. Complement induced pro-fibrogenic responses were associated with increased Runx-2 expression and phosphorylation of ERK1/2. Genetic silencing of Runx-2 decreased both MMP-9 and collagen I levels. Pharmacological inhibition of ERK1/2 decreased complement mediated MMP-9, collagen I and Runx-2 expression as well as total collagen deposition in human AVICs. Further, treating AVICs with heat-deactivated complement resulted in reduced MMP-9, collagen I and Runx-2 levels compared to active complement treatment. Complement induced pro-fibrogenic activities in AVICs by activation of ERK1/2 mediated Runx-2 signaling pathways. This study demonstrates a potential role for complement-mediated CAVD pathogenesis, establishing a possible therapeutic target to limit CAVD progression.
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