Nano-analytical electron microscopy reveals fundamental insights into human cardiovascular tissue calcification.

Nano-analytical electron microscopy reveals fundamental insights into human cardiovascular tissue calcification.
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DOI:
10.1038/nmat3627
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发表时间:
2013-06
期刊:
影响因子:
41.2
通讯作者:
Stevens MM
Stevens MM
中科院分区:
材料科学1区
文献类型:
--
作者:
Bertazzo S;Gentleman E;Cloyd KL;Chester AH;Yacoub MH;Stevens MM

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The accumulation of calcified material in cardiovascular tissue is thought to involve cytochemical, extracellular matrix and systemic signals, however, its precise composition and nano-scale architecture remain largely unexplored. Using nano-analytical electron microscopy techniques, we examined valves, aortas, and coronary arteries from patients with and without calcific cardiovascular disease and detected spherical calcium phosphate particles, regardless of the presence of calcific lesions. While tissue marked by calcific lesions immunogold labelled for the bone-specific protein osteocalcin, tissue on which particles alone were present only expressed early osteoblastic transcription factors, suggesting that the localization of spherical particles may precede the appearance of mature osteoblasts and calcific lesions. We also examined lesions after sectioning with a focused ion beam and found that spherical particles are composed of highly crystalline hydroxyapatite which crystallographically and structurally differed from bone mineral. Taken together, these data suggest that mineralized spherical particles may play a fundamental role in calcific lesion formation. Their ubiquitous presence in varied cardiovascular tissues and from patients with a spectrum of diseases, further suggests that lesion formation may follow a common process. Indeed, applying materials science techniques to ectopic and orthotopic calcification has great potential to lend critical insights into pathophysiological processes underlying calcific cardiovascular disease.
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