Celecoxib Is Associated With Dystrophic Calcification and Aortic Valve Stenosis

Autor: W. David Merryman, Michael A. Raddatz, Camryn L. Johnson, Brian R. Lindman, Meghan A. Bowler
Rok vydání: 2019
Předmět:
musculoskeletal diseases
0301 basic medicine
Aortic valve
medicine.medical_specialty
CN
calcific nodule

AS
aortic stenosis

030204 cardiovascular system & hematology
calcification
03 medical and health sciences
0302 clinical medicine
Dystrophic calcification
Internal medicine
LEADING EDGE IN TRANSLATIONAL RESEARCH
medicine
heterocyclic compounds
COX2
cyclooxygenase-2

skin and connective tissue diseases
TGF
transforming growth factor

ANOVA
analysis of variance

celecoxib
AVEC
aortic valve endothelial cell

business.industry
AS - Aortic stenosis
aortic stenosis
EMR
electronic medical record

AVIC
aortic valve interstitial cell

CDH11
cadherin-11

medicine.disease
aortic valve
FDA
Food and Drug Administration

3. Good health
CAVD
calcific aortic valve disease

OR
odds ratio

Stenosis
030104 developmental biology
medicine.anatomical_structure
Aortic valve stenosis
cardiovascular system
Celecoxib
Cardiology
SMA
smooth muscle actin

lipids (amino acids
peptides
and proteins)

Cardiology and Cardiovascular Medicine
business
VUMC
Vanderbilt University Medical Center

Calcification
medicine.drug
Zdroj: JACC: Basic to Translational Science
ISSN: 2452-302X
DOI: 10.1016/j.jacbts.2018.12.003
Popis: Visual Abstract
Highlights • Celecoxib use is associated with diagnosis of aortic stenosis in analysis of electronic medical records. • Celecoxib treatment increases dystrophic calcification of aortic valve interstitial cells in vitro. • Dimethyl celecoxib, which binds CDH11, prevents TGF-β1–mediated calcification of aortic valve interstitial cells in vitro.
Summary Calcific aortic valve disease is a progressive fibrocalcific process that can only be treated with valve replacement. Cadherin-11 has recently been identified as a potential therapeutic target for calcific aortic valve disease. The already approved drug celecoxib, a cyclooxygenase-2 inhibitor, binds cadherin-11, and was investigated as a therapeutic against calcific aortic valve disease. Unexpectedly, celecoxib treatment led to hallmarks of myofibroblast activation and calcific nodule formation in vitro. Retrospective electronic medical record analysis of celecoxib, ibuprofen, and naproxen revealed a unique association of celecoxib use and aortic stenosis.
Databáze: OpenAIRE