Gla-Rich Protein Acts as a Calcification Inhibitor in the Human Cardiovascular System

Autor: Marta S. Rafael, Brecht A. G. Willems, José L. Enriquez, José Neves, Inês M. Luís, Sofia Cavaco, Anjos L. Macedo, Ruben Martins Da Costa, Cees Vermeer, Dina C. Simes, Rui Vitorino, Carla Viegas, Sofia Duque Santos, Alexandra Teixeira
Přispěvatelé: Promovendi CD, Biochemie, RS: CARIM - R1 - Thrombosis and haemostasis
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Adult
Male
medicine.medical_specialty
Vascular smooth muscle
Calcification inhibitor
alpha-2-HS-Glycoprotein
Osteocalcin
Coronary Artery Disease
Extracellular matrix
Tissue Culture Techniques
Internal medicine
Calcium-binding protein
Matrix gla protein
medicine
aortic valve
calcification of

Humans
Osteopontin
Aorta
Aged
Aged
80 and over

Extracellular Matrix Proteins
biology
Calcium-Binding Proteins
calcification of
Intracellular Signaling Peptides and Proteins
Calcinosis
Proteins
Aortic Valve Stenosis
Middle Aged
medicine.disease
Coronary Vessels
aortic valve
multivesicular bodies
Actins
Endocrinology
Gene Expression Regulation
vascular calcification
Case-Control Studies
biology.protein
gene expression
Intercellular Signaling Peptides and Proteins
Calcium
Female
Cardiology and Cardiovascular Medicine
hormones
hormone substitutes
and hormone antagonists

Calcification
Zdroj: Arteriosclerosis Thrombosis and Vascular Biology, 35(2), 399-408. LIPPINCOTT WILLIAMS & WILKINS
ISSN: 1079-5642
DOI: 10.1161/atvbaha.114.304823
Popis: Objective— Vascular and valvular calcifications are pathological processes regulated by resident cells, and depending on a complex interplay between calcification promoters and inhibitors, resembling skeletal metabolism. Here, we study the role of the vitamin K–dependent Gla-rich protein (GRP) in vascular and valvular calcification processes. Approach and Results— Immunohistochemistry and quantitative polymerase chain reaction showed that GRP expression and accumulation are upregulated with calcification simultaneously with osteocalcin and matrix Gla protein (MGP). Using conformation-specific antibodies, both γ-carboxylated GRP and undercarboxylated GRP species were found accumulated at the sites of mineral deposits, whereas undercarboxylated GRP was predominant in calcified aortic valve disease valvular interstitial cells. Mineral-bound GRP, MGP, and fetuin-A were identified by mass spectrometry. Using an ex vivo model of vascular calcification, γ-carboxylated GRP but not undercarboxylated GRP was shown to inhibit calcification and osteochondrogenic differentiation through α-smooth muscle actin upregulation and osteopontin downregulation. Immunoprecipitation assays showed that GRP is part of an MGP–fetuin-A complex at the sites of valvular calcification. Moreover, extracellular vesicles released from normal vascular smooth muscle cells are loaded with GRP, MGP, and fetuin-A, whereas under calcifying conditions, released extracellular vesicles show increased calcium loading and GRP and MGP depletion. Conclusions— GRP is an inhibitor of vascular and valvular calcification involved in calcium homeostasis. Its function might be associated with prevention of calcium-induced signaling pathways and direct mineral binding to inhibit crystal formation/maturation. Our data show that GRP is a new player in mineralization competence of extracellular vesicles possibly associated with the fetuin-A–MGP calcification inhibitory system. GRP activity was found to be dependent on its γ-carboxylation status, with potential clinical relevance.
Databáze: OpenAIRE