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Updated: Aug 10, 2026

Calcification of Vascular Smooth Muscle Cells and Imaging of Aortic Calcification and Inflammation
Published on: May 31, 2016
Calcineurin-mediated pathway involved in the differentiated phenotype of smooth muscle cells
Yasuyuki Ohkawa1, Ken'ichiro Hayashi, Kenji Sobue
1Department of Neuroscience, Osaka University Graduate School of Medicine (D13), 2-2 Yamadaoka, Suita, Osaka 565-0871, Japan.
Abstract:
The calcineurin-mediated pathway is involved in skeletal and cardiac hypertrophy and vascular development in vivo, but the relationship between this pathway and the phenotype of smooth muscle cells (SMCs) remains unknown. Using visceral SMCs in culture as a model system of differentiated SMCs, we investigated the role of the calcineurin-mediated pathway in maintaining the differentiated phenotype of SMCs, which depends on the insulin-like growth factor (IGF-I)-triggered activation of the phosphatidylinositol 3-kinase (PI3-K)/protein kinase B (PKB(Akt)) pathway. Treatment with calcineurin inhibitors, cyclosporin A or FK506, or the forced expression of the natural calcineurin inhibitor, CAIN, induced SMC dedifferentiation. Notably, suppression of the promoter activities of the SMC molecular markers caldesmon and alpha1 integrin by blocking the PI3-K/PKB(Akt) pathway was rescued by the forced expression of constitutively active calcineurin Aalpha, suggesting that the calcineurin-mediated pathway is critical for maintaining the differentiated phenotype of SMCs and works downstream of the PI3-K/PKB(Akt) pathway.
Insights
The calcineurin pathway is crucial for maintaining smooth muscle cell (SMC) differentiation. Inhibiting calcineurin causes SMCs to lose their specialized characteristics, highlighting its role in cell phenotype.
Area of Science:
- Cell Biology
- Molecular Biology
- Physiology
Background:
- The calcineurin pathway influences skeletal and cardiac hypertrophy and vascular development.
- The role of calcineurin in smooth muscle cell (SMC) phenotype is not well understood.
- Differentiated SMC phenotype is maintained by insulin-like growth factor (IGF-I) activating the phosphatidylinositol 3-kinase (PI3-K)/protein kinase B (PKB(Akt)) pathway.
Purpose of the Study:
- To investigate the role of the calcineurin-mediated pathway in maintaining the differentiated phenotype of SMCs.
- To determine the relationship between the calcineurin pathway and SMC differentiation.
- To elucidate the molecular mechanisms linking calcineurin signaling to SMC phenotype.
Main Methods:
- Used cultured visceral SMCs as a model for differentiated SMCs.
- Administered calcineurin inhibitors (cyclosporin A, FK506) and expressed a calcineurin inhibitor (CAIN).
- Blocked the PI3-K/PKB(Akt) pathway and expressed constitutively active calcineurin Aalpha to assess promoter activities of SMC markers (caldesmon, alpha1 integrin).
Main Results:
- Calcineurin inhibitors and CAIN expression induced SMC dedifferentiation.
- Blocking the PI3-K/PKB(Akt) pathway suppressed promoter activities of SMC markers.
- Forced expression of active calcineurin Aalpha rescued the suppression of SMC marker promoter activities.
Conclusions:
- The calcineurin-mediated pathway is essential for maintaining the differentiated phenotype of SMCs.
- The calcineurin pathway functions downstream of the PI3-K/PKB(Akt) pathway in regulating SMC differentiation.
- Targeting the calcineurin pathway could offer therapeutic strategies for SMC-related conditions.
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