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Updated: Aug 11, 2026

Calcification of Vascular Smooth Muscle Cells and Imaging of Aortic Calcification and Inflammation
Published on: May 31, 2016
Proatherogenic pathways leading to vascular calcification
Michael J Mazzini1, P Christian Schulze
1Department of Cardiology, Boston University Medical Center, Boston, MA 02118-2526, USA.
Insights
Vascular calcification, once seen as a late-stage atherosclerosis marker, is now recognized in early stages. This review details molecular pathways of vascular calcification and its role in cardiovascular disease progression.
Area of Science:
- Cardiovascular research
- Vascular biology
- Atherosclerosis pathogenesis
Background:
- Cardiovascular disease (CVD) is a leading cause of death globally.
- Atherosclerosis, a primary underlying condition, involves vascular injury, inflammation, oxidative stress, and calcification.
- Vascular calcification, previously considered a late-stage degenerative process, is now implicated in early atherosclerosis and clinical events.
Purpose of the Study:
- To review current knowledge on molecular pathways regulating vascular calcification.
- To explore the relevance of these pathways in the progression of cardiovascular disease.
Main Methods:
- Literature review of recent studies on vascular calcification.
- Analysis of molecular signaling cascades and regulatory molecules involved in vascular calcification.
Main Results:
- Vascular calcification occurs in early atherosclerosis and correlates with inflammation and disease progression.
- Key molecular regulators include osteopontin, osteoprogerin, leptin, and matrix Gla protein.
- Highly regulated molecular signaling pathways control vascular calcification.
Conclusions:
- Vascular calcification is an active, regulated process crucial to atherosclerosis progression.
- Understanding these molecular pathways is vital for developing new therapeutic strategies for cardiovascular disease.
Abstract:
Cardiovascular disease is the leading cause of morbidity and mortality in the western world and atherosclerosis is the major common underlying disease. The pathogenesis of atherosclerosis involves local vascular injury, inflammation and oxidative stress as well as vascular calcification. Vascular calcification has long been regarded as a degenerative process leading to mineral deposition in the vascular wall characteristic for late stages of atherosclerosis. However, recent studies identified vascular calcification in early stages of atherosclerosis and its occurrence has been linked to clinical events in patients with cardiovascular disease. Its degree correlates with local vascular inflammation and with the overall impact and the progression of atherosclerosis. Over the last decade, diverse and highly regulated molecular signaling cascades controlling vascular calcification have been described. Local and circulating molecules such as osteopontin, osteoprogerin, leptin and matrix Gla protein were identified as critical regulators of vascular calcification. We here review the current knowledge on molecular pathways of vascular calcification and their relevance for the progression of cardiovascular disease.
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