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Updated: Jul 20, 2026

Calcification of Vascular Smooth Muscle Cells and Imaging of Aortic Calcification and Inflammation
Published on: May 31, 2016
Matrix Gla protein is associated with risk factors for atherosclerosis but not with coronary artery calcification
Christopher J O'Donnell1, M Kyla Shea, Paul A Price
1Framingham Heart Study, 73 Mt. Wayte Ave, Suite 2, Framingham, MA 01702, USA. odonnellc@nhlbi.nih.gov
Insights
Circulating Matrix Gla protein (MGP) is linked to coronary heart disease (CHD) risk factors in adults. Further research is needed to understand MGP's relationship with coronary artery calcification (CAC).
Area of Science:
- Cardiovascular Medicine
- Biochemistry
- Public Health
Background:
- Atherosclerotic coronary artery calcification (CAC) is a marker for coronary heart disease (CHD) risk.
- Matrix Gla protein (MGP) inhibits calcification in vivo, but its role in human CHD risk is unclear.
Purpose of the Study:
- To investigate the distribution of circulating MGP.
- To examine associations between MGP, CHD risk factors, and CAC in humans.
Main Methods:
- Serum MGP levels were measured in two independent cohorts (Study A: n=316, mean age 58; Study B: n=452, mean age 68).
- Coronary artery calcification (CAC) was assessed using computed tomography.
- Associations with Framingham CHD risk score and individual risk factors were analyzed.
Main Results:
- MGP levels increased with age in both cohorts.
- Circulating MGP showed associations with increasing Framingham CHD risk score and high-density lipoprotein levels.
- No consistent associations were found between MGP and CAC after adjusting for CHD risk score.
Conclusions:
- Circulating MGP is associated with CHD risk factors and the Framingham CHD risk score in individuals without clinically apparent CHD.
- The relationship between MGP and CAC requires further investigation in larger populations.
Objective:
Atherosclerotic coronary artery calcification (CAC) is associated with increased coronary heart disease (CHD) risk. Matrix Gla protein (MGP) is an inhibitor of calcification in vivo. However, little is known regarding the distribution of circulating MGP and its associations with CHD risk factors or with CAC in humans.
Methods And Results:
Serum MGP concentrations were determined in 2 independent populations of men and women free of clinically apparent cardiovascular disease: study A, n=316, mean age 58 years, and study B, n=452, mean age 68 years. CAC was determined by computed tomography. Mean MGP concentrations were 98.4 and 198 ng/mL in men, and 97.4 and 201 ng/mL in women, in study A and study B, respectively. In both cohorts, MGP levels were higher with increasing age. In age-adjusted analyses, there was an association of circulating MGP with increasing Framingham CHD risk score (in study A, P=0.003 in men and P=0.016 in women, respectively; in study B, a nonsignificant increase in men and P=0.05 in women, respectively). Significant associations of circulating MGP with high-density lipoprotein and other individual CHD risk factors were also noted in both cohorts. There were no consistent associations between MGP and CAC after adjustment for CHD risk score in the 2 cohorts.
Conclusions:
MGP is associated with individual CHD risk factors and the Framingham CHD risk score in men and women free of clinically apparent CHD. The relation of MGP with CAC deserves further study in larger populations.
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