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Updated: Jul 3, 2026

Calcification of Vascular Smooth Muscle Cells and Imaging of Aortic Calcification and Inflammation
Published on: May 31, 2016
Role of homocysteine in aortic calcification and osteogenic cell differentiation
Ann Van Campenhout1, Corey S Moran, Adam Parr
1Vascular Biology Unit, School of Medicine, James Cook University, Townsville, QLD4811, Australia.
Insights
High homocysteine levels are linked to vascular calcification. This study found homocysteine in human atheroma and showed it promotes osteogenic cell differentiation, explaining its association with atherosclerosis.
Area of Science:
- Cardiovascular Research
- Biochemistry
- Vascular Biology
Background:
- The precise role of homocysteine in atherosclerosis remains incompletely understood.
- Investigating the link between plasma homocysteine and aortic calcification is crucial.
Purpose of the Study:
- To examine the association between plasma homocysteine and infrarenal aortic calcification.
- To determine the presence of homocysteine in human atheroma.
- To investigate the effect of homocysteine on osteogenic differentiation in vitro.
Main Methods:
- 194 patients with peripheral artery disease or abdominal aortic aneurysm underwent Computer Tomography Angiography.
- Atheroma biopsies from 16 patients undergoing endarterectomy were analyzed for homocysteine.
- In vitro studies utilized mesenchymal stem cells and monocytic THP1 cells exposed to homocysteine.
Main Results:
- Fasting plasma total homocysteine was independently associated with infrarenal aortic calcification severity (OR 1.91).
- Homocysteine was detected in all atheroma biopsies, with higher concentrations in calcified samples (p=0.003).
- In vitro, homocysteine significantly increased calcium deposition in mesenchymal stem cells and promoted aortic smooth muscle cell calcification.
Conclusions:
- Homocysteine plays a significant role in vascular calcification through various mechanisms.
- The presence of homocysteine in atheroma and its pro-osteogenic effects contribute to its association with atherosclerotic events.
Background:
The role of homocysteine in atherosclerosis is unclear. We examined the relationship between plasma homocysteine and infrarenal aortic calcification, the presence of homocysteine in human atheroma and the influence of homocysteine on osteogenic differentiation in vitro.
Methods And Results:
In 194 patients with symptomatic peripheral artery disease or abdominal aortic aneurysm, fasting plasma total homocysteine was independently associated with the severity of infrarenal aortic calcification measured by Computer Tomography Angiography (odds ratio 1.91, 95% confidence interval 1.17-3.21 for calcification >or=median). Homocysteine was identified in all 60 atheroma biopsies from 16 patients undergoing endarterectomy, and concentrations were significantly greater in the calcified biopsies (p=0.003). In vitro studies demonstrated that 100 micromol/L homocysteine doubled the calcium deposition by mesenchymal stem cells during 16 days incubation in osteogenic medium (74+/-4 compared to 42+/-5 microg calcium/well without homocysteine, p<0.001). Homocysteine also stimulated monocytic THP1 cells to promote aortic smooth muscle cell calcification as evidenced by significant higher calcium deposition and alkaline phosphatase activity compared to incubation without homocysteine (p
Conclusions:
Homocysteine plays an important role in vascular calcification via multiple mechanisms. The presence of homocysteine in atheroma and its ability to enhance osteogenic cell differentiation may partly explain the association of homocysteine with atherosclerotic events.
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