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Updated: Jun 27, 2026

Calcification of Vascular Smooth Muscle Cells and Imaging of Aortic Calcification and Inflammation
Published on: May 31, 2016
Extracellular calcium-sensing receptor mediated signalling is involved in human vascular smooth muscle cell
Guerman Molostvov1, Simon Fletcher, Rosemary Bland
1The Clinical Sciences Research Institute, Warwick Medical School, Coventry, UK. g.molostvov@warwick.ac.uk
Abstract:
Calcium-sensing receptor (CaSR) plays key role in vascular calcification in patients with chronic kidney disease (CKD). We investigated the role of CaSR in regulating smooth muscle cell (SMC) proliferation and apoptosis. Incubation with 300 microM neomycin (CaSR agonist) resulted in 7.5-fold (p<0.05) increase in ERK1,2 phosphorylation. It was reduced (p<0.01) by 10 microM PD98059 (MEK1 inhibitor), indicating that CaSR agonist-induced effects were mediated via MEK1/ERK1,2 pathway. ERK1,2 phosphorylation was abolished by 5 microM U73122 (PLC inhibitor), indicating that PLC signalling was crucial for MEK1/ERK1,2 activation. Confirming PLC activation, inositol triphosphate (IP3) production was increased by neomycin/gentamycin (p<0.05) and reduced by U73122. To confirm that ERK1,2 and PLC signalling were mediated via CaSR, Human Aortic SMC (HAoSMC) were transfected with CaSR siRNA. CaSR knockdown resulted in lower ERK1,2 neomycin response and IP3 production (p<0.01). Neomycin increased HAoSMC proliferation >3-fold, which was reduced in CaSR knockdown cells (p<0.01) and further inhibited by PD98059 and U73122 (p<0.05). Apoptosis was not affected by neomycin treatment. U73122 produced 3.5-fold increase in HAoSMC apoptosis, which was further increased by CaSR knockdown (5-fold, p<0.05). In conclusion, stimulation of CaSR leads to activation of MEK1/ERK1,2 and PLC pathways and up-regulation of cell proliferation. CaSR-mediated PLC activation is important for SMC survival and protection against apoptosis.
Insights
The calcium-sensing receptor (CaSR) activates pathways promoting smooth muscle cell proliferation. CaSR-mediated signaling via PLC is crucial for smooth muscle cell survival and apoptosis protection.
Area of Science:
- Vascular Biology
- Cell Signaling
- Chronic Kidney Disease Pathophysiology
Background:
- Vascular calcification is a significant complication in chronic kidney disease (CKD).
- The calcium-sensing receptor (CaSR) is implicated in vascular calcification.
- The precise role of CaSR in vascular smooth muscle cell (SMC) behavior requires further elucidation.
Purpose of the Study:
- To investigate the role of CaSR in regulating human aortic smooth muscle cell (HAoSMC) proliferation and apoptosis.
- To elucidate the signaling pathways, specifically MEK1/ERK1,2 and phospholipase C (PLC), involved in CaSR-mediated effects on HAoSMCs.
Main Methods:
- HAoSMCs were treated with CaSR agonist (neomycin) and inhibitors (PD98059, U73122).
- ERK1,2 phosphorylation and inositol triphosphate (IP3) production were measured to assess signaling pathway activation.
- CaSR knockdown was performed using siRNA to confirm CaSR-dependent signaling.
- Cell proliferation and apoptosis assays were conducted to evaluate cellular responses.
Main Results:
- Neomycin (CaSR agonist) significantly increased ERK1,2 phosphorylation via the MEK1/ERK1,2 and PLC pathways.
- CaSR knockdown attenuated neomycin-induced ERK1,2 phosphorylation and IP3 production.
- Neomycin stimulated HAoSMC proliferation, an effect reduced by CaSR knockdown and pathway inhibitors.
- Neomycin did not affect apoptosis, whereas U73122 (PLC inhibitor) increased apoptosis, an effect exacerbated by CaSR knockdown.
Conclusions:
- CaSR stimulation activates MEK1/ERK1,2 and PLC signaling pathways, leading to increased SMC proliferation.
- CaSR-mediated PLC activation plays a critical role in SMC survival and protection against apoptosis.
- Targeting CaSR signaling may offer therapeutic potential for managing vascular complications in CKD.
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