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Updated: May 23, 2026

Isolation of Mouse Interstitial Valve Cells to Study the Calcification of the Aortic Valve In Vitro
Published on: May 10, 2021
Decreased and inactivated nuclear factor kappa B 1 (p50) in human degenerative calcified aortic valve
Chen Wen1, Zhang Leiyang, Deng Fei
1Department of Thoracic and Cardiovascular Surgery, Nanjing First Hospital Affiliated to Nanjing Medical University, 68 Changle Road, Nanjing, Jiangsu 210006, China.
Insights
Reduced p50 expression and activity in aortic valves may promote calcification. This suggests that maintaining p50 levels in endothelial cells could be a therapeutic strategy for degenerative aortic valve disease.
Area of Science:
- Cardiovascular Biology
- Vascular Cell Biology
- Biomaterials Science
Background:
- Degenerative aortic valve calcification is a key factor in aortic stenosis and incompetence.
- The precise mechanisms driving aortic valve calcification remain largely unknown.
- Understanding calcification pathogenesis is crucial for developing effective treatments.
Purpose of the Study:
- To investigate the expression and activation of p50 in degenerative calcified aortic valves.
- To explore the potential role of p50 in the development of aortic valve calcification.
- To identify p50 as a potential therapeutic target for aortic valve disease.
Main Methods:
- Comparative analysis of 15 degenerative calcified aortic valves (experimental) and 10 healthy aortic valves (control).
- Immunohistochemistry to assess expression of α-smooth muscle actin, CD68, and p50.
- Western blot analysis to quantify p50 expression and activation levels.
- Bone gamma-carboxyglutamate protein used as a marker for osteoblast activity.
Main Results:
- Degenerative valves showed increased α-smooth muscle actin and CD68-positive cells.
- Osteoblast markers were significantly elevated in calcified valves.
- p50 expression and activation were significantly lower in degenerative calcified valves compared to controls.
- p50 was primarily localized in endothelial cells of healthy valves, indicating a role in maintaining function.
Conclusions:
- Decreased p50 expression and activity in endothelial cells may contribute to aortic valve calcification.
- Targeting p50 activity presents a potential therapeutic avenue for preventing or treating degenerative aortic valve calcification.
Background:
Degenerative aortic valve calcification is an important factor in aortic stenosis and incompetence, but the pathogenesis is unclear. The purpose of the present study was to observe the expression of p50 in degenerative calcified aortic valves, which may provide a potential therapeutic target.
Methods:
Fifteen cases of degenerative calcified aortic valve constituted the experimental group, and 10 aortic valves from patients who had undergone the Bentall operation constituted the control group.
Results:
Immunostaining demonstrated that α-smooth muscle actin was highly expressed in valvular interstitial cells in the experimental group and that the percentage of CD68-positive cells was significantly higher in degenerative calcified aortic valves. Using bone gamma-carboxyglutamate protein as a marker of calcification showed that osteoblasts were significantly increased in the experimental valves. Western blot showed that p50 was more highly expressed and activated in the control group compared with the experimental group. Immunohistochemistry confirmed this finding and showed that p50 was principally localized to the endothelial cells of uncalcified valves, suggesting that it might play an important role in maintaining valve function.
Conclusions:
Inhibition of p50 activity in endothelial cells might lead to calcification in degenerative calcified aortic valves.
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