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Updated: May 16, 2026

Investigating Aortic Valve Calcification via Isolation and Culture of T Lymphocytes using Feeder Cells from Irradiated Buffy Coat
Published on: February 4, 2021
Inflammation is associated with the remodeling of calcific aortic valve disease
Nancy Coté1, Ablajan Mahmut, Yohan Bosse
1Laboratoire d'Études Moléculaires des Valvulopathies-LEMV, Groupe de Recherche en Valvulopathies-GRV, Quebec Heart and Lung Institute/Research Center, Department of Surgery, Laval University, Quebec, Canada.
Insights
Calcific aortic valve disease (CAVD) involves inflammation. This study found that inflammation in CAVD tissue is linked to aortic stenosis severity and progression.
Area of Science:
- Cardiovascular Medicine
- Pathology
- Inflammation Research
Background:
- Calcific aortic valve disease (CAVD) is a common heart valve disorder.
- Mineralization in CAVD may be linked to inflammation, but clinical evidence is limited.
Purpose of the Study:
- To investigate the relationship between chronic inflammatory infiltrates in CAVD and the clinical evolution of aortic stenosis.
Main Methods:
- Histological analysis of aortic valves from 285 CAVD patients.
- Correlation of inflammatory infiltrates with hemodynamic severity.
- Leukocyte density and TNF-α transcript analysis in a subset of 57 patients.
Main Results:
- Chronic inflammatory infiltrates were found in 28.4% of CAVD tissues.
- Inflammation was associated with active remodeling and peak transaortic gradient.
- Leukocyte density correlated with the progression rate of aortic stenosis.
Conclusions:
- Dense inflammatory infiltrate in CAVD is associated with active remodeling.
- Inflammation correlates with aortic stenosis severity and hemodynamic progression.
- Inflammation plays a role in the clinical course of calcific aortic valve disease.
Abstract:
Calcific aortic valve disease (CAVD) is the most frequent heart valve disorder. Studies indicate that mineralization of the aortic valve may be related to the inflammatory process. However, no clear evidence has been given regarding clinical evolution of aortic stenosis and the inflammatory process within the aortic valve. Aortic valves excised from 285 patients with CAVD undergoing aortic valve replacement were analyzed for the presence of chronic inflammatory infiltrates, and those findings were related to the hemodynamic severity of aortic stenosis. In a subset of 57 patients, in whom additional valvular tissue and the clinical progression rate of aortic stenosis were available, the density of leukocytes was determined as well as the number of TNF-α transcripts. Histological analyses revealed that in 81 (28.4 %) patients, the presence of chronic inflammatory infiltrates was documented within CAVD tissue, which was characterized by the existence of a cluster of cells as well as the presence of neovascularisation and osseous metaplasia. The presence of an inflammatory process within the CAVD tissue was independently related to the remodeling process and the peak transaortic gradient. In addition, the density of leukocytes within CAVD tended to correlate (r = 0.25, p = 0.05) with the progression rate of aortic stenosis. Dense inflammatory infiltrate within CAVD is associated with an active remodeling process, the severity of aortic stenosis, and the hemodynamic progression rate.
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