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Updated: May 12, 2026

Analysis of Extracellular Vesicle-Mediated Vascular Calcification Using In Vitro and In Vivo Models
Published on: January 27, 2023
MicroRNA in cardiovascular calcification: focus on targets and extracellular vesicle delivery mechanisms
Claudia Goettsch1, Joshua D Hutcheson, Elena Aikawa
1Harvard Medical School, Cardiovascular Medicine, Brigham and Women's Hospital, 77 Avenue Louis Pasteur, NRB-741, Boston, MA 02115, USA. eaikawa@partners.org
Insights
MicroRNAs (miRNAs) are key regulators in cardiovascular calcification, a process linked to chronic inflammatory diseases. Identifying common miRNAs across these conditions may offer diagnostic biomarkers and therapeutic targets for vascular calcification.
Area of Science:
- Cardiovascular Biology
- Molecular Biology
- Biomarkers
Background:
- Cardiovascular calcification is a hallmark of chronic inflammatory diseases like chronic kidney disease, type 2 diabetes mellitus, and atherosclerosis, contributing to significant morbidity and mortality.
- While shared pathways between bone remodeling and vascular calcification are recognized, the exact mechanisms remain unclear.
- MicroRNAs (miRNAs) are established regulators in cardiovascular and bone biology, presenting potential therapeutic avenues, yet their role in cardiovascular calcification is under-explored.
Purpose of the Study:
- This review synthesizes current knowledge on the role of miRNAs in cardiovascular calcification, focusing on their involvement in osteogenic processes.
- It aims to identify common miRNAs across diseases associated with cardiovascular calcification, proposing them as potential molecular signatures.
- The review seeks to provide a framework for future research into miRNA biology for developing novel therapeutic strategies.
Main Methods:
- Literature review focusing on microRNA (miRNA) involvement in cardiovascular disease and bone biology.
- Analysis of existing data to identify miRNAs common to chronic kidney disease, type 2 diabetes mellitus, and atherosclerosis.
- Discussion of osteogenic processes, including osteogenic differentiation and matrix vesicle release, in the context of miRNA regulation.
Main Results:
- MicroRNAs play a critical regulatory role in cardiovascular and bone biology.
- A subset of miRNAs is shared among chronic kidney disease, type 2 diabetes mellitus, and atherosclerosis.
- These shared miRNAs may serve as a molecular signature for cardiovascular calcification.
Conclusions:
- MicroRNAs are integral to the pathogenesis of cardiovascular calcification.
- Identifying shared miRNAs across related chronic inflammatory diseases offers potential for novel diagnostic biomarkers and therapeutic targets.
- Further research into miRNA biology in cardiovascular calcification is crucial for developing effective treatments.
Abstract:
Cardiovascular calcification is a prominent feature of chronic inflammatory disorders-such as chronic kidney disease, type 2 diabetes mellitus, and atherosclerosis-that associate with significant morbidity and mortality. The concept that similar pathways control both bone remodeling and vascular calcification is widely accepted, but the precise mechanisms of calcification remain largely unknown. The central role of microRNAs (miRNA) as fine-tune regulators in the cardiovascular system and bone biology has gained acceptance and has raised the possibility for novel therapeutic targets. Additionally, circulating miRNAs have been proposed as biomarkers for a wide range of cardiovascular diseases, but knowledge of miRNA biology in cardiovascular calcification is very limited. This review focuses on the role of miRNAs in cardiovascular disease, with emphasis on osteogenic processes. Herein, we discuss the current understanding of miRNAs in cardiovascular calcification. Furthermore, we identify a set of miRNAs common to diseases associated with cardiovascular calcification (chronic kidney disease, type 2 diabetes mellitus, and atherosclerosis), and we hypothesize that these miRNAs may provide a molecular signature for calcification. Finally, we discuss this novel hypothesis with emphasis on known biological and pathological osteogenic processes (eg, osteogenic differentiation, release of calcifying matrix vesicles). The aim of this review is to provide an organized discussion of the known links between miRNA and calcification that provide emerging concepts for future studies on miRNA biology in cardiovascular calcification, which will be critical for developing new therapeutic strategies.
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