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Published on: June 29, 2015
Warfarin induces cardiovascular damage in mice
Thilo Krüger1, Stephan Oelenberg, Nadine Kaesler
1From the Department of Nephrology, University Hospital of the Rheinisch Westfälische Technische Hochschule Aachen, Aachen, Germany (T.K., S.O., N.K., P.B., G.S., V.M.B., J.F.); Department of Biochemistry, Cardiovascular Research Institute CARIM, University of Maastricht, Maastricht, The Netherlands (L.J.S.); Division of Cardiology, Pulmonology, and Vascular Medicine, Medical Faculty, University Düsseldorf, Düsseldorf, Germany (A.M.v.d.S., V.V., R.W.); Department of Pathology, University Hospital of the RWTH Aachen, Aachen, Germany (P.B.); Institute of Molecular Biomedicine, Comenius University, Bratislava, Slovakia (P.B.); 2nd Department of Medicine, Military Hospital Budapest, Budapest, Hungary (B.C.F.); Nephrology, Hospital Coburg, Coburg, Germany (M.K.); VitaK BV, Maastricht, The Netherlands (C.V.); Biointerface Laboratory, Helmholtz-Institute of Biomedical Engineering, Aachen, Germany (W.J-D.).
Warfarin treatment caused vascular calcification and cardiovascular damage in mice. Vitamin K2 inhibited this calcification, suggesting new therapeutic strategies for cardiovascular disease.
Area of Science:
- Cardiovascular Research
- Vascular Biology
- Pharmacology
Background:
- Vascular calcification is a risk factor for cardiovascular disease.
- Matrix Gla protein and fetuin-A are key inhibitors of vascular calcification.
- Warfarin, a vitamin K antagonist, inactivates matrix Gla protein, impacting vascular health.
Purpose of the Study:
- To investigate the functional cardiovascular effects of warfarin-induced vascular calcification in a mouse model.
- To explore the role of vitamin K2 in mitigating warfarin's effects on vascular calcification.
Main Methods:
- DBA/2 mice were administered varying doses and durations of warfarin.
- Vitamin K1 and K2 treatments were administered concurrently with warfarin.
- Von Kossa staining assessed calcification; gene expression and apoptosis were analyzed.
- Functional cardiovascular parameters including aortic velocity and pulse-wave velocity were measured.
Main Results:
- Warfarin induced dose- and time-dependent calcification in the aorta and heart.
- Vitamin K2 treatment effectively inhibited warfarin-induced calcification.
- Warfarin increased apoptosis and reduced vascular smooth muscle cell numbers.
- Functional assessments showed augmented aortic peak velocity, aortic valve-peak gradient, and carotid pulse-wave velocity.
Conclusions:
- Warfarin causes significant vascular calcification and functional cardiovascular damage in mice.
- This study provides a model for investigating vascular calcification mechanisms.
- Findings may inform the development of novel therapeutic strategies for vascular calcification.
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