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Updated: May 3, 2026

Isolation of Mouse Interstitial Valve Cells to Study the Calcification of the Aortic Valve In Vitro
Published on: May 10, 2021
Potential drug targets for calcific aortic valve disease
Joshua D Hutcheson1, Elena Aikawa2, W David Merryman3
1Center for Interdisciplinary Cardiovascular Sciences, 3 Blackfan Circle, 17th Floor, Center for Life Sciences Boston, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.
Insights
Calcific aortic valve disease (CAVD) lacks effective drug treatments, necessitating valve replacement. Understanding CAVD
Area of Science:
- Cardiovascular Medicine
- Valvular Heart Disease
- Biomedical Research
Background:
- Calcific aortic valve disease (CAVD) significantly contributes to cardiovascular morbidity and mortality.
- Increasing global life expectancy is expected to raise the prevalence of CAVD.
- Currently, no pharmacological strategies exist to prevent or treat CAVD, leaving valve replacement as the sole clinical option.
Purpose of the Study:
- To discuss the essential benchmarks for a successful CAVD treatment approach.
- To highlight recent advances in understanding CAVD mechanisms.
- To identify potential novel therapeutic targets for CAVD.
Main Methods:
- Review of current literature on CAVD pathogenesis.
- Analysis of existing therapeutic strategies for cardiovascular diseases.
- Identification of cellular mechanisms underlying CAVD progression.
Main Results:
- CAVD arises from active cellular mechanisms, suggesting potential therapeutic targets.
- Existing drugs for vascular complications may not be suitable for CAVD due to differing mechanisms.
- Specific benchmarks for CAVD treatment approaches have been outlined.
Conclusions:
- Targeting underlying CAVD pathways holds therapeutic promise.
- Novel therapeutic strategies are needed due to the limitations of current treatments.
- Further research into CAVD mechanisms is crucial for developing effective treatments.
Abstract:
Calcific aortic valve disease (CAVD) is a major contributor to cardiovascular morbidity and mortality and, given its association with age, the prevalence of CAVD is expected to continue to rise as global life expectancy increases. No drug strategies currently exist to prevent or treat CAVD. Given that valve replacement is the only available clinical option, patients often cope with a deteriorating quality of life until diminished valve function demands intervention. The recognition that CAVD results from active cellular mechanisms suggests that the underlying pathways might be targeted to treat the condition. However, no such therapeutic strategy has been successfully developed to date. One hope was that drugs already used to treat vascular complications might also improve CAVD outcomes, but the mechanisms of CAVD progression and the desired therapeutic outcomes are often different from those of vascular diseases. Therefore, we discuss the benchmarks that must be met by a CAVD treatment approach, and highlight advances in the understanding of CAVD mechanisms to identify potential novel therapeutic targets.
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