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Published on: May 31, 2016
Vascular Calcification: Current Genetics Underlying This Complex Phenomenon
Nonanzit Pérez-Hernández1, Gad Aptilon-Duque1, Ruben Blachman-Braun1
1Department of Molecular Biology, National Institute of Cardiology "Ignacio Chávez", México, Mexico City 14080, México.
Insights
Genetic factors significantly influence vascular calcification, a complex condition involving calcium deposition. Understanding these genetic contributions and molecular pathways is crucial for better disease management.
Area of Science:
- Cardiovascular Research
- Genetics and Molecular Biology
- Pathophysiology
Background:
- Vascular calcification involves calcium deposition in blood vessel walls, linked to conditions like diabetes and kidney disease.
- Individual variations in vascular calcification severity suggest a significant genetic component.
- Pathophysiology is multifactorial, involving genetic variants, molecular pathways, and environmental factors.
Purpose of the Study:
- To review recent evidence on the genetic aspects and molecular pathways of vascular calcification pathophysiology.
- To explore the genetic contribution to the variability in vascular calcification.
Main Methods:
- Conducted an exhaustive literature search in Scopus, EBSCO, and PubMed.
- Keywords included "genetics and vascular calcification" and "molecular pathways, genetic and vascular calcification".
- Focused on original and review articles published from January 1995 to August 2016.
Main Results:
- Vascular calcification is a multifactorial disease, not attributable to a single factor.
- Development results from an interplay of genetic variants, molecular pathway interactions, and environmental influences.
- The degree of calcification varies due to the complex interaction of these factors.
Conclusions:
- While some molecular mechanisms are understood, a comprehensive understanding of predisposing factors is lacking.
- Further research into the genetic and molecular underpinnings of vascular calcification is warranted.
- Identifying genetic predispositions may improve therapeutic strategies.
Objective:
Vascular calcification is the consequence of the complex interaction between genetic, environmental, and vascular factors, which ultimately lead to the deposition of calcium in the tunica intima (atherosclerotic calcification) or tunica media (Mönckenberg's sclerosis). Vascular calcification is also closely related to other pathologies, such as diabetes mellitus, dyslipidemia, and chronic kidney disease. It has been concluded that the degree of vascular calcification may vary from person to person, even if the associated pathologies and environmental factors are the same. Therefore, this suggests an important genetic contribution to the development of vascular calcification. This review aimed to find the most recent evidence about vascular calcification pathophysiology regarding the genetic aspects and molecular pathways.
Data Sources:
We conducted an exhaustive search in Scopus, EBSCO, and PubMed with the keywords "genetics and vascular calcification", "molecular pathways, genetic and vascular calcification" and included the main articles from January 1995 up to August 2016. We focused on the most recent evidence about vascular calcification pathophysiology regarding the genetic aspects and molecular pathways.
Study Selection:
The most valuable published original and review articles related to our objective were selected.
Results:
Vascular calcification is a multifactorial disease; thus, its pathophysiology cannot be explained by a single specific factor, rather than by the result of the association of several genetic variants, molecular pathway interactions, and environmental factors that promote its development.
Conclusion:
Although several molecular aspects of this mechanism have been elucidated, there is still a need for a better understanding of the factors that predispose to this disease.
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