Activation of the Nrf2-ARE Signaling Pathway Prevents Hyperphosphatemia-Induced Vascular Calcification by Inducing

Li Yao1, Jian Wang1, Bin-Yao Tian1

  • 1Department of Nephrology, The First Hospital of China Medical University, Shenyang 110001, P.R. China.

Insights

The nuclear factor erythroid 2-related factor 2-antioxidant response element (Nrf2-ARE) pathway activation may prevent vascular calcification by inducing autophagy in smooth muscle cells. This study shows Nrf2-ARE signaling protects against high phosphorus-induced calcification.

Area of Science:

  • Cell Biology
  • Molecular Biology
  • Biochemistry

Background:

  • Vascular calcification (VC) is a complex process involving smooth muscle cell differentiation.
  • The nuclear factor erythroid 2-related factor 2-antioxidant response element (Nrf2-ARE) signaling pathway plays a role in cellular protection.
  • Autophagy is a cellular degradation process that can influence cell fate.

Purpose of the Study:

  • To investigate the role of the Nrf2-ARE signaling pathway in vascular calcification.
  • To determine if Nrf2-ARE signaling induces autophagy in renal vascular smooth muscle cells (VSMCs).
  • To explore the protective effects of Nrf2-ARE activation against hyperphosphatemia-induced VC.

Main Methods:

  • VSMCs were divided into six groups: control, high phosphorus, si-NC, Nrf2-siRNA, over-expressed Nrf2, and NC.
  • RT-PCR was used to measure mRNA expression of Nrf2-ARE pathway genes.
  • Western blotting detected protein levels of apoptosis and osteogenic markers.
  • Transmission electron microscopy visualized autophagosomes.

Main Results:

  • High phosphorus and Nrf2-siRNA groups showed increased calcium, Runx2, BMP2, Nrf2, HO-1, γ-GCS, NQO-1, and LC3II/LC3I expression compared to controls.
  • Nrf2-siRNA group exhibited higher Runx2 and BMP2 but lower Nrf2, HO-1, γ-GCS, NQO-1, and LC3II/LC3I compared to high phosphorus groups.
  • Over-expression of Nrf2 increased Nrf2, NQO-1, HO-1, γ-GCS, LC3II/LC3I expression, and autophagosome numbers.
  • Nrf2-siRNA group had fewer autophagosomes and lower expression of related proteins.

Conclusions:

  • Activation of the Nrf2-ARE signaling pathway induces autophagy in VSMCs.
  • Nrf2-ARE pathway activation may serve as a protective mechanism against hyperphosphatemia-induced vascular calcification.
  • Targeting the Nrf2-ARE pathway could be a potential therapeutic strategy for VC.

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