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Updated: Mar 2, 2026

A Semi-Automated and Reproducible Biological-Based Method to Quantify Calcium Deposition In Vitro
Published on: June 2, 2022
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.
Abstract:
This study investigates the effect of nuclear factor erythroid 2-related factor 2-antioxidant response element (Nrf2-ARE) signaling pathway in vascular calcification (VC) via inducing Autophagy in renal vascular smooth muscle cells (VSMCs). VSMCs were assigned into six experimental groups: the normal control, high phosphorus, si-negative control (si-NC), Nrf2-siRNA, over-expressed Nrf2, and negative control (NC) groups. RT-PCR was applied to detect the mRNA expressions of the desired Nrf2-ARE signaling pathway-related genes (Nrf2, NQO-1, HO-1, γ-GCS). The protein products of these genes: apoptosis-related genes (LC3I and LC3II), osteogenic marker proetins (Runt-related transcription factor 2) Runx2 and BMP2 were all detected by Western blotting. Autophagosomes in VSMCs were observed under a transmission electron microscope. We discovered an increased calcium ion concentration and upregulated Runx2, BMP2, Nrf2, HO-1, γ-GCS, NQO-1, and LC3II/LC3I expressions in the high phosphorous, si-NC and Nrf2-siRNA, and NC groups, compared with the normal control group. Compared to the high phosphorus and si-NC groups, higher levels of Runx2 and BMP2 but decreased Nrf2, HO-1, γ-GCS, NQO-1, and LC3II/LC3I expressions were detected in the Nrf2-siRNA group. The high phosphorus, si-NC and over-expressed Nrf2 experimental groups all had increased Nrf2, NQO-1, HO-1, γ-GCS, and LC3II/LC3I expressions as well as high numbers of autophagosomes compared with the normal control group. Finally, we detected a lower amount of autophagosomes presence and Nrf2, NQO-1, HO-1 γ-GCS, and LC3II/LC3 protein expression of Nrf2-siRNA group than that of the high phosphorus and si-NC groups. Activation of Nrf2-ARE signaling pathway may prevent hyperphosphatemia-induced VC by inducing autophagy in VSMCs. J. Cell. Biochem. 118: 4708-4715, 2017. © 2017 Wiley Periodicals, Inc.
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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