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Updated: Feb 26, 2026

Analysis of Extracellular Vesicle-Mediated Vascular Calcification Using In Vitro and In Vivo Models
Published on: January 27, 2023
Coronary artery disease associated gene Phactr1 modulates severity of vascular calcification in vitro
Redouane Aherrahrou1, Zouhair Aherrahrou2, Heribert Schunkert3
1Institute for Cardiogenetics, University of Lübeck, DZHK (German Research Centre for Cardiovascular Research), Partner Site Hamburg/Lübeck/Kie, University Heart Center Luebeck, 23562 Lübeck, Germany; Center for Public Health Genomics, Department of Biomedical Engineering, University of Virginia, Charlottesville, VA, USA.
Insights
The phosphatase and actin regulator 1 (PHACTR1) gene influences vascular calcification. Lowering PHACTR1 levels in smooth muscle cells reduces calcification, while increasing them enhances it, revealing a key mechanism in atherosclerosis.
Area of Science:
- Cardiovascular Biology
- Molecular Genetics
- Vascular Biology
Background:
- Vascular calcification is a hallmark of atherosclerosis, strongly linked to coronary artery disease (CAD) and myocardial infarction (MI).
- Genome-wide association studies (GWAS) have identified several genes contributing to CAD/MI and coronary artery calcification (CAC), but their functional roles remain unclear.
- PHACTR1 is one such identified risk gene, but its specific contribution to vascular calcification mechanisms requires elucidation.
Purpose of the Study:
- To investigate the functional role of Phosphatase and Actin Regulator 1 (PHACTR1) in regulating vascular calcification.
- To determine if PHACTR1 expression levels modulate the extent of calcification in smooth muscle cells (SMCs).
Main Methods:
- Murine embryonic stem cells (mESCs) were engineered for stable up- or down-regulation of Phactr1.
- mESCs were differentiated into SMCs and subjected to osteogenic conditions to induce calcification.
- Calcium phosphate deposition was quantified, and gene expression of Phactr1 and the osteogenic marker osteopontin was analyzed using RT-PCR.
Main Results:
- Gene expression of Phactr1 positively correlated with the degree of calcification in both mESC-derived SMCs and primary human aortic SMCs.
- Down-regulation of Phactr1 significantly decreased calcification and reduced osteopontin expression.
- Overexpression of Phactr1 in mESC-derived SMCs led to enhanced mineralization.
Conclusions:
- PHACTR1 expression increases with the progression of vascular calcification.
- Modulating PHACTR1 levels in SMCs directly impacts the severity of vascular calcification.
- PHACTR1 is a key regulator of vascular calcification, offering potential therapeutic targets for atherosclerosis-related diseases.
Abstract:
Calcification of vessels is strongly associated with atherosclerosis and leads to coronary artery disease (CAD) and myocardial infarction (MI). Genome-wide association studies (GWAS) revealed several genes that are associated with and contribute to CAD/MI as well as coronary artery calcification (CAC); however, the underlying mechanisms are unknown. PHACTR1, which encodes phosphatase and actin regulator 1, is among these risk genes. The aim of this study was to functionally test whether Phactr1 regulates calcification in vitro using murine embryonic stem cell (mESC)-derived smooth muscle cells (SMCs). Phactr1 was stably up- or down-regulated in mESCs. These mESCs were differentiated into SMCs, and calcification was enhanced using osteogenic medium. Calcium phosphate deposits were detected and quantified. RT-PCR analysis demonstrated that gene expression of Phactr1 correlated with increased calcification in mESC-derived SMCs as well as primary human aortic SMCs. Down-regulation of Phactr1 decreased calcification. Decreased expression of the osteogenic marker osteopontin confirmed this finding at the molecular level. By contrast, overexpression of Phactr1 in calcifying mESC-derived SMCs enhanced mineralization. Taken together, we demonstrated that PHACTR1 gene expression increases with the progression of calcification and that regulation of PHACTR1 in SMCs modulates the severity of vascular calcification.
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