Related Experiment Video
Updated: Jan 30, 2026

Isolation of Valvular Endothelial Cells
Published on: December 29, 2010
Risk factors for valvular calcification
Hao Yu Chen1,2, James C Engert1,2,3, George Thanassoulis1,2
1Division of Experimental Medicine, McGill University.
Insights
This review identifies key risk factors for valvular calcification, including calcific aortic valve disease and mitral annular calcification. Understanding these factors may lead to new treatments for heart valve conditions.
Area of Science:
- Cardiology
- Genetics
- Epidemiology
Background:
- Valvular calcification, including calcific aortic valve disease (CAVD) and mitral annular calcification (MAC), is a growing concern.
- Established risk factors for CAVD overlap with atherosclerosis, suggesting shared pathways.
- Risk factors for MAC are less understood than for CAVD.
Purpose of the Study:
- To review established and emerging risk factors for valvular calcification.
- To specifically examine risk factors for calcific aortic valve disease and mitral annular calcification.
- To identify potential targets for pharmacological intervention.
Main Methods:
- Literature review of recent studies.
- Analysis of established and emerging risk factors.
- Examination of genetic associations from genome-wide analyses.
Main Results:
- Established CAVD risk factors include age, male sex, smoking, hypertension, dyslipidemia, adiposity, and mineral metabolism.
- Emerging CAVD risk factors include family history and lipoprotein(a) (LPA).
- MAC risk factors include age, smoking, BMI, kidney dysfunction, and triglycerides; evidence for sex and C-reactive protein is conflicting.
Conclusions:
- Established and emerging CAVD risk factors, some shared with atherosclerosis, offer potential for pharmacological intervention.
- Mitral annular calcification is less understood, but some atherosclerosis risk factors are implicated.
- Further research is needed to fully elucidate MAC pathogenesis and identify therapeutic targets.
Purpose Of Review:
Recent literature is examined to identify established and emerging risk factors for valvular calcification, specifically calcific aortic valve disease and mitral annular calcification.
Recent Findings:
Strong evidence implicates older age, male sex, cigarette smoking, elevated blood pressure, dyslipidaemia, adiposity, and mineral metabolism as risk factors for calcific aortic valve disease. Emerging evidence suggests family history and lipoprotein(a) are additional risk factors. Recently, large-scale genome-wide analyses have identified robust associations for LPA, PALMD, and TEX41 with aortic stenosis. Factors predisposing to mitral annular calcification are less well characterized. Older age, cigarette smoking, increased BMI, kidney dysfunction, and elevated triglycerides are associated with greater risk of mitral annular calcification, but conflicting evidence exists for sex and C-reactive protein.
Summary:
Established and emerging risk factors for calcific aortic valve disease, including some that overlap with atherosclerosis, may represent targets for pharmacological intervention. Mitral annular calcification is comparatively less well understood though some atherosclerosis risk factors do appear to increase risk.
Related Concept Videos
Factors Affecting the Risk of Infection
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
Relative Risk
Transcription Factors
Factors Affecting Solubility
Transcription Elongation Factors
The transcription elongation is regulated via pausing of RNA polymerase on several occasions during transcription. In bacteria, these halts are necessary because the transcription of DNA into mRNA is coupled to the translation of that mRNA...
Factors Affecting Drug Distribution: Miscellaneous Factors
Age plays a significant role due to differences in body composition among different age groups. Infants, for instance, have a higher proportion of total body water and lower albumin levels, a protein that binds drugs in the bloodstream. This unique composition in infants enhances the...

