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Updated: Jan 28, 2026

Calcification of Vascular Smooth Muscle Cells and Imaging of Aortic Calcification and Inflammation
Published on: May 31, 2016
Bone marrow mesenchymal stem cell-derived exosomes alleviate high phosphorus-induced vascular smooth muscle cells
Yan Guo1, Shumin Bao1, Wang Guo1
1Department of Nephrology, Beijing Friendship Hospital, Faculty of Kidney Diseases, Capital Medical University, Beijing, 100050, China.
Insights
Bone marrow mesenchymal stem cell-derived exosomes (EXO) reduce vascular calcification in chronic kidney disease (CKD) patients. EXO therapy improves calcification by altering microRNA profiles, offering a potential therapeutic strategy.
Area of Science:
- Biomedical research
- Cell biology
- Vascular biology
Background:
- Vascular calcification is a significant complication in chronic kidney disease (CKD), predicting cardiovascular disease and mortality.
- Bone marrow mesenchymal stem cell (BMSC) therapy shows promise in reducing vascular calcification, but mechanisms require elucidation.
Purpose of the Study:
- To investigate the mechanisms by which BMSC-derived exosomes (EXO) ameliorate vascular calcification.
- To analyze the impact of EXO on human aortic vascular smooth muscle cells (HA-VSMCs) under calcifying conditions.
Main Methods:
- Isolation of exosomes from cultured BMSCs.
- Culture of HA-VSMCs in control, high phosphorus, and high phosphorus + EXO conditions.
- Analysis of calcification indicators, calcium content, alkaline phosphatase (AKP) activity, and microRNA (miRNA) and mRNA expression profiles.
Main Results:
- BMSC-derived exosomes inhibited high phosphorus-induced calcification in HA-VSMCs.
- EXO treatment reduced calcium content and AKP activity in calcified HA-VSMCs.
- EXO treatment significantly altered miRNA and mRNA expression, implicating mTOR, MAPK, and Wnt signaling pathways.
Conclusions:
- BMSC-derived exosomes effectively alleviate vascular calcification in HA-VSMCs.
- The therapeutic effect of EXO involves the modulation of miRNA profiles and associated signaling pathways.
- EXO represent a promising therapeutic agent for vascular calcification in CKD.
Abstract:
Vascular calcification is a common complication in patients with chronic kidney disease (CKD). It is an important predictor of cardiovascular disease and all-cause mortality. Previous studies have confirmed that bone marrow mesenchymal stem cell (BMSC) therapy can reduce vascular calcification, but the specific mechanism is still controversial. In this study, we aimed to investigate the mechanisms of BMSC-derived exosomes (EXO) in improving vascular calcification. BMSCs were cultured and EXO were isolated using the Total Exosome Isolation Reagent. Human aortic vascular smooth muscle cells (HA-VSMCs) were cultured into three groups: control group, high phosphorus group, and high phosphorus plus EXO group. Then, indicators related to smooth muscle cell calcification and microRNA profiles were analyzed. BMSC-derived exosomes inhibited high phosphorus-induced calcification in HA-VSMCs. Besides, EXO treatment reduced calcium content and decreased the alkaline phosphatase (AKP) activity in high phosphorus co-incubated HA-VSMCs. MicroRNA (miRNA) and mRNA expression profiles analyses revealed that 63 miRNAs were significantly upregulated and 1424 genes were significantly downregulated in HA-VSMCs after EXO treatment. Functional miRNA-gene regulatory network revealed that mTOR, MAPK, and Wnt signaling pathway were involved in vascular calcification. BMSC-derived exosomes alleviated high phosphorus-induced calcification in HA-VSMC through modifying miRNA profiles.
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