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Updated: Jan 24, 2026

Calcification of Vascular Smooth Muscle Cells and Imaging of Aortic Calcification and Inflammation
Published on: May 31, 2016
Aberration methylation of miR-34b was involved in regulating vascular calcification by targeting Notch1
Xiao Lin1,2, Fuxingzi Li1, Feng Xu1
1Department of Endocrinology and Metabolism, National Clinical Research Center for Metabolic Diseases, The Second Xiang-Ya Hospital, Central South University, Changsha, Hunan, People's Republic of China.
Insights
MicroRNA-34b (miR-34b) plays a key role in preventing vascular calcification in patients with end-stage renal disease. Its regulation by DNA methylation and Notch1 offers a potential new therapeutic target for this condition.
Area of Science:
- Molecular Biology
- Renal Disease Pathophysiology
- Cardiovascular Research
Background:
- Vascular calcification is a major contributor to mortality in end-stage renal disease (ESRD) patients.
- The molecular mechanisms underlying vascular calcification require further elucidation for therapeutic development.
Purpose of the Study:
- To investigate the role and underlying mechanisms of microRNA-34b (miR-34b) in vascular smooth muscle cell (VSMC) calcification.
- To explore the potential of targeting miR-34b for therapeutic intervention in vascular calcification.
Main Methods:
- Assessed miR-34b expression in VSMCs treated with high inorganic phosphate (Pi), mouse models (5/6 nephrectomy with high-Pi diet), and human renal arteries from uraemia patients.
- Utilized miR-34b overexpression and inhibition to study its effect on VSMC calcification.
- Investigated DNA methylation of miR-34b using bisulphite sequencing PCR (BSP) and the role of DNA methyltransferase 3a (DNMT3a) and 5-aza-2'-deoxycytidine (5-aza).
- Validated Notch1 as a downstream target of miR-34b.
Main Results:
- miR-34b expression was significantly suppressed in calcified VSMCs, arteries from 5/6 NTP mice, and uraemic human renal arteries.
- Overexpression of miR-34b inhibited VSMC calcification, while inhibition of miR-34b enhanced it.
- Hypermethylation of CpG sites upstream of miR-34b DNA, mediated by increased DNMT3a, was observed in calcified tissues.
- DNMT3a knockdown abrogated the effect of high Pi on VSMC calcification, and 5-aza restored miR-34b expression.
- Notch1 was identified as a functional target of miR-34b involved in VSMC calcification.
Conclusions:
- miR-34b plays a critical role in regulating VSMC calcification both in vitro and in vivo.
- miR-34b's function is modulated by upstream DNA methylation (via DNMT3a) and downstream target gene expression (Notch1).
- Modulation of miR-34b presents a promising novel therapeutic strategy for vascular calcification in ESRD.
Abstract:
Vascular calcification is one of the most important factors for cardiovascular and all-cause mortality in patients with end-stage renal diseases (ESRD). The current study was aimed to investigate the function and mechanisms of miR-34b on the calcification of vascular smooth muscle cells (VSMCs) both in vitro and in vivo. We found that the expression of miR-34b was significantly suppressed in VSMCs with high inorganic phosphate (Pi) treatment, as well as mouse arteries derived from 5/6 nephrectomy with a high-phosphate diet (0.9% Pi, 5/6 NTP) and human renal arteries from uraemia patients. Overexpression of miR-34b alleviated calcification of VSMCs, while VSMCs calcification was enhanced by inhibiting the expression of miR-34b. Bisulphite sequencing PCR (BSP) uncovered that CpG sites upstream of miR-34b DNA were hypermethylated in calcified VSMCs and calcified arteries due to 5/6 NTP, as well as calcified renal arterial tissues from uraemia patients. Meantime, increased DNA methyltransferase 3a (DNMT3a) resulted in the hypermethylation of miR-34b in VSMCs, while 5-aza-2'-deoxycytidine (5-aza) reduced the methylation rate of miR-34b and restored the expression of miR-34b in VSMCs. When DNMT3a was knocked down using DNMT3a siRNA, the effect of 3.5 mM of Pi on calcification of VSMCs was abrogated. In addition, Notch1 was validated as the functional target of miR-34b and involved in the process of calcification of VSMCs. Taken together, our data showed a specific role for miR-34b in regulating calcification of VSMCs both in vitro and in vivo, which was regulated by upstream DNA methylation of miR-34b and modulated by the downstream target gene expression, Notch1. These results suggested that modulation of miR-34b may offer new insight into a novel therapeutic approach for vascular calcification.
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