Cyclophilin A inhibition as potential treatment of human aortic valve calcification

Gianluca L Perrucci1, Paola Songia2, Donato Moschetta3

  • 1Unità di Medicina Rigenerativa e Biologia Vascolare, Centro Cardiologico Monzino IRCCS, Milano, Italy.

Insights

Cyclophilin A (CyPA) drives aortic valve stenosis (AS) calcification by promoting calcium deposition in valve interstitial cells (VICs). Inhibiting CyPA may offer a new pharmacological treatment for AS.

Area of Science:

  • Cardiovascular Biology
  • Valvular Heart Disease Pathophysiology
  • Cellular Calcification Mechanisms

Background:

  • Aortic valve stenosis (AS) is the most common heart valve disease, affecting 3% of the population, characterized by calcification and impaired leaflet motility.
  • Valve interstitial cells (VICs) drive the calcification process in AS, but the precise molecular pathways remain incompletely understood.
  • Current pharmacological treatments for AS are limited, necessitating the identification of novel therapeutic targets.

Purpose of the Study:

  • To investigate the role of Cyclophilin A (CyPA) in VIC-mediated calcification in the context of AS.
  • To determine if CyPA is upregulated in AS patient valves and if it influences VIC calcification in vitro.
  • To evaluate the potential of CyPA inhibition as a therapeutic strategy for AS.

Main Methods:

  • Analysis of CyPA expression in stenotic aortic valves from AS patients.
  • In vitro studies exposing VICs to pro-calcifying media to assess CyPA secretion.
  • Experimental treatment of VICs with exogenous CyPA and a Cyclosporine A (CsA) analogue (MM284) to evaluate effects on calcium deposition.

Main Results:

  • CyPA expression was found to be upregulated in stenotic AS valves.
  • Pro-calcifying conditions stimulated CyPA secretion by VICs.
  • Exogenous CyPA significantly enhanced calcium deposition in VICs.
  • Inhibition of exogenous CyPA using MM284 effectively reduced in vitro calcium deposition.

Conclusions:

  • CyPA plays a significant role in promoting VIC-mediated calcification, a key process in AS development.
  • CyPA is a potential therapeutic target for AS.
  • Inhibition of CyPA may represent a novel pharmacological approach for treating aortic valve stenosis.

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