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Updated: Dec 21, 2025

Isolation of Mouse Interstitial Valve Cells to Study the Calcification of the Aortic Valve In Vitro
Published on: May 10, 2021
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.
Abstract:
Aortic valve stenosis (AS) is a pathological condition that affects about 3% of the population, representing the most common valve disease. The main clinical feature of AS is represented by the impaired leaflet motility, due to calcification, which leads to the left ventricular outflow tract obstruction during systole. The formation and accumulation of calcium nodules are driven by valve interstitial cells (VICs). Unfortunately, to date, the in vitro and in vivo studies were not sufficient to fully recapitulate all the pathological pathways involved in AS development, as well as to define a specific and effective pharmacological treatment for AS patients. Cyclophilin A (CyPA), the most important immunophilin and endogenous ligand of cyclosporine A (CsA), is strongly involved in several detrimental cardiovascular processes, such as calcification. To date, there are no data on the CyPA role in VIC-mediated calcification process of AS. Here, we aimed to identify the role of CyPA in AS by studying VIC calcification, in vitro. In this study, we found that (i) CyPA is up-regulated in stenotic valves of AS patients, (ii) pro-calcifying medium promotes CyPA secretion by VICs, (iii) in vitro treatment of VICs with exogenous CyPA strongly stimulates calcium deposition, and (iv) exogenous CyPA inhibition mediated by CsA analogue MM284 abolished in vitro calcium potential. Thus, CyPA represents a biological target that may act as a novel candidate in the detrimental AS development and its inhibition may provide a novel pharmacological approach for AS treatment.
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