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Updated: Dec 14, 2025

Calcification of Vascular Smooth Muscle Cells and Imaging of Aortic Calcification and Inflammation
Published on: May 31, 2016
Hdac9 inhibits medial artery calcification through down-regulation of Osterix
Pengcheng He1, Hongjiao Yu2, Lei Jiang1
1Department of Cardiology, Guangdong Cardiovascular Institute, Guangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou 510100, China.
Insights
Histone deacetylase 9 (Hdac9) inhibits medial artery calcification (MAC) in chronic kidney disease (CKD) models. Down-regulation of Hdac9 promotes VSMC calcification, suggesting Hdac9 as a therapeutic target for MAC in CKD.
Area of Science:
- Vascular Biology
- Mineral Metabolism
- Genetics
Background:
- Medial artery calcification (MAC) is a major contributor to cardiovascular mortality in chronic kidney disease (CKD).
- Genetic variants in histone deacetylase 9 (Hdac9) are linked to cardiovascular disease, but its role in CKD-related MAC is unknown.
Purpose of the Study:
- To investigate the role of Hdac9 in vascular smooth muscle cell (VSMC) calcification and MAC in a CKD context.
Main Methods:
- Induced MAC and VSMC calcification in mice using high phosphate and vitamin D3.
- Assessed Hdac9 expression, calcium deposition, and Akt signaling pathways.
- Utilized Hdac9 knockdown and overexpression models in VSMCs.
Main Results:
- Hdac9 expression decreased during high phosphate-induced VSMC calcification and MAC.
- Hdac9 knockdown exacerbated calcium deposition, while Hdac9 overexpression inhibited it.
- Hdac9's anti-calcific effect was mediated by down-regulating Osterix, involving Akt signaling.
Conclusions:
- Hdac9 acts as a novel inhibitor of medial artery calcification.
- Hdac9 represents a potential therapeutic target for managing MAC in CKD patients.
Backgrounds:
Medial artery calcification (MAC) significantly contributes to the increased cardiovascular death in patients with chronic kidney disease (CKD). Previous genome-wide association studies have shown that various genetic variants of the histone deacetylase Hdac9 are associated with cardiovascular disease, but the role of Hdac9 in MAC under CKD conditions remains unclear.
Methods:
High phosphate-induced vascular smooth muscle cell (VSMC) calcification and MAC in mice administered with vitamin D3 (vD) were used in the present study. Alizarin red staining, calcium quantitative assay, qPCR, western blotting and histology were performed.
Results:
Hdac9 expression was significantly down-regulated during high phosphate-induced vascular smooth muscle cell (VSMC) calcification and MAC in mice administered with vitamin D3 (vD). Furthermore, high phosphate treatment inhibited phosphorylation of Akt, and pharmacological inhibition of Akt signaling reduced Hdac9 expression in cultured VSMCs. Knockdown of Hdac9 significantly enhanced calcium deposition in VSMCs. Conversely, adenovirus mediated-overexpression of Hdac9 inhibited high phosphate induced VSMC in vitro calcification. Our subsequent mechanistic studies revealed that the anti-calcific effect of Hdac9 was mediated through down-regulation of osteoblast-specific transcription factor Osterix.
Conclusion:
These data suggest that Hdac9 is a novel inhibitor of MAC and may represent a potential therapeutic target for MAC in CKD patients.
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