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Updated: Nov 24, 2025

Isolation and Characterization of Adult Cardiac Fibroblasts and Myofibroblasts
Published on: March 12, 2020
Emerging roles of fibroblasts in cardiovascular calcification
Wudi Li1, Sheng-An Su1, Jian Chen1
1Department of Cardiology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Insights
Cardiovascular calcification involves complex processes where fibroblasts may play a key role. Further research is needed to understand fibroblast contributions and identify therapeutic targets for calcification.
Area of Science:
- Cardiovascular Biology
- Cellular Biology
- Pathophysiology
Background:
- Cardiovascular calcification, a process of ectopic mineralization, is linked to poor prognosis.
- While smooth muscle cells are implicated, the cellular origins of cardiovascular calcification remain unclear.
- Fibroblasts exhibit phenotypic plasticity and are increasingly recognized for their role in cardiovascular calcification.
Purpose of the Study:
- To review current knowledge on fibroblast phenotypes in cardiovascular calcification.
- To evaluate potential therapeutic targets for controlling fibroblast phenotypic transition.
Main Methods:
- Literature review of studies on cardiovascular calcification and fibroblast biology.
- Analysis of fibroblast roles in vascular, valve, and cardiac calcification.
- Identification of knowledge gaps, including lineage-tracing and marker studies.
Main Results:
- Fibroblasts display diverse phenotypes within calcified cardiovascular tissues.
- Understanding fibroblast phenotypic switching is crucial but incomplete.
- Lack of definitive markers and lineage studies complicates assessment of fibroblast contributions.
Conclusions:
- Fibroblasts are significant contributors to cardiovascular calcification.
- Further investigation into fibroblast phenotypes and regulatory mechanisms is warranted.
- Targeting fibroblast phenotypic transition may offer novel therapeutic strategies for cardiovascular calcification.
Abstract:
Cardiovascular calcification, a kind of ectopic mineralization in cardiovascular system, including atherosclerotic calcification, arterial medial calcification, valve calcification and the gradually recognized heart muscle calcification, is a complex pathophysiological process correlated with poor prognosis. Although several cell types such as smooth muscle cells have been proven critical in vascular calcification, the aetiology of cardiovascular calcification remains to be clarified due to the diversity of cellular origin. Fibroblasts, which possess remarkable phenotypic plasticity that allows rapid adaption to fluctuating environment cues, have been demonstrated to play important roles in calcification of vasculature, valve and heart though our knowledge of the mechanisms controlling fibroblast phenotypic switching in the calcified process is far from complete. Indeed, the lack of definitive fibroblast lineage-tracing studies and typical expression markers of fibroblasts raise major concerns regarding the contributions of fibroblasts during all the stages of cardiovascular calcification. The goal of this review was to rigorously summarize the current knowledge regarding possible phenotypes exhibited by fibroblasts within calcified cardiovascular system and evaluate the potential therapeutic targets that may control the phenotypic transition of fibroblasts in cardiovascular calcification.
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