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Updated: Nov 11, 2025

Calcification of Vascular Smooth Muscle Cells and Imaging of Aortic Calcification and Inflammation
Published on: May 31, 2016
[Calcium and vitamin K: effects on bone tissue and vascular remodeling (literature review).]
S V Bulgakova1, E V Treneva1, N O Zakharova1
1Samara state medical University, 89 Chapaevskaya str., Samara 443099, Russian Federation,
Insights
Calcium supplements may increase heart disease risk by causing vascular calcification. Vitamin K2 may mitigate this risk, offering a protective effect against arterial stiffness and atherosclerosis progression.
Area of Science:
- Cardiovascular Medicine
- Nutritional Science
- Biochemistry
Background:
- Calcium preparations are widely used for low bone mineral density.
- Emerging evidence links increased calcium intake to heightened cardiovascular disease risk.
- Vascular calcification, a key factor in atherosclerosis, is exacerbated by calcium deposition.
Purpose of the Study:
- To review the 'calcium paradox' where calcium benefits bones but may harm vasculature.
- To elucidate the molecular mechanisms underlying vascular calcification.
- To explore therapeutic strategies involving vitamin K2 for managing vascular calcification.
Main Methods:
- Literature review of scientific studies on calcium, vitamin K, and cardiovascular health.
- Analysis of molecular pathways involved in vascular calcification.
- Evaluation of clinical evidence for vitamin K2 in preventing arterial calcification.
Main Results:
- Calcium supplementation is associated with increased arterial calcification and atherosclerosis.
- Vitamin K plays a crucial role in calcium homeostasis and arterial health.
- Vitamin K2 demonstrates potential in reducing arterial calcification and stiffness.
Conclusions:
- The 'calcium paradox' highlights the complex role of calcium in health.
- Understanding vascular calcification mechanisms is vital for cardiovascular disease prevention.
- Vitamin K2 emerges as a promising therapeutic agent to counteract adverse effects of calcium on vascular health.
Abstract:
Calcium preparations are included in the treatment and prevention regimens for low bone mineral density. However, recent scientific studies have shown that additional calcium intake can increase the risk of heart disease, which is associated with the deposition of calcium in the endothelium of blood vessels. The significance of vascular wall mineralization is not limited to local accumulation of calcium deposits, but is largely determined by their activating effect on the progression of atherosclerosis. Vitamin K plays an important role in calcium homeostasis, reduces arterial calcification and arterial stiffness and, as a result, has a protective effect when taking calcium. This literature review provides current information about the calcium paradox, discusses the main molecular mechanisms of vascular calcification, and considers therapeutic strategies for vitamin К2 treatment.
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