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Updated: Oct 11, 2025

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Published on: June 3, 2018
Induction of cardiomyocyte calcification is dependent on FoxO1/NFATc3/Runx2 signaling
Jayeeta Samanta1, Arunima Mondal1, Shreya Das1
1Department of Life Science and Biotechnology, Jadavpur University, 188, Raja S. C. Mallick Road, Kolkata, 700032, West Bengal, India.
Insights
Cardiovascular calcification in cardiomyocytes is linked to reduced Forkhead box transcription factor FoxO1 expression. This decrease elevates nuclear factor of activated T-cells NFATc3, promoting osteogenic marker Runx2, a key step in myocardial calcification.
Area of Science:
- Cardiology
- Molecular Biology
- Biochemistry
Background:
- Cardiovascular disorders (CAVDs) are a leading cause of global morbidity and mortality.
- Cardiovascular calcification is a significant aspect of CAVDs, with established mechanisms for vascular and heart valve calcification.
- The molecular mechanisms underlying myocardial and cardiomyocyte calcification remain largely uninvestigated, despite observed calcific deposits in cardiac tissue.
Purpose of the Study:
- To investigate the molecular mechanisms of cardiomyocyte calcification.
- To explore the roles of Forkhead box transcription factor FoxO1 (FoxO1) and nuclear factor of activated T-cells NFATc3 (NFATc3) in cardiomyocyte calcification.
Main Methods:
- Utilized H9c2 cardiomyocytes for experimental studies.
- Applied osteogenic induction for one month to promote calcification.
- Assessed the expression levels of FoxO1, NFATc3, and the osteogenic marker Runx2.
Main Results:
- Calcific deposition was observed in cardiomyocytes after one month of osteogenic induction, but not at 15 days.
- FoxO1 expression was reduced during the calcification process.
- Reduced FoxO1 expression correlated with increased NFATc3 expression, which in turn increased Runx2 expression.
Conclusions:
- Cardiomyocyte calcification involves a reduction in FoxO1 expression, leading to increased NFATc3 and subsequent upregulation of the osteogenic marker Runx2.
- Understanding these molecular pathways is crucial for developing therapeutic strategies for cardiac calcification.
Abstract:
Cardiovascular disorders (CAVDs) being a major concern over the past several years due to the huge number of morbidity and mortality worldwide, a number of studies have been done on the various aspects of cardiac problems. One of the various CAVDs is cardiovascular calcification. A number of investigations and research work have been done previously on the molecular mechanism of vascular and heart valve calcification but the mechanism of myocardial and cardiomyocyte calcification has remained uninvestigated. A number of case studies have shown the presence of calcific deposits in the myocardial/ventricular region of the heart in fetal condition as well as in individuals of different ages but no detailed studies have been done yet. In this study, we have mainly investigated the role of Forkhead box transcription factor FoxO1 and nuclear factor of activated T-cells NFATc3 in cardiomyocyte calcification. Our studies in H9c2 cardiomyocytes show that calcific deposition in cardiomyocytes does not occur in 15 d but upon osteogenic induction for 1 mo where FoxO1 expression gets reduced thereby increasing the expression of its downstream target NFATc3, thus increasing the expression of the osteogenic marker Runx2. Detailed studies on the molecular mechanism of cardiomyocyte calcification will help in finding out therapeutic strategies in the treatment of cardiac calcification.
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