New insight of complement system in the process of vascular calcification
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Updated: Aug 4, 2025

Calcification of Vascular Smooth Muscle Cells and Imaging of Aortic Calcification and Inflammation
Published on: May 31, 2016
Aiting Liu1, Pei Luo2, Hui Huang1
1Department of Cardiology, The Eighth Affiliated Hospital, Joint Laboratory of Guangdong-Hong Kong-Macao Universities for Nutritional Metabolism and Precise Prevention and Control of Major Chronic Diseases, Sun Yat-sen University, Shenzhen, China.
Insights
The complement system, crucial for immunity, is increasingly linked to cardiovascular diseases (CVD) like vascular calcification. This review explores the complement system
Area of Science:
- Immunology
- Cardiovascular Biology
- Pathology
Background:
- The complement system is vital for immune defense and homeostasis.
- Dysregulation of the complement system contributes to autoimmune and cardiovascular diseases (CVD).
- Vascular calcification is a key pathological feature of CVD, driving significant morbidity and mortality.
Purpose of the Study:
- To review current evidence on complement system activation in vascular calcification.
- To elucidate the complex interactions between the complement system and vascular calcification.
- To provide insights for potential therapeutic strategies targeting vascular calcification.
Main Methods:
- Literature review of existing research on the complement system and vascular calcification.
- Analysis of the role of complement activation pathways in vascular pathology.
- Synthesis of data linking complement system components to cellular and molecular mechanisms of vascular calcification.
Main Results:
- Evidence suggests the complement system plays a significant role in vascular calcification.
- The complement system interacts with vascular smooth muscle cell osteogenic transdifferentiation, inflammation, and oxidative stress.
- Mechanisms include endoplasmic reticulum stress, extracellular matrix remodeling, and apoptosis.
Conclusions:
- The complement system is implicated in the pathogenesis of vascular calcification.
- Understanding these complex interactions is crucial for developing new treatments.
- Targeting the complement system may offer a novel approach to manage vascular calcification and associated CVD.
Abstract:
The complement system defences against pathogenic microbes and modulates immune homeostasis by interacting with the innate and adaptive immune systems. Dysregulation, impairment or inadvertent activation of complement system contributes to the pathogenesis of some autoimmune diseases and cardiovascular diseases (CVD). Vascular calcification is the pivotal pathological basis of CVD, and contributes to the high morbidity and mortality of CVD. Increasing evidences indicate that the complement system plays a key role in chronic kidney diseases, atherosclerosis, diabetes mellitus and aging-related diseases, which are closely related with vascular calcification. However, the effect of complement system on vascular calcification is still unclear. In this review, we summarize current evidences about the activation of complement system in vascular calcification. We also describe the complex network of complement system and vascular smooth muscle cells osteogenic transdifferentiation, systemic inflammation, endoplasmic reticulum stress, extracellular matrix remodelling, oxidative stress, apoptosis in vascular calcification. Hence, providing a better understanding of the potential relationship between complement system and vascular calcification, so as to provide a direction for slowing the progression of this burgeoning health concern.
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