BFGF attenuates aortic valvular interstitial cell calcification by inhibiting endoplasmic reticulum stress-mediated

Gao Yuan1, Li Ning2, Xue Qing1

  • 1Department of Cardiovascular Surgery, The First Affiliated Hospital of Naval Medical University, Shanghai, 200433, China.

Experimental Cell Research
|December 19, 2023
PubMed

Insights

Basic fibroblast growth factor (BFGF) reduces calcific aortic valve disease (CAVD) by inhibiting osteogenic differentiation and apoptosis in valvular interstitial cells. This protective effect involves PI3K/Akt and ERK1/2 pathways.

Area of Science:

  • Cardiovascular Biology
  • Cellular Mechanisms
  • Translational Medicine

Background:

  • Calcific aortic valve disease (CAVD) is a progressive condition with limited therapeutic options.
  • The role of basic fibroblast growth factor (BFGF) in CAVD pathogenesis and its underlying mechanisms remain unclear.
  • BFGF has shown potential cardiovascular protective effects in previous studies.

Purpose of the Study:

  • To investigate the therapeutic potential of BFGF in mitigating CAVD.
  • To elucidate the molecular mechanisms by which BFGF affects valvular interstitial cell (VIC) osteogenic differentiation and apoptosis.
  • To assess the efficacy of BFGF in a preclinical rat model of CAVD.

Main Methods:

  • Porcine VICs were isolated and treated with osteogenic induced medium (OIM) and BFGF.
  • Protein expression was analyzed using Western blot; apoptosis was assessed via flow cytometry.
  • A rat CAVD model was established and treated with exogenous BFGF, with assessments including echocardiography and Alizarin red staining.

Main Results:

  • BFGF levels were elevated in CAVD patients' aortic valves and serum.
  • Exogenous BFGF administration attenuated CAVD progression in vivo.
  • BFGF suppressed osteogenic differentiation, endoplasmic reticulum stress (ERS), and apoptosis in VICs, effects abolished by PI3K/Akt and ERK1/2 pathway inhibitors.

Conclusions:

  • BFGF alleviates VIC calcification and CAVD progression.
  • The protective effects of BFGF are mediated by the inhibition of ERS-induced apoptosis.
  • Activation of PI3K/Akt and ERK1/2 signaling pathways plays a crucial role in BFGF's therapeutic action, suggesting BFGF as a potential CAVD treatment.