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Updated: Jun 29, 2025

A Semi-Automated and Reproducible Biological-Based Method to Quantify Calcium Deposition In Vitro
Published on: June 2, 2022
Hypoxia-Inducible Factor-1α Regulates High Phosphate-Induced Vascular Calcification via Type III Sodium-Dependent
Chengkun Guo1, Zhengli Quan1, Jingjing Ke1
1Nephrology Department, Jingmen Central Hospital Affiliated to Hubei Minzu University, Jingmen, Hubei 448000, China.
Insights
Hypoxia-inducible factor-1 alpha (HIF-1α) drives vascular calcification by upregulating phosphate transporter 1 (Pit-1). Targeting HIF-1α and Pit-1 offers a potential treatment for high phosphate-induced vascular calcification.
Area of Science:
- Cardiovascular Biology
- Nephrology
- Molecular Medicine
Background:
- Vascular calcification (VC) is a common complication in chronic kidney disease patients, posing a significant public health challenge.
- Hypoxia-inducible factor-1 alpha (HIF-1α) is implicated in high phosphate-induced VC, but its precise mechanism and therapeutic targets remain unclear.
Purpose of the Study:
- To elucidate the underlying mechanism of HIF-1α in high phosphate-induced VC.
- To investigate the role of phosphate transporter 1 (Pit-1) in HIF-1α-mediated VC.
- To identify potential therapeutic targets for high phosphate-induced VC.
Main Methods:
- Human aortic smooth muscle cells (HASMCs) were cultured under high phosphate conditions.
- HIF-1α expression was manipulated using small interfering RNA and overexpression plasmids.
- Pit-1 function was inhibited using phosphonoformic acid.
- Expression of HIF-1α, Pit-1, Runx2, and SM22α was assessed; calcium content and cell viability were measured.
Main Results:
- High phosphate upregulated HIF-1α and Pit-1, induced calcium deposition, and altered phenotypic markers (Runx2, SM22α) in HASMCs.
- HIF-1α suppression attenuated Pit-1 expression, calcium deposition, and phenotypic changes.
- Inhibition of Pit-1 function prevented VC, even with HIF-1α overexpression.
Conclusions:
- HIF-1α promotes high phosphate-induced VC by upregulating Pit-1 expression.
- The pro-calcifying effect of HIF-1α is mediated through Pit-1.
- HIF-1α and Pit-1 represent promising therapeutic targets for managing high phosphate-induced vascular calcification.
Abstract:
Vascular calcification (VC) has a high incidence in patients with chronic kidney disease, which is a worldwide public health problem and presents a heavy burden to society. Hypoxia-inducible factor (HIF)-1α, the active subunit of HIF-1, has been reported to play a vital role in high phosphate-induced VC. However, the underlying mechanism is still undetermined, and effective treatment is unavailable. In the present study, human aortic smooth muscle cells (HASMCs) were cultured under normal or high phosphate media conditions. HIF-1α small interfering RNA and overexpression plasmids were employed to regulate HIF-1α expression. Phosphonoformic acid was employed to restrain the function of type III sodium-dependent phosphate cotransporter 1 (Pit-1). The expression levels of HIF-1α, Pit-1, runt-related transcription factor 2 (Runx2), and smooth muscle 22 alpha (SM22α) were evaluated, and the calcium contents were also examined. Cell growth was assessed using an MTT assay. High phosphate stimulation caused an upregulation in HIF-1α and Pit-1 expression levels and induced calcium depositions in HASMCs. Upregulation of Runx2 expression accompanied by downregulation of SM22α expression was observed in the high phosphate group. Following the suppression of HIF-1α expression, there was a concomitant attenuation in Pit-1 expression, calcium deposition, the alteration of phenotypic transition marker genes, and vice versa. The most serious calcium deposition was noted in HASMCs cultured under high phosphate conditions which were pretreated with a HIF-1α overexpression plasmid. However, when the biological functions of Pit-1 were restrained, the putative serious calcium deposition was not formed even in HASMCs transfected with a HIF-1α overexpression plasmid. The findings confirmed that HIF-1α regulated Pit-1 expression and exerted its pro-calcifying effect through Pit-1, which identified HIF-1α and Pit-1 as therapeutic targets for high phosphate-induced VC.
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