Atorvastatin reduces calcification in valve interstitial cells via the NF-κB signalling pathway by promoting

Menghui Chen1, Su Liu2

  • 1Department of Surgery, Hebei Medical University, Shijiazhuang, Hebei; Department of Cardiothoracic Surgery, The Third Hospital of Shijiazhuang, Hebei. cpeb17@163.com.

Insights

Atorvastatin inhibits aortic valve calcification (AVC) by enhancing autophagy and suppressing the NF-κB pathway. This study reveals a novel mechanism for atorvastatin in treating this common cardiovascular disease.

Area of Science:

  • Cardiovascular Research
  • Cell Biology
  • Pharmacology

Background:

  • Aortic valve calcification (AVC) is a prevalent cardiovascular condition and a significant risk factor for sudden death.
  • Understanding the underlying mechanisms and identifying effective therapeutic agents for AVC remain critical research areas.
  • Atorvastatin, a cholesterol-lowering statin, shows potential for cardiovascular event prevention, but its specific effects and mechanisms on AVC require further investigation.

Purpose of the Study:

  • To explore the potential of atorvastatin in inhibiting in vitro aortic valve calcification (AVC).
  • To elucidate the underlying cellular and molecular mechanisms by which atorvastatin may affect AVC.
  • To investigate the role of autophagy and the NF-κB signaling pathway in atorvastatin's effects on valve interstitial cells.

Main Methods:

  • Development of an in vitro model of aortic valve calcification (AVC) using valve interstitial cells.
  • Treatment of calcified valve interstitial cells with atorvastatin.
  • Assessment of osteogenic differentiation and calcium nodule deposition.
  • Analysis of autophagy markers (Atg5, LC3B-II/I) and autophagic flow.
  • Investigation of the NF-κB signaling pathway and associated inflammatory factors.

Main Results:

  • Atorvastatin significantly inhibited osteogenic differentiation and reduced calcium nodule deposition in valve interstitial cells.
  • Atorvastatin enhanced autophagy in calcified valve interstitial cells, evidenced by increased Atg5 and LC3B-II/I expression and improved autophagic flow.
  • Atorvastatin suppressed the NF-κB signaling pathway and NF-κB-mediated inflammatory factor expression.
  • Activation of the NF-κB pathway reversed the beneficial effects of atorvastatin on autophagy and valve interstitial cell calcification.

Conclusions:

  • Atorvastatin alleviates aortic valve calcification (AVC) by upregulating autophagy and inhibiting the NF-κB signaling pathway.
  • The findings suggest that atorvastatin's mechanism involves promoting autophagic flux, which counteracts the pro-calcification effects mediated by the NF-κB pathway.
  • This study provides a mechanistic basis for atorvastatin's potential therapeutic role in managing AVC.

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