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Updated: Apr 5, 2026

Calcification of Vascular Smooth Muscle Cells and Imaging of Aortic Calcification and Inflammation
Published on: May 31, 2016
SERCA2 dysfunction drives vascular calcification via coupling with TSPO-MCU at mitochondria-associated endoplasmic
Shixian Pi1, Wanling Liu2, Junyong Zhao2
1Department of Cardiology, Xinqiao Hospital, Army Medical University (Third Military Medical University), Chongqing 400037, China; Department of Cardiology, People's Liberation Army Joint Logistic Support Force 945th Hospital, Yaan 625000, China.
Abstract:
Vascular calcification arises from osteogenic transdifferentiation of vascular smooth muscle cells (VSMC) driven by disordered calcium signaling. Sarcoplasmic/ER calcium ATPase 2 (SERCA2) maintains intracellular calcium homeostasis. Irreversible oxidation of SERCA2 Cys674 (C674) indicates SERCA2 dysfunction. The impact of SERCA2 dysfunction on vascular calcification remains poorly understood. Here, we demonstrate that oxidized SERCA2 C674, a SERCA2 dysfunction marker, was elevated in the calcified arteries of mice and chronic kidney disease (CKD) patients. Heterozygous SERCA2 Cys674Ser knock-in (SKI) mice, a SERCA2 dysfunction model, exhibited aggravated aortic calcification in cholecalciferol (VitD3)-overloaded and 5/6 nephrectomy-induced CKD mice. SERCA2 dysfunction exacerbates calcification, mitochondrial impairment and calcium overload in cultured VSMC. Mechanistically, SERCA2 dysfunction increased mitochondria-associated endoplasmic reticulum membrane (MAM) formation. Furthermore, outer-mitochondrial translocator protein (TSPO) was identified to facilitate SERCA2 coupling to the IP3R1-Grp75-VDAC1-MCU complex at MAM. TSPO knockdown alleviated SERCA2 dysfunction-induced MAM formation and vascular calcification in SKI mice and cultured SKI VSMC, while TSPO overexpression aggravated these effects. Inhibition of the downstream mitochondrial calcium uniporter (MCU) reduced mitochondrial calcium overload and thus alleviated the pro-calcific effects of TSPO in SKI VSMC. In conclusion, SERCA2 dysfunction promotes TSPO-dependent MAM formation, which couples SERCA2 to the IP3R1-Grp75-VDAC1-MCU complex, causing mitochondrial impairment and calcium overload. This study uncovers the pivotal role of SERCA2 during vascular calcification, delineates the novel components of the MAM complex, and highlights potential therapeutic targets of vascular calcification.
Insights
Vascular smooth muscle cell (VSMC) calcification is worsened by SERCA2 dysfunction, which increases mitochondrial calcium overload via TSPO-dependent MAM formation. Targeting TSPO may treat vascular calcification.
Area of Science:
- Cardiovascular Biology
- Cellular Metabolism
- Molecular Medicine
Background:
- Vascular calcification involves vascular smooth muscle cell (VSMC) osteogenic transdifferentiation driven by calcium signaling.
- Sarcoplasmic/ER calcium ATPase 2 (SERCA2) regulates intracellular calcium; its dysfunction, marked by Cys674 oxidation, is implicated but poorly understood in vascular calcification.
Purpose of the Study:
- To investigate the role of SERCA2 dysfunction in vascular calcification.
- To elucidate the underlying molecular mechanisms involving mitochondria-associated endoplasmic reticulum membranes (MAM) and translocator protein (TSPO).
Main Methods:
- Utilized heterozygous SERCA2 Cys674Ser knock-in (SKI) mice and cultured VSMC.
- Analyzed aortic calcification in response to vitamin D3 overload and chronic kidney disease (CKD) models.
- Investigated the role of TSPO and the IP3R1-Grp75-VDAC1-MCU complex in MAM formation and calcium handling.
Main Results:
- Oxidized SERCA2 C674 was elevated in calcified arteries of mice and CKD patients.
- SERCA2 dysfunction exacerbated aortic calcification, mitochondrial impairment, and calcium overload in VSMC.
- TSPO knockdown alleviated, while overexpression aggravated, SERCA2 dysfunction-induced MAM formation and vascular calcification.
Conclusions:
- SERCA2 dysfunction promotes TSPO-dependent MAM formation, linking SERCA2 to the IP3R1-Grp75-VDAC1-MCU complex.
- This coupling leads to mitochondrial impairment and calcium overload, driving vascular calcification.
- The study identifies SERCA2 and TSPO as key players and potential therapeutic targets for vascular calcification.
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