PMID- 22287655 OWN - NLM STAT- MEDLINE DCOM- 20121207 LR - 20161125 IS - 1460-2385 (Electronic) IS - 0931-0509 (Linking) VI - 27 IP - 5 DP - 2012 May TI - Vitamin D receptor activators inhibit vascular smooth muscle cell mineralization induced by phosphate and TNF-alpha. PG - 1800-6 LID - 10.1093/ndt/gfr758 [doi] AB - BACKGROUND: Vascular calcification is a highly regulated process. Tumor necrosis factor-alpha (TNF-alpha) has been shown to accelerate the highly regulated osteogenic process in vascular smooth muscle cells (VSMCs). Vitamin D receptor activators (VDRAs) have been associated with beneficial cardiovascular outcomes in patients with chronic kidney disease. We examined whether maxacalcitol, a vitamin D(3) analog, exhibits a suppressive effect on VSMC mineralization induced by phosphate and TNF-alpha. METHODS: Human VSMCs were treated with either vehicle, maxacalcitol (10(-9) to 10(-7) M), or calcitriol (10(-9) to 10(-7) M) in 2.5 mM of phosphate media with TNF-alpha (1 ng/mL) for 9 days. VSMC mineralization was determined and expression of genes associated with the osteogenic process was examined by real-time reverse transcription-polymerase chain reaction. Expression of matrix metalloproteinase-2 (MMP-2) messenger RNA (mRNA) in VSMCs and MMP-2 protein in media was also analyzed. RESULTS: Vehicle-treated VSMCs exhibited massive mineralization, which was inhibited by maxacalcitol in a concentration-dependent manner. Calcitriol also inhibited the mineralization. While vehicle-treated VSMCs exhibited increased mRNA expression of genes associated with the osteogenic process (Cbfa1/Runx2 and osteocalcin) compared with VSMCs grown in normal media without TNF-alpha (control), maxacalcitol and calcitriol suppressed the increase in mRNA species. Furthermore, vehicle-treated VSMCs exhibited increased MMP-2 mRNA and protein in the media that were suppressed notably by maxacalcitol. CONCLUSIONS: Both the VDRAs abrogated the acceleration of the osteogenic process induced by phosphate and TNF-alpha in VSMCs, which was linked to inhibition of mineralization in VSMCs. MMP-2 blockade by VDRAs may contribute to an inhibitory effect on vascular calcification. FAU - Aoshima, Yumie AU - Aoshima Y AD - Division of Nephrology, Department of Medicine, Showa University School of Medicine, Tokyo, Japan. FAU - Mizobuchi, Masahide AU - Mizobuchi M FAU - Ogata, Hiroaki AU - Ogata H FAU - Kumata, Chiaki AU - Kumata C FAU - Nakazawa, Ai AU - Nakazawa A FAU - Kondo, Fumiko AU - Kondo F FAU - Ono, Naoko AU - Ono N FAU - Koiwa, Fumihiko AU - Koiwa F FAU - Kinugasa, Eriko AU - Kinugasa E FAU - Akizawa, Tadao AU - Akizawa T LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120128 PL - England TA - Nephrol Dial Transplant JT - Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association JID - 8706402 RN - 0 (Phosphates) RN - 0 (RNA, Messenger) RN - 0 (Receptors, Calcitriol) RN - 0 (Tumor Necrosis Factor-alpha) RN - 1406-16-2 (Vitamin D) RN - EC 3.4.24.24 (Matrix Metalloproteinase 2) RN - FXC9231JVH (Calcitriol) RN - N2UJM5NBF6 (maxacalcitol) SB - IM CIN - Nephrol Dial Transplant. 2012 May;27(5):1704-7. PMID: 22431706 MH - Calcitriol/*analogs & derivatives/pharmacology MH - Cells, Cultured MH - Dose-Response Relationship, Drug MH - Humans MH - Matrix Metalloproteinase 2/metabolism MH - Muscle, Smooth, Vascular/cytology/*drug effects/*metabolism MH - Osteogenesis/drug effects/physiology MH - Phosphates/*pharmacology MH - RNA, Messenger/metabolism MH - Receptors, Calcitriol/*drug effects/physiology MH - Tumor Necrosis Factor-alpha/*pharmacology MH - Vascular Calcification/metabolism MH - Vitamin D/analogs & derivatives EDAT- 2012/01/31 06:00 MHDA- 2012/12/12 06:00 CRDT- 2012/01/31 06:00 PHST- 2012/01/31 06:00 [entrez] PHST- 2012/01/31 06:00 [pubmed] PHST- 2012/12/12 06:00 [medline] AID - gfr758 [pii] AID - 10.1093/ndt/gfr758 [doi] PST - ppublish SO - Nephrol Dial Transplant. 2012 May;27(5):1800-6. doi: 10.1093/ndt/gfr758. Epub 2012 Jan 28.