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KMID : 0811720150190020111
Korean Journal of Physiology & Pharmacology
2015 Volume.19 No. 2 p.111 ~ p.118
Long Term Effect of High Glucose and Phosphate Levels on the OPG/RANK/RANKL/TRAIL System in the Progression of Vascular Calcification in rat Aortic Smooth Muscle Cells
Kang Yang-Ho

Jin Jung-Sook
Son Seok-Man
Abstract
Osteoprotegerin (OPG), receptor activator of NF-¥êB ligand (RANKL)/receptor activator of NF-¥êB (RANK) axis, and TNF-related apoptosis-inducing ligand (TRAIL) participate in vascular calcification process including atherosclerosis, but their contributions under high glucose (HG) and phosphate (HP) condition for a long-term period (more than 2 weeks) have not been fully determined. In this study, we evaluated the effects of HG and HP levels over 2 or 4 weeks on the progression of vascular calcification in rat vascular smooth muscle cells (VSMCs). Calcium deposition in VSMCs was increased in medium containing HG (30 mmol/L D-glucose) with ¥â-glycerophosphate (¥â-GP, 12 mmol/L) after 2 weeks and increased further after 4 weeks. OPG mRNA and protein expressions were unchanged in HG group with or without ¥â-GP after 2 weeks. However, after 4 weeks, OPG mRNA and protein expressions were significantly lower in HG group with ¥â-GP. No significant expression changes were observed in RANKL, RANK, or TRAIL during the experiment. After 4 weeks of treatment in HG group containing ¥â-GP and rhBMP-7, an inhibitor of vascular calcification, OPG expressions were main-tained. Furthermore, mRNA expression of alkaline phosphatase (ALP), a marker of vascular mine-ralization, was lower in the presence of rhBMP-7. These results suggest that low OPG levels after long term HG and phosphate stimulation might reduce the binding of OPG to RANKL and TRAIL, and these changes could increase osteo-inductive VSMC differentiation, especially vascular minerali-zation reflected by increased ALP activity during vascular calcification.
KEYWORD
High glucose, Osteoprotegerin, Phosphate, TNF-related apoptosis-inducing ligand, Vascular calcification
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