Publication : Carbonic anhydrase XII in valve interstitial cells promotes the regression of calcific aortic valve stenosis.
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Date
2016-03-11
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Direction de recherche
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Éditeur
Academic Press Inc, Ltd.
Résumé
Aims: Calcific aortic valve stenosis (CAVS) is the most common heart valve disease. In the present work we sought
to determine the reversibility of mineralization in the aortic valve.
Methods and results: By using in vitro analyses we found that valve interstitial cells (VICs) have the ability to
resorb minerals. We documented that agonist of P2Y2 receptor (P2Y2R) promoted the expression of carbonic
anhydrase XII (CAXII) at the cell membrane of VICs, whereby minerals are resorbed. P2Y2R-mediated mineral
resorption was corroborated by using mouse VICs isolated from wild type and P2Y2R-/- mice. Measurements
of extracellular pH (pHe) by using core–shell nanosensors revealed that P2Y2R-mediated CAXII export to the
cell membrane led to an acidification of extracellular space, whereby minerals are resorbed. In vivo, we next
treated LDLR-/-/ApoB100/100/IGF2 mice, which had developed CAVS under a high-fat/high-sucrose diet for
8 months, with 2-thioUTP (a P2Y2R agonist) or saline for the next 2 months. The administration of 2-thioUTP
(2 mg/kg/day i.p.) reduced the mineral volume in the aortic valve measured with serial microCT analyses,
which improved hemodynamics and reduced left ventricular hypertrophy (LVH). Examination of leaflets at
necropsy confirmed a lower level of mineralization and fibrosis along with higher levels of CAXII in mice
under 2-thioUTP. In another series of experiment, the administration of acetazolamide (a CA inhibitor) prevented
the acidification of leaflets and the regression of CAVS induced by 2-thioUTP in LDLR-/-/ApoB100/100/IGF2 mice.
Conclusion: P2Y2R-mediated expression of CAXII by VICs acidifies the extracellular space and promotes the
regression of CAVS.
Description
Revue
Journal of molecular and cellular cardiology, Vol. 82, 104-115 (2015)
DOI
10.1016/j.yjmcc.2015.03.002
URL vers la version publiée
Mots-clés
Calcific aortic valve disease , Calcific aortic stenosis , Carbonic anhydrase XII , P2Y2 receptor , Mineral resorption , Mineral regression
Citation
Type de document
article de recherche