2010
DOI: 10.1016/j.atherosclerosis.2010.08.063
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Aortic valve disease and gamma-glutamyltransferase: Accumulation in tissue and relationships with calcific degeneration

Abstract: Accumulation of GGT activity inside the lipid component of valves leaflets suggests a common mechanism of lesion shaping underlying both atherosclerosis and degenerative aortic valve disease. Moreover, the finding of GGT expression in cells with an osteoclast-like phenotype, and its negative correlation with both valves calcification and degree of valvular stenosis lend additional support to the recently envisaged involvement of GGT in the homeostasis of calcified tissues.

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Cited by 15 publications
(9 citation statements)
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“…Because of its known role in matrix degradation and our group’s previous work in this area, we focused on TIMP3 for further study. TIMP3 is an inhibitor of extracellular matrix degradation through MMP inhibition that potentially links previous studies describing increased ECM degradation in stenotic or calcific valves compared to healthy valves 9,10 . As a functional readout of matrix remodeling in HAVECs, we used the DQ gelatin substrate in the gelatinase assay 25 , which has been shown to correlate with MMP activity and matrix degradation 15 .…”
Section: Resultsmentioning
confidence: 59%
“…Because of its known role in matrix degradation and our group’s previous work in this area, we focused on TIMP3 for further study. TIMP3 is an inhibitor of extracellular matrix degradation through MMP inhibition that potentially links previous studies describing increased ECM degradation in stenotic or calcific valves compared to healthy valves 9,10 . As a functional readout of matrix remodeling in HAVECs, we used the DQ gelatin substrate in the gelatinase assay 25 , which has been shown to correlate with MMP activity and matrix degradation 15 .…”
Section: Resultsmentioning
confidence: 59%
“…On the contrary, smooth muscle-specific Runx2 deficiency down-regulated the expression of RANKL and was accompanied by decreased macrophage infiltration and reduced formation of osteoclast-like cells in the calcified lesions [122]. TRAP-positive cells have been previously observed in atherosclerotic lesions [157], [158], however, their origin and functions are unknown. Our studies provided the evidence that VSMC-derived RANKL promoted macrophage migration and differentiation into osteoclasts [122], [123], suggesting potential roles of RANKL-induced macrophage-derived osteoclasts in the atherosclerotic lesions [159].…”
Section: Regulation Of H2o2 Production In Vsmcmentioning
confidence: 97%
“…This finding is markedly different from observations in advanced atherosclerotic lesions, where activity of osteoblast-like cells is markedly reduced by statins 23 , but calcium deposits are resistant to reduction and/or resorption 193, 194 . These contrasting effects in valves and arteries are somewhat surprising because osteoclast-like cells are present in both calcifying aortic valves 79, 195197 and in arteries 198, 199 . Further work to examine differences in calcified plaque composition/ultrastructure, and differences in osteoblast-/osteoclast-like function in arteries and valves, will be important to understanding the susceptibility of calcified deposits to resorption in different cardiovascular tissues.…”
Section: Histological and Molecular Changes With Treatment Of Valve Dmentioning
confidence: 99%