terol, and oxidized phospholipids), and hormonal factors (tumor necrosis factor-␣ , bone morphogenetic protein-2, matrix gla protein, osteocalcin, fi broblast growth factors, and Klotho) in the pathogenesis of vascular calcifi cation (3)(4)(5)(6)(7)(8)(9)(10).Recently, we reported that bile acid nuclear receptor, farnesoid X receptor (FXR), and oxysterol nuclear receptor, liver X receptor (LXR), elicit opposite effects on vascular calcifi cation ( 11-13 ). We found that FXR activation attenuated CKD-dependent atherosclerotic calcifi cation in ApoE Ϫ / Ϫ mice with 5/6 nephrectomy. FXR activation by either VP16-FXR overexpression or INT-747 (an FXR-specifi c agonist) treatment attenuated mineralization of vascular smooth muscle cells (VSMCs) in culture. Conversely, FXR inhibition by FXR shRNA and the dominant negative (DN) form of FXR augmented vascular calcifi cation ( 11 ). In contrast to FXR, LXR activation by LXR agonists and adenovirus-mediated LXR overexpression by VP16-LXR ␣ and VP16-LXR  promoted mineralization of VSMCs. Conversely, LXR inhibition by dominant negative forms of LXR ␣ and LXR  attenuated vascular calcifi cation in VSMCs ( 12 ). The regulation of mineralization by FXR and LXR agonists was highly correlated with changes in lipid accumulation, fatty acid synthesis, and the expression of sterol regulatory element binding protein-1 (SREBP-1). The rate of lipogenesis in VSMCs through the SREBP-1c-dependent pathway was reduced by FXR activation but increased by LXR activation ( 11,12 ). SREBP-1c overexpression promoted mineralization in VSMCs, whereas SREBP-1c DN inhibited alkaline phosphatase activity and mineralization induced by LXR agonists. LXR and SREBP-1c activations increased, whereas FXR activation decreased saturated and monounsaturated fatty acids derived from lipogenesis. Furthermore, we found that stearate markedly Abstract Previously, we reported that stearate, a saturated fatty acid, promotes osteoblastic differentiation and mineralization of vascular smooth muscle cells (VSMC). In this study, we examined the molecular mechanisms by which stearate promotes vascular calcifi cation. ATF4 is a pivotal transcription factor in osteoblastogenesis and endoplasmic reticulum ( Cardiovascular disease, such as vascular calcifi cation, is the leading cause of death in patients with chronic kidney disease, accounting for over 50% of deaths ( 1, 2 ). Vascular calcifi cation is frequently observed in advanced atherosclerotic lesions and is a highly regulated process that recapitulates osteogenesis in bone formation. Recent in vivo and in vitro studies have implicated the involvement of numerous positive and negative regulators, including serum phosphate, several lipid-derived molecules (saturated fatty acids, oxys- University of Colorado Denver , Aurora, CO Abbreviations: ALP, alkaline phosphatase; ATF4, activating transcription factor 4; CHOP, C/EBP homologous protein; eIF2 ␣ , ␣ -subunit of eukaryotic initiation factor 2; ER, endoplasmic reticulum; FXR, farnesoid X receptor; LXR, liver X recept...