Calcium deposition at sites of inflammation and necrosis is a fundamental but poorly understood element of the response of tissue to injury. It is evident in clinical diseases, including atherosclerosis and cardiac valve sclerosis, in which chronic inflammation or degenerative process with cell death is involved. In the presence of normal calcium and phosphate serum concentrations, such calcification is usually termed dystrophic calcification or calcinosis. Ultrastructural studies have shown that the initial events include cell necrosis and granular calcium deposition in or around the mitochondria (1-3). The pivotal role of intracellular calcium concentrations for cell injury and necrosis has been established (4, 5) and recent data also suggest the involvement of cellular calcium homeostasis in the pathogenesis of chronic myocarditis and cardiomyopathy (6-8).Age-related spontaneous dystrophic cardiac calcinosis (DCC) occurs in several inbred strains of mice, including BALB/c, DBA/2, and C3H; DCC may even lead to congestive heart failure in older animals (9-12). Apart from age and genetic background, other factors including infectious agents (13-15), sex (9, 12), hormonal status (9,(16)(17)(18), and diet (1, 9, 19-21) can markedly influence the time of onset and the severity of DCC. The factors involved in the various etiologies of DCC are different, yet a common element of each is cell injury, necrosis, and subsequent calcium deposition. The typical pattern of susceptibility to DCC was also observed following a standardized myocardial freeze-thaw injury, suggesting a common genetic basis independent from the nature of the etiology (22).We now report the mapping of a major gene determining DCC, designated Dyscalc, on proximal mouse chromosome 7. The locus was identified by quantitative trait locus (QTL) analysis of an F2 intercross between the susceptible strain C3H/HeJ and the resistant strain C57BL/6J using a complete linkage map approach. The significance of the QTL results was tested by permutation analysis and the map position was further confirmed by analysis of a set of recombinant inbred (RI) strains derived from these progenitor strains. The results have implications for the understanding of cell injury and necrosis in myocardial and cardiovascular diseases.
MATERIALS AND METHODSAnimals. All mice were obtained from The Jackson Laboratory. An F2 intercross between inbred strains C57BL/6J and C3H/HeJ was constructed in our laboratory; only female progeny (n = 197) were included in the studies to eliminate gender differences as a potential confounder. All animals were maintained in pathogen-free facilities on a 12-hr light/12-hr dark cycle with free access to water and food throughout the experimental period. At 3 months of age, mice were placed on a high-fat, high-cholesterol diet (TD 90221; Harlan-Teklad, Madison, WI) to accelerate DCC (23). After 8 weeks of high-fat diet, mice were sacrificed by cervical dislocation.Histological Analyses. After the mice were killed, the heart and proximal aorta were exci...