Calcification of arteries is a major risk factor for cardiovascular mortality in humans. Using genetic approaches, we demonstrate here that the transcriptional intermediary factor 1␣ (TIF1␣), recently shown to function as a tumor suppressor in murine hepatocytes, also participates in a molecular cascade that prevents calcifications in arterioles and medium-sized arteries. We further provide genetic evidence that this function of TIF1␣ is not exerted in hepatocytes. The sites of ectopic calcifications in mutant mice lacking TIF1␣ resemble those seen in mice carrying an activating mutation of the calcium sensor receptor (Casr) gene and, in TIF1␣-deficient kidneys, Casr expression is increased together with that of many other vitamin D receptor (VDR) direct target genes, namely Car2, Cyp24a1, Trpv5, Trpv6, Calb1, S100g, Pthlh, and Spp1. Thus, our data indicate that TIF1␣ represses the VDR pathway in kidney and suggest that an up-regulation of Casr expression in this organ could account for ectopic calcifications generated upon TIF1␣ deficiency. Interestingly, the calcifying arteriopathy of TIF1␣-null mutant mice shares features with the human age-related Mö nckeberg's disease and, overall, the TIF1␣-null mutant pathological phenotype supports the hypothesis that aging is promoted by increased activity of the vitamin D signaling pathway.aging ͉ ectopic calcification ͉ mouse knockout ͉ transcriptional regulation ͉ vitamin D signaling I nitially identified through its ability to interact directly with nuclear receptors in a ligand-dependent manner, transcriptional intermediary factor 1 (TIF1␣), also known as tripartite motif (TRIM24) protein, was subsequently described as both a negative and positive regulator of ligand-induced transactivation acting through chromatin modification (1-6).To address the physiological functions of TIF1␣, we monitored large cohorts of TIF1␣-deficient (TIF1␣ Ϫ/Ϫ ) mice. Hepatic tumors were detected at necropsy in a vast majority of TIF1␣ Ϫ/Ϫ mutants, thus indicating that TIF1␣ deficiency predisposes to liver tumor formation. Tumor predisposition was not observed in TIF1␣ Ϫ/Ϫ mutants heterozygous for the retinoic acid receptor ␣ (Rara) gene, thereby providing genetic proof that TIF1␣ and Rara act in opposition to each other in liver carcinogenesis (6).In the present study, a systematic histological analysis of TIF1␣ Ϫ/Ϫ mutants at different ages was carried out to examine the effect of TIF1␣ gene deletion on a wide range of tissues. This analysis revealed that, aside from occasional metastases from liver tumors (6), TIF1␣ Ϫ/Ϫ mutants displayed calcifications, increasing with age, in extra-hepatic connective tissues, namely arterioles, medium-sized arteries, lungs, and vibrissae. These ectopic calcifications were correlated with an increase in expression of several vitamin D direct targets, therefore raising the possibility that TIF1␣ could repress the vitamin D receptor (VDR) signaling pathway in vivo.