Aortic & peripheral vascular disease

Carbonylation of Runx2 at K176 by 4-Hydroxynonenal Accelerates Vascular Calcification

CirculationPublished Mechanistic study

Authors' conclusion

Our results suggest that 4-HNE increases Runx2 stabilization by directly carbonylating its K176 site and promotes vascular calcification.

Study context

Population
Patients with CKD and controls; donor coronary plaques; patients with CAD undergoing coronary CT angiography; ALDH2 knockout, smooth muscle cell-specific knockout and transgenic mice; mouse and human aortic smooth muscle cellsCAD patients, rs671 analysis
Participants
658 patients

Main finding

As reported in the abstract

  • Elevated 4-HNE levels in serum of CKD patients and model mice, and in calcified artery sections
  • ALDH2 knockout or smooth muscle cell-specific ALDH2 knockout accelerated vascular calcification in mice; overexpression or activation prevented it
  • CAD patients with ALDH2 rs671 mutation developed more severe coronary calcification
  • 4-HNE promoted calcification and osteochondrogenic differentiation of mouse and human aortic smooth muscle cells in vitro
  • 4-HNE increased Runx2; its pro-calcification effect was ablated by Runx2 knockdown
  • Mutation of Runx2 at K176 reduced its carbonylation and eliminated 4-HNE-induced Runx2 upregulation

Original publication

Carbonylation of Runx2 at K176 by 4-Hydroxynonenal Accelerates Vascular Calcification. Circulation. Published 13 February 2024. doi:10.1161/circulationaha.123.065830

Summarised from the published abstract; every number is checked against it

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