Valvular & structural heart disease

Iron alters valvular interstitial cell function and is associated with calcification in aortic stenosis

Eur Heart JPublished Mechanistic study

Authors' conclusion

Iron, which may accumulate in the aortic valve by means of intraleaflet haemorrhages, can be taken up by VIC in a pro-inflammatory environment and actively contribute to VIC proliferation, ECM remodelling and calcification.

Study context

Population
Human aortic valves with AS; valvular interstitial cells (VIC)

Main finding

As reported in the abstract

  • Valvular iron accumulation (Perls' staining) increased with extent of calcification
  • Iron-containing valve regions showed increased expression of genes involved in extracellular matrix (ECM) remodelling and calcification (qRT-PCR)
  • Iron transporters regulated by pathways with major impact on AS
  • VIC take up and accumulate iron, resulting in increased proliferation and decreased elastin production

Original publication

Iron alters valvular interstitial cell function and is associated with calcification in aortic stenosis. Eur Heart J. Published 18 April 2016. doi:10.1093/eurheartj/ehw122

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

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