RT info:eu-repo/semantics/article T1 Phenotypic modulation of cultured primary human aortic vascular smooth muscle cells by uremic serum A1 Cazaña Pérez, Violeta A1 Cidad Velasco, María del Pilar A1 Donate Correa, Javier A1 Martín Núñez, Ernesto A1 López López, José Ramón A1 Pérez García, María Teresa A1 Giráldez Fernández, Teresa A1 Navarro González, Juan Francisco A1 Álvarez de la Rosa, Diego K1 Vascular calcification K1 Calcificación vascular K1 Uremia K1 Chronic kidney disease K1 Enfermedad renal crónica K1 Apoptosis K1 Human aorta K1 Arteria aorta AB Patients with chronic kidney disease (CKD) have a markedly increased incidence of cardiovascular disease (CVD). The high concentration of circulating uremic toxins and alterations in mineral metabolism and hormone levels produce vascular wall remodeling and significant vascular damage. Medial calcification is an early vascular event in CKD patients and is associated to apoptosis or necrosis and trans-differentiation of vascular smooth muscle cells (VSMC) to an osteogenic phenotype. VSMC obtained from bovine or rat aorta and cultured in the presence of increased inorganic phosphate (Pi) have been extensively used to study these processes. In this study we used human aortic VSMC primary cultures to compare the effects of increased Pi to treatment with serum obtained from uremic patients. Uremic serum induced calcification, trans-differentiation and phenotypic remodeling even with normal Pi levels. In spite of similar calcification kinetics, there were fundamental differences in osteochondrogenic marker expression and alkaline phosphatase induction between Pi and uremic serum-treated cells. Moreover, high Pi induced a dramatic decrease in cell viability, while uremic serum preserved it. In summary, our data suggests that primary cultures of human VSMC treated with serum from uremic patients provides a more informative model for the study of vascular calcification secondary to CKD. PB Frontiers SN 1664-042X YR 2018 FD 2018 LK http://uvadoc.uva.es/handle/10324/44479 UL http://uvadoc.uva.es/handle/10324/44479 LA eng NO Frontiers in Physiology, 2018, vol 9, n. 89. 14 p. NO Producción Científica DS UVaDOC RD 28-nov-2024