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Cited by 353

The DOI matches its Crossref record; 74 of the 74 references it cites were found in a registry or an index.

Inflammatory, Metabolic, and Genetic Mechanisms of Vascular Calcification

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Demer, Linda L., Tintut, Yin·2014·Arteriosclerosis, Thrombosis, and Vascular Biology

Abstract

This review centers on updating the active research area of vascular calcification. This pathology underlies substantial cardiovascular morbidity and mortality, through adverse mechanical effects on vascular compliance, vasomotion, and, most likely, plaque stability. Biomineralization is a complex, regulated process occurring widely throughout nature. Decades ago, its presence in the vasculature was considered a mere curiosity and an unregulated, dystrophic process that does not involve biological mechanisms. Although it remains controversial whether the process has any adaptive value or past evolutionary advantage, substantial advances have been made in understanding the biological mechanisms driving the process. Different types of calcific vasculopathy, such as inflammatory versus metabolic, have parallel mechanisms in skeletal bone calcification, such as intramembranous and endochondral ossification. Recent work has identified important regulatory roles for inflammation, oxidized lipids, elastin, alkaline phosphatase, osteoprogenitor cells, matrix γ-carboxyglutamic acid protein, transglutaminase, osteoclastic regulatory factors, phosphate regulatory hormones and receptors, apoptosis, prelamin A, autophagy, and microvesicles or microparticles similar to the matrix vesicles of skeletal bone. Recent work has uncovered fascinating interactions between matrix γ-carboxyglutamic acid protein, vitamin K, warfarin, and transport proteins. And, lastly, recent breakthroughs in inherited forms of calcific vasculopathy have identified the genes responsible as well as an unexpected overlap of phenotypes. Until recently, vascular calcification was considered a purely degenerative, unregulated process. Since then, investigative groups around the world have identified a wide range of causative mechanisms and regulatory pathways, and some of the recent developments are highlighted in this review.

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Metadata

Authors
Demer, L. L., & Tintut, Y.
Venue
Arteriosclerosis, Thrombosis, and Vascular Biology
Published
2014-04
Volume
34
Issue
4
Pages
715-723
ISSN
  • 1079-5642 (ISSN-L)
  • 1524-4636
OpenAlex
W2152713621
Cited by
353
References
74
FWCI
20.21
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Inflammatory, Metabolic, and Genetic Mechanisms of Vascular Calcification. https://app.cochat.ai/papers/10.1161/atvbaha.113.302070
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Demer, L. L., & Tintut, Y. (2014). Inflammatory, Metabolic, and Genetic Mechanisms of Vascular Calcification. Arteriosclerosis, Thrombosis, and Vascular Biology. https://doi.org/10.1161/atvbaha.113.302070

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.