Macrophage-Derived Matrix Vesicles: An Alternative Novel Mechanism for Microcalcification in Atherosclerotic Plaques
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Rationale: We previously showed that early calcification of atherosclerotic plaques associates with macrophage accumulation. Chronic renal disease and mineral imbalance accelerate calcification and the subsequent release of matrix vesicles (MVs), precursors of microcalcification. Objective: We tested the hypothesis that macrophage-derived MVs contribute directly to microcalcification. Methods and Results: Macrophages associated with regions of calcified vesicular structures in human carotid plaques (n=136 patients). In vitro, macrophages released MVs with high calcification and aggregation potential. MVs expressed exosomal markers (CD9 and TSG101) and contained S100A9 and annexin V. Silencing S100A9 in vitro and genetic deficiency in S100A9 −/− mice reduced MV calcification, whereas stimulation with S100A9 increased calcification potential. Externalization of phosphatidylserine after Ca/P stimulation and interaction of S100A9 and annexin V indicated that a phosphatidylserine-annexin V-S100A9 membrane complex facilitates hydroxyapatite nucleation within the macrophage-derived MV membrane. Conclusions: Our results support the novel concept that macrophages release calcifying MVs enriched in S100A9 and annexin V, which contribute to accelerated microcalcification in chronic renal disease.
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In early fibroatheromas, calcification is observed as large granules in the necrotic core and surrounding ECM, resulting from interrelated processes including macrophage and VSMC-derived calcifying micro-vesicles, release of apoptotic bodies, or activity of osteochondrogenic cells.
“In early fibro-atheromas, calcification is observed as large granules in the necrotic core and surrounding ECM, resulting from a number of interrelated processes, including macrophage and VSMC-derived calcifying micro-vesicles 147-149 , release of apoptotic bodies 150 or the activity of osteochondrogenic cells 151 .”
From Vascular smooth muscle cells in atherosclerosis (2019) · cites this paper as [147]
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- Authors
- New, S. E. P., Goettsch, C., Aikawa, M., Marchini, J. F., Shibasaki, M., Yabusaki, K., Libby, P., Shanahan, C. M., Croce, K., & Aikawa, E.
- Affiliations
- Brigham and Women's Hospital (US)
- From the Center for Interdisciplinary Cardiovascular Sciences (S.E.P.N., C.G., M.A., M.S., K.Y., E.A.) and Cardiovascular Division and Center for Excellence in Vascular Biology, Cardiovascular Medicine (M.A., J.F.M., P.L., E.A.), Brigham and Women’s Hospital, Harvard Medical School, Boston, MA; and Cardiovascular Division, King’s College, London, United Kingdom (C.M.S.).
- ORCID
- Venue
- Circulation Research
- Published
- 2013-06-21
- Volume
- 113
- Issue
- 1
- Pages
- 72-77
- ISSN
- 0009-7330 (ISSN-L)
- 1524-4571
- PMC
- PMC3703850
- OpenAlex
- W4251327626
- Cited by
- 451
- References
- 16
- Citations by year
- 2026: 19 · 2025: 28 · 2024: 38 · 2023: 32 · 2022: 47 · 2021: 45 · 2020: 51 · 2019: 36 · 2018: 28 · 2017: 33 · 2016: 43 · 2015: 21 · 2014: 24 · 2013: 6
- FWCI
- 23.75
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Circulation Research (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Research Portal (King's College London) (submittedVersion)
- Funders
- Brigham and Women's Hospital
- Kowa Company
- British Heart Foundation (RG/11/14/29056)
- National Institutes of Health
- National Heart, Lung, and Blood Institute (K08HL086672, R01 HL 80472, R01HL114805, R01HL080472)
- Topics
- Health Sciences › Medicine › Nephrology › Parathyroid Disorders and Treatments
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Extracellular vesicles in disease
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › S100 Proteins and Annexins
- Keywords
- microcalcifications, atherosclerotic plaque calcification, S100A9, annexin V, phosphatidylserine, hydroxyapatite nucleation, chronic kidney disease, carotid plaque, exosomes, macrophage aggregation, mineral imbalance
- MeSH terms
- Animals, Apolipoproteins E, Calcinosis, Calcium, Carotid Artery Diseases, Cell Line, Humans, Macrophages, Membrane Lipids, Membrane Proteins, Mice, Inbred C57BL, Phosphatidylserines, Phosphorus, Annexin A5, Macrophages, Peritoneal, Durapatite, Mice, Knockout, Cytoplasmic Vesicles, RNA Interference, RNA, Small Interfering, Calgranulin B, Mice, Plaque, Atherosclerotic
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