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Modulation of Human Valve Interstitial Cell Phenotype and Function Using a Fibroblast Growth Factor 2 Formulation
Open accessAbstract
Valve interstitial cells (VICs) are fibroblastic in nature however in culture it is widely accepted that they differentiate into a myofibroblastic phenotype. This study assessed a fibroblast culture media formulation for its ability to maintain the phenotype and function of VICs as in the intact healthy valve. Normal human VICs were cultured separately in standard DMEM and in fibroblast media consisting of FGF2 (10 ng/ml), insulin (50 ng/ml) and 2% FCS for at least a week. Cell morphology, aspect ratio, size, levels and distribution of protein expression, proliferation, cell cycle, contraction and migration were assessed. Some VICs and some valve endothelial cells expressed FGF2 in valve tissue and this expression was increased in calcified valves. VICs in DMEM exhibited large, spread cells whereas VICs in fibroblast media were smaller, elongated and spindly. Aspect ratio and size were both significantly higher in DMEM (p<0.01). The level of expression of α-SMA was significantly reduced in fibroblast media at day 2 after isolation (p<0.01) and the expression of α-SMA, SM22 and EDA-fibronectin was significantly reduced in fibroblast media at days 7 and 12 post-isolation (p<0.01). Expression of cytoskeletal proteins, bone marker proteins and extracellular matrix proteins was reduced in fibroblast media. Proliferation of VICs in fibroblast media was significantly reduced at weeks 1 (p<0.05) and 2 (p<0.01). Collagen gel contraction was significantly reduced in fibroblast media (p<0.05). VICs were found to have significantly fewer and smaller focal adhesions in fibroblast media (p<0.01) with significantly fewer supermature focal adhesions in fibroblast media (p<0.001). Ultrastructurally, VICs in fibroblast media resembled native VICs from intact valves. VICs in fibroblast media demonstrated a slower migratory ability after wounding at 72 hours (p<0.01). Treatment of human VICs with this fibroblast media formulation has the ability to maintain and to dedifferentiate the VICs back to a fibroblastic phenotype with phenotypic and functional characteristics ascribed to cells in the intact valve. This methodology is fundamental in the study of normal valve biology, pathology and in the field of tissue engineering.
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Transition of VICs into myofibroblast-like cells is an early process in the development of CAVS.
“Data have consistently shown that transition of VICs into myofibroblast-like cells was an early process in the development of CAVS (Latif et al., 2015; Schlotter et al., 2018; Taylor et al., 2000).”
From Enhancer-associated aortic valve stenosis risk locus 1p21.2 alters NFATC2 binding site and promotes fibrogenesis (2021) · cites this paper as Latif et al., 2015
The Introduction reports that VICs become reactivated to a myofibroblastic phenotype during valve sclerosis and stenosis. It does not establish that this transition occurs early in the development of calcific aortic valve stenosis; the rapid transition described in the Discussion occurs in culture, not during disease progression. (LLM, conf=0.85)
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Self-citationAdditional file 2 of Sex-specific role of galectin-3 in aortic stenosis
Matilla, L., Martín‐Núñez, E., Garaikoetxea, M., Navarro, A., Tamayo, I., Fernández‐Celis, A., Gainza, A., Fernández‐Irigoyen, J., Santamaría, E., Muntendam, P., et al. (2024) · Figshare · doi:10.6084/m9.figshare.24432124
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Additional file 1 of Sex-specific role of galectin-3 in aortic stenosis
Matilla, L., Martín‐Núñez, E., Garaikoetxea, M., Navarro, A., Tamayo, I., Fernández‐Celis, A., Gainza, A., Fernández-Irigoyen, J., Santamaría, E., Muntendam, P., et al. (2023) · Figshare · doi:10.6084/m9.figshare.24431979
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Role of microparticles in aortic valve thrombogenecity
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Maria, L. D. (2025) · theses.fr (ABES) · doi:10.70675/011c77f6zbfdez4604z9c0az43008441e420
Metadata
- Authors
- Latif, N., Quillon, A., Sarathchandra, P., McCormack, A., Lozanoski, A., Yacoub, M. H., & Chester, A. H.
- Affiliations
- Harefield Hospital (GB)
- Lyon 1 Université (FR)
- Corresponding author
- Latif, Najma
- Venue
- PLOS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2015-06-04
- Volume
- 10
- Issue
- 6
- Pages
- e0127844
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC4456368
- OpenAlex
- W1521574455
- Cited by
- 85
- References
- 43
- Citations by year
- 2026: 2 · 2025: 7 · 2024: 8 · 2023: 10 · 2022: 12 · 2021: 9 · 2020: 9 · 2019: 6 · 2018: 5 · 2017: 14 · 2016: 3
- FWCI
- 5.34
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Figshare (submittedVersion, cc-by)
- Spiral (Imperial College London) (submittedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Valve Diseases and Treatments
- Health Sciences › Medicine › Surgery › Tissue Engineering and Regenerative Medicine
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Mesenchymal stem cell research
- Keywords
- valvular interstitial cells, fibroblast growth factor 2, alpha-smooth muscle actin, focal adhesions, cell migration, cell proliferation, collagen gel contraction, valve calcification, extracellular matrix, endothelial cells, heart valve tissue engineering
- MeSH terms
- Actins, Adolescent, Adult, Aortic Valve, Cell Movement, Cells, Cultured, Child, Culture Media, Flow Cytometry, Humans, Middle Aged, Phenotype, Time Factors, Fibroblast Growth Factor 2, Focal Adhesions, Cell Proliferation, Young Adult, Interstitial Cells of Cajal
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