Summary
Vascular calcification is characterized by cellular transdifferentiation and expression
of bone-related matrix proteins that result in the presence of bone-like structures
in the vascular wall. Interleukin (IL)-4, a pleiotropic cytokine, and osteoprotegerin
(OPG), an essential regulator of osteoclast biology, have both been linked to vascular
disease. Here, we assessed the role of IL-4 and OPG in vascular calcification in vitro. IL-4 induced OPG mRNA levels and protein secretion by 5-fold in a dose-and time-dependent
fashion in human coronary artery smooth muscle cells (CASMC). Activation of the transcription
factor STAT6 preceded IL-4-induced OPG expression, and blockade of IL-4-induced STAT6
activation by the phospholipase C inhibitor D609 decreased OPG expression. Long-term
exposure of IL-4 for 4 weeks resulted in transformation of CASMC towards an osteoblastic
phenotype, based on the expression of the transcription factor Cbfa1 and increased
mineral deposition. Notably, calcification of CASMC was inhibited by gene silencing
of Cbfa1. During osteogenic transformation, IL-4 down-regulated OPG production in
CASMC. IL-4 has differential effects in CASMC: While short-term exposure enhances
OPG production through a STAT6-dependent mechanism, long-term exposure causes Cbfa1-dependent
osteogenic transformation anda decreased production of OPG, an inhibitor of bone resorption.
Keywords
Cbfa1 - interleukin-4 - osteoprotegerin - smooth muscle cells - vascular calcification