Medial vascular calcification revisited: review and perspectives

Eur Heart J. 2014 Jun 14;35(23):1515-25. doi: 10.1093/eurheartj/ehu163. Epub 2014 Apr 16.

Abstract

Vascular calcifications (VCs) are actively regulated biological processes associated with crystallization of hydroxyapatite in the extracellular matrix and in cells of the media (VCm) or intima (VCi) of the arterial wall. Both patterns of VC often coincide and occur in patients with type II diabetes, chronic kidney disease, and other less frequent disorders; VCs are also typical in senile degeneration. In this article, we review the current state of knowledge about the pathology, molecular biology, and nosology of VCm, expand on potential mechanisms responsible for poor prognosis, and expose some of the directions for future research in this area.

Keywords: Mönckeberg's media sclerosis; Vascular calcifications; Vascular function; Vascular molecular biology and genetics.

Publication types

  • Review

MeSH terms

  • Adult
  • Arteriosclerosis / pathology
  • Arteriosclerosis / physiopathology
  • Biomarkers / metabolism
  • Calcium-Binding Proteins / physiology
  • Diabetes Mellitus, Type 2 / pathology
  • Diabetes Mellitus, Type 2 / physiopathology
  • Diabetic Angiopathies / pathology
  • Diabetic Angiopathies / physiopathology
  • Female
  • Humans
  • Hyperphosphatemia / physiopathology
  • Male
  • Monckeberg Medial Calcific Sclerosis / pathology
  • Monckeberg Medial Calcific Sclerosis / physiopathology
  • Monckeberg Medial Calcific Sclerosis / therapy
  • Phosphates / physiology
  • Prognosis
  • Renal Insufficiency, Chronic / physiopathology
  • Terminology as Topic
  • Tunica Intima / pathology
  • Tunica Intima / physiopathology
  • Tunica Media / pathology
  • Tunica Media / physiopathology
  • Vascular Calcification / pathology*
  • Vascular Calcification / physiopathology
  • Vascular Calcification / therapy

Substances

  • Biomarkers
  • Calcium-Binding Proteins
  • Phosphates