This study investigated the role of dermal fibroblasts in ectopic calcification using a cell culture model. The results show that calcification occurs slowly over time in cultured fibroblasts. Genetic studies implicate inorganic pyrophosphate (PPi) metabolism in calcification, and the results support that the process involves alterations in local PPi levels. Normal fibroblasts express proteins involved in PPi production and resorption, like NPP1 and TNAP. However, in a calcifying environment TNAP is highly upregulated, abolishing the inhibitory effects of PPi. This suggests TNAP plays a critical role by increasing inorganic phosphate levels needed for mineral deposition. Restoring extracellular PPi pools through TNAP inhibition can counteract mineral formation
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The role of fibroblast in ectopic calcification
1. The Role of Dermal Fibroblasts in
the Development of Ectopic
Calcifications
Giulia Annovi
Department of Life Sciences
University of Modena and Reggio Emilia
3. 5. Loss of “inhibitors”
4. Presence of “Bone Proteins”
1. Circulating nucleational complexes (high Ca / P)
2. Cell death
3. Proteolysis and ECM degradation
6. Angioid streaks
Haemorragies
Central vision loss
Papules
Skin laxity and redundancy
Cardiovascular
complications
Pseudoxanthoma elasticum
as soft connective tissue calcification model
11. The calcification process in a fibroblast cell culture
system is a slowly progressive event.
Fibroblast's phenotype could be different from that of
other mesenchymal cells.
12. Control PXE CM P CM C CM 20GG 6HPXE CM 20GG 6H
0
1
2
3
4
5
6
7
Control
PXE
ANKHgeneexpression
6h
6h
20d
DMEM CM CM
Control6 PXE6 Control6cm PXE6cm C XXg CM P xxg CM
0.0
0.5
1.0
1.5
2.0
2.5
Control
PXE
ANKH
(Relativebandintensity)
DMEM CM CM
6h 6h 20d
13. Control PXE CM P CM C Cm 20 GG 6HPXE CM 6H 20GG
0
10
20
PXE
Control
NPP1geneexpression
DMEM CM CM
6h 6h
20d
c 6h P 6h C 6h cm P 6h CM C XXg cm P XXg CM
0
1
2
3
4
Control
PXE
PC1
(Relativebandintensity)
DMEM CM CM
6h 6h
20d
14. C CM PXE CM
0
1
2
3
4
Control
PXE
4
14
24
34
ALPactivity(arbitraryunit)
DMEM CM CM CM
6h
6h
10d
20d
TNAP determins higher Pi levels.
16. # Genetic studies have implicated PPi metabolism in the development of
calcification, but this finding sustains the hypothesis that the calcification
process could be due to alterations in local PPi metabolism.
# Results indicate that NPP1, being capable to produce PPi
, is normally
expressed by human dermal fibroblasts and is significantly upregulated in a
calcifying environment.
# However, the potent inhibitory action of PPi is abolished by the
contemporary hyperactivation of TNAP, which is consistent with its critical role
in mineralization process.
# The higher upregulation of TNAP in PXE could be a condition associated
with ECM calcification.
# Restoration of PPi extracellular pool, by inhibiting TNAP activity, is able to
counteract mineral deposits formation.
Conclusions
17. Federica Boraldi
Roberta Tiozzo
Ivonne Ronchetti
Daniela Quaglino
University of Modena
Maria I. Garcia Fernandez
University of Malaga
Thanks to
Anne de Paepe
Olivier Vanakker
University of Ghent
Leon J.Schurgers
Cees Vermeer
University of Maastricht
18. Is it TNAP sufficient to induce ectopic calcification in PXE?
No,it is NECESSARY but NOT SUFFICIENT
50kDa
37kDa
Actin Control
3-10NL
50kDa
37kDa
Actin PXE
3-10NL
Gla-MGP Control
15kDa
10kDa
Gla-MGP PXE
15kDa
10kDa
MGP
19. Control PXE C 20GG 6h PXE 20GG 6H
0
1
2
3
4
Control
PXE
BMP2GENEexpression
6h
20d
Control6 PXE6
0.0
0.5
1.0
1.5 Control
PXE
BMP2
(Relativebandintensity)
6h
20d
BMP2