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The Role of Dermal Fibroblasts in
the Development of Ectopic
Calcifications
Giulia Annovi
Department of Life Sciences
University of Modena and Reggio Emilia
Calcification
Biological
mineralization
Ectopic
calcification
Physiological process
Bone - Teeth
Cell-mediated process
Regulated by proteins, ions,
functional molecules
Pathological process
Soft connective tissues
Cell-mediated process
Induced by several mechanisms
5. Loss of “inhibitors”
4. Presence of “Bone Proteins”
1. Circulating nucleational complexes (high Ca / P)
2. Cell death
3. Proteolysis and ECM degradation
Cell
Inhibitors:
ANKH
PC-1
MGP
Osteopontin
PPi
Stimulators:
Matrix vesicles
ANKH
PC-1
Annexins
Apoptotic bodies
TNAP
Type I, II, X collagen
Pi
Mineral formation
(Kirsch, 2006)
Osteoarthritis
Ankylosing Spondylitis
Keutel Syndrome
Aging
Atherosclerosis
Aging
Chronic renal failure
Diabetes
Bone formation
Osteopetrosis
Aging
Osteoblasts
Vascular Smooth
Muscle Cells
Chondrocytes
Fibroblasts?
Mesenchymal cells which are resident in a tissue that is only rarely affected by
mineralization process.
Angioid streaks
Haemorragies
Central vision loss
Papules
Skin laxity and redundancy
Cardiovascular
complications
Pseudoxanthoma elasticum
as soft connective tissue calcification model
SEM
analysis
Calcifying Medium
Ascorbic Acid
β glicerophosphate
Dexamethasone
Day10Day40Day30Day20
DMEM CMHuman
Dermal
Fibroblasts
Day20Day30Day40
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.
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
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
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.
DMEM CM
CM +100 uM
Levamisole
Control
PXE
# 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
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
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
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
The role of fibroblast in ectopic calcification

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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
  • 2. Calcification Biological mineralization Ectopic calcification Physiological process Bone - Teeth Cell-mediated process Regulated by proteins, ions, functional molecules Pathological process Soft connective tissues Cell-mediated process Induced by several mechanisms
  • 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
  • 5. Osteoarthritis Ankylosing Spondylitis Keutel Syndrome Aging Atherosclerosis Aging Chronic renal failure Diabetes Bone formation Osteopetrosis Aging Osteoblasts Vascular Smooth Muscle Cells Chondrocytes Fibroblasts? Mesenchymal cells which are resident in a tissue that is only rarely affected by mineralization process.
  • 6. Angioid streaks Haemorragies Central vision loss Papules Skin laxity and redundancy Cardiovascular complications Pseudoxanthoma elasticum as soft connective tissue calcification model
  • 8. Calcifying Medium Ascorbic Acid β glicerophosphate Dexamethasone
  • 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.
  • 15. DMEM CM CM +100 uM Levamisole Control PXE
  • 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