Hepatic Steatosis Aggravates Vascular Calcification via Extracellular Vesicle‐Mediated Osteochondrogenic Switch of Vascular Smooth Muscle Cells

Abstract The global incidence of metabolic dysfunction‐associated fatty liver disease (MAFLD) has risen sharply. This condition is strongly associated with the risk of cardiovascular disease (CVD), but how MAFLD affects the development and progression of CVD, particularly concerning vascular calcifi...

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Main Authors: Zhao‐Lin Zeng, Zhi‐Bo Zhao, Qing Yuan, Shi‐Qi Yang, Zhen‐Xing Wang, Zuo Wang, Shi‐Yu Zeng, An‐Qi Li, Qian Chen, Guo‐Qiang Zhu, Xin‐Hua Xiao, Guang‐Hua Luo, Hai‐Yan Luo, Jiao‐Yang Li, Xu‐Yu Zu, Hui Xie, Jiang‐Hua Liu
Format: Article
Language:English
Published: Wiley 2025-02-01
Series:Advanced Science
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Online Access:https://doi.org/10.1002/advs.202408660
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author Zhao‐Lin Zeng
Zhi‐Bo Zhao
Qing Yuan
Shi‐Qi Yang
Zhen‐Xing Wang
Zuo Wang
Shi‐Yu Zeng
An‐Qi Li
Qian Chen
Guo‐Qiang Zhu
Xin‐Hua Xiao
Guang‐Hua Luo
Hai‐Yan Luo
Jiao‐Yang Li
Xu‐Yu Zu
Hui Xie
Jiang‐Hua Liu
author_facet Zhao‐Lin Zeng
Zhi‐Bo Zhao
Qing Yuan
Shi‐Qi Yang
Zhen‐Xing Wang
Zuo Wang
Shi‐Yu Zeng
An‐Qi Li
Qian Chen
Guo‐Qiang Zhu
Xin‐Hua Xiao
Guang‐Hua Luo
Hai‐Yan Luo
Jiao‐Yang Li
Xu‐Yu Zu
Hui Xie
Jiang‐Hua Liu
author_sort Zhao‐Lin Zeng
collection DOAJ
description Abstract The global incidence of metabolic dysfunction‐associated fatty liver disease (MAFLD) has risen sharply. This condition is strongly associated with the risk of cardiovascular disease (CVD), but how MAFLD affects the development and progression of CVD, particularly concerning vascular calcification, remains unclear. Herein, extracellular vesicles (EVs) are identified from steatotic hepatocytes as a trigger that accelerated the progression of both vascular intimal and medial calcification. Steatotic hepatocytes are found to release more EVs, which are able to reach the vascular tissue, be taken up by vascular smooth muscle cells (VSMCs), and promote their osteogenic differentiation. Within these toxic vesicles, a protein cargo is identified called lectin galactoside‐binding soluble 3 binding protein (Lgals3bp) that acted as a potent inducer of osteochondrogenic transformation in VSMCs. Both the inhibition of EV release and the liver‐specific knockdown of Lgals3bp profoundly attenuated vascular calcification. This work partially explains the reason for the high incidence of vascular calcification in MAFLD and unveils a novel mechanism that may be used to prevent or treat cardiovascular complications in patients with MAFLD.
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spelling doaj-art-c1a50c6b15bf498a877ad21df68ab73d2025-02-04T13:14:55ZengWileyAdvanced Science2198-38442025-02-01125n/an/a10.1002/advs.202408660Hepatic Steatosis Aggravates Vascular Calcification via Extracellular Vesicle‐Mediated Osteochondrogenic Switch of Vascular Smooth Muscle CellsZhao‐Lin Zeng0Zhi‐Bo Zhao1Qing Yuan2Shi‐Qi Yang3Zhen‐Xing Wang4Zuo Wang5Shi‐Yu Zeng6An‐Qi Li7Qian Chen8Guo‐Qiang Zhu9Xin‐Hua Xiao10Guang‐Hua Luo11Hai‐Yan Luo12Jiao‐Yang Li13Xu‐Yu Zu14Hui Xie15Jiang‐Hua Liu16Department of Metabolism and Endocrinology The First Affiliated Hospital, Hengyang Medical School University of South China Hengyang Hunan 421001 P. R. ChinaDepartment of Metabolism and Endocrinology The First Affiliated Hospital, Hengyang Medical School University of South China Hengyang Hunan 421001 P. R. ChinaDepartment of Metabolism and Endocrinology The First Affiliated Hospital, Hengyang Medical School University of South China Hengyang Hunan 421001 P. R. ChinaDepartment of Metabolism and Endocrinology The First Affiliated Hospital, Hengyang Medical School University of South China Hengyang Hunan 421001 P. R. ChinaDepartment of Orthopedics Movement System Injury and Repair Research Center National Clinical Research Center for Geriatric Disorders Hunan Key Laboratory of Angmedicine Xiangya Hospital Central South University Changsha Hunan 410008 P. R. ChinaInstitute of Cardiovascular Disease Key Lab for Arteriosclerology of Hunan Province Hengyang Medical School University of South China Hengyang Hunan 421001 P. R. ChinaDepartment of Metabolism and Endocrinology The First Affiliated Hospital, Hengyang Medical School University of South China Hengyang Hunan 421001 P. R. ChinaDepartment of Metabolism and Endocrinology The First Affiliated Hospital, Hengyang Medical School University of South China Hengyang Hunan 421001 P. R. ChinaDepartment of Metabolism and Endocrinology The First Affiliated Hospital, Hengyang Medical School University of South China Hengyang Hunan 421001 P. R. ChinaDepartment of Orthopedics Movement System Injury and Repair Research Center National Clinical Research Center for Geriatric Disorders Hunan Key Laboratory of Angmedicine Xiangya Hospital Central South University Changsha Hunan 410008 P. R. ChinaDepartment of Metabolism and Endocrinology The First Affiliated Hospital, Hengyang Medical School University of South China Hengyang Hunan 421001 P. R. ChinaDepartment of Radiology The First Affiliated Hospital Hengyang Medical School University of South China Hengyang Hunan 421001 P. R. ChinaDepartment of Gastroenterology The First Affiliated Hospital Hengyang Medical School University of South China Hengyang Hunan 421001 P. R. ChinaDepartment of Occupational and Environmental Health School of Public Health Wuhan University Wuhan 430071 P. R. ChinaDepartment of Metabolism and Endocrinology The First Affiliated Hospital, Hengyang Medical School University of South China Hengyang Hunan 421001 P. R. ChinaDepartment of Orthopedics Movement System Injury and Repair Research Center National Clinical Research Center for Geriatric Disorders Hunan Key Laboratory of Angmedicine Xiangya Hospital Central South University Changsha Hunan 410008 P. R. ChinaDepartment of Metabolism and Endocrinology The First Affiliated Hospital, Hengyang Medical School University of South China Hengyang Hunan 421001 P. R. ChinaAbstract The global incidence of metabolic dysfunction‐associated fatty liver disease (MAFLD) has risen sharply. This condition is strongly associated with the risk of cardiovascular disease (CVD), but how MAFLD affects the development and progression of CVD, particularly concerning vascular calcification, remains unclear. Herein, extracellular vesicles (EVs) are identified from steatotic hepatocytes as a trigger that accelerated the progression of both vascular intimal and medial calcification. Steatotic hepatocytes are found to release more EVs, which are able to reach the vascular tissue, be taken up by vascular smooth muscle cells (VSMCs), and promote their osteogenic differentiation. Within these toxic vesicles, a protein cargo is identified called lectin galactoside‐binding soluble 3 binding protein (Lgals3bp) that acted as a potent inducer of osteochondrogenic transformation in VSMCs. Both the inhibition of EV release and the liver‐specific knockdown of Lgals3bp profoundly attenuated vascular calcification. This work partially explains the reason for the high incidence of vascular calcification in MAFLD and unveils a novel mechanism that may be used to prevent or treat cardiovascular complications in patients with MAFLD.https://doi.org/10.1002/advs.202408660atherosclerosisextracellular vesiclesLgals3bpMAFLDvascular calcification
spellingShingle Zhao‐Lin Zeng
Zhi‐Bo Zhao
Qing Yuan
Shi‐Qi Yang
Zhen‐Xing Wang
Zuo Wang
Shi‐Yu Zeng
An‐Qi Li
Qian Chen
Guo‐Qiang Zhu
Xin‐Hua Xiao
Guang‐Hua Luo
Hai‐Yan Luo
Jiao‐Yang Li
Xu‐Yu Zu
Hui Xie
Jiang‐Hua Liu
Hepatic Steatosis Aggravates Vascular Calcification via Extracellular Vesicle‐Mediated Osteochondrogenic Switch of Vascular Smooth Muscle Cells
Advanced Science
atherosclerosis
extracellular vesicles
Lgals3bp
MAFLD
vascular calcification
title Hepatic Steatosis Aggravates Vascular Calcification via Extracellular Vesicle‐Mediated Osteochondrogenic Switch of Vascular Smooth Muscle Cells
title_full Hepatic Steatosis Aggravates Vascular Calcification via Extracellular Vesicle‐Mediated Osteochondrogenic Switch of Vascular Smooth Muscle Cells
title_fullStr Hepatic Steatosis Aggravates Vascular Calcification via Extracellular Vesicle‐Mediated Osteochondrogenic Switch of Vascular Smooth Muscle Cells
title_full_unstemmed Hepatic Steatosis Aggravates Vascular Calcification via Extracellular Vesicle‐Mediated Osteochondrogenic Switch of Vascular Smooth Muscle Cells
title_short Hepatic Steatosis Aggravates Vascular Calcification via Extracellular Vesicle‐Mediated Osteochondrogenic Switch of Vascular Smooth Muscle Cells
title_sort hepatic steatosis aggravates vascular calcification via extracellular vesicle mediated osteochondrogenic switch of vascular smooth muscle cells
topic atherosclerosis
extracellular vesicles
Lgals3bp
MAFLD
vascular calcification
url https://doi.org/10.1002/advs.202408660
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