Evidence map›Paper›PMID 31893948›Full record

ArticleArteriosclerosis, thrombosis, and vascular biology2020

NFκB (Nuclear Factor κ-Light-Chain Enhancer of Activated B Cells) Activity Regulates Cell-Type-Specific and Context-Specific Susceptibility to Calcification in the Aortic Valve.

Terence Gee, Emily Farrar, Yidong Wang, Bingruo Wu, Kevin Hsu, Bin Zhou, Jonathan Butcher

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Arteriosclerosis, thrombosis, and vascular biology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
3.1field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 42 citations in OpenAlex.

  1. Review
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  6. Effects of Cytokines (or Activating Factors) on Arterial Endothelial Cells.International journal of molecular sciences · 2025
    Review
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  8. Modulation of mechanosensitive genes during embryonic aortic arch development.Developmental dynamics : an official publication of the American Association of Anatomists · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Terence GeeFrom the Meinig School of Biomedical Engineering, Cornell University, Ithaca, NY (T.G., E.F., K.H., J.B.).
Emily FarrarFrom the Meinig School of Biomedical Engineering, Cornell University, Ithaca, NY (T.G., E.F., K.H., J.B.).
Yidong WangDepartment of Genetics, Pediatrics, and Medicine (Cardiology), Wilf Cardiovascular Research Institute, Albert Einstein College of Medicine, Bronx, NY (Y.W., B.W., B.Z.).
Bingruo WuDepartment of Genetics, Pediatrics, and Medicine (Cardiology), Wilf Cardiovascular Research Institute, Albert Einstein College of Medicine, Bronx, NY (Y.W., B.W., B.Z.).
Kevin HsuFrom the Meinig School of Biomedical Engineering, Cornell University, Ithaca, NY (T.G., E.F., K.H., J.B.).
Bin ZhouDepartment of Genetics, Pediatrics, and Medicine (Cardiology), Wilf Cardiovascular Research Institute, Albert Einstein College of Medicine, Bronx, NY (Y.W., B.W., B.Z.).
Jonathan ButcherFrom the Meinig School of Biomedical Engineering, Cornell University, Ithaca, NY (T.G., E.F., K.H., J.B.).
Cornell University · US

Funding

Endothelial-Interstitial Interactions in Aortic Valve Homeostasis and DiseaseR01HL143247 · NHLBI · CORNELL UNIVERSITY · PI BUTCHER, JONATHAN TALBOT · 2018 to 2022
$2.4M
Molecular and Cellular Mechanisms of Calcific Aortic StenosisR01HL111770 · NHLBI · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI ZHOU, BIN · 2012 to 2015
$2.3M
TRANSCRIPTIONAL REGULATION OF ENDOCARDIAL DEVELOPMENTR01HL078881 · NHLBI · VANDERBILT UNIVERSITY · PI ZHOU, BIN · 2006 to 2010
$2.0M
Adhesive signaling in aortic valve development and diseaseR01HL128745 · NHLBI · CORNELL UNIVERSITY · PI BUTCHER, JONATHAN TALBOT · 2015 to 2018
$1.5M
Effects of hydroxyapatite mineralization and valve cell phenotypeR21HL118672 · NHLBI · CORNELL UNIVERSITY · PI BUTCHER, JONATHAN TALBOT · 2013 to 2014
$405k
NHLBI NIH HHS R01 HL078881NHLBI NIH HHS R01 HL111770NHLBI NIH HHS R01 HL128745NHLBI NIH HHS R01 HL143247NHLBI NIH HHS R21 HL118672
6 · The paper itself

Abstract

objectiveAlthough often studied independently, little is known about how aortic valve endothelial cells and valve interstitial cells interact collaborate to maintain tissue homeostasis or drive valve calcific pathogenesis. Inflammatory signaling is a recognized initiator of valve calcification, but the cell-type-specific downstream mechanisms have not been elucidated. In this study, we test how inflammatory signaling via NFκB (nuclear factor κ-light-chain enhancer of activated B cells) activity coordinates unique and shared mechanisms of valve endothelial cells and valve interstitial cells differentiation during calcific progression. Approach and Results: Activated NFκB was present throughout the calcific aortic valve disease (CAVD) process in both endothelial and interstitial cell populations in an established mouse model of hypercholesterolemia-induced CAVD and in human CAVD. NFκB activity induces endothelial to mesenchymal transformation in 3-dimensional cultured aortic valve endothelial cells and subsequent osteogenic calcification of transformed cells. Similarly, 3-dimensional cultured valve interstitial cells calcified via NFκB-mediated osteogenic differentiation. NFκB-mediated endothelial to mesenchymal transformation was directly demonstrated in vivo during CAVD via genetic lineage tracking. Genetic deletion of NFκB in either whole valves or valve endothelium only was sufficient to prevent valve-specific molecular and cellular mechanisms of CAVD in vivo despite the persistence of a CAVD inducing environment.

conclusionsOur results identify NFκB signaling as an essential molecular regulator for both valve endothelial and interstitial participation in CAVD pathogenesis. Direct demonstration of valve endothelial cell endothelial to mesenchymal transformation transmigration in vivo during CAVD highlights a new cellular population for further investigation in CAVD morbidity. The efficacy of valve-specific NFκB modulation in inhibiting hypercholesterolemic CAVD suggests potential benefits of multicell type integrated investigation for biological therapeutic development and evaluation for CAVD.

Indexed as

Cell DifferentiationOsteogenesisAnimalsAortic ValveCalcinosisCells, CulturedCellular MicroenvironmentDisease Models, AnimalEndothelial CellsHeart Valve DiseasesHumansHypercholesterolemiaI-kappa B KinaseMice, Inbred C57BLMice, TransgenicNFATC Transcription FactorsI-kappa B KinaseIkbkb protein, mouseNFATC Transcription FactorsNF-kappa BReceptors, LDLRELA protein, humanRela protein, mouseTranscription Factor RelAaortic valveendothelial cellhomeostasishypercholesterolemiaosteocalcin

Identifiers

PMID31893948
PMCPMC7388286
OpenAlexW2998699612

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.