Evidence map›Paper›PMID 36670446›Full record

ArticleCell communication and signaling : CCS2023

Myeloid CCN3 protects against aortic valve calcification.

Peinan Tu, Qian Xu, Xianming Zhou, Nicolas Villa-Roel, Sandeep Kumar, Nianguo Dong, Hanjoong Jo, Caiwen Ou, Zhiyong Lin

Open access · goldAbstract readVideo-Audio Media
In one paragraph

Article in Cell communication and signaling : CCS, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Macrophages as key modulators of calcific aortic valve disease.Frontiers in cardiovascular medicine · 2025
    Review
  5. Review
  6. Article
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

9 authors at 7 institutions in 2 countries.

Peinan Tu *Cardiology Division, Emory University School of Medicine, 101 Woodruff Circle, Room 3004, Atlanta, GA, 30322, USA.
Qian Xu *Cardiology Division, Emory University School of Medicine, 101 Woodruff Circle, Room 3004, Atlanta, GA, 30322, USA.
Xianming Zhou *Cardiology Division, Emory University School of Medicine, 101 Woodruff Circle, Room 3004, Atlanta, GA, 30322, USA.
Nicolas Villa-RoelWallace H. Coulter Department of Biomedical Engineering, Emory University and Georgia Institute of Technology, Atlanta, GA, USA.
Sandeep KumarWallace H. Coulter Department of Biomedical Engineering, Emory University and Georgia Institute of Technology, Atlanta, GA, USA.
Nianguo DongDepartment of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Hanjoong JoWallace H. Coulter Department of Biomedical Engineering, Emory University and Georgia Institute of Technology, Atlanta, GA, USA.
Caiwen OuAffiliated Dongguan Hospital Southern Medical University (Dongguan People's Hospital), Dongguan, 523058, China. oucaiwen@smu.edu.cn.
Zhiyong LinCardiology Division, Emory University School of Medicine, 101 Woodruff Circle, Room 3004, Atlanta, GA, 30322, USA. zhiyong.lin@emory.edu.
Georgia Institute of Technology · USCentral South University · CNDongguan People’s Hospital · CNEmory University · USHuazhong University of Science and Technology · CNSouthern Medical University · CNUnion Hospital · CN

Funding

Role of Protein Phosphatase 2A in Aortic AneurysmR01HL144741 · NHLBI · EMORY UNIVERSITY · PI LIN, ZHIYONG, NARLA, GOUTHAM · 2019 to 2022
$2.2M
Deciphering the regulatory role of matricelluar protein CCN3 in functional collateral blood flowR01HL152074 · NHLBI · EMORY UNIVERSITY · PI LIN, ZHIYONG · 2020 to 2023
$2.0M
CCN3 and Aortic AneurysmR01HL117759 · NHLBI · EMORY UNIVERSITY · PI LIN, ZHIYONG · 2013 to 2017
$1.9M
NHLBI NIH HHS R01 HL117759NHLBI NIH HHS R01 HL144741NHLBI NIH HHS R01 HL152074NIH HHS HL117759NIH HHS HL144741NIH HHS HL152074
6 · The paper itself

Abstract

backgroundCellular communication network factor 3 (CCN3) has been implicated in the regulation of osteoblast differentiation. However, it is not known if CCN3 can regulate valvular calcification. While macrophages have been shown to regulate valvular calcification, the molecular and cellular mechanisms of this process remain poorly understood. In the present study, we investigated the role of macrophage-derived CCN3 in the progression of calcific aortic valve disease.

methodsMyeloid-specific knockout of CCN3 (Mye-CCN3-KO) and control mice were subjected to a single tail intravenous injection of AAV encoding mutant mPCSK9 (rAAV8/D377Y-mPCSK9) to induce hyperlipidemia. AAV-injected mice were then fed a high fat diet for 40 weeks. At the conclusion of high fat diet feeding, tissues were harvested and subjected to histologic and pathologic analyses. In vitro, bone marrow-derived macrophages (BMDM) were obtained from Mye-CCN3-KO and control mice and the expression of bone morphogenic protein signaling related gene were verified via quantitative real-time PCR and Western blotting. The BMDM conditioned medium was cocultured with human valvular intersititial cells which was artificially induced calcification to test the effect of the conditioned medium via Western blotting and Alizarin red staining.

resultsEchocardiography revealed that both male and female Mye-CCN3-KO mice displayed compromised aortic valvular function accompanied by exacerbated valve thickness and cardiac dysfunction. Histologically, Alizarin-Red staining revealed a marked increase in aortic valve calcification in Mye-CCN3-KO mice when compared to the controls. In vitro, CCN3 deficiency augmented BMP2 production and secretion from bone marrow-derived macrophages. In addition, human valvular interstitial cells cultured with conditioned media from CCN3-deficient BMDMs resulted in exaggerated pro-calcifying gene expression and the consequent calcification.

conclusionOur data uncovered a novel role of myeloid CCN3 in the regulation of aortic valve calcification. Modulation of BMP2 production and secretion in macrophages might serve as a key mechanism for macrophage-derived CCN3's anti-calcification function in the development of CAVD. Video Abstract.

Indexed as

Aortic Valve StenosisCalcinosisAnimalsAortic ValveCells, CulturedCulture Media, ConditionedFemaleHumansMaleMiceCulture Media, ConditionedBMP2Macrophage CCN3MyeloidValvular calcification

Identifiers

PMID36670446
PMCPMC9854076
OpenAlexW4317581861

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.