Evidence map›Paper›PMID 42194078›Full record

ArticleBiomolecules2026

Hyaluronan Regulates Vascular Smooth Muscle Cell Osteogenic Differentiation and Vascular Calcification.

Shrea Roy, Jamie Kane, Irina Grigorieva, Dylan Roche-Dugmore, Sacha Moore, Robert Steadman, Anne-Catherine Raby, Lily Jakulj, Leon Schurgers, Esther Lutgens and 4 more

Abstract read
In one paragraph

Article in Biomolecules, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

14 authors.

Shrea RoyWales Kidney Research Unit, Division of Infection and Immunity, School of Medicine, Cardiff University, Cardiff CF14 4XN, UK.
Jamie KaneVascular and Interventional Radiology Translational Laboratory, Department of Radiology, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0009-0005-0129-0075
Irina GrigorievaWales Kidney Research Unit, Division of Infection and Immunity, School of Medicine, Cardiff University, Cardiff CF14 4XN, UK.
Dylan Roche-DugmoreWales Kidney Research Unit, Division of Infection and Immunity, School of Medicine, Cardiff University, Cardiff CF14 4XN, UK.ORCID 0009-0004-9976-455X
Sacha MooreWales Kidney Research Unit, Division of Infection and Immunity, School of Medicine, Cardiff University, Cardiff CF14 4XN, UK.ORCID 0000-0002-0914-2051
Robert SteadmanWales Kidney Research Unit, Division of Infection and Immunity, School of Medicine, Cardiff University, Cardiff CF14 4XN, UK.
Anne-Catherine RabyWales Kidney Research Unit, Division of Infection and Immunity, School of Medicine, Cardiff University, Cardiff CF14 4XN, UK.ORCID 0000-0002-5354-5835
Lily JakuljDepartment of Nephrology, Amsterdam University Medical Center, 1081 HV Amsterdam, The Netherlands.
Leon SchurgersDepartment of Biochemistry, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, Unversiteitssingel 50, 6229 ER Maastricht, The Netherlands.ORCID 0000-0001-7867-6957
Esther LutgensDepartment of Cardiovascular Medicine and Immunology, Mayo Clinic, Rochester, MN 55905, USA.
Etto C EringaDepartment of Biochemistry, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, Unversiteitssingel 50, 6229 ER Maastricht, The Netherlands.ORCID 0000-0002-9814-5149
Marc VervloetDepartment of Nephrology, Amsterdam University Medical Center, 1081 HV Amsterdam, The Netherlands.ORCID 0000-0003-4607-9415
Donald FraserWales Kidney Research Unit, Division of Infection and Immunity, School of Medicine, Cardiff University, Cardiff CF14 4XN, UK.ORCID 0000-0003-0102-9342
Soma MeranWales Kidney Research Unit, Division of Infection and Immunity, School of Medicine, Cardiff University, Cardiff CF14 4XN, UK.

Funding

IMPROVE-PD (Marie Sklodowska-Curie ITN) 812699Kidney Research UK ST_002_20220705
6 · The paper itself

Abstract

Vascular calcification is a strong predictor of cardiovascular mortality and lacks effective treatment. The transformation of vascular smooth muscle cells (VSMCs) into osteoblast-like phenotypes is a key driver of calcification. This study identifies a regulatory role for Hyaluronan (HA) in VSMC osteogenic differentiation and arterial calcification. Human aortic VSMCs stimulated with high phosphate and/or pro-inflammatory cytokines (IL6 and TGF-β1) exhibited increased RUNX2, alkaline phosphatase and osteopontin expression, along with reduced contractility and elevated calcium deposition. This corresponded with reduced HA deposition and downregulation of HA synthase enzymes (HAS1, HAS2), Hyaluronidase enzymes (Hyal1), and HA binding proteins (CD44, TSG-6), whilst HAS3 and versican were upregulated. Comparable alterations in HA and protein expression were observed in an in vivo model of arterial calcification using vitamin K-deficient warfarin-fed mice. Pharmacological inhibition of HA synthesis, enzyme-mediated HA degradation and siRNA/plasmid modulation of HAS isoenzymes demonstrated a possible functional link between HA regulation and VSMC osteogenic differentiation. This study establishes HA and its associated binding proteins as key regulators of arterial calcification, highlighting a novel pathway for potential therapeutic intervention.

Indexed as

Cell DifferentiationHyaluronic AcidMuscle, Smooth, VascularMyocytes, Smooth MuscleOsteogenesisVascular CalcificationAnimalsCells, CulturedHumansMiceWarfarinHyaluronic AcidWarfaringlycosaminoglycanHyaluronanvascular calcificationvascular smooth muscle cells

Identifiers

PMID42194078
PMCPMC13204215

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.