miR-29a-3p/Vegfa axis modulates high phosphate-induced vascular smooth muscle cell calcification

Vascular calcification (VC) is a major contributor to the progression of cardiovascular disease (CVD). The VC is characterized by arterial stiffness and impaired blood flow. This pathology is especially prevalent in chronic kidney disease (CKD), where dysregulated mineral metabolism and elevated pho...

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Main Authors: Chen Fu, Qiaojing Liang, Lili Ma, Wenhu Liu, Weikang Guo, Gang Wang
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Renal Failure
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Online Access:https://www.tandfonline.com/doi/10.1080/0886022X.2025.2489712
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author Chen Fu
Qiaojing Liang
Lili Ma
Wenhu Liu
Weikang Guo
Gang Wang
author_facet Chen Fu
Qiaojing Liang
Lili Ma
Wenhu Liu
Weikang Guo
Gang Wang
author_sort Chen Fu
collection DOAJ
description Vascular calcification (VC) is a major contributor to the progression of cardiovascular disease (CVD). The VC is characterized by arterial stiffness and impaired blood flow. This pathology is especially prevalent in chronic kidney disease (CKD), where dysregulated mineral metabolism and elevated phosphate levels accelerate calcification of vascular smooth muscle cells (VSMCs). Emerging evidence suggests that microRNAs (miRNAs) are key regulators of VC, with the miR-29 family implicated in extracellular matrix remodeling and calcification. We investigated the role of the miR-29a-3p/vascular endothelial growth factor A (Vegfa) axis in CKD-associated VC. Dual-luciferase assays and bioinformatic analysis confirmed that miR-29a-3p directly targets Vegfa, a critical regulator of vascular homeostasis. miR-29a-3p overexpression significantly attenuated VSMC calcification under high phosphate conditions, as indicated by significantly reduced Alizarin Red staining (ARS, P < 0.0001) and intracellular calcium content (ICC, P = 0.0235). Conversely, Vegfa overexpression exacerbated calcification (P = 0.0010 for ICC and P = 0.0001 for ARS). Vegfa knockdown mitigated these effects (P < 0.0001 for both ARS and ICC). Notably, miR-29a-3p counteracted calcification even in Vegfa-overexpressing cells (P < 0.0001 for ARS and P = 0.0235 for ICC), underscoring its protective role in vascular integrity. These findings highlight the therapeutic potential of targeting the miR-29a-3p/Vegfa axis for VC management in patients with CKD. miRNA-based interventions may offer a promising strategy for preventing pathological calcification and reducing the risk of CVD in affected patients.
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spelling doaj-art-7c12ba4a6a8b49dea9cccaad3a5d7e022025-08-20T03:14:46ZengTaylor & Francis GroupRenal Failure0886-022X1525-60492025-12-0147110.1080/0886022X.2025.2489712miR-29a-3p/Vegfa axis modulates high phosphate-induced vascular smooth muscle cell calcificationChen Fu0Qiaojing Liang1Lili Ma2Wenhu Liu3Weikang Guo4Gang Wang5Department of Nephrology, National Center for Orthopaedics, Beijing Jishuitan Hospital, Capital Medical University, Beijing, ChinaDepartment of Nephrology, Faculty of Kidney Diseases, Beijing Tongren Hospital, Capital Medical University, Beijing, ChinaInternational Medical Center, Beijing Friendship Hospital, Capital Medical University, Beijing, ChinaDepartment of Nephrology, Faculty of Kidney Diseases, Beijing Friendship Hospital, Capital Medical University, Beijing, ChinaDepartment of Nephrology, Faculty of Kidney Diseases, Beijing Friendship Hospital, Capital Medical University, Beijing, ChinaDepartment of Nephrology, Faculty of Kidney Diseases, Beijing Friendship Hospital, Capital Medical University, Beijing, ChinaVascular calcification (VC) is a major contributor to the progression of cardiovascular disease (CVD). The VC is characterized by arterial stiffness and impaired blood flow. This pathology is especially prevalent in chronic kidney disease (CKD), where dysregulated mineral metabolism and elevated phosphate levels accelerate calcification of vascular smooth muscle cells (VSMCs). Emerging evidence suggests that microRNAs (miRNAs) are key regulators of VC, with the miR-29 family implicated in extracellular matrix remodeling and calcification. We investigated the role of the miR-29a-3p/vascular endothelial growth factor A (Vegfa) axis in CKD-associated VC. Dual-luciferase assays and bioinformatic analysis confirmed that miR-29a-3p directly targets Vegfa, a critical regulator of vascular homeostasis. miR-29a-3p overexpression significantly attenuated VSMC calcification under high phosphate conditions, as indicated by significantly reduced Alizarin Red staining (ARS, P < 0.0001) and intracellular calcium content (ICC, P = 0.0235). Conversely, Vegfa overexpression exacerbated calcification (P = 0.0010 for ICC and P = 0.0001 for ARS). Vegfa knockdown mitigated these effects (P < 0.0001 for both ARS and ICC). Notably, miR-29a-3p counteracted calcification even in Vegfa-overexpressing cells (P < 0.0001 for ARS and P = 0.0235 for ICC), underscoring its protective role in vascular integrity. These findings highlight the therapeutic potential of targeting the miR-29a-3p/Vegfa axis for VC management in patients with CKD. miRNA-based interventions may offer a promising strategy for preventing pathological calcification and reducing the risk of CVD in affected patients.https://www.tandfonline.com/doi/10.1080/0886022X.2025.2489712miR-29avascular calcificationvascular smooth muscle cellsVegfachronic kidney disease
spellingShingle Chen Fu
Qiaojing Liang
Lili Ma
Wenhu Liu
Weikang Guo
Gang Wang
miR-29a-3p/Vegfa axis modulates high phosphate-induced vascular smooth muscle cell calcification
Renal Failure
miR-29a
vascular calcification
vascular smooth muscle cells
Vegfa
chronic kidney disease
title miR-29a-3p/Vegfa axis modulates high phosphate-induced vascular smooth muscle cell calcification
title_full miR-29a-3p/Vegfa axis modulates high phosphate-induced vascular smooth muscle cell calcification
title_fullStr miR-29a-3p/Vegfa axis modulates high phosphate-induced vascular smooth muscle cell calcification
title_full_unstemmed miR-29a-3p/Vegfa axis modulates high phosphate-induced vascular smooth muscle cell calcification
title_short miR-29a-3p/Vegfa axis modulates high phosphate-induced vascular smooth muscle cell calcification
title_sort mir 29a 3p vegfa axis modulates high phosphate induced vascular smooth muscle cell calcification
topic miR-29a
vascular calcification
vascular smooth muscle cells
Vegfa
chronic kidney disease
url https://www.tandfonline.com/doi/10.1080/0886022X.2025.2489712
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