2015
DOI: 10.1038/srep16577
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Pyruvate Dehydrogenase Kinase 4 Promotes Vascular Calcification via SMAD1/5/8 Phosphorylation

Abstract: Vascular calcification, a pathologic response to defective calcium and phosphate homeostasis, is strongly associated with cardiovascular mortality and morbidity. In this study, we have observed that pyruvate dehydrogenase kinase 4 (PDK4) is upregulated and pyruvate dehydrogenase complex phosphorylation is increased in calcifying vascular smooth muscle cells (VSMCs) and in calcified vessels of patients with atherosclerosis, suggesting that PDK4 plays an important role in vascular calcification. Both genetic and… Show more

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Cited by 57 publications
(77 citation statements)
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References 54 publications
(67 reference statements)
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“…[41][42][43][44][45][46] PDK4 can also directly phosphorylate SMADs 1/5/8 and regulate their activity. 47 Because deregulated or reduced BMP signaling is a common feature of PAH, 8,48 it is not surprising that the gene expression trends would be similar in the skin MCs from BMPR2-mutant, CAV1-mutant, and IPAH patients.…”
Section: Discussionmentioning
confidence: 99%
“…[41][42][43][44][45][46] PDK4 can also directly phosphorylate SMADs 1/5/8 and regulate their activity. 47 Because deregulated or reduced BMP signaling is a common feature of PAH, 8,48 it is not surprising that the gene expression trends would be similar in the skin MCs from BMPR2-mutant, CAV1-mutant, and IPAH patients.…”
Section: Discussionmentioning
confidence: 99%
“…PDK, which consists of four isotypes, is a main regulator of the pyruvate dehydrogenase complex (PDC), a master regulator of cellular energy metabolism in mitochondria [195]. Among the four isotypes, the role of PDK4, in VC, by induction of osteogenic differentiation of VSMCs, was reported [196,197], while phosphorylation of PDHE1α was localized to calcified lesions in VC patients. In addition, high inorganic phosphate (Pi)-induces PDK4 expression, and elicits phosphorylation of PDHE1α, in VSMCs, but not in PDKs 1, 2, or 3.…”
Section: Pyruvate Dehydrogenase Kinase (Pdk)4mentioning
confidence: 99%
“…Additionally, mitochondrial dysfunction has been shown to be important in many of the clinical features seen in CS individuals, such as basal ganglia calcification (Finsterer and Kopsa, 2005), sensorineural hearing loss (Han and Someya, 2013; Someya and Prolla, 2010),optic atrophy (Lascaratos et al, 2015), retinal degeneration (Mao et al, 2014), and vascular calcification and atherosclerosis (Kim et al, 2012; Lee et al, 2015; Villa-Bellosta et al, 2013; Yu et al, 2013). Mitochondrial dysfunction also has important roles in neurodegeneration (Calì et al, 2012; Cheng et al, 2016b; Krols et al, 2016), that could be mediated through other neurotrophic factors such as brain-derived neurotrophic factor (Su et al, 2014).…”
Section: 4 Cs Resembles Mitochondrial Diseasesmentioning
confidence: 99%