Abstract

The Ca2 + -activated non selective cationic channel, TRPM4, is involved in cardiac fibroblasts remodelling. In valvular interstitial cells (VIC), with similar properties than fibroblasts, its expression at the mRNA level was reported to be higher in conditions of valvular calcification leading to aortic stenosis. Endothelial dysfunction, followed by inflammation and fibrosis, promote the differentiation of VIC into osteoblastic phenotype cells which is, at term, responsible of valve ossification. The purpose of this study is to search for a potential implication of TRPM4 into osteogenic differentiation of human VIC. Human aortic valves are obtained from surgery for valve replacement. VIC are isolated by enzymatic digestion then maintained in culture. VIC are incubated during 14 days in a pro-calcific mixture in the presence or not of 9-phenanthrol, a pharmacological inhibitor of TRPM4. Expression and functionality of this channel were followed respectively by Western Blot and electrophysiological recordings in the inside-out configuration of the patch clamp technique. The implication of TRPM4 in VIC mineralization process was observed by measuring calcific crystals using alizarin red staining. A typical TRPM4 single channel current was detected in VIC in culture with a single channel conductance of 20 pS, a monovalent cationic permeability as well as voltage and calcium sensitivity. Protein expression of TRPM4 was confirmed by Western Blot. Pharmacological inhibition of the channel by 9-phenanthrol (3.10–6 M), during culture, reduced the mineralization by 30% without affecting cell viability. Thereby, TRPM4 would participate in osteogenic differentiation of human VIC in culture. Further studies are needed to understand which mecanisms link TRPM4 and ostegenic differentiation.

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