Atherosclerosis and calcific aortic valvular disease share a number of risk factors. Among them, hypercholesterolemia promotes atherosclerosis. However, whether a cholesterol-rich diet induces aortic valve calcification remains unclear. The effect of palm oil on vascular and valvular calcification is unknown. To study and compare the effects of cholesterol- and palm oil-enriched diets on aorta and aortic valve calcification in a rabbit model. New Zealand White rabbits were fed for 16 weeks with cholesterol- (0.3% cholesterol, n = 7) or palm oil-enriched diet (5% palm oil, n = 6) supplemented with vitamin D2 (25,000U/day/2.5 kg). Computed tomography (CT) was performed at regular intervals. Heart and aorta were collected for histological analyses. The cholesterol-rich diet provoked aortic atherosclerosis. It also induced a 2-fold increase of the aortic valve area compared to rabbits fed with a regular chow diet, with cell and lipid accumulation in the fibrosa. All rabbits displayed calcification of the aortic wall detectable in vivo by CT in 2 rabbits out of 7. Histology revealed calcification in the aortic valve of 4 rabbits out of 7 and thickening of valvular fibrosa. In contrast to the cholesterol-rich diet, the palm oil-rich diet did not lead to thickened aortic intima or aortic valve nor lipid accumulation. Interestingly, all rabbits treated with palm-oil enriched diet exhibited massive aortic wall calcification, characterized by the presence of large calcification nodules in the aortic media detectable in vivo by CT in 5 rabbits out of 6. Calcification was also found in the aortic valve fibrosa of 3 rabbits out of 6 and extracellular matrix remodeling was observed around the calcification nodules of the aortic media. Both diets induced histological changes and calcification of the aorta and aortic valve. However, the lesions differed between the two diets, suggesting different pathophysiological mechanisms.
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