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2017 ; 2
(19
): ä Nephropedia Template TP
gab.com Text
Twit Text FOAVip
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English Wikipedia
Dietary potassium regulates vascular calcification and arterial stiffness
#MMPMID28978809
Sun Y
; Byon CH
; Yang Y
; Bradley WE
; Dell'Italia LJ
; Sanders PW
; Agarwal A
; Wu H
; Chen Y
JCI Insight
2017[Oct]; 2
(19
): ä PMID28978809
show ga
Vascular calcification is a risk factor that predicts adverse cardiovascular
complications of several diseases including atherosclerosis. Reduced dietary
potassium intake has been linked to cardiovascular diseases such as hypertension
and incidental stroke, although the underlying molecular mechanisms remain
largely unknown. Using the ApoE-deficient mouse model, we demonstrated for the
first time to our knowledge that reduced dietary potassium (0.3%) promoted
atherosclerotic vascular calcification and increased aortic stiffness, compared
with normal (0.7%) potassium-fed mice. In contrast, increased dietary potassium
(2.1%) attenuated vascular calcification and aortic stiffness. Mechanistically,
reduction in the potassium concentration to the lower limit of the physiological
range increased intracellular calcium, which activated a cAMP response
element-binding protein (CREB) signal that subsequently enhanced autophagy and
promoted vascular smooth muscle cell (VSMC) calcification. Inhibition of calcium
signals and knockdown of either CREB or ATG7, an autophagy regulator, attenuated
VSMC calcification induced by low potassium. Consistently, elevated autophagy and
CREB signaling were demonstrated in the calcified arteries from low potassium
diet-fed mice as well as aortic arteries exposed to low potassium ex vivo. These
studies established a potentially novel causative role of dietary potassium
intake in regulating atherosclerotic vascular calcification and stiffness, and
uncovered mechanisms that offer opportunities to develop therapeutic strategies
to control vascular disease.