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Laminaria japonica polysaccharide inhibits vascular calcification via preventing osteoblastic differentiation of vascular smooth muscle cells Xue-Ying Li, Qiang-Ming Li, Qing Fang, Xue-Qiang Zha, panlihua panlihua, and Jian-Ping Luo J. Agric. Food Chem., Just Accepted Manuscript • DOI: 10.1021/acs.jafc.7b06115 • Publication Date (Web): 08 Feb 2018 Downloaded from http://pubs.acs.org on February 8, 2018

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Laminaria

japonica

polysaccharide

inhibits

vascular

2

calcification via preventing osteoblastic differentiation of

3

vascular smooth muscle cells

4 5

†‡ ‡ ‡ †‡ ‡ Xue-Ying Li#, , , Qiang-Ming Li#, , Qing Fang , Xue-Qiang Zha*, , , Li-Hua Pan ,

6

Jian-Ping Luo*,



7 8 9 10 11



School of Biological and Medical Engineering, Hefei University of Technology,

Hefei 230009, People’s Republic of China ‡

School of Food Science and Engineering, Hefei University of Technology, Hefei

230009, People’s Republic of China

12 13

*Correspondence authors: Prof. Dr. Xue-Qiang Zha and Jian-Ping Luo, School of

14

Food Science and Engineering, Hefei University of Technology, Hefei 230009,

15

People’s Republic of China. E-mail: [email protected] (X.-Q. Zha);

16

[email protected] (J.-P. Luo)

17 18

#

Xue-Ying Li, Qiang-Ming Li and Qing Fang contributed equally to this work.

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ABSTRACT: This study aimed to investigate the effect and underlying mechanism of

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a purified Laminaria japonica polysaccharide (LJP61A) on preventing vascular

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calcification (VC). In adenine-induced chronic renal failure (CRF) mice VC model

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and β-glycerophosphate (β-GP)-induced vascular smooth muscle cells (VSMC)

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calcification model, LJP61A was found to significantly inhibit VC phenotypes as

24

determined

25

immunohistochemical staining. Meanwhile, LJP61A remarkably up-regulated the

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mRNA levels of VSMC related markers and down-regulated the mRNA levels of

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sodium-dependent phosphate cotransporter Pit-1. In addition, LJP61A could

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significantly decrease the protein levels of core-binding factor-1, osteocalcin, bone

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morphogenetic protein 2 and receptor activator for nuclear factor-κB ligand, and

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increase the protein levels of osteoprotegerin and matrix gla protein. These results

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indicated that LJP61A ameliorated VC both in vivo and in vitro via preventing

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osteoblastic differentiation of VSMC, suggesting LJP61A might be a potential

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therapeutic agent for VC in CRF patients.

by

biochemical

analysis,

von

Kossa,

alizarin

red

and

34 35

KEYWORDS: Laminaria japonica, Polysaccharide, Vascular calcification, Chronic

36

renal failure, Osteoblastic differentiation

37

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INTRODUCTION

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The vascular calcification (VC) is demonstrated as calcium over deposition in vessel

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wall, which is an important risk marker in the pathogenesis of cardiovascular diseases,

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such as myocardial infarction and coronary death.1 VC is an active and regulated

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process involved with osteoblastic differentiation of vascular smooth muscle cells

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(VSMC), which is one major mechanism in the development of VC.2-4 Under normal

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conditions, VSMC produce endogenous calcification inhibitors, such as osteopontin

45

(OPN)5, osteoprotegerin (OPG)6, 7 and matrix gla protein (MGP)8, to suppress the

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osteoblastic differentiation of VSMC. However, in the occurrence of VC, the

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expression of these endogenous calcification inhibitors will be decreased. Additionally,

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the intracellular phosphate concentration will be enhanced by sodium dependent

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phosphate cotransporter Pit-1 to cause VSMC transforming to osteoblast-like cells.9

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Under the control of core-binding factor alpha 1 (Cbfa-1), these osteoblast-like cells

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will express alkaline phosphatase (ALP) and bone-associated proteins, such as

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osteocalcin (OC) and bone morphogenetic protein 2 (BMP-2) to further induce the

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osteoblastic differentiation and calcification of VSMC.9-12

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Evidences exhibited that VC is highly prevalent in patients with chronic renal

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failure (CRF), especially those treated by dialysis. The morbidity of VC in dialysis

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patients was 2-5 times higher than those in age-matched normal subjects.13 Moreover,

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the occurrence of VC was considered as the most important reason that the high

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cardiovascular mortality was observed in end-stage CRF patients.3, 14 However, the

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definite mechanisms of VC in CRF patient are not entirely understood and current

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therapeutic agents are not efficient. Therefore, finding a target agent to delay the

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occurrence and development of VC has great sense for CRF patients. In recent years,

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to achieve this goal, there is considerable interest in developing these agents from

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herbs or edible-medicinal materials.15-17

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Laminaria japonica, a famous edible-medicinal marine vegetable, has long been

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recorded as a valuable therapeutic agent for detumescence, phlegm elimination, and

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weight loss for many centuries.18 In our previous works, a purified L. japonica

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polysaccharide (LJP61A) was isolated and characterized as a repeating unit consisting

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of →3,6)-α-D-Manp-(1→,→4)-α-D-Manp-(1→,→4)-2-O-acetyl-

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β-D-Glcp-(1→,→4)-β-D-Glcp-(1→,→6)-4-O-SO3-β-D-Galp-(1→,→6)-β-D-Galp-(1

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→,→3)-β-D-Galp-(1→, and a terminal residue of α-D-Glcp-(1→ (Figure 1).19 We

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have demonstrated that LJP61A have good potential for suppressing atherosclerosis

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via regulating cellular lipid metabolism, inhibiting cellular inflammation and

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ameliorating insulin resistance.19, 20 Because atherosclerosis is a common pathological

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basis of cardiovascular diseases and VC is a common pathological manifestation of

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atherosclerosis,1 we speculated that LJP61A might have the potential of preventing

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VC development. We examined the preventive effect of L. japonica polysaccharide

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LJP61A on vascular calcification using the adenine-induced CRF mice VC model and

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β-glycerophosphate (β-GP) induced VSMC calcification model. The underlying

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mechanism was further clarified in vivo and in vitro. To our best knowledge, similar

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action about polysaccharides has not been reported.

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MATERIALS AND METHODS

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Chemicals

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LJP61A was extracted and purified as described previously.19 Adenine and β-GP were

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purchased from Biosharp (Hefei, China). Cinacalcet tablets were purchased from

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Kyowa Hakko Kirin Co., Ltd. (Tokyo, Japan). Fetal bovine serum, DMEM,

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streptomycin and penicillin were purchased from Hyclone Co. (UT, USA). The

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fibroblast growth factor 23 (FGF23), parathyroid hormone (PTH) and ALP ELISA

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kits and radio immunoprecipitation assay lysis buffer were purchased from Nanjing

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Jiancheng Bioengineering Institute (Nanjing, China). TRIzol reagent was purchased

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from Invitrogen (Darmstadt, Germany). BCA was purchased from Sangon Biotech

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Co., Ltd. (Shanghai, China). The primary antibodies against calcium-sensing receptor

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(CaSR), Cbfa-1, OC, BMP-2, receptor activator for nuclear factor-κB ligand

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(RANKL), OPG, MGP and β-actin were purchased from Santa Cruz Biotechnology,

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Inc. (TX, USA). The secondary antibody was purchased from Boster Co. (Wuhan,

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China). All other reagents were analytical grade and purchased locally.

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Animal and treatment

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Eight-week-old male C57BL/6 mice (20 ± 2 g) were obtained from the Laboratory

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Animal Center of Anhui Medical University. After an acclimatization period of one

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week, mice were randomly divided into six groups (20 mice per group): including

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normal group, model group, positive group and three LJP61A treatment groups. The

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normal group was fed a normal diet, while the others groups were fed the diet

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supplemented with adenine at the dose of 0.2% (w/w).21 The positive group was

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administered with Cinacalcet tablet at the dosage of 150 mg/kg/day. Three LJP61A

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treatment groups were administered with LJP61A by 50, 100 and 200 mg/kg/day,

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respectively. The normal and model groups were administered with the same volume

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of physiological saline. After thirty days feeding, all mice were euthanized with CO2.

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Blood and aortas were collected for the following analysis. All the animal

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experiments were carried out in accordance with the national guidelines for the care

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and use of laboratory animals and were approved by the Animal Ethics Committee of

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Hefei University of Technology.

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Biochemical analysis

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The aortas were washed with distilled water. After drying and weighing, a small piece

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of aorta was extracted by 0.6 M HCl at 4 °C overnight. The levels of calcium and

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phosphorus in aortas were further quantified using calcium assay kit (Nanjing

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Jiancheng Bioengineering Institute, Nanjing, China) and ammonium molybdate

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spectrophotometric method,22 respectively. The levels of FGF23 and PTH in plasma

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and the activity of ALP in aortas were quantified using ELISA kits according to the

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manufacturer’s instructions.

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Morphometry and immunohistochemical analysis

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Aortic tissues were fixed in 4% formalin at 4 °C overnight and embedded in paraffin

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wax. Paraffin sections were cut and stained for calcification using the von Kossa

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method.23 For immunohistochemistry, the sections were submerged in boiling citrate

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buffer for ten minutes to retrieve the antigenicity. Endogenous peroxidase was

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quenched with 0.3% H2O2 for 30 minutes. After washing with PBS, the sections were

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incubated with primary antibodies against CaSR overnight at 4 ℃. After washing, the

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sections were subsequently incubated with biotinylated secondary antibody for 2 h at

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room temperature, followed by further incubation with streptavidin-horseradish

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peroxidase complex. Finally, the sections were stained using diaminobenzidine and

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imaged with an optical microscope.

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Cell culture and treatment

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The MOVAS cells were purchased from the cell bank of China Center for Type

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Culture Collection and cultured in DMEM containing high glucose, 10% fetal bovine

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serum, 100 U/mL penicillin and 100 µg/mL streptomycin at 37 ℃ in a humidified

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incubator with 5% CO2 .The effect of LJP61A on the cell viability was determined by

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MTT assay as described.15 To evaluate the inhibitory effect of LJP61A on VC in vitro,

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MOVAS cells were treated with or without LJP61A (5 or 25 mg/L) in DMEM in the

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absence or presence of β-GP (10 mmol/L) for 10 days. After washing, the cells were

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fixed in 4% formalin at room temperature, stained with 1% alizarin red S and imaged

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with an optical microscope. For calcium quantification, calcium was extracted with

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0.6 M HCl at 37 ℃ overnight and analyzed with a calcium assay kit. The calcium

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content was normalized to protein content as previously described.24 In addition, the

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activity of ALP was quantified using ELISA kit according to the manufacturer’s

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instruction.

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Quantitative real-time PCR

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Total RNA was isolated from aortas and MOVAS cells using TRIzol Reagent

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according to the manufacturer’s instruction. Quantitative real-time PCR (qRT-PCR)

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was performed as described previously.25 All primer sequences were listed as follows:

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smooth muscle 22α (SM22α), 5′-CCAGGAGCATAAGAGGGACTT-3′ (upper

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primer) and 5′-CATTTGTGAGGCCTAAG-3′ (lower primer); α-smooth muscle

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actin (α-SMA), 5′-AGGGAGTAATGGTTGGAATGG-3′ (upper primer) and

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5′-GGTGATGATGGCGTGTTCTAT-3′

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5′-GCCAAAGTGAGCGAAACCATCC-3′

(upper

primer)

and

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5′-CCACACAGAAGAACCAAACATAGC-3′

(lower

primer);

OPN,

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5′-ATGCTATCGACAGTCCAGGCG-3′

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5′-GCTCAGGGCCCAAAACACTA-3′

(lower

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5′-AAGCCCAGGAAAGAGTCCG-3′

(upper

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5′-TCTTATTTGGCTCCTCGGG-3′

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5′-GAAGGGTGGAGGCAAAAG-3′

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5′-ACCAGTGGTTGCAGGGAT-3′ (lower primer).

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Western blot analysis

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Total proteins were extracted from aortas and MOVAS cells using radio

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immunoprecipitation assay lysis buffer. Then, the proteins were quantified by BCA kit

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and denatured at 100 °C for 10 min and stored at -80 °C. Western blot was employed

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to analyze the levels of Cbfa1, OC, RANKL, BMP-2, OPG, MGP and β-actin as

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described previously.19

(lower

(upper

(lower (upper

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primer);

primer) primer); primer) primer); primer)

Pit-1,

and MGP, and GAPDH, and

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Statistical analysis

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All experiments were carried out independently in triplicates and the data were

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expressed as mean ± SD values. All data were analyzed statistically using one-way

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analysis of variance (ANOVA) followed by Tukey’s multiple-comparisons tests.

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Significant differences were set at p < 0.05.

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RESULTS

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LJP61A ameliorates VC of adenine-induced CRF mice

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VC of adenine-induced CRF mice is a well-established in vivo model.21 Aortas

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calcification was examined by von Kossa staining to identify the effect of LJP61A on

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VC. As shown in Figure 2A, no sign of calcification could be found in the aortas of

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normal group, while the aortas of model group showed several sign of calcification.

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Additionally, it could be found that the tissue structures of aortas in normal group

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were tight and glossy, but those of model group were incompact and dimmish.

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However, these alterations of aortas in CRF mice could be attenuated by the treatment

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of LJP61A in a dose-dependent manner. When LJP61A reached the dose of 200

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mg/kg/day, the aortas appeared a small change compared to that of normal group. The

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expression of CaSR in aortas was also detected by immunohistochemical stainning.

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As shown in Figure 2B, abundant CaSR expression could be found in the aortas of

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normal group, while few was found in the aortas of model group. However, the

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down-regulated CaSR expression of CRF mice could be significantly reversed by

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LJP61A in a dose-dependent manner. The results indicated LJP61A could remarkably

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improve the VC of CRF mice induced by adenine.

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To confirm the deduction above, the aortas and serum biochemical indexes of

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CRF mice were investigated. As shown in Figure 2C-F, comparing with the normal

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group, adenine induced significant increase in the levels of aortic calcium, aortic

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phosphate and serum PTH. It is different that the level of serum FGF-23 was

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decreased by adenine. However, the alteration of these biochemical indexes could be

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significantly reversed by LJP61A. When LJP61A reached the dose of 200 mg/kg/day,

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comparing to those of model group, the levels of calcium, phosphate and PTH were

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decreased by 64.5% (Figure 2C), 22.6% (Figure 2D) and 63.2% (Figure 2F),

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respectively, and the level of FGF-23 was increased by 20.2% (Figure 2E). These

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results further supported the conclusion that the VC of adenine-induced CRF mice

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could be ameliorated by LJP61A.

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LJP61A prevents osteoblastic differentiation of VSMC in adenine-induced CRF

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mice

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Previous studies showed that osteoblastic differentiation of VSMC is an important

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event in the pathogenesis of VC.2-4 As shown in Figure 3A and 3B, comparing with

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those of normal group, the mRNA levels of α-SMA and SM22α in aortas of model

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group were significantly decreased by the administration of adenine, and the mRNA

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levels of Pit-1 and the activity of ALP were remarkably increased. In addition,

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compared to the normal group, the protein levels of Cbfa-1, OC, BMP-2 and RANKL

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were also significantly increased in aortas of model group, and OPG and MGP were

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remarkably increased (Figure 3C). However, these alterations seemed to be blocked

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by LJP61A in a dose-dependent manner, which indicated the inhibitory action of

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LJP61A on VC is associated with the event of preventing osteoblastic differentiation

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of VSMC.

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LJP61A inhibits β-GP induced MOVAS cells calcification via preventing

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osteoblastic differentiation

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The β-GP induced MOVAS cells calcification model was used to evaluate the

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inhibitory effect of LJP61A on VC in vitro. As expected, the data showed that

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LJP61A could significantly decrease calcium deposition and ALP activity of MOVAS

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cells induced by β-GP, and was non-cytotoxic to MOVAS cells (Figure 4A-D).

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Quantitative RT-PCR results showed that LJP61A could significantly up-regulate the

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mRNA expression of α-SMA, SM22α, OPN and MPG, and down-regulate that of

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Pit-1 in β-GP-induced MOVAS cells (Figure 4E). The western blot analysis exhibited

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that LJP61A significantly inhibited the protein expression of Cbfa-1, OC, BMP-2 and

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RANKL, and enhanced those of OPG and MGP in β-GP induced MOVAS cells

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(Figure 4F). These results were highly in consistent with the finding in vivo,

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suggesting LJP61A prevents VC development possibly via inhibiting VSMC

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osteoblast differentiation.

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DISCUSSION

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VC is a key risk marker of cardiovascular diseases, which are the most common cause

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of death in CRF patients.3, 14, 26 However, the current therapeutic agents for VC in

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CRF patients are not efficient. In the present work, we found that LJP61A

230

significantly inhibited VC both in vivo and in vitro as determined by calcium and

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phosphate amounts, von Kossa and alizarin red staining (Figures 2A, 2C, 2D, 4A and

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4B). In addition, serum biochemistry analysis showed the serum FGF-23 level of CRF

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mice was significantly enhanced by LJP61A, and the serum PTH level was

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remarkably decreased (Figure 2E and 2F). FGF-23 was reported to promote phosphate

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excretion by reducing renal phosphate re-absorption,27 and decrease parathyroid gland

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secreting PTH, which could induce VC.28 Moreover, the immunohistochemical

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staining results demonstrated LJP61A could remarkably up-regulate the CaSR

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expression of aortas in CRF mice to inhibit calcification (Figure 2B). It has been

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demonstrated that the decrease of CaSR expression in the vasculature is directly

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involved in the development of VC.29 These results suggested that LJP61A might be a

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new compound to prevent the development of VC.

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Evidences showed that the osteoblastic differentiation of VSMC is an important

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mechanism for the development of VC.2-4 This event always accompany with the

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down-regulation of VSMC related markers, such as α-SMA and SM22α.30 Phosphate

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plays a key role in the osteoblastic differentiation of VSMC.2, 3 As we know, one

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major clinical symptom of CRF patients is mineral imbalances, which will enhance

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some serum mineral levels, particularly phosphate. Jono et al. reported that the high

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extracellular phosphate would cause an increase of intracellular phosphate

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concentration to induce the osteoblastic differentiation of VSMC, which was proved

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to be mediated by the sodium dependent phosphate cotransporter Pit-1.9 Thus, Pit-1

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was considered as one essential role in VSMC osteogenic differentiation and

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calcification.23 In the process of osteoblastic differentiation of VSMC, Cbfa-1 was

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considered as a master and indispensable transcriptional regulator. The expression of

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Cbfa-1 could also be enhanced by high extracellular phosphate.9

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under the control of Cbfa-1, the osteoblast-like cells will express a vital marker of

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ALP and bone-associated proteins (e.g. OC and BMP-2).9, 10

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that both OC and BMP-2 could induces VSMC osteoblast differentiation and

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calcification.11, 12 Besides phosphate, the endogenous calcification inhibitors, such as

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OPN, OPG and MGP, produced by VSMC also play an important role in the process

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of osteoblastic differentiation. OPN is a phosphor protein which could inhibit

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mineralization via blocking the formation of hydroxyapatite and activating the

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function of osteoclast.5 OPG, a member of the tumor necrosis factor receptor family,

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plays an important role in bone resorption by inhibiting osteoclast differentiation and

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acting like a decoy receptor for RANKL.6 Thus, OPG is usually considered as a

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protective factor against VC, whereas RANKL plays a negative role.7

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well-known inhibitor of calcification and prevents osteoblast differentiation by

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inhibiting hydroxyapatite formation.8 In the present study, we found that LJP61A

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could significantly up-regulate the mRNA levels of α-SMA and SM22α, and

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down-regulate the mRNA levels of Pit-1 and the activity of ALP in aortas of CRF

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mice (Figure 3A and 3B). Moreover, in β-GP induced MOVAS cells, the mRNA

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levels of α-SMA, SM22α, OPN and MPG were also enhanced by the treatment of

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LJP61A, and the mRNA levels of Pit-1 and the activity of ALP were also decreased

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(Figure 4C and 4E). In addition, western blot results revealed that LJP61A could

274

significantly decrease the protein levels of Cbfa-1, OC, BMP-2 and RANKL, and

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Subsequently,

Evidences exhibited

MGP is a

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increase the protein levels of OPG and MGP both in adenine-induced CRF mice and

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in β-GP induced MOVAS cells (Figures 3C and 4F). These results indicated that

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LJP61A could regulate the expression of genes and proteins involved in the process of

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VSMC osteoblast differentiation to inhibit the progression of VC both in vivo and in

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vitro (Figure 5). Although some kinds of natural products, such as phenolic acid15 and

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steroidal saponin16, have been proved to show this function, the preventive effect and

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underlying mechanism of polysaccharide on the development of VC was reported for

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the first time in this work.

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In summary, the present work demonstrated that the purified L. japonica

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polysaccharide LJP61A has an ability to inhibit VC via preventing VSMC osteoblast

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differentiation, indicating LJP61A might be a new therapeutic or preventive agent to

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delay the development of VC in CRF patients.

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ACKNOWLEDGMENTS

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This study was financially supported by the National Natural Science Foundation of

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China (Grant No. 31271814, 21702040), the Fundamental Research Funds for the

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Central Universities (Grant No. JZ2017HGPB0169) and the Science and Technology

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Major Project of Anhui Province (Grant No. 17030701030).

292

NOTES

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The authors declare no competing financial interest.

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ABBREVIATIONS USED

295 296

ALP,

alkaline

phosphatase;

α-SMA,

α-smooth

muscle

actin;

β-GP

β-glycerophosphate; BMP-2, bone morphogenetic protein 2; CRF, chronic renal

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failure; CaSR, calcium-sensing receptor; Cbfa1, core-binding factor alpha 1; FGF23,

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fibroblast growth factor 23; MGP, matrix gla protein; OC, osteocalcin; OPG,

299

osteoprotegerin; OPN, osteopontin; PTH, parathyroid hormone; RANKL, receptor

300

activator for nuclear factor-κB ligand; SM22α, smooth muscle 22α; VC, vascular

301

calcification; VSMC, vascular smooth muscle cells.

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Figure captions

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Figure 1. The chemical structure of LJP61A.

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Figure 2. The effect of LJP61A on VC of adenine-induced CRF mice. (A) Aortic von

306

Kossa staining; (B) aortic CaSR immunohistochemical staining; (C) aortic calcium

307

level; (D) aortic phosphate level; (E) serum FGF23 level; (F) serum PTH level.

308

0.01 (vs. normal group); *p< 0.05, **p< 0.01 (vs. model group).

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Figure 3. LJP61A prevents osteoblastic differentiation of VSMC in adenine-induced

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CRF mice. (A) Aortic mRNA levels of α-SMA, SM22α and Pit-1; (B) aortic ALP

311

activity; (C) aortic protein levels of Cbfa-1, OC, BMP-2, RANKL, OPG and MGP.

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##

313

Figure 4. LJP61A inhibits β-GP induced MOVAS cells calcification via preventing

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osteoblastic differentiation. (A) Cells alizarin red S staining; (B) cells calcium content;

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(C) cells ALP activity; (D) cells viability; (E) cells mRNA levels of α-SMA, SM22α,

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Pit-1, OPN and MGP; (F) cells protein levels of Cbfa-1, OC, BMP-2, RANKL, OPG

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and MGP. ##p< 0.01 (vs. normal group); **p< 0.01 (vs. model group).

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Figure 5. Possible mechanism of LJP61A inhibits the progression of VC.

##

p