Dietary vitamin D inadequacy accelerates calcification and osteoblast-like cell formation in the vascular system of LDL receptor knockout and wild-type mice

J Nutr. 2014 May;144(5):638-46. doi: 10.3945/jn.113.189118. Epub 2014 Mar 19.

Abstract

Vitamin D insufficiency is highly associated with cardiovascular morbidity and mortality. We have demonstrated enhanced vascular calcification in LDL receptor knockout (LDLR(-/-)) mice fed a diet low in vitamin D. This study aimed to investigate the impact of a diet low in vitamin D on vascular calcification in wild-type (WT) mice lacking atherosclerotic plaques and the effects of a persistent and discontinuous vitamin D insufficiency on atherosclerotic plaque composition in LDLR(-/-) mice. The study was performed with 4-wk-old male WT and LDLR(-/-) mice that were fed a normal calcium/phosphate Western diet (210 g/kg fat, 1.5 g/kg cholesterol) containing either adequate (+D; 1000 IU/kg) or low (-D; 50 IU/kg) amounts of vitamin D-3 for 16 wk. Four groups of LDLR(-/-) mice received 1 of the 2 diets for additional 16 wk (total 32 wk) and were compared with mice fed the diets for only 16 wk. WT and LDLR(-/-) mice that were fed the -D diet for 16 wk tended to develop more calcified spots in the aortic valve than mice fed the +D diet (+50% and +56%, respectively; P < 0.10). In LDLR(-/-) mice, the extent of calcification increased from week 16 to week 32 and was higher in the -D than in the +D group (P < 0.05). The calcification, owing to the -D diet, was accompanied by highly expressed osteoblast differentiation factors, indicating a transdifferentiation of vascular cells to osteoblast-like cells. Feeding the +D diet subsequent to the -D diet reduced the vascular calcification (P < 0.05). LDLR(-/-) mice fed the -D diet for 32 wk had higher plaque lipid depositions (+48%, P < 0.05) and a higher expression of cluster of differentiation 68 (+31%, P < 0.05) and tumor necrosis factor α (+134%, P < 0.001) than the +D group. Collectively, the findings imply low vitamin D status as a causal factor for vascular calcification and atherosclerosis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • 24,25-Dihydroxyvitamin D 3 / blood
  • Animal Feed*
  • Animals
  • Aorta / metabolism
  • Aorta / pathology
  • Calcitriol / blood
  • Calcium / blood
  • Cholecalciferol / blood
  • Genotype
  • Male
  • Mice, Inbred C57BL
  • Osteoblasts / metabolism
  • Osteoblasts / pathology*
  • Phosphates / blood
  • Plaque, Atherosclerotic / drug therapy
  • Plaque, Atherosclerotic / metabolism
  • Plaque, Atherosclerotic / pathology
  • Receptors, LDL / genetics*
  • Receptors, LDL / metabolism
  • Vascular Calcification / drug therapy
  • Vascular Calcification / metabolism
  • Vascular Calcification / pathology*
  • Vitamin D / blood*
  • Vitamin D / pharmacology
  • Vitamin D Deficiency / drug therapy
  • Vitamin D Deficiency / metabolism
  • Vitamin D Deficiency / pathology*
  • Vitamins / blood
  • Vitamins / pharmacology

Substances

  • Phosphates
  • Receptors, LDL
  • Vitamins
  • Vitamin D
  • Cholecalciferol
  • 24,25-Dihydroxyvitamin D 3
  • Calcitriol
  • Calcium