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Calcification of Vascular Smooth Muscle Cell Cultures by Takeo Wada, Marc D. McKee, Susie Steitz, and Cecilia M. Giachelli Circulation Research Volume 84(2):166-178 February 5, 1999 Copyright © American Heart Association, Inc. All rights reserved. Time course of calcium deposition in the cell layer (a) and medium phosphorus (b) and calcium (c) concentrations in cultured BASMCs. Cells were cultured in growth medium (Grow M; ○) or calcification medium (Calc. Takeo Wada et al. Circ Res. 1999;84:166-178 Copyright © American Heart Association, Inc. All rights reserved. Effects of β-glycerophosphate (β-GP) on calcium deposition in the cell layer (a) and medium phosphorus (b) and calcium (c) concentrations in BASMC cultures. Takeo Wada et al. Circ Res. 1999;84:166-178 Copyright © American Heart Association, Inc. All rights reserved. Morphology (a through c) and alkaline phosphatase activity (d) of BASMCs. a, By light microscopy, opaque areas were observed about 10 days after switching to calcification medium (×40 magnification). b, Von Kossa staining (black) shows diffusive and granular calcification predominantly in the extracellular matrix regions of the cultures. Takeo Wada et al. Circ Res. 1999;84:166-178 Copyright © American Heart Association, Inc. All rights reserved. Electron microscopic analysis showing ultrastructural features of BASMCs after culturing for 10 days in calcification medium containing 10 mmol/L β-glycerophosphate. a, Cells (smooth muscle cells [SMCs]) are generally fusiform in morphology and show a diverse array of intracellular organelles that include Golgi elements (G), rough endoplasmic reticulum (rER), mitochondria (m), glycogen (gly), and extended nuclei (Nu) often with prominent nucleoli. b, At other sites in the cultures where BASMCs appear actively engaged in the synthesis and secretion of extracellular matrix, the Golgi apparatus is extensively developed (Golgi, dashed line) with multiple layering of saccules whose associated spherical and cylindrical distensions are typical of cells producing the fibrillar collagens. m indicates mitochondria. c, BASMCs depositing collagen fibrils (Coll) are generally better spread, show a prominent Golgi complex with abundant cisternae of rough endoplasmic reticulum (rER), and have a well-developed cytoskeleton with ramifying bundles of microfilaments (mf) coursing throughout the cytoplasm and inserting into the cell membrane. Takeo Wada et al. Circ Res. 1999;84:166-178 Copyright © American Heart Association, Inc. All rights reserved. Electron micrographs selected to show various calcification (Cal) events associated with the collagenous (Coll) extracellular matrix produced by BASMCs (SMCs) after 10 days in calcification medium. a, Electron-dense calcified deposits frequently appear as discrete, micrometer-sized masses within the collagen-rich extracellular matrix surrounding the cells. Takeo Wada et al. Circ Res. 1999;84:166-178 Copyright © American Heart Association, Inc. All rights reserved. Effects of levamisole on calcium deposition (a) and medium phosphorus (b) and calcium (c) concentrations in BASMCs. Calcium and phosphorus levels were measured at day 10 by the ocresolphthalein complexone method and the phosphomolybdate complex method, respectively. Takeo Wada et al. Circ Res. 1999;84:166-178 Copyright © American Heart Association, Inc. All rights reserved. Effects of osteopontin (a) and vitronectin and fibronectin (b) on calcification of BASMC cultures. Takeo Wada et al. Circ Res. 1999;84:166-178 Copyright © American Heart Association, Inc. All rights reserved. Effects of added osteopontin on alkaline phosphatase activity of BASMCs (a) and phosphorus concentration in the medium (b) and the direct effects of levamisole and osteopontin (OPN) on alkaline phosphatase (ALP) activity (c). a and b, Cells were cultured in growth medium (Grow M.) or calcification medium (Calc. Takeo Wada et al. Circ Res. 1999;84:166-178 Copyright © American Heart Association, Inc. All rights reserved. Effects of osteopontin (OPN) on calcium deposition (a) and medium phosphorus (b) and calcium (c) concentrations in BASMC cultures at various initial calcium concentrations. a, Calcium level in cell layer extracts was measured at day 10 by the o-cresolphthalein complexone method and normalized to cellular protein content. b and c, Calcium and phosphorus levels in the medium were measured at day 0 (pre) and day 10 (vehicle and OPN) by the o-cresolphthalein complexone method and phosphomolybdate complex method, respectively, and are presented as mean±SEM; n=3. Takeo Wada et al. Circ Res. 1999;84:166-178 Copyright © American Heart Association, Inc. All rights reserved. Localization of endogenous and exogenous osteopontin in mineralizing BASMC cultures. a, After immunocytochemical labeling for endogenous osteopontin, gold particles are diffusely located over calcified areas (CAL) of the extracellular matrix. Takeo Wada et al. Circ Res. 1999;84:166-178 Copyright © American Heart Association, Inc. All rights reserved.