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Immunology 2018

J u l y 0 5 - 0 7 , 2 0 1 8

V i e n n a , A u s t r i a

Page 56

Journal of Clinical Immunology and Allergy

ISSN 2471-304X

1 5

t h

I n t e r n a t i o n a l C o n f e r e n c e o n

Immunology

C

alcific aortic valve disease (CAVD) is one of the most prevalent

cardiovascular diseases in the elderly and is becoming an increasingly

important health issue with the emerging longevity. Chronic inflammation and

progressive calcification of the aortic valve leaflets cause valvular dysfunction

and heart failure. Currently, pharmacological intervention of CAVD progression

is unavailable and the interaction between the pro-inflammatory and pro-

osteogenic mechanisms in aortic valve calcification is poorly understood.

Aortic valve interstitial cells (AVICs) are actively involved in valvular

calcification. Our studies found that human AVICs express osteogenic proteins

(including BMP-2 and TGF-β1) in response to stimulation of Toll-like receptor

(TLR) 2, 3 or 4. Further, the TLR-mediated osteogenic response in human AVICs

leads to pro-osteogenic reprogramming characterized by the expression of

Runx2 and alkaline phosphatase, and formation of calcium deposits. These

studies uncovered a novel mechanistic role of the AVIC innate immunity in

aortic valve calcification. Our recent work identified several endogenous

factors that can elicit the osteogenic responses in human AVICs through TLRs,

including oxidized low-density lipoprotein, biglycan and matrilin 2. While these

endogenous factors utilize distinct TLRs, they induce the osteogenic responses

through common signalling pathways, mainly the NF-κB and ERK1/2 pathways.

Our findings demonstrate that damage-associated molecular patterns are

capable of inducing the osteogenic responses in human AVICs and that the

innate immune receptors have novel functions in modulating the osteogenic

responses in human aortic valve cells. These findings suggest that AVIC TLRs

may play an important role in the pathogenesis of CAVD and that modulation

of the common signalling pathways utilized by TLRs may have therapeutic

potential for suppression of CAVD progression.

Biography

Xianzhong Meng has been graduated from Harbin Medical

University, Harbin, China in 1978. He received MS in 1981

and PhD in 1985 from the same university. He then received

Postdoctoral training at Cleveland Clinic, Cleveland, USA. He

became an Investigator in the Cardiothoracic Inflammtion

Research Laboratory, Department of Surgery, University of

Colorado Denver in 1990. He is currently a Tenured Professor

in the Department of Surgery and the Director of Cardiothoracic

Inflammation Research Program at University of Colorado

Denver. His current research focusses on the impact of aging

on myocardial ischemia/reperfusion injury and the molecular

mechanism of heart valve calcification. His research is

supported continuously by NIH grants. He is the author/co-

author of over 160 papers published in peer-reviewed journals,

and he has given over 100 presentations, invited lectures

and seminars in universities, professional societies, and

international conferences.

xianzhong.meng@ucdenver.edu

Valvular interstitial cell innate immunity in the

pathobiology of calcific aortic valve disease

Xianzhong Meng, Lihua Ao and David A Fullerton

University of Colorado Denver, USA

Xianzhong Meng et al., Insights Allergy Asthma Bronchitis 2018, Volume: 4

DOI: 10.21767/2471-304X-C1-002