# Osteogenic Regulation of Vascular Calcification

> **NIH NIH R01** · UT SOUTHWESTERN MEDICAL CENTER · 2021 · $405,000

## Abstract

Arteriosclerotic calcification is a complication of diabetes, dyslipidemia, and aging that increases risk of stroke,
heart failure, and foot amputation. Arteriosclerosis impairs the elasticity of conduit arteries necessary for
smooth distal tissue perfusion and adaptation to physiological demands. Our goal is to develop novel
therapeutic strategies to mitigate arteriosclerosis -- translated from a fundamental understanding of
pathobiology via preclinical disease models. In the past funding period, we showed that osteogenic Wnt
signals are important in the arteriosclerosis of diabetes and dyslipidemia. LRP6, a Wnt co-receptor known for
capacity to support canonical actions, was identified to limit noncanonical Wnt signaling in vascular smooth
muscle (VSM) that drives calcification. Loss of VSM LRP6 increases arterial calcification & stiffness by
enhancing VSM osteogenic differentiation and increasing protein arginine methylation. Mass spectrometry
identified that one methylated protein, G3BP1, supports noncanonical Wnt pathways by activating NFATc4 in
concert with Ddx58. Ddx58 is cytosolic receptor for atypical RNAs and part of the mitochondrial antiviral
signaling protein (MAVS) system. Recently, gain-of-function mutations in Ddx58 have been shown to cause
Singleton Merten Syndrome 2 (SGMRT2) a disorder characterized by precocious aortic, aortic valve, and
coronary calcification. In preliminary data, we show that: (a) Ddx58 promotes G3BP1 methylation and
signaling; (b) Ddx58- and MAVS-deficient VSM exhibit reduced noncanonical Wnt/NFAT signaling, osteogenic
differentiation and calcification; and (c) SGMRT2 variants are gain-of-function in our assays. We’ve also shown
that MAVS-/-;LDLR-/- mice exhibit less aortic calcification when fed arteriosclerotic diets. In this renewal our
aims are: Aim1: “To complete our ongoing characterization of MAVS-/-;LDLR-/- mice, elucidating the
mechanisms whereby the MAVS relay conveys arteriosclerotic Wnt signals in vascular smooth muscle.” We
study the impact of MAVS deficiency on arterial calcification, stiffening, atheroma formation and vascular
activation of NFAT signals. We focus upon VSM cell-autonomous contributions, since our data show that Wnt-
regulated NFATc4 nuclear localization and osteogenic mineralization require MAVS. We also study how
MAVS deficiency impacts arterial remodeling in the angiotensin-II infusion model of aortic aneurysm formation.
Aim2: “To generate and characterize mice possessing a gain-of-function allele for the MAVS activator Ddx58
as a preclinical model of the arterial calcification of Singleton Merten Syndrome Type 2.” We implement
CRISPR/Cas9 with a mutated ssDNA homology directed repair template to generate Ddx58(SGMRT2/+) mice
(collaboration with Drs. R. Hammer and ZJ Chen). We first characterize whether this SGMRT2 Ddx58 allele
promotes arteriosclerotic calcification in vivo, and VSM mineralization and NFAT signaling in vitro. In outlying
years we then initiate studies into t...

## Key facts

- **NIH application ID:** 10067373
- **Project number:** 5R01HL069229-20
- **Recipient organization:** UT SOUTHWESTERN MEDICAL CENTER
- **Principal Investigator:** DWIGHT A. TOWLER
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $405,000
- **Award type:** 5
- **Project period:** 2001-09-30 → 2022-11-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10067373

## Citation

> US National Institutes of Health, RePORTER application 10067373, Osteogenic Regulation of Vascular Calcification (5R01HL069229-20). Retrieved via AI Analytics 2026-06-11 from https://api.ai-analytics.org/grant/nih/10067373. Licensed CC0.

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