The bone-related protein osteoprotegerin (OPG) may be involved in the development of vascular calcifications, especially in
diabetes, where it has been found in increased amounts in the arterial wall. Experimental studies suggest that members of
the TGF-superfamily are involved in the transformation of human vascular smooth muscle cells (HVSMC) to osteoblast-like cells.
In this study, we evaluated the effect of BMP-2, BMP-7 and transforming growth factor beta (TGF-β1) on the secretion and mRNA
expression of OPG and its ligands receptor activator of nuclear factor-κβ ligand (RANKL) and TNF-related apoptosis-inducing
ligand (TRAIL) in HVSMC. All three growth factors decreased OPG protein production significantly; these results were paralleled
by reduced OPG mRNA expression. TRAIL mRNA levels were also decreased. RANKL mRNA expression declined when treated with TGF-β1
but were increased by both BMPs. Members of the TGF-superfamily, i.e. TGF-β1, BMP-2 and BMP-7 exert effects on OPG and its
ligands, indicating that these peptides may be involved in the development of vascular calcifications. The downregulation
of OPG by these peptides does, however, not suggest that these factors are directly involved in OPG accumulation in diabetes.
Keywords Vascular calcification - Atherosclerosis - Diabetes