Maione, Angela Serena (2013) Study of Calcium-Calmodulin dependent kinases in the pathogenesis of the atherosclerotic plaque. [Tesi di dottorato]

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Arteriosclerosis is a degenerative process that is physiological in aging but can be accelerated by number of risk factors, such as hypertension, diabetes, obesity, smoking, familial history. Healthy vessel walls harbour vascular smooth muscle cells, fibroblasts, endothelial cells, whereas in arteriosclerotic vessels inflammatory cells such as activated macrophages are also present. The biology of all these cells is tuned by calcium, that regulates both acute and adaptive, chronic events. Calcium signalling plays an important role in the regulation of cell proliferation through the crosstalk between multifunctional Calcium-Calmodulin dependent kinases (CaMKs) and a number of other signalling pathways, such as Erk. Nevertheless, how these cellular pathways interact with each other has yet to be investigated. Our recent studies demonstrate that a murine model lacking CaMKIV presents early onset arteriosclerosis, as well as increased CaMKII activity in selected cell types, thus implying a role for calcium signaling in the process. The recent genome-wide analysis of the Framingham Heart Study 100K Project shows an association between elevated diastolic blood pressure and the rs10491334 T/C Single Nucleotide Polymorphism of human CaMKIV gene. This finding suggests for this kinase, whose expression was once thought to be confined to the nervous tissue, a yet undisclosed role in vascular responses. We also obtained evidences of the existence of a crosstalk between CaMKII and CaMKIV, involved in the regulation of cell cycle progression. These results indicate a novel interplay between CaMKs, that has never been investigated in the modulation of cell proliferative responses, and might have tremendous implications in arteriosclerosis.

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