Key result
Procalcifying medium induces biphasic valvular cell impedance profiles correlating with matrix mineralization.
Why the study?
In vitro valvular remodeling takes days to weeks, and continuous monitoring by real-time impedance spectroscopy may reveal new insights into this process.
Label-free impedance spectroscopy effectively monitors real-time valvular interstitial cell-driven extracellular matrix remodeling and mineralization, revealing rapid, sex-specific pathomechanisms in vitro.
May support label-free impedance monitoring of valvular interstitial cell mineralization in vitro; leaves open in vivo and clinical translation.
Introduction Fibro-calcific aortic valve disease has high prevalence and is associated with significant mortality. Fibrotic extracellular matrix (ECM) remodeling and calcific mineral deposition change the valvular microarchitecture and deteriorate valvular function. Valvular interstitial cells (VICs) in profibrotic or procalcifying environment are frequently used in vitro models. However, remodeling processes take several days to weeks to develop, even in vitro. Continuous monitoring by real-time impedance spectroscopy (EIS) may reveal new insights into this process. Methods VIC-driven ECM remodeling stimulated by procalcifying (PM) or profibrotic medium (FM) was monitored by label-free EIS. Collagen secretion, matrix mineralization, viability, mitochondrial damage, myofibroblastic gene expression and cytoskeletal alterations were analyzed. Results and Discussion EIS profiles of VICs in control medium (CM) and FM were comparable. PM reproducibly induced a specific, biphasic EIS profile. Phase 1 showed an initial impedance drop, which moderately correlated with decreasing collagen secretion ( r = 0.67, p = 0.22), accompanied by mitochondrial membrane hyperpolarization and cell death. Phase 2 EIS signal increase was positively correlated with augmented ECM mineralization ( r = 0.97, p = 0.008). VICs in PM decreased myofibroblastic gene expression ( p < 0.001) and stress fiber assembly compared to CM. EIS revealed sex-specific differences. Male VICs showed higher proliferation and in PM EIS decrease in phase 1 was significantly pronounced compared to female VICs (male minimum: 7.4 ± 4.2%, female minimum: 26.5 ± 4.4%, p < 0.01). VICs in PM reproduced disease characteristics in vitro remarkably fast with significant impact of donor sex. PM suppressed myofibroblastogenesis and favored ECM mineralization. In summary, EIS represents an efficient, easy-to-use, high-content screening tool enabling patient-specific, subgroup- and temporal resolution.
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Böttner et al. (2023) studied Fibro-calcific aortic valve disease (n=10). Procalcifying medium (PM) vs. Control medium (CM) and profibrotic medium (FM) was evaluated on Cellular impedance (EIS) profile and extracellular matrix mineralization (p=0.008). Procalcifying medium induced a specific, biphasic cellular impedance profile in valvular interstitial cells, with the secondary signal increase strongly correlating with extracellular matrix mineralization.
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