Table 1.
Cell type | Location | Function |
---|---|---|
Embryonic progenitor endothelial/ mesenchymal cells | Embryonic cardiac cushions | Give rise to VICs through an activated stage or EMT |
Progenitor-VIC | Bone marrow, blood, valve leaflet | Provide fibroblast-VICs for valve repair. May be CD34−, CD133−, and/or S100+ |
Fibroblast-VIC | Valve leaflet | Maintain valve structure and function and prevent angiogenesis |
Myofibroblast-VIC | Valve leaflet | SMA-containing VICs with activated cellular repair processes. Respond to valve injury and abnormal hemodynamic or mechanical forces |
Osteoblast-VIC | Valve leaflet | Calcification, chondrogenesis and osteogenesis in the leaflet. Secrete ALP, osteocalcin, osteopontin and bone sialoprotein |
Valve endothelial Cells | Surfaces of valve leaflet | Blood/valve interface, source of biological factors. Prevents cell adhesion, platelet activation, protects against calcification |
VIC, valvular interstitial cells; qVIC, quiescent valvular interstitial cells; VEC, valvular endothelial cells; EMT, endothelial to mesenchymal transformation; ALP, alkaline phosphatase; SMA, smooth muscle α-actin.