Figure 1.
Development of valve disease. Development of valve disease occurs following prolonged inflammation driven by macrophage and leukocyte infiltration and via VIC differentiation through accumulation of apoptotic bodies and calcific matrix vesicles. Ultimately resulting in collagen remodeling, leaflet thickening, and valvular calcification. qVIC, quiescent valve interstitial cell; aVIC, activated valve interstitial cell; oVIC, osteogenic valve interstitial cell; EMT, endothelial-to-mesenchymal transition; LDL, low-density lipoprotein; RUNX2, Runt related transcription factor; PCSK9i, proprotein convertase subtilisin/kexin type 9 inhibitor; AI, Artificial Intelligence.