In
chronic kidney disease (CKD),
hyperphosphatemia-induced
inflammation aggravates
vascular calcification (VC) by increasing vascular smooth muscle cell (VSMC) osteogenic differentiation, ADAM17-induced renal and
vascular injury, and TNFα-induction of neutral-sphingomyelinase2 (nSMase2) to release pro-calcifying exosomes. This study examined anti-inflammatory β-
glucans efficacy at attenuating systemic
inflammation in health, and renal and
vascular injury favoring VC in hyperphosphatemic CKD. In healthy adults, dietary barley β-
glucans (Bβglucans) reduced leukocyte
superoxide production, inflammatory ADAM17, TNFα, nSMase2, and pro-aging/pro-inflammatory
STING (Stimulator of
interferon genes) gene expression without decreasing circulating inflammatory
cytokines, except for γ-
interferon. In hyperphosphatemic rat CKD, dietary Bβglucans reduced renal and aortic ADAM17-driven
inflammation attenuating CKD-progression (higher GFR and lower serum
creatinine,
proteinuria, kidney inflammatory infiltration and nSMase2), and TNFα-driven increases in aortic nSMase2 and
calcium deposition without improving
mineral homeostasis. In VSMC, Bβglucans prevented LPS- or uremic serum-induced rapid increases in ADAM17, TNFα and nSMase2, and reduced the 13-fold higher
calcium deposition induced by prolonged calcifying conditions by inhibiting osteogenic differentiation and increases in nSMase2 through Dectin1-independent actions involving Bβglucans internalization. Thus, dietary Bβglucans inhibit leukocyte
superoxide production and leukocyte, renal and aortic ADAM17- and nSMase2 gene expression attenuating systemic
inflammation in health, and renal injury and aortic calcification despite
hyperphosphatemia in CKD.