The arterial rings and VSMCs were isolated or extracted as previously described (23 (link)). Calcification was induced by adding inorganic phosphate (Na2HPO4, Sigma, USA) to normal medium at a concentration of 2.6 mM (calcification medium). To evaluate the impact of BHB on calcification, BHB (Sigma, USA) was administrated into a calcification medium at a concentration of 4.0 mM (BHB intervention medium) (24 (link)). The arterial rings were cultured for 14 days, while VSMCs were cultured for 7 days, with the medium for both refreshed every 2 to 3 days (23 (link)).
To evaluate whether autophagy inhibition could reverse the protective effects of BHB on VC, the autophagosome inhibitor 3-methyladenine (Selleck, USA), at a concentration of 20 μM, and the autophagic flux inhibitor chloroquine (Selleck, USA), at a concentration of 10 μM, were administrated to the calcification models with BHB intervention (25 (link)).
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