Abstract:Vascular calcification is the pathological basis of multiple diseases, and its main mechanism is the abnormal deposition of calcium and phosphorus. MicroRNAs (miRNA) are a class of short non-coding RNA molecules that participate in the processes of gene transcription and translation. Studies have shown that miRNA expression is altered under pathological conditions such as hyperphosphatemia, hyperglycemia, or chronic kidney disease. These alterations, via different signaling pathways, affect the osteogenic transdifferentiation of vascular smooth muscle cells and the expression of osteogenic markers, and thus promote or inhibit the progression of vascular calcification. miRNA hold promise as therapeutic targets for vascular calcification or biomarkers reflecting the level of vascular calcification. This paper aims to summarize the mechanism pathways and relevant achievements of miRNA in regulating vascular calcification, providing a reference for the research on miRNA and vascular calcification.