these MVs are 20-400nm in size and contain the serum proteins albumin, fetuin-A, and apolipoprotein A1; the mineralization-associated enzyme alkaline phosphatase; and the exosome proteins TNFR1 and CD63, and have been shown to form nanoparticles when added to cell culture medium and that it may be the presence of calcium-binding lipid phosphatidylserine (PS) on their surface which acts as nucleating sites for calcium phosphate deposition on the vesicles.
This would suggest that secretion of MVs are the cause of the calcification, and not nanoparticles per se 3)