Abstract

BackgroundAtherosclerosis occurs in arterial curvatures and branches, where the flow is disturbed with low and oscillatory shear stress (OSS). The remodeling and alterations of extracellular matrices (ECMs) and their composition is the critical step in atherogenesis. In this study, we investigated the effects of different ECM proteins on the regulation of mechanotransduction in vascular endothelial cells (ECs) in response to OSS.MethodsThrough the experiments ranging from in vitro cell culture studies on effects of OSS on molecular signaling to in vivo examinations on clinical specimens from patients with coronary artery disease (CAD), we elucidated the roles of integrins and different ECMs, i.e., fibronectin (FN) and laminin (LM), in transforming growth factor (TGF)-β receptor (TβR)-mediated Smad2 activation and nuclear factor-κB (NF-κB) signaling in ECs in response to OSS and hence atherogenesis.ResultsOSS at 0.5±12 dynes/cm2 induces sustained increases in the association of types I and II TβRs with β1 and β3 integrins in ECs grown on FN, but it only transient increases in ECs grown on LM. OSS induces a sustained activation of Smad2 in ECs on FN, but only a transient activation of Smad2 in ECs on LM. OSS-activation of Smad2 in ECs on FN regulates downstream NF-κB signaling and pro-inflammatory gene expression through the activation of β1 integrin and its association with TβRs. In contrast, OSS induces transient activations of β1 and β3 integrins in ECs on LM, which associate with type I TβR to regulate Smad2 phosphorylation, resulting in transient induction of NF-κB and pro-inflammatory gene expression. In vivo investigations on diseased human coronary arteries from CAD patients revealed that Smad2 is highly activated in ECs of atherosclerotic lesions, which is accompanied by the concomitant increase of FN rather than LM in the EC layer and neointimal region of atherosclerotic lesions.ConclusionsOur findings provide new insights into the mechanisms of how OSS regulates Smad2 signaling and pro-inflammatory genes through the complex signaling networks of integrins, TβRs, and ECMs, thus illustrating the molecular basis of regional pro-inflammatory activation within disturbed flow regions in the arterial tree.

Highlights

  • Atherosclerosis occurs in arterial curvatures and branches, where the flow is disturbed with low and oscillatory shear stress (OSS)

  • These results showed that OSS induces a sustained activation of Smad2 in endothelial cells (ECs) plated on FN, but only a transient activation of Smad2 in ECs plated on LM, indicating that different extracellular matrices (ECMs) proteins play a differential role in the modulation of Smad2 mechanotransduction in vascular ECs in response to disturbed flow

  • The results showed that OSS induces the expression of pro-inflammatory genes, including nuclear factor-κB (NF-κB), ICAM1, vascular cell adhesion molecule (VCAM)-1, and E-selectin, in ECs plated on FN

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Summary

Introduction

Atherosclerosis occurs in arterial curvatures and branches, where the flow is disturbed with low and oscillatory shear stress (OSS). Atherosclerotic lesions are prone to localize at arterial branches and curvatures, which are constantly exposed to disturbed flow with low and oscillatory shear stress (OSS). Several reports indicate that extracellular matrix (ECM) remodeling and ECM composition change in the arterial wall are key processes that can induce an activated EC phenotype, stimulate the proliferation of smooth muscle cells, and promote pro-inflammatory signaling within the development of atherosclerosis [1,2,3]. OSS-induced ECM-integrin signaling results in the activation of nuclear factor-κB (NF-κB), which is an atherogenic transcription factor involved in regulating pro-inflammatory genes in ECs [2, 8]

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