Abstract

The endothelium is an attractive drug target and an important site of adverse drug reactions. Endothelial dysfunction is strongly associated with inflammation and contributes to drug-induced cardiovascular toxicity. Endothelial cells in the circulation are exposed to haemodynamic forces including shear stress. Including shear stress may improve future endothelial cell drug discovery or toxicity screening. Piezo-1 is required for endothelial cells to respond to shear stress. In this study, we investigated whether a small molecule activator of Piezo-1, Yoda-1, can mimic the effect of laminar flow-induced shear stress on endothelial cell inflammation, and endothelial cytotoxicity in response to the chemotherapy agent, doxorubicin.First, we tested whether Yoda-1 could mimic the effects of shear stress of expression of the endothelial adhesion molecules, ICAM-1 and VCAM-1. Human umbilical vein endothelial cells (HUVEC) were cultured in static conditions (with or without Yoda-1) or under laminar flow-induced shear stress (5 dyn/cm2). Yoda-1 and laminar flow had similar anti-inflammatory effects, reducing the ability of TNF-α to induce ICAM-1 and VCAM-1 expression. We then tested whether Yoda-1 could mimic the effect of shear stress on doxorubicin-induced cytotoxicity. Both laminar flow and Yoda-1 treatment of static cultures increased the cytotoxicity of doxorubicin. These findings show that Piezo-1 activation with Yoda-1 in static culture leads to an endothelial cell phenotype that mimics endothelial cells under laminar flow. Pharmacological activation of Piezo-1 may be a useful approach to mimic constant shear stress in static cultures, which may improve endothelial drug discovery and toxicity testing.

Highlights

  • Endothelial cells play a key role in vascular homeostasis, including regulation of vascular tone, inflammation and haemostasis [1]

  • We tested whether Yoda-1 could mimic the effect of shear stress on doxorubicin-induced cytotoxicity. Both laminar flow and Yoda-1 treatment of static cultures increased the cytotoxicity of doxorubicin. These findings show that Piezo-1 activation with Yoda-1 in static culture leads to an endothelial cell phenotype that mimics endothelial cells under laminar flow

  • Mimicking in vivo conditions such as shear stress on endothelial cells in vitro is an important consideration in endothelial drug discovery and toxicity testing, as a means of generating endothelial cells that more closely resemble the in vivo endothelium

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Summary

Introduction

Endothelial cells play a key role in vascular homeostasis, including regulation of vascular tone, inflammation and haemostasis [1]. Endothelial dysfunction is strongly associated with proinflammatory and prothrombotic disease states, such as the initiation and progression of atherosclerosis [2]. Endothelial dysfunction is promoted by risk factors associated with cardiovascular disease, including diabetes, hypercholesterolemia, hypertension and smoking [3]. Endothelial cells in the normal circulation are exposed to haemodynamic forces including shear stress, a frictional force acting parallel to the wall [5]. Constant laminar shear stress has been reported to be antiinflammatory, for example by reducing the increase in vascular cell adhesion molecule-1 (VCAM-1) expression in response to tumour necrosis factor-alpha (TNF-α) [9,10,11]

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