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Spatial Regulation of Inflammation by Human Aortic Endothelial Cells in a Linear Gradient of Shear Stress |
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Abstract<b>Objective</b>: Atherosclerosis is a focal disease that develops at sites of low and oscillatory shear stress in arteries. This study aimed to understand how endothelial cells sense a gradient of fluid shear stress and transduce signals that regulate membrane expression of cell adhesion molecules and monocyte recruitment. <b>Methods</b>: Human aortic endothelial cells were stimulated with TNF-&agr; and simultaneously exposed to a linear gradient of shear stress that increased from 0 to 16 dyne/cm<sup>2</sup>. Cell adhesion molecule expression and activation of NF&b.kappa; B were quantified by immunofluorescence microscopy with resolution at the level of a single endothelial cell. Monocyte recruitment was imaged using custom microfluidic flow chambers. <b>Results</b>: VCAM-1 and E-selectin upregulation was greatest between 24 dyne/cm<sup>2</sup> (6 and 4-fold, respectively) and above 8 dyne/cm<sup>2</sup> expression was suppressed below that of untreated endothelial cells. In contrast, ICAM-1 expression and NF&b.kappa; B nuclear translocation increased with shear stress up to a maximum at 9 dyne/cm<sup>2</sup>. Monocyte recruitment was most efficient in regions where E-selectin and VCAM-1 expression was greatest. <b>Conclusions</b>: We found that the endothelium can sense a change in shear stress on the order of 0.25 dyne/cm<sup>2</sup> over a length of ∼ 10 cells, regulating the level of protein transcription, cellular adhesion molecule expression, and leukocyte recruitment during inflammation.
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