Why the study?
High laminar shear stress suppresses arterial lesions mainly via transcriptional induction of Klf2, but the genes required for this induction remained to be identified.
Does mitochondrial signaling contribute to shear stress-induced Klf2 expression and vascular remodeling in endothelial cells?
Does mitochondrial signaling contribute to shear stress-induced Klf2 expression and vascular remodeling in endothelial cells?
This study identifies a novel connection between mitochondrial metabolism and vascular inflammation, showing that mitochondrial signaling is required for the anti-inflammatory effects of laminar shear stress.
Mitochondrial signaling may support endothelial protection under shear stress; hypothesis-generating for vascular remodeling therapies, requiring human validation.
Atherosclerosis, the major cause of myocardial infarction and stroke, results from converging inflammatory, metabolic, and biomechanical factors. Arterial lesions form at sites of low and disturbed blood flow but are suppressed by high laminar shear stress (LSS) mainly via transcriptional induction of the anti-inflammatory transcription factor, Kruppel-like factor 2 (Klf2). We therefore performed a whole genome CRISPR-Cas9 screen to identify genes required for LSS induction of Klf2. Subsequent mechanistic investigation revealed that LSS induces Klf2 via activation of both a MEKK2/3-MEK5-ERK5 kinase module and mitochondrial metabolism. Mitochondrial calcium and ROS signaling regulate assembly of a mitophagy- and p62-dependent scaffolding complex that amplifies MEKK-MEK5-ERK5 signaling. Blocking the mitochondrial pathway in vivo reduces expression of KLF2-dependent genes such as eNOS and inhibits vascular remodeling. Failure to activate the mitochondrial pathway limits Klf2 expression in regions of disturbed flow. This work thus defines a connection between metabolism and vascular inflammation that provides a new framework for understanding and developing treatments for vascular disease.
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Coon et al. (2022) studied this question.
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