Key result
Flow-induced FHL2 promotes atherosclerotic endothelial permeability via microtubule-actomyosin crosstalk.
Why the study?
Defects in endothelial mechanosensory responses to mechanical cues like blood flow can lead to endothelial dysfunction and atherosclerosis, but how mechanoresponses tune endothelial physiology remains to be explored.
FHL2 acts as a mechanosensitive protein that promotes atherosclerosis-like endothelial phenotypes through microtubule-actomyosin crosstalk.
Answers are grounded in this paper and cite their sources.
FHL2 may drive endothelial dysfunction in atherosclerosis; leaves open its viability as a therapeutic target pending clinical studies.
Endothelial tissues are essential mechanosensors in the vasculature, and defects in their response to mechanical cues such as blood flow can lead to endothelial dysfunction and cardiovascular diseases like atherosclerosis. Here, we explore how mechanoresponses tune endothelial tissue physiology and function. By bulk RNA sequencing in endothelial cells experiencing varying flow profiles, we identify a set of novel mechanosensitive genes associated with the cytoskeleton and adhesion structures. We focus on a cytoskeletal protein, Four-and-a-half LIM protein 2 (FHL2), which is consistently enriched in endothelial tissues experiencing atherosclerosis-prone disturbed flow, both in vitro and in vivo. We demonstrate that increased FHL2 expression is necessary and sufficient to induce hallmarks of atherosclerosis-like endothelial phenotypes, including aberrant cell morphology, discontinuous cell junctions, hypercontractility, and increased tissue permeability. Strikingly, this atherosclerosis-like phenotype requires the force-sensitive binding of FHL2 to the actin cytoskeleton. Mechanistically, we show that FHL2 controls endothelial tissue phenotypes by promoting RhoGTPase-dependent actomyosin contractility via release of the microtubule-bound RhoGTPase effector, GEF-H1. These findings reveal a positive mechanochemical feedback wherein FHL2 force-sensitivity tunes multi-scale mechanoresponses and endothelial tissue physiology.
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Seetharaman et al. (2026) studied Endothelial dysfunction and atherosclerosis. Disturbed flow and FHL2 overexpression vs. Unidirectional flow and control was evaluated. FHL2 expression induced by disturbed flow promotes atherosclerosis-like endothelial phenotypes, including hypercontractility and increased tissue permeability, via microtubule-actomyosin crosstalk.
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