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June 19, 2009Journal of Biomechanical Engineering

Vascular Cell Adhesion Molecule-1 Expression in Endothelial Cells Exposed to Physiological Coronary Wall Shear Stresses

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Key result

Low shear stress from the outer wall of a bifurcation induced four times the levels of VCAM-1 mRNA after four hours compared with levels induced by wall shear stress from a straight arterial section.

Why the study?

Does exposure to disease-prone coronary wall shear stress profiles increase VCAM-1 expression in cultured endothelial cells compared to undisturbed flow?

Population

Cultured endothelial cells (ECs)

Comparison

Wall shear stress profiles from regions prone to… vs WSS profile from a straight section of vessel…

Design

Preclinical

Follow-up

up to 24 hours

Authors

LOLucy M. O’KeeffeUniversity of LimerickGMGordon MuirKing's College HospitalAPAnna V. PiterinaUniversity of Limerick

Discussion

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Implication

Supports flow-mediated endothelial activation in atherosclerosis; leaves open translation to human plaque prevention strategies.

Structured PICO

Does exposure to disease-prone coronary wall shear stress profiles increase VCAM-1 expression in cultured endothelial cells compared to undisturbed flow?

P
Population
Cultured endothelial cells (ECs)
E
Exposure
Wall shear stress (WSS) profiles from regions prone to disease development (e.g., low shear stress from the outer wall of a bifurcation) applied via a cone and plate bioreactor
C
Comparator
WSS profile from a straight section of vessel with undisturbed flow, and static controls
O
Outcome
Levels of transcriptional (mRNA) and cell surface anchored VCAM-1 quantified by flow cytometry and real time RT-PCRsurrogate

Physiological coronary wall shear stress profiles from disease-prone regions significantly upregulate VCAM-1 expression in endothelial cells, supporting the role of hemodynamics in plaque localization.

Cite This Study

O’Keeffe et al. (2009) studied Atherosclerosis. Wall shear stress (WSS) profiles from disease-prone regions vs. WSS profile from a straight section of vessel with undisturbed flow and static controls was evaluated on Vascular cell adhesion molecule-1 (VCAM-1) expression. Low shear stress from the outer wall of a bifurcation induced four times the levels of VCAM-1 mRNA after four hours compared with levels induced by wall shear stress from a straight arterial section.

synapsesocial.com/papers/6a731c37ca0cfc242ec230d3https://doi.org/10.1115/1.3148191
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Spatial and temporal regulation of gap junction connexin43 in vascular endothelial cells exposed to controlled disturbed flows <i>in vitro</i>1999 · 233 citations
  2. 2Cytokine stimulated vascular cell adhesion molecule-1 (VCAM-1) ectodomain release is regulated by TIMP-32005 · 117 citations
  3. 3The Role of Fluid Mechanics in the Localization and Detection of Atherosclerosis1993 · 495 citations
  4. 4Expression of ICAM-1 and VCAM-1 and Monocyte Adherence in Arteries Exposed to Altered Shear Stress1995 · 392 citations
  5. 5Adhesion molecules and atherogenesis2001 · 335 citations