Abstract-The objective of this study was to test whether a glycosaminoglycan component of the surface glycocalyx layer is a fluid shear stress sensor on endothelial cells (ECs). Because enhanced nitric oxide (NO) production in response to fluid shear stress is a characteristic and physiologically important response of ECs, we evaluated NO x (NO 2 Ϫ and NO 3 Ϫ ) production in response to fluid shear stress after enzymatic removal of heparan sulfate, the dominant glycosaminoglycan of the EC glycocalyx, from cultured ECs. The significant NO x production induced by steady shear stress (20 dyne/cm 2 ) was inhibited completely by pretreatment with 15 mU/mL heparinase III (E.C.4.2.2.8) for 2 hours. Oscillatory shear stress (10Ϯ15 dyne/cm 2 ) induced an even greater NO x production than steady shear stress that was completely inhibited by pretreatment with heparinase III. Addition of bradykinin (BK) induced significant NO x production that was not inhibited by heparinase pretreatment, demonstrating that the cells were still able to produce abundant NO after heparinase treatment. Fluorescent imaging with a heparan sulfate antibody revealed that heparinase III treatments removed a substantial fraction of the heparan sulfate bound to the surfaces of ECs. In summary, these experiments demonstrate that a heparan sulfate component of the EC glycocalyx participates in mechanosensing that mediates NO production in response to shear stress. The full text of this article is available online at http://www.circresaha.org. Key Words: shear stress Ⅲ endothelial cells Ⅲ heparan sulfate Ⅲ nitric oxide Ⅲ glycocalyx T he inner surfaces of blood vessels are lined with a monolayer of endothelial cells (ECs) that is continually exposed to the mechanical shearing forces (stresses) of blood flow. Variations in shear stress magnitude as well as temporal and spatial distribution have been shown to induce alterations in endothelial permeability and hydraulic conductivity, 1-3 cytoskeletal structure, 4 -7 surface adhesion molecule expression, 8 and gene expression. 9,10 In addition, the exposure of endothelial cells to shear (both steady and oscillatory) has been shown to alter the production of vasoregulating agents of which nitric oxide (NO) is perhaps the most notable. [11][12][13] NO is a vasodilator produced by the conversion of L-arginine to L-citrulline that is catalyzed by endothelial nitric oxide synthase (eNOS). NO modulates vascular tone by eliciting relaxation of smooth muscle cells while inhibiting smooth muscle cell growth. 14 NO production responds to changes in shear stress in a biphasic manner in human umbilical vein endothelial cells (HUVECs) and bovine aortic endothelial cells (BAECs). 11,12 There is an initial rapid NO production phase that is G protein and Ca 2ϩ -dependent and is influenced by rate of change of shear and not the shear level per se. The subsequent phase is characterized by a lower rate of NO production rate that is G protein and Ca 2ϩ -independent but is shear level dependent. 12,15 Both phases of the NO respo...

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Smooth muscle cells (SMC) are exposed to fluid shear stress because of transmural (interstitial) flow across the arterial wall. This shear stress may play a role in the myogenic response and flow-mediated vasomotion. We, therefore, examined the effects of fluid flow on contraction of rat aortic SMC. SMC that had been serum-starved to induce a contractile phenotype were plated on quartz slides and exposed to controlled shear stress levels in a flow chamber. The area of the cells was quantified, and reduction in the cell area was reported as contraction. At 25 dyn/cm(2), significant area reduction was apparent 3 min after the onset of flow and exceeded 30% at 30 min. At 1 dyn/cm(2), significant contraction was not observed at 30 min. The threshold for significant shear-induced contraction appeared to be 11 dyn/cm(2). The signal transduction mechanism was studied at 25 dyn/cm(2). Intracellular calcium was imaged by using the calcium-sensitive fluorescent dye fura 2-AM. There was no detectable change in intracellular calcium during 10 min of exposure to shear stress, even though the cells displayed a significant calcium response to thapsigargin, calcium ionophore, and KCl. Further studies using pathway inhibitors provided evidence that the most important signal transduction pathway mediating calcium-independent contraction in response to fluid flow is the Rho-kinase pathway, although there was a suggestion that protein kinase C plays a secondary role.