Cancel LM, Tarbell JM. The role of mitosis in LDL transport through cultured endothelial cell monolayers. Am J Physiol Heart Circ Physiol 300: H769 -H776, 2011. First published December 17, 2010 doi:10.1152 doi:10. /ajpheart.00445.2010 have previously shown that leaky junctions associated with dying or dividing cells are the dominant pathway for LDL transport under convective conditions, accounting for Ͼ90% of the transport. We (8) have also recently shown that the permeability of bovine aortic endothelial cell monolayers is highly correlated with their rate of apoptosis and that inhibiting apoptosis lowers the permeability of the monolayers to LDL. To explore the role of mitosis in the leaky junction pathway, the microtubule-stabilizing agent paclitaxel was used to alter the rate of mitosis, and LDL flux and water flux (Jv) were measured. Control monolayers had an average mitosis rate of 0.029%. Treatment with paclitaxel (2.5 M) for 1.5, 3, 4.5, or 6 h yielded increasing rates of mitosis ranging from 0.099% to 1.03%. The convective permeability of LDL (P e) increased up to fivefold, whereas Jv increased up to threefold, over this range of mitosis rates. We found strong correlations between the mitosis rate and both P e and Jv. However, compared with our previous apoptosis study (8), we found that mitosis was only half as effective as apoptosis in increasing P e. The results led us to conclude that while mitotsis-related leaky junctions might play a role in the initial infiltration of LDL into the artery wall, the progression of atherosclerosis might be more closely correlated with apoptosisrelated leaky junctions.low-density lipoprotein permeability; bovine aortic endothelial cells; water flux; leaky junctions; mitosis THE FIRST EVENT in the cascade of processes leading to atherosclerotic lesion formation is lipid infiltration and accumulation within the arterial wall (41). A relationship between enhanced endothelial permeability to LDL and the localization of atherosclerotic plaques is well established (16, 33). There are three potential pathways for the transport of macromolecules across the endothelium: transcytosis in vesicles, paracellular transport through breaks in the tight junction strand, and the leaky junction pathway associated with cells undergoing mitosis or apoptosis. Previous in vivo (13, 28, 29) and theoretical (48) studies have supported the importance of the leaky junction pathway in LDL and albumin transport across the endothelium. In studies by Lin et al. (30) and Chien et al. (13), aortic sections were stained with hematoxylin to identify cells in the M phase of the cell cycle using morphological criteria. Roughly 1 in 3,000 cells was found to be mitotic, but nearly all of those had an Evans blue-albumin (EBA) or Lucifer yellow (LY)-LDL leakage spot associated with it (99% for EBA and 80% for LY-LDL). Mitotic cells accounted for 30% of all EBA leaks and 45% of all LY-LDL leaks.Observations that hemodynamic factors usually associated with the development of atherosclerosis also affect end...