Mun GI, An SM, Park H, Jo H, Boo YC. Laminar shear stress inhibits lipid peroxidation induced by high glucose plus arachidonic acid in endothelial cells. Am J Physiol Heart Circ Physiol 295: H1966-H1973, 2008. First published September 12, 2008 doi:10.1152/ajpheart.00727.2008.-Elevated blood glucose and free fatty acids induce oxidative stress associated with the incidence of cardiovascular disease. In contrast, laminar shear stress (LSS) plays a critical role in maintaining vascular health. The present study examined the mechanism for the antioxidant effect of LSS attenuating the oxidative stress induced by high glucose (HG) and arachidonic acid (AA) in human umbilical vein endothelial cells. HG and AA synergistically decreased cell viability and increased glutathione (GSH) oxidation and lipid peroxidation. The lipid peroxidation was markedly prevented by LSS as well as tetrahydrobiopterin (BH4) and GSH. LSS increased BH4 and GSH contents, and expression of GTP cyclohydrolase-1 and glutamylcysteine ligase (GCL) involved in their biosynthesis. Inhibition of GCL activity by DL-buthionine-(S,R)-sulfoximine and small-interfering RNA-mediated knockdown of GCL lessened the antioxidant effect of LSS. Therefore, it is suggested that LSS enhances antioxidant capacity of endothelial cells and thereby attenuates the oxidative stress caused by cardiovascular risk factors. laminar shear stress; high glucose; arachidonic acid; lipid peroxidation; glutamylcysteine ligase SHEAR STRESS, A HEMODYNAMIC force generated by blood flow, is known to regulate various vascular functions as well as gene expression in a magnitude-and flow pattern-dependent manner (22). The regions of arteries experiencing laminar shear stress (LSS) due to orderly blood flow are usually protected from atherosclerotic lesion formation, and thus LSS of relatively high level has been proposed to play anti-atherogenic roles. Differently from oscillatory shear stress, LSS usually does not stimulate inflammatory reactions but suppresses them probably by increasing nitric oxide (NO) production rather than reactive oxygen species (ROS) (8) or by induction of enzymes associated with antioxidant defense (25).Chronic LSS enhances endothelial NO production by inducing endothelial nitric oxide synthase (eNOS) expression (5). A recent study demonstrated that LSS increases the content of tetrahydrobiopterin (BH 4 ), an essential cofactor of eNOS, by activating GTP cyclohydrolase-1 (GTPCH-1), a rate-limiting enzyme for de novo synthesis of this cofactor, providing an additional mechanism for the increased NO production by LSS (34). However, BH 4 is very prone to oxidation by ROS and can be depleted under oxidative stress conditions. Then, eNOS reaction can be "uncoupled" and produce ROS instead of NO, causing further increase of oxidative stress, rather than attenuation of oxidative stress.Plasma free fatty acids are elevated in diabetic patients and play a role in the pathogenesis of diabetic vascular complications (35). High blood glucose and free fatty acids can cause...