Recently, we showed that disturbed flow caused by a partial ligation of mouse carotid artery rapidly induces atherosclerosis. Here, we identified mechanosensitive genes in vivo through a genome-wide microarray study using mouse endothelial RNAs isolated from the flow-disturbed left and the undisturbed right common carotid artery. We found 62 and 523 genes that changed significantly by 12 hours and 48 hours after ligation, respectively. The results were validated by quantitative polymerase chain reaction for 44 of 46 tested genes. This array study discovered numerous novel mechanosensitive genes, including Lmo4, klk10, and dhh, while confirming well-known ones, such as Klf2, eNOS, and BMP4.
IntroductionAtherosclerosis is an inflammatory disease 1,2 preferentially occurring in arterial regions exposed to disturbed flow characterized by low and oscillatory shear stress, whereas straight arterial regions exposed to table flow are protected from atherosclerosis. 3,4 Despite the close association between the 2, in vivo evidence directly linking disturbed flow conditions to atherosclerosis has been scarce.The differential mechanisms by which disturbed and stable flow promotes and inhibits atherogenesis, respectively, have been a subject of intense study, mostly using cultured endothelial cells. [5][6][7][8] To define molecular mechanisms responsible for these changes, investigators have carried out DNA microarray studies using endothelial cells [9][10][11][12][13][14][15][16][17] and have subsequently identified numerous shear-sensitive genes, such as kruppel-like factor 2 and 4 (Klf2, Klf4), endothelial nitric oxide synthase (eNOS), vascular cell adhesion molecule-1 (VCAM-1), intercellular adhesion molecule-1 (ICAM-1), bone morphogenic protein 4 (BMP-4), cathepsins, and angiopoietin-2 (Angpt2). 11,14,[18][19][20][21][22][23][24][25][26][27][28][29] Functional studies based on these shear-sensitive genes and their protein products have revealed the critical roles that they play in regulation of inflammation, thrombosis, vascular remodeling, angiogenesis, and arteriogenesis. 11,[19][20][21][22][26][27][28][29][30] Although these in vitro studies have provided critical insights regarding shear-sensitive mechanisms in cultured endothelial cells using modeled flow conditions, it cannot be assumed that identical mechanosensitive genes and pathways are involved in vivo regulating flow-dependent vascular responses and diseases. Therefore, it is critical to study how arterial endothelium responds to different flow conditions in vivo. However, the adequate pathophysiologic animal models enabling acute and reproducible modulation of flow conditions that rapidly lead to atherosclerosis have been lacking.Recently, we have shown that partial ligation of mouse carotid artery causes disturbed flow with characteristic low and oscillatory wall shear stress, which in turn rapidly induces atherosclerosis, directly demonstrating the causal relationship between disturbed flow and atherosclerosis. 31 In this model, disturbed flow induces e...