Background-Vein grafting in coronary artery surgery is complicated by a high restenosis rate resulting from the development of vascular inflammation, intimal hyperplasia, and accelerated atherosclerosis. In contrast, arterial grafts are relatively resistant to these processes. Vascular inflammation is regulated by signaling intermediaries, including p38 mitogen-activated protein (MAP) kinase, that trigger endothelial cell (EC) expression of chemokines (eg, interleukin-8, monocyte chemotactic protein-1) and other proinflammatory molecules. Here, we have tested the hypothesis that p38 MAP kinase activation in response to arterial shear stress (flow) may occur more readily in venous ECs, leading to greater proinflammatory activation. Methods and Results-Comparative reverse-transcriptase polymerase chain reaction and Western blotting revealed that arterial shear stress induced p38-dependent expression of monocyte chemotactic protein-1 and interleukin-8 in porcine jugular vein ECs. In contrast, porcine aortic ECs were protected from shear stress-induced expression of p38-dependent chemokines as a result of rapid induction of MAP kinase phosphatase-1. However, we observed with both cultured porcine jugular vein ECs and perfused veins that venous ECs can be protected by brief treatment with dexamethasone, which induced MAP kinase phosphatase-1 to suppress proinflammatory activation. 1 This process is coordinated by the simultaneous activation of c-Jun N-terminal kinase (JNK) and p38 mitogen-activated protein (MAP) kinases 2 and nuclear factor-B (NF-B) 3 signaling pathways, which cooperate to induce and stabilize proinflammatory transcripts in vascular ECs. 4,5 Clinical Perspective on p 532
Conclusions-ArterialThe susceptibility of blood vessels to inflammatory processes varies according to their anatomic location. This has been attributed to local differences in hemodynamics 6,7 ; differences in the structure and physiology of blood vessels also play an important role. 8,9 This is exemplified in bypass grafting in which arteries and veins respond differently to arterial flow. Although vein grafts are commonly used as conduits in cardiac and vascular surgery, 10 their use is commonly complicated by intimal hyperplasia and accelerated atherosclerosis, which cause late failure rates of up to Received October 14, 2009; accepted November 15, 2010. From the British Heart Foundation Cardiovascular Sciences Unit, National Heart and Lung Institute (M.Z., L.A.L., H.C., O.R., J.C.M., D.O.H., P.C.E.), Department of Cardiothoracic Surgery (P.P.P., J.R.A., J.W.M., A.T.C.), Department of Bioengineering (R.K., N.F.), and Department of Biosurgery and Surgical Technology (T.A.) To gain insight into intrinsic molecular mechanisms underlying the differential responses of arteries and veins to grafting, we compared the effects of arterial shear stress on proinflammatory activation of venous and arterial ECs. We found that arterial but not venous ECs were protected from proinflammatory activation in response to the rapid induction of high...