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Updated: Mar 22, 2026

A Multi-Cue Bioreactor to Evaluate the Inflammatory and Regenerative Capacity of Biomaterials under Flow and Stretch
Published on: December 10, 2020
Modulation of Endothelial Inflammation by Low and High Magnitude Cyclic Stretch
Yufeng Tian1, Grzegorz Gawlak1, James J O'Donnell1
1Lung Injury Center, Section of Pulmonary and Critical Medicine, Department of Medicine, University of Chicago, Chicago, Illinois 60637, United States of America.
Excessive mechanical ventilation causes lung endothelial cell inflammation via cyclic stretch (CS). High CS (18%) activates GEF-H1, increasing inflammatory markers and barrier dysfunction, unlike low CS (5%).
Area of Science:
- Pulmonary medicine
- Cellular biology
- Biomedical engineering
Background:
- Mechanical ventilation can harm lung endothelium.
- Mechanisms of ventilator-induced endothelial inflammation are unclear.
- Cyclic stretch (CS) is a key mechanical stressor.
Purpose of the Study:
- Investigate CS effects on pulmonary endothelial cell (EC) inflammation.
- Determine mechanisms of CS-induced EC inflammatory response.
- Examine roles of ICAM1, IL-8, and GEF-H1.
Main Methods:
- Exposed pulmonary ECs to 5% and 18% CS for 28-72 hours.
- Stimulated ECs with bacterial lipopolysaccharide (LPS).
- Assessed ICAM1, IL-8, and GEF-H1 expression; measured EC barrier integrity; used siRNA for GEF-H1 knockdown.
Main Results:
- 18% CS, not 5% CS, increased ICAM1, sICAM1, and IL-8.
- 18% CS augmented LPS-induced inflammation and EC barrier disruption.
- 18% CS induced GEF-H1 expression; GEF-H1 knockdown abolished CS-induced inflammation and barrier dysfunction.
Conclusions:
- Excessive mechanical stretch (18% CS) exacerbates pulmonary EC inflammation.
- CS-induced inflammation is mediated by GEF-H1.
- GEF-H1 is a key mediator of ventilator-induced endothelial dysfunction.
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