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Disturbed Flow Promotes Arterial Stiffening Through Thrombospondin-1
Chan Woo Kim1, Anastassia Pokutta-Paskaleva1, Sandeep Kumar1
1From Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology and Emory University, Atlanta (C.W.K., A.P.-P., S.K., D.-W.K., J.R., R.L.G., H.J., L.P.B.); Department of Microbiology, College of Medicine, Inha University, Incheon, Republic of Korea (C.W.K.); Department of Surgery, Emory University, Atlanta, GA (A.P.-P., A.D.M., T.C., K.M.K., H.L., L.P.B.); Department of Radiology and Imaging Sciences, Emory University, Atlanta, GA (L.H.T.); Department of Bioengineering, University of Utah, Salt Lake City (L.H.T.); Mercer University School of Medicine, Macon, GA (S.D.); Life Science Center, Tsukuba Advanced Research Alliance, University of Tsukuba, Ibaraki, Japan (H.Y.); George W. Woodruff School of Mechanical Engineering, Georgia Institute of Technology, Atlanta (R.L.G.); Surgical and Research Services, Atlanta VA Medical Center, Decatur, GA (L.P.B.); and Parker H. Petit Institute for Bioengineering and Biosciences, Georgia Institute of Technology, Atlanta (L.P.B.).
Disturbed flow (d-flow) causes arterial stiffening by increasing collagen deposition, mediated by thrombospondin-1 (TSP-1) activating transforming growth factor-β pathways. Targeting TSP-1 may offer new therapies for arterial stiffening.
Area of Science:
- Cardiovascular Biology
- Biomedical Engineering
- Translational Medicine
Background:
- Arterial stiffness is a key cardiovascular risk factor, linked to increased mortality.
- Disturbed flow (d-flow), characterized by low and oscillatory shear stress, promotes atherosclerotic remodeling but its role in arterial stiffening is unclear.
Purpose of the Study:
- To investigate the role of d-flow in arterial stiffening.
- To identify the signaling pathways involved in d-flow-induced arterial stiffening.
Main Methods:
- D-flow was induced in mouse carotid arteries; arterial stiffness was measured using mechanical testing and ultrasound.
- Gene expression and pathway analysis were performed, with in vitro and in vivo validation.
- Human arteries from d-flow and stable flow regions were analyzed to validate findings.
Main Results:
- D-flow induced significant arterial stiffening via collagen deposition, comparable to aging.
- Thrombospondin-1 (TSP-1) mediated stiffening by activating profibrotic genes, partly through transforming growth factor-β (TGF-β) pathways.
- TSP-1 knockout mice showed reduced d-flow-induced stiffening; human arteries exposed to d-flow exhibited increased TSP-1 and collagen expression.
Conclusions:
- TSP-1 plays a critical role in shear-mediated arterial stiffening.
- Targeting TSP-1 and its associated profibrotic pathways offers potential therapeutic strategies for arterial stiffening in d-flow conditions.
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