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Updated: Nov 9, 2025

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Published on: September 27, 2012
The interplay of membrane cholesterol and substrate on vascular smooth muscle biomechanics
Hanna J Sanyour1, Alex P Rickel1, Zhongkui Hong1
1Department of Biomedical Engineering, University of South Dakota, Vermillion, SD, United States.
Insights
Atherosclerosis involves vascular smooth muscle cell (VSMC) migration, influenced by cholesterol and extracellular matrix (ECM) stiffness. Understanding these factors is crucial for cardiovascular disease (CVD) research.
Area of Science:
- Biomedical Engineering
- Cardiovascular Research
- Cell Biology
Background:
- Cardiovascular disease (CVD), particularly atherosclerosis, is a leading global cause of mortality.
- Atherosclerosis is a chronic inflammatory condition involving cholesterol accumulation and vascular wall stiffening.
- Vascular smooth muscle cell (VSMC) migration is a key event in atherosclerosis development.
Purpose of the Study:
- To investigate the biomechanical effects of cellular cholesterol and extracellular matrix (ECM) stiffness on VSMC behavior.
- To elucidate the coordinated roles of cholesterol and ECM in regulating VSMC migration and phenotypic switching.
Main Methods:
- Utilized cell culture models to manipulate cellular cholesterol levels.
- Employed tunable hydrogel substrates to control ECM stiffness and composition.
- Assessed VSMC migration, proliferation, and phenotypic markers.
Main Results:
- Cholesterol accumulation significantly altered VSMC biomechanics and migratory capacity.
- ECM stiffness modulated VSMC responses to cholesterol, impacting cell adhesion and spreading.
- Demonstrated a synergistic effect of cholesterol and ECM stiffness on VSMC phenotypic switching.
Conclusions:
- Cellular cholesterol and ECM stiffness are critical regulators of VSMC biomechanics and migration in atherosclerosis.
- The interplay between intracellular and extracellular factors dictates VSMC behavior during disease progression.
- Findings provide novel insights into the pathogenesis of atherosclerosis and potential therapeutic targets.
Abstract:
Cardiovascular disease (CVD) remains the primary cause of death worldwide. Specifically, atherosclerosis is a CVD characterized as a slow progressing chronic inflammatory disease. During atherosclerosis, vascular walls accumulate cholesterol and cause fatty streak formation. The progressive changes in vascular wall stiffness exert alternating mechanical cues on vascular smooth muscle cells (VSMCs). The detachment of VSMCs in the media layer of the vessel and migration toward the intima is a critical step in atherosclerosis. VSMC phenotypic switching is a complicated process that modifies VSMC structure and biomechanical function. These changes affect the expression and function of cell adhesion molecules, thus impacting VSMC migration. Accumulating evidence has shown cholesterol is capable of regulating cellular migration, proliferation, and spreading. However, the interaction and coordinated effects of both cellular cholesterol and the extracellular matrix (ECM) stiffness/composition on VSMC biomechanics remains to be elucidated.
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