FAK activity exacerbates disturbed flow-mediated atherosclerosis via VEGFR2-CBL-NF-κB signaling
James M Murphy1, Duyen Thi Kieu Tran1, Kyuho Jeong2
1Department of Pathology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
The Journal of Biological Chemistry
|June 16, 2025
Summary
Disturbed blood flow triggers vascular inflammation via endothelial cell (EC) activation. This study reveals that inhibiting focal adhesion kinase (FAK) may reduce EC inflammation, offering a potential therapeutic strategy for atherosclerosis.
Area of Science:
- Cardiovascular Biology
- Endothelial Cell Signaling
- Atherosclerosis Pathogenesis
Background:
- Atherosclerosis develops at sites of disturbed blood flow, leading to vascular inflammation.
- Disturbed flow increases endothelial cell (EC) permeability and inflammatory gene expression.
- Vascular endothelial growth factor receptor 2 (VEGFR2) is involved in flow-induced EC inflammation, but its precise signaling pathway remains unclear.
Purpose of the Study:
- To elucidate the signaling mechanism linking focal adhesion kinase (FAK) and VEGFR2 in flow-mediated endothelial inflammation.
- To investigate the role of FAK-VEGFR2 interaction in the context of atherosclerosis development.
Main Methods:
- Investigated flow-mediated activation of FAK and NF-kB in endothelial cells.
- Examined the interaction between FAK, VEGFR2, and Casitas B-lineage lymphoma (CBL) under flow conditions.
- Utilized Apoe-/- mice on a Western diet to assess FAK activity in atheroprone regions of the aorta.
Main Results:
- VEGF priming of VEGFR2 is critical for flow-mediated activation of FAK and NF-kB.
- FAK activation promotes tyrosine phosphorylation of CBL, which interacts with VEGFR2 under flow.
- FAK inhibition reduced VEGFR2-FAK-CBL complex formation and VEGFR2 cell membrane expression.
- Apoe-/- mice showed increased FAK activity in disturbed flow regions, correlating with elevated cell surface VEGFR2.
Conclusions:
- FAK activation is a key mediator of disturbed flow-induced endothelial inflammation.
- The FAK-VEGFR2-CBL axis plays a significant role in this inflammatory signaling pathway.
- Suppression of FAK activity may be a therapeutic target for reducing endothelial pro-inflammatory responses in atherosclerosis.
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