Disturbed flow–induced Gs-mediated signaling protects against endothelial inflammation and atherosclerosis

Atherosclerosis develops preferentially in areas of the arterial system, in which blood flow is disturbed. Exposure of endothelial cells to disturbed flow has been shown to induce inflammatory signaling, including NF-κB activation, which leads to the expression of leukocyte adhesion molecules and ch...

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Main Authors: Akiko Nakayama, Julián Albarrán-Juárez, Guozheng Liang, Kenneth Anthony Roquid, András Iring, Sarah Tonack, Min Chen, Oliver J. Müller, Lee S. Weinstein, Stefan Offermanns
Format: Article
Language:English
Published: American Society for Clinical investigation 2020-12-01
Series:JCI Insight
Subjects:
Online Access:https://doi.org/10.1172/jci.insight.140485
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author Akiko Nakayama
Julián Albarrán-Juárez
Guozheng Liang
Kenneth Anthony Roquid
András Iring
Sarah Tonack
Min Chen
Oliver J. Müller
Lee S. Weinstein
Stefan Offermanns
author_facet Akiko Nakayama
Julián Albarrán-Juárez
Guozheng Liang
Kenneth Anthony Roquid
András Iring
Sarah Tonack
Min Chen
Oliver J. Müller
Lee S. Weinstein
Stefan Offermanns
author_sort Akiko Nakayama
collection DOAJ
description Atherosclerosis develops preferentially in areas of the arterial system, in which blood flow is disturbed. Exposure of endothelial cells to disturbed flow has been shown to induce inflammatory signaling, including NF-κB activation, which leads to the expression of leukocyte adhesion molecules and chemokines. Here, we show that disturbed flow promotes the release of adrenomedullin from endothelial cells, which in turn activates its Gs-coupled receptor calcitonin receptor–like receptor (CALCRL). This induces antiinflammatory signaling through cAMP and PKA, and it results in reduced endothelial inflammation in vitro and in vivo. Suppression of endothelial expression of Gαs, the α subunit of the G-protein Gs; CALCRL; or adrenomedullin leads to increased disturbed flow–induced inflammatory signaling in vitro and in vivo. Furthermore, mice with induced endothelial-specific deficiency of Gαs, CALCRL, or adrenomedullin show increased atherosclerotic lesions. Our data identify an antiinflammatory signaling pathway in endothelial cells stimulated by disturbed flow and suggest activation of the endothelial adrenomedullin/CALCRL/Gs system as a promising approach to inhibit progression of atherosclerosis.
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spelling doaj.art-c1ebda9a5f75409cbfaf0b5ba83c0cbb2022-12-21T22:42:01ZengAmerican Society for Clinical investigationJCI Insight2379-37082020-12-01523Disturbed flow–induced Gs-mediated signaling protects against endothelial inflammation and atherosclerosisAkiko NakayamaJulián Albarrán-JuárezGuozheng LiangKenneth Anthony RoquidAndrás IringSarah TonackMin ChenOliver J. MüllerLee S. WeinsteinStefan OffermannsAtherosclerosis develops preferentially in areas of the arterial system, in which blood flow is disturbed. Exposure of endothelial cells to disturbed flow has been shown to induce inflammatory signaling, including NF-κB activation, which leads to the expression of leukocyte adhesion molecules and chemokines. Here, we show that disturbed flow promotes the release of adrenomedullin from endothelial cells, which in turn activates its Gs-coupled receptor calcitonin receptor–like receptor (CALCRL). This induces antiinflammatory signaling through cAMP and PKA, and it results in reduced endothelial inflammation in vitro and in vivo. Suppression of endothelial expression of Gαs, the α subunit of the G-protein Gs; CALCRL; or adrenomedullin leads to increased disturbed flow–induced inflammatory signaling in vitro and in vivo. Furthermore, mice with induced endothelial-specific deficiency of Gαs, CALCRL, or adrenomedullin show increased atherosclerotic lesions. Our data identify an antiinflammatory signaling pathway in endothelial cells stimulated by disturbed flow and suggest activation of the endothelial adrenomedullin/CALCRL/Gs system as a promising approach to inhibit progression of atherosclerosis.https://doi.org/10.1172/jci.insight.140485InflammationVascular biology
spellingShingle Akiko Nakayama
Julián Albarrán-Juárez
Guozheng Liang
Kenneth Anthony Roquid
András Iring
Sarah Tonack
Min Chen
Oliver J. Müller
Lee S. Weinstein
Stefan Offermanns
Disturbed flow–induced Gs-mediated signaling protects against endothelial inflammation and atherosclerosis
JCI Insight
Inflammation
Vascular biology
title Disturbed flow–induced Gs-mediated signaling protects against endothelial inflammation and atherosclerosis
title_full Disturbed flow–induced Gs-mediated signaling protects against endothelial inflammation and atherosclerosis
title_fullStr Disturbed flow–induced Gs-mediated signaling protects against endothelial inflammation and atherosclerosis
title_full_unstemmed Disturbed flow–induced Gs-mediated signaling protects against endothelial inflammation and atherosclerosis
title_short Disturbed flow–induced Gs-mediated signaling protects against endothelial inflammation and atherosclerosis
title_sort disturbed flow induced gs mediated signaling protects against endothelial inflammation and atherosclerosis
topic Inflammation
Vascular biology
url https://doi.org/10.1172/jci.insight.140485
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