Oxidative modifications of LDL are a major risk factor in the development of vascular disease and are known to induce endothelial dysfunction, one of the earliest manifestations of atherosclerosis (1, 2). Our studies focus on the oxidized LDL (oxLDL)-induced impact on endothelial biomechanics and its role in vascular dysfunction.Our recent studies showed that the stiffness of aortic endothelial cells (ECs) is significantly increased by exposing the cells to oxLDL in vitro or by dyslipidemia in the dietinduced porcine atherosclerosis model in vivo (3, 4). An increase in endothelial stiffness was accompanied by an increase in endothelial contractile forces generated on the cell-substrate interface and an enhanced ability of ECs to form branching networks in 3D cultures (3, 4), which is considered a prerequisite of angiogenesis (5). Moreover, earlier studies demonstrated a correlation between increased endothelial force and network formation across several endothelial subtypes (6). We proposed, therefore, that oxLDL-induced endothelial stiffening may lead to increased angiogenic activity of ECs during the development of atherosclerotic plaques. This process is expected to be of major clinical importance because neovascularization of the plaques is increasingly recognized as a critical process and a major risk factor for plaque vulnerability (7). The goal of this study is to elucidate the mechanism of oxLDL-induced endothelial stiffening and evaluate a link between this effect and the ability of ECs to form functional capillaries. Abstract Endothelial biomechanics is

BackgroundHypercholesterolemia‐induced decreased availability of nitric oxide (NO) is a major factor in cardiovascular disease. We previously established that cholesterol suppresses endothelial inwardly rectifying K+ (Kir) channels and that Kir2.1 is an upstream mediator of flow‐induced NO production. Therefore, we tested the hypothesis that suppression of Kir2.1 is responsible for hypercholesterolemia‐induced inhibition of flow‐induced NO production and flow‐induced vasodilation (FIV). We also tested the role of Kir2.1 in the development of atherosclerotic lesions.Methods and ResultsKir2.1 currents are significantly suppressed in microvascular endothelial cells exposed to acetylated–low‐density lipoprotein or isolated from apolipoprotein E–deficient (Apoe −/−) mice and rescued by cholesterol depletion. Genetic deficiency of Kir2.1 on the background of hypercholesterolemic Apoe −/−mice, Kir2.1 +/− /Apoe −/− exhibit the same blunted FIV and flow‐induced NO response as Apoe −/−or Kir2.1 +/− alone, but while FIV in Apoe −/− mice can be rescued by cholesterol depletion, in Kir2.1 +/− /Apoe −/− mice cholesterol depletion has no effect on FIV. Endothelial‐specific overexpression of Kir2.1 in arteries from Apoe −/− and Kir2.1 +/− /Apoe −/− mice results in full rescue of FIV and NO production in Apoe −/− mice with and without the addition of a high‐fat diet. Conversely, endothelial‐specific expression of dominant‐negative Kir2.1 results in the opposite effect. Kir2.1 +/− /Apoe −/−mice also show increased lesion formation, particularly in the atheroresistant area of descending aorta.ConclusionsWe conclude that hypercholesterolemia‐induced reduction in FIV is largely attributable to cholesterol suppression of Kir2.1 function via the loss of flow‐induced NO production, whereas the stages downstream of flow‐induced Kir2.1 activation appear to be mostly intact. Kir2.1 channels also have an atheroprotective role.

Oxidized modifications of LDL (oxLDL) play a key role in the development of endothelial dysfunction and atherosclerosis. However, the underlying mechanisms of oxLDL-mediated cellular behavior are not completely understood. Here, we compared the effects of two major types of oxLDL, copper-oxidized LDL (Cu-oxLDL) and lipoxygenase-oxidized LDL (LPO-oxLDL), on proliferation of human aortic endothelial cells (HAECs). Cu-oxLDL enhanced HAECs' proliferation in a dose- and degree of oxidation-dependent manner. Similarly, LPO-oxLDL also enhanced HAEC proliferation. Mechanistically, both Cu-oxLDL and LPO-oxLDL enhance HAEC proliferation via activation of Rho, Akt phosphorylation, and a decrease in the expression of cyclin-dependent kinase inhibitor 1B (p27). Both Cu-oxLDL or LPO-oxLDL significantly increased Akt phosphorylation, whereas an Akt inhibitor, MK2206, blocked oxLDL-induced increase in HAEC proliferation. Blocking Rho with C3 or its downstream target ROCK with Y27632 significantly inhibited oxLDL-induced Akt phosphorylation and proliferation mediated by both Cu- and LPO-oxLDL. Activation of RhoA was blocked by Rho-GDI-1, which also abrogated oxLDL-induced Akt phosphorylation and HAEC proliferation. In contrast, blocking Rac1 in these cells had no effect on oxLDL-induced Akt phosphorylation or cell proliferation. Moreover, oxLDL-induced Rho/Akt signaling downregulated cell cycle inhibitor p27 Preloading these cells with cholesterol, however, prevented oxLDL-induced Akt phosphorylation and HAEC proliferation. These findings provide a new understanding of the effects of oxLDL on endothelial proliferation, which is essential for developing new treatments against neovascularization and progression of atherosclerosis.

Objective: To determine if endothelial dysfunction in a mouse model of diet-induced obesity and in obese humans is mediated by the suppression of endothelial inwardly rectifying K+ (Kir) channels. Approach and Results: Endothelial dysfunction, observed as reduced dilations to flow, occurred after feeding mice a high-fat, Western diet for 8 weeks. The functional downregulation of endothelial Kir2.1 using dominant-negative Kir2.1 construct resulted in substantial reductions in the response to flow in mesenteric arteries of lean mice, whereas no effect was observed in arteries of obese mice. Overexpressing wild-type–Kir2.1 in endothelium of arteries from obese mice resulted in full recovery of the flow response. Exposing freshly isolated endothelial cells to fluid shear during patch-clamp electrophysiology revealed that the flow-sensitivity of Kir was virtually abolished in cells from obese mice. Atomic force microscopy revealed that the endothelial glycocalyx was stiffer and the thickness of the glycocalyx layer reduced in arteries from obese mice. We also identified that the length of the glycocalyx is critical to the flow-activation of Kir. Overexpressing Kir2.1 in endothelium of arteries from obese mice restored flow- and heparanase-sensitivity, indicating an important role for heparan sulfates in the flow-activation of Kir. Furthermore, the Kir2.1-dependent component of flow-induced vasodilation was lost in the endothelium of resistance arteries of obese humans obtained from biopsies collected during bariatric surgery. Conclusions: We conclude that obesity-induced impairment of flow-induced vasodilation is attributed to the loss of flow-sensitivity of endothelial Kir channels and propose that the latter is mediated by the biophysical alterations of the glycocalyx.

Dyslipidemia is a modification in lipid composition that potentially causes adverse cardiovascular outcomes. An increase in oxidized low density lipoprotein (oxLDL), a common dyslipidemic condition, is considered to be detrimental. We show here that pathological levels of oxLDL induces endothelial cell (EC) stiffening and this stiffening is RhoA dependent. Furthermore, we tested the immediate downstream effector of RhoA, Rho kinase (ROCK). ROCK inhibition caused a complete abrogation of oxLDL induced EC stiffening. 7‐ketocholesterol (7KC), an important oxysterol component of oxLDL, has previously been shown to induce EC stiffening. We now extend our study to the inhibition of RhoA, which abolished the stiffening effect of 7KC. Previous studies have observed that oxLDL increases network formation in vitro. Here we now demonstrate that oxLDL increases migration and proliferation in vitro, and capillary formation in vivo. Similarly to oxLDL induced EC stiffening, the effects of oxLDL on angiogenesis were also inhibited by blocking RhoA and ROCK signaling. Additionally, PGPC and POVPC, components of oxLDL, were tested on capillary formation. We propose that oxLDL induced EC stiffening may play a potential role in angiogenesis under dyslipidemic conditions.