Vascular endothelial cells (ECs), which exist in close proximity to vascular smooth muscle cells (SMCs), are constantly subjected to blood flow-induced shear stress. Although the effect of shear stress on endothelial biology has been extensively studied, the influence of SMCs on endothelial response to shear stress remains largely unexplored. We examined the potential role of SMCs in regulating the shear stress-induced gene expression in ECs, using a parallel-plate coculture flow system in which these 2 types of cells were separated by a porous membrane. In this coculture system, SMCs tended to orient perpendicularly to the flow direction, whereas the ECs were elongated and aligned
IntroductionVascular endothelial cells (ECs), which provide an interface between the blood and the vessel wall, are constantly subjected to hemodynamic forces, including the shear stress imposed by blood flow. Shear stress affects leukocyte-EC interaction and the subsequent leukocyte extravasation into inflamed tissues. 1,2 The effects of fluid shear stress on endothelial biology and gene expression have been extensively studied. [3][4][5][6][7] In addition to its physical influence on leukocyte-EC adhesion, 8,9 shear stress can alter the adhesive properties of ECs by modulating the surface expression of adhesive proteins, for example, intercellular adhesion molecule-1 (ICAM-1), 10-15 vascular cell adhesion molecule-1 (VCAM-1), 10,11,13,14,16,17 and E-selectin. 13,18 Exposure of ECs to laminar flow increases the gene and protein expression of ICAM-1. [10][11][12][13][14][15] Our recent study demonstrated that this shear flow-induced increase in ICAM-1 expression is partially due to an elevation of the levels of intracellular reactive oxygen species (ROS) in ECs. 15 In contrast to ICAM-1, shear stress treatment of ECs has only a minor effect on the surface expression of VCAM-1, or may even cause a reduction. 10,11,13,14,16,17 E-selectin has been reported to be less responsive to laminar shear stress 13 and more responsive to oscillatory flow condition. 18 Most studies on how shear stress affects ECs have been performed by using a cultured EC monolayer as an experimental model. The vessel wall is composed of several types of cells, including ECs, smooth muscle cells (SMCs), and fibroblasts. There is increasing evidence that cell-to-cell interactions can control cellular growth, migration, differentiation, and function. 19 Physical contact between ECs and SMCs via myoendothelial bridges has been demonstrated in vivo 20,21 and may play an important role in cellular communication. Hence, in vitro models for studying ECs need to simulate the in vivo environment by coculturing ECs in close proximity to SMCs. Several coculture models have recently been developed. [22][23][24][25][26] Ziegler et al 22 designed a coculture model that includes SMCs, ECs, and a matrix of collagen gel. They demonstrated that ECs cocultured with SMCs aligned with the flow direction more rapidly than ECs grown on plastic. Redmond et al 23 developed a system in whic...