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Circulation Research. 1998;82:1094-1101

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(Circulation Research. 1998;82:1094-1101.)
© 1998 American Heart Association, Inc.


Original Contributions

Oscillatory and Steady Laminar Shear Stress Differentially Affect Human Endothelial Redox State

Role of a Superoxide-Producing NADH Oxidase

Gilles W. De Keulenaer1, David C. Chappell1, Nobukazu Ishizaka, Robert M. Nerem, R. Wayne Alexander, , Kathy K. Griendling

From the Division of Cardiology, Emory University School of Medicine (G.W. De K., D.C.C., N.I., R.W.A., K.K.G.), and Georgia Institute of Technology, School of Mechanical Engineering (R.M.N.), Atlanta, Ga.

Correspondence to Kathy K. Griendling, PhD, Emory University, Division of Cardiology, 1639 Pierce Dr, 319 WMB, Atlanta, GA 30322. E-mail kgriend{at}emory.edu

Abstract—Atherosclerotic lesions are found opposite vascular flow dividers at sites of low shear stress and oscillatory flow. Since endothelial proinflammatory genes prominent in lesions are regulated by oxidation-sensitive transcriptional control mechanisms, we examined the redox state of cultured human umbilical vein endothelial cells after either oscillatory or steady laminar fluid shear stress. Endothelial oxidative stress was assessed by measuring activity of the superoxide (O2·-)–producing NADH oxidase (a major source of reactive oxygen species in vascular cells), intracellular O2·- levels, induction of the redox-sensitive gene heme oxygenase-1 (HO-1), and abundance of Cu/Zn superoxide dismutase (Cu/Zn SOD), an antioxidant defense enzyme whose level of expression adapts to changes in oxidative stress. When cells were exposed to oscillatory shear (±5 dyne/cm2, 1 Hz) for 1, 5, and 24 hours, NADH oxidase activity and the amount of HO-1 progressively increased up to 174±16% (P<0.05) and 505±111% (P<0.05) versus static conditions, respectively, whereas levels of Cu/Zn SOD remained unchanged. This upregulation of HO-1 was completely blocked by the antioxidant N-acetylcysteine (NAC, 20 mmol/L). In contrast, steady laminar shear (5 dyne/cm2) induced NADH oxidase activity and NAC-sensitive HO-1 mRNA expression only at 1 and 5 hours, a transient response that returned toward baseline at 24 hours. Levels of Cu/Zn SOD mRNA and protein were increased after 24 hours of steady laminar shear. Furthermore, intracellular O2·-, as measured by dihydroethidium fluorescence, was higher in cells exposed to oscillatory than to laminar shear. These data are consistent with the hypothesis that continuous oscillatory shear causes a sustained activation of pro-oxidant processes resulting in redox-sensitive gene expression in human endothelial cells. Steady laminar shear stress initially activates these processes but appears to induce compensatory antioxidant defenses. We speculate that differences in endothelial redox state, orchestrated by different regimens of shear stress, may contribute to the focal nature of atherosclerosis.


Key Words: shear stress • endothelium • NADH/NADPH oxidase • oxygen-derived free radical • heme oxygenase-1




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Vascular and Endovascular Surgery, July 1, 2004; 38(4): 291 - 313.
[Abstract] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
D. Sun, A. Huang, E. H. Yan, Z. Wu, C. Yan, P. M. Kaminski, T. D. Oury, M. S. Wolin, and G. Kaley
Reduced release of nitric oxide to shear stress in mesenteric arteries of aged rats
Am J Physiol Heart Circ Physiol, June 1, 2004; 286(6): H2249 - H2256.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
T. J. Rabelink, H. C. de Boer, E. J.P. de Koning, and A.-J. van Zonneveld
Endothelial Progenitor Cells: More Than an Inflammatory Response?
Arterioscler Thromb Vasc Biol, May 1, 2004; 24(5): 834 - 838.
[Abstract] [Full Text]


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Am. J. Physiol. Cell Physiol.Home page
P. J. Kuhlencordt, E. Rosel, R. E. Gerszten, M. Morales-Ruiz, D. Dombkowski, W. J. Atkinson, F. Han, F. Preffer, A. Rosenzweig, W. C. Sessa, et al.
Role of endothelial nitric oxide synthase in endothelial activation: insights from eNOS knockout endothelial cells
Am J Physiol Cell Physiol, May 1, 2004; 286(5): C1195 - C1202.
[Abstract] [Full Text] [PDF]


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Proc. Natl. Acad. Sci. USAHome page
A. G. Passerini, D. C. Polacek, C. Shi, N. M. Francesco, E. Manduchi, G. R. Grant, W. F. Pritchard, S. Powell, G. Y. Chang, C. J. Stoeckert Jr., et al.
Coexisting proinflammatory and antioxidative endothelial transcription profiles in a disturbed flow region of the adult porcine aorta
PNAS, February 24, 2004; 101(8): 2482 - 2487.
[Abstract] [Full Text] [PDF]


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Vasc MedHome page
S. M Wasserman and J. N Topper
Adaptation of the endothelium to fluid flow: in vitro analyses of gene expression and in vivo implications
Vascular Medicine, February 1, 2004; 9(1): 35 - 45.
[Abstract] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
P. A. VanderLaan, C. A. Reardon, and G. S. Getz
Site Specificity of Atherosclerosis: Site-Selective Responses to Atherosclerotic Modulators
Arterioscler Thromb Vasc Biol, January 1, 2004; 24(1): 12 - 22.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
J. A. Vita and G. F. Mitchell
Effects of shear stress and flow pulsatility on endothelial function: Insights gleaned from external counterpulsation therapy
J. Am. Coll. Cardiol., December 17, 2003; 42(12): 2096 - 2098.
[Full Text] [PDF]


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Circ. Res.Home page
J. Hwang, M. H. Ing, A. Salazar, B. Lassegue, K. Griendling, M. Navab, A. Sevanian, and T. K. Hsiai
Pulsatile Versus Oscillatory Shear Stress Regulates NADPH Oxidase Subunit Expression: Implication for Native LDL Oxidation
Circ. Res., December 12, 2003; 93(12): 1225 - 1232.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
J. S. McNally, M. E. Davis, D. P. Giddens, A. Saha, J. Hwang, S. Dikalov, H. Jo, and D. G. Harrison
Role of xanthine oxidoreductase and NAD(P)H oxidase in endothelial superoxide production in response to oscillatory shear stress
Am J Physiol Heart Circ Physiol, December 1, 2003; 285(6): H2290 - H2297.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
Y. Taniyama and K. K. Griendling
Reactive Oxygen Species in the Vasculature: Molecular and Cellular Mechanisms
Hypertension, December 1, 2003; 42(6): 1075 - 1081.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
J. Hwang, A. Saha, Y. C. Boo, G. P. Sorescu, J. S. McNally, S. M. Holland, S. Dikalov, D. P. Giddens, K. K. Griendling, D. G. Harrison, et al.
Oscillatory Shear Stress Stimulates Endothelial Production of O2- from p47phox-dependent NAD(P)H Oxidases, Leading to Monocyte Adhesion
J. Biol. Chem., November 21, 2003; 278(47): 47291 - 47298.
[Abstract] [Full Text] [PDF]


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DiabetesHome page
M. Kitada, D. Koya, T. Sugimoto, M. Isono, S.-i. Araki, A. Kashiwagi, and M. Haneda
Translocation of Glomerular p47phox and p67phox by Protein Kinase C-{beta} Activation Is Required for Oxidative Stress in Diabetic Nephropathy
Diabetes, October 1, 2003; 52(10): 2603 - 2614.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
Y. Liu, H. Zhao, H. Li, B. Kalyanaraman, A. C. Nicolosi, and D. D. Gutterman
Mitochondrial Sources of H2O2 Generation Play a Key Role in Flow-Mediated Dilation in Human Coronary Resistance Arteries
Circ. Res., September 19, 2003; 93(6): 573 - 580.
[Abstract] [Full Text] [PDF]


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FASEB J.Home page
T. K. HSIAI, S. K. CHO, P. K. WONG, M. ING, A. SALAZAR, A. SEVANIAN, M. NAVAB, L. L. DEMER, and C.-M. HO
Monocyte recruitment to endothelial cells in response to oscillatory shear stress
FASEB J, September 1, 2003; 17(12): 1648 - 1657.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
G. Mancia, G. Parati, P. Castiglioni, R. Tordi, E. Tortorici, F. Glavina, and M. Di Rienzo
Daily Life Blood Pressure Changes Are Steeper in Hypertensive Than in Normotensive Subjects
Hypertension, September 1, 2003; 42(3): 277 - 282.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
R. Magid, T. J. Murphy, and Z. S. Galis
Expression of Matrix Metalloproteinase-9 in Endothelial Cells Is Differentially Regulated by Shear Stress: ROLE OF c-Myc
J. Biol. Chem., August 29, 2003; 278(35): 32994 - 32999.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
B. Lassegue and R. E. Clempus
Vascular NAD(P)H oxidases: specific features, expression, and regulation
Am J Physiol Regulatory Integrative Comp Physiol, August 1, 2003; 285(2): R277 - R297.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
O. Sorop, J. A.E. Spaan, T. E. Sweeney, and E. VanBavel
Effect of Steady Versus Oscillating Flow on Porcine Coronary Arterioles: Involvement of NO and Superoxide Anion
Circ. Res., June 27, 2003; 92(12): 1344 - 1351.
[Abstract] [Full Text] [PDF]


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Journal of Renin-Angiotensin-Aldosterone SystemHome page
D. G Harrison, Hua Cai, U. Landmesser, and K. K Griendling
The Pickering Lecture British Hypertension Society, 10th September 2002: Interactions of angiotensin II with NAD(P)H oxidase, oxidant stress and cardiovascular disease
Journal of Renin-Angiotensin-Aldosterone System, June 1, 2003; 4(2): 51 - 61.
[Abstract] [PDF]


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Mol Hum ReprodHome page
B.A. Kelly, B.C. Bond, and L. Poston
Gestational profile of matrix metalloproteinases in rat uterine artery
Mol. Hum. Reprod., June 1, 2003; 9(6): 351 - 358.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
C.-W. Ni, H.-J. Hsieh, Y.-J. Chao, and D. L. Wang
Shear Flow Attenuates Serum-induced STAT3 Activation in Endothelial Cells
J. Biol. Chem., May 23, 2003; 278(22): 19702 - 19708.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
R. Ceravolo, R. Maio, A. Pujia, A. Sciacqua, G. Ventura, M. C. Costa, G. Sesti, and F. Perticone
Pulse pressure and endothelial dysfunction in never-treated hypertensive patients
J. Am. Coll. Cardiol., May 21, 2003; 41(10): 1753 - 1758.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
A. Lerman and J. Herrmann
Endothelial function under pressure
J. Am. Coll. Cardiol., May 21, 2003; 41(10): 1759 - 1760.
[Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
E. R. Gross, J. F. LaDisa Jr., D. Weihrauch, L. E. Olson, T. T. Kress, D. A. Hettrick, P. S. Pagel, D. C. Warltier, and J. R. Kersten
Reactive oxygen species modulate coronary wall shear stress and endothelial function during hyperglycemia
Am J Physiol Heart Circ Physiol, May 1, 2003; 284(5): H1552 - H1559.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
L. Belhassen, G. Pelle, J.-L. Dubois-Rande, and S. Adnot
Improved endothelial function by the thromboxane a2 receptor antagonist s 18886 in patients with coronary artery disease treated with aspirin
J. Am. Coll. Cardiol., April 2, 2003; 41(7): 1198 - 1204.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
J. W. E. Rush, J. R. Turk, and M. H. Laughlin
Exercise training regulates SOD-1 and oxidative stress in porcine aortic endothelium
Am J Physiol Heart Circ Physiol, April 1, 2003; 284(4): H1378 - H1387.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
H. Miura, J. J. Bosnjak, G. Ning, T. Saito, M. Miura, and D. D. Gutterman
Role for Hydrogen Peroxide in Flow-Induced Dilation of Human Coronary Arterioles
Circ. Res., February 7, 2003; 92 (2): e31 - e40.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
D. X. Zhang, A.-P. Zou, and P.-L. Li
Ceramide-induced activation of NADPH oxidase and endothelial dysfunction in small coronary arteries
Am J Physiol Heart Circ Physiol, February 1, 2003; 284(2): H605 - H612.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
X. Peng, S. Haldar, S. Deshpande, K. Irani, and D. A. Kass
Wall Stiffness Suppresses Akt/eNOS and Cytoprotection in Pulse-Perfused Endothelium
Hypertension, February 1, 2003; 41(2): 378 - 381.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
X.-L. Chen, S. E. Varner, A. S. Rao, J. Y. Grey, S. Thomas, C. K. Cook, M. A. Wasserman, R. M. Medford, A. K. Jaiswal, and C. Kunsch
Laminar Flow Induction of Antioxidant Response Element-mediated Genes in Endothelial Cells. A NOVEL ANTI-INFLAMMATORY MECHANISM
J. Biol. Chem., January 3, 2003; 278(2): 703 - 711.
[Abstract] [Full Text] [PDF]


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Physiol. GenomicsHome page
S. M. Wasserman, F. Mehraban, L. G. Komuves, R.-B. Yang, J. E. Tomlinson, Y. Zhang, F. Spriggs, and J. N. Topper
Gene expression profile of human endothelial cells exposed to sustained fluid shear stress
Physiol Genomics, December 26, 2002; 12(1): 13 - 23.
[Abstract] [Full Text] [PDF]