Integrative Physiology |
From the Division of Cardiology, Department of Medicine, The Johns Hopkins Medical Institutions, Baltimore, Md.
Correspondence to David A. Kass, MD, Halsted 500, Johns Hopkins Hospital, 600 N Wolfe St, Baltimore, MD 21287. E-mail dkass{at}bme.jhu.edu
| Abstract |
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Key Words: endothelium acid-base pulsatile shear mitogen-activated protein kinase tyrosine kinase
| Introduction |
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These and related observations have stimulated a growing interest in identifying cell-signaling mechanisms differentially activated by steady versus pulsatile shear stress. Cytosolic pH (pHi) plays an important role in endothelial mechanoreception.6 7 We previously showed that abrupt increases in steady laminar flow decrease endothelial pHi by activating the extracellular Na+ (Na+o)independent Cl--HCO3- exchanger,6 whereas pHi rises when laminar fluid shear stress is abruptly reduced after a period of sustained steady flow.7 Thus, there may be opposing inputs to pHi regulation during pulsatile flow as a result of the cyclic rises and falls of shear stress. pHi may serve as an intracellular signaling mechanism linking shear stress to altered vascular tone. For example, endothelial NO synthase activation is sustained by intracellular alkalinization,8 whereas NO production in response to laminar shear is attenuated by inhibition of the Na+-H+ exchanger.9
The present study tested the hypothesis that endothelial pHi is differentially influenced by steady laminar versus pulsatile shear stress. We also examined the mechanisms involved in pulse perfusioninduced pHi changes, including the importance of flow (and shear) reversal, the dependence on Ca2+, and the role of c-Src family tyrosine kinase and mitogen-activated protein (MAP) kinase activation. c-Src has been shown to modulate a variety of endothelial shear responses9 10 11 and can influence pHi in cardiomyocytes.12 Steady shear stressinduced c-Src is linked to activation of extracellular signalregulated kinase (ERK1/2),10 which can induce various signaling responses, including transcriptional changes13 and activation of the Na+-H+ exchanger.14 15 16
To achieve these aims, we developed a novel servo-perfusion system to expose cultured endothelial cells to physiological pulsatile pressure and flow stimuli while simultaneously enabling fluorescence microscopy to quantify pHi alterations.17 The results provide evidence that flow pulsatility induces directionally opposite pHi changes from that observed with constant flow by a c-Src and MAP kinasedependent but not extracellular Ca2+dependent pathway.
| Materials and Methods |
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Pulse-Pressure Servopump System
Pulsatile perfusion was generated using a novel, custom-designed
computer-controlled servo system, which was recently described in
detail.17 Mean flow was generated by a nonpulsatile flow
pump (MC-Z, Ismatec), and realistic pulse-perfusion waveforms
were superimposed by an electromagnetic servo motor (Applied
Engineering) controlled by digital feedback. The servo-command signal
was a previously recorded aortic pressure wave, which could be
modified to achieve any desired pulse amplitude and mean. An inline
flowmeter (1N, Transonic) placed just upstream of the capillary tube
recorded phasic flow. Effluent passed via a downstream resistor to
vary mean pressure at any given flow.
Protocols
BAECs were generally perfused first with nonpulsatile steady
flow at 0.5 mL/min with either bicarbonate buffer or nonbicarbonate
HEPES buffer.6 Because pulse perfusion was generated by
pressure feedback control, positive pressurization of the
perfusate was required. We used 90 mm Hg to reflect in
vivo conditions. As no prior data existed regarding effects of
pressurization alone on pHi, studies were also
conducted to determine this response. For these studies, BAECs were
first stabilized at 0.5 mL/min flow and 0 mm Hg perfusion
pressure and then pressurized to 90 mm Hg at constant
flow.
To test the effects of flow pulsatility on pHi, cells were first perfused at constant flow (0.5 mL/min) and 90 mm Hg mean pressure, and after stabilization, pulsatility (75 mm Hg) was initiated and sustained for 60 to 90 minutes. pHi was continuously monitored by c-SNARF 1 fluorescence.
To test the contribution of specific acid-base extruders, studies were performed with 5-(N-ethyl-N-isopropyl)amiloride (EIPA, 50 µmol/L, Molecular Probes), to inhibit the Na+-H+ exchanger, or diisothiocyanato stilbene disulfonic acid (DIDS) (100 µmol/L x 60 minutes pretreatment, Sigma), to inhibit HCO3--dependent exchangers.
Because increasing flow pulsatility at 0.5 mL/min flow resulted in bidirectional shear, studies were performed to test the role of flow reversal on pHi by using higher mean flows (3 or 6 mL/min) and/or reduced pulsatility (35 versus 75 mm Hg).
To test the importance of Ca2+-dependent signaling, studies were performed in Ca2+-free buffer with 1 mmol/L EGTA. Cells were exposed to the EGTA-containing buffer for at least 15 minutes before the experiments were initiated. To test the influence of c-Src, cells were incubated for 15 minutes with 50 µmol/L 4-amino-5-(4-chlorophenyl)-7-(t-butyl)pyrazolo (3,4-d)pyrimidine (PP2; CalBiochem). PP2 was maintained at the same concentration during the study as well. Lastly, the role of ERK1/2 activation was studied by preincubating with the MAP/ERK kinase (MEK)1 inhibitor PD98059 for 30 minutes at 50 to 75 µmol/L, with this concentration maintained during the study.
Analysis
Changes in pHi before and after increases
in mean pressure, flow, or flow pulsatility at constant mean pressure
and flow were compared by paired Student t test. Data
examining the role of specific signaling mechanisms were contrasted
with the appropriate controls by a nonpaired t test. Data
are presented as mean±SEM, with P<0.05 considered
statistically significant.
An expanded Materials and Methods section is available online at http://www.circresaha.org.
| Results |
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) was calculated as
=4
µQ/
r,3 where µ is
fluid viscosity, Q is flow rate, and r is the
internal radius of the capillary tube (0.05 cm). This yielded a mean
shear of 0.83 dyne/cm2 for steady and pulsatile
flow, with peak shears of 20 dyne/cm2 with flow
pulsatility. As is often true in vivo, pulsatile shear was asymmetrical
(lower panel, Figure 1
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Effect of an Abrupt Increase in Static Mean Pressure on
Endothelial pHi
Figure 2A
displays example tracings
of pHi in response to a sudden rise in luminal
pressure from 0 to 90 mm Hg, in either
HCO3- or HEPES buffer. In
HCO3- buffer, increasing
pressure induced a consistent pHi decline
of 0.33±0.09 pH units (n=7; P<0.01). Acidification began
within 5 minutes after increasing pressure and continued until a steady
state was reached 33±4 minutes later. pHi did
not recover even after 45 minutes as long as flow remained
pressurized.
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To test whether the pHi decline by pressurization
was mediated by activation of the
Na+o-independent
Cl--HCO3-
exchanger, studies were also performed in HEPES buffer and with
selective acid/base exchanger inhibitors. In
HCO3--free HEPES buffer,
increasing pressure elevated rather than lowered
pHi (n=4, P=0.013; P=0.004
versus HCO3-, Figure 2A
). Similar alkalinization was observed in cells pretreated
with DIDS in HCO3- buffer
(P=0.022; P=0.002 versus
HCO3-, Figure 2B
). The
latter alkalinization was abolished by further addition of EIPA (n=3,
P=0.005 versus
HCO3-+DIDS, Figure 2B
)
to block the Na+-H+
exchanger. Summary data are shown in Figure 2C
. Thus, exposure
of endothelial cells to pressurized steady flow in
physiological
HCO3- buffer activated
both the Na+o-independent
Cl--HCO3-
exchanger and the Na+-H+
exchanger, with the net effect being a gradual sustained intracellular
acidification.
Effect of Pulsatile Flow on pHi
Figure 3
contrasts effects of
increasing steady versus pulsatile flow on pHi,
both measured in the presence of 90 mm Hg mean pressure.
Consistent with our previous studies,6 7
increasing steady flow from 0.5 to 2 mL/min (0.83 to 3.3
dyne/cm2) resulted in abrupt acidification
(Figure 3A
). Importantly, this was observed in cells already
acidified by pressurization, and the steady flowinduced response was
considerably faster than from pressure alone. In contrast, when flow
was made pulsatile while the same mean pressure and flow were
maintained, pHi changed in the opposite direction
(Figure 3B
). In HCO3-
buffer, flow pulsatility raised pHi by +0.3±0.03
(n=9; P<0.0001). This started 5 to 10 minutes after
initiating pulsatility and peaked after 49±8 minutes. In 75% of the
monolayers, continuation of pulsatility led to complete or partial
recovery to baseline pHi 23±4 minutes after
maximal alkalinization. The remaining monolayers showed no recovery
during the observation period.
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Addition of EIPA to HCO3-
buffer resulted in similar but somewhat temporally delayed
pHi rise as compared with
HCO3- alone
(P=0.029, Figure 4A
). However,
in HEPES buffer, the response fell 56% (P=0.01 versus
HCO3-, Figure 4B
).
Similarly, when BAECs were perfused with
HCO3- buffer containing DIDS,
pulsatile shear raised pHi by about half that
observed with HCO3- buffer
alone. Although EIPA alone in
HCO3- buffer had little effect,
EIPA in HEPES buffer fully inhibited
pHi with
pulsatile flow (P=0.007 versus HEPES alone, Figure 4C
). Figure 4D
provides summary results. Thus, in
physiological
HCO3- buffer, pulsatile shear
caused alkalinization by activation of both the
Na+o-dependent
Cl--HCO3-
exchanger and the EIPA-sensitive
Na+-H+ exchanger.
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Effects of Modifying Phasic Flow Waveform
Increasing pulsatility at a mean flow of 0.5 mL/min resulted in
flow reversal at a low shear rate (Figure 1A
). Purely
symmetrical (sinusoidal) flow reversal can markedly reduce
endothelial Ca2+ and NO
signaling.1 2 To test whether the flow reversal associated
with our more realistic waveforms was critical to the differential
pHi response, studies were performed at higher
mean flows at the same or reduced pulsatility to prevent flow reversal.
At 6 mL/min and addition of 75 mm Hg (Figure 1B
),
pulsatility still resulted in significant alkalinization but to a
lesser degree (+0.15±0.05, n=5, P=0.04; P=0.02
versus low-flow studies). However, at half this flow and pulsatility,
pHi was +0.21±0.05 (P<0.05), not
significantly different from that in studies with flow reversal. Thus,
part of the pHi rise with pulsatility may be
offset by greater mean flow-dependent signaling, but flow reversal per
se is not required to generate the response.
Role of Ca2+ and c-Src in pHi Response to
Pulse Perfusion
Figures 5A
and 5C
display
results from experiments performed in Ca2+-free
HCO3- buffer with EGTA. Rather
than being inhibited, pHi elevation with flow
pulsatility was enhanced by removal of Ca2+ in
the buffer, rising +0.54±0.09 units (n=5, P=0.003,
P<0.01 versus HCO3-
with Ca2+).
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In contrast, inhibition of c-Src with PP2 profoundly inhibited
endothelial alkalinization by pulse perfusion (Figure 5B
), with no change or a slight decline in
pHi (0.11±0.06 units, P<0.0001
versus HCO3- without PP2).
Interestingly, PP2 did not affect the acidification from an acute rise
in steady flow (Figure 5C
). Thus, c-Src appeared selectively
involved in the pulse-perfusion pHi response.
Role of ERK1/2 on Pulsatile and Steady FlowInduced
pHi
Figure 6
displays example and group
data for studies using the MEK-1 inhibitor PD98059.
Incubation with PD98059 did not alter basal pHi
(7.13±0.09 versus 7.15±0.15 with or without PD98059, respectively).
However, subsequent pHi changes to both steady
and pulsatile flow were directionally reversed. With steady flow,
PD98059 converted the acidification to an alkalinization of
approximately the same magnitude (P<0.01), whereas for
pulsatile flow, alkalinization converted to an acidification
(P<0.005, compared 50 minutes after the onset of pulsatile
flow). Thus, unlike c-Src, activation of ERK1/2 contributed to both
steady and pulsatile pHi responses.
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| Discussion |
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Effects of Perfusion Pressure
Sumpio et al23 previously reported that similar
levels of constant pressure (up to 80 or 120 mm Hg) trigger BAEC
proliferation associated with changes in actin and microtubular
networks. More recently, this group found that somewhat higher static
and phasic pressures (135 mm Hg) inhibited cell
growth.3 Both sets of studies were performed in the
absence of flow. Pressure can also induce
endothelium-dependent
vasoconstriction24 25 by inhibiting NO
release26 and enhancing endothelin-1
release.27 These pressure-dependent changes appear
mediated at least in part by phospholipase C and protein kinase C
activation. It remains unknown whether pressure-induced intracellular
acidification, as observed in the present study, is coupled with
such signaling. However, regulatory effects of phospholipase C and
protein kinase C on both
HCO3--dependent acid/base
exchangers28 29 and the
Na+-H+
exchanger30 31 have been described.
Effects of Flow Pulsatility
In contrast to steady laminar flow, sustained intracellular
alkalinization induced by pulsatile flow was linked to both the
Na+o-dependent
Cl--HCO3-
exchanger and the Na+-H+
exchanger. Differential signaling associated with flow pulsatility has
been previously reported for Ca2+ and
NO,1 2 with a marked reduction in both responses to
oscillating flow, ie, fully symmetrical (sinusoidal) flow reversal. The
more physiological flow waveforms used in the
present study displayed typical asymmetrical patterns, with lower
reversing shears during what would be the diastolic phase.
This raised the possibility that the differential
pHi changes were related to flow reversal.
However, we observed similar results when higher mean flows and reduced
pulsatility prevented flow reversal. Further, flow elevation resulted
in less alkalinization. This may be due to a greater effect of mean
sheardependent acidification or flow-dependent saturation of a
component of this response.
Prior studies have revealed a complex role of calcium in shear-induced signaling cascades. For example, Ayajiki et al9 reported that initial NO-induced vasorelaxation is Ca2+ dependent, whereas more sustained effects are Ca2+ independent. Shear stress activation of ERK1/2, which involves c-Srctyrosine kinase,10 is reportedly Ca2+ independent,32 whereas c-Srcdependent phosphorylation of the p130 Crk-associated substrate (Cas), which may play a role in focal adhesions, is abolished by intracellular Ca2+ chelation.11 MAP kinase activation in response to steady shear stress is also reportedly Ca2+ independent.33 The finding that in Ca2+-free buffer with EGTA, pulse flow raised endothelial pHi even more than in the presence of normal Ca2+ suggests that although the latter may contribute to countering an acidification signal, it is not central to alkalinization.
Role of c-Src and MAP Kinase (ERK1/2)
The present data establish an important role for both
c-Srcfamily tyrosine kinases in pulsatile-flow
pHi signaling and ERK1/2 MAP kinase in both
pulsatile flow and steady flowinduced pHi
changes. Activation of MAP kinase by steady shear has been linked to
upstream signaling via c-Src and
ß1-integrins/focal adhesion
kinases.11 34 35 MAP kinase can activate the
Na+-H+ exchanger to
contribute to alkalinization, and this can be triggered in
cardiomyocytes by mechanical stretch,14
endothelin,15 or hydrogen peroxide.16 Similar
activation due to pulsatile flow is supported by the present
findings, because both c-Src and MAP kinase inhibition prevented the
attendant alkalinization. However, the latter also resulted in
acidification, and furthermore, ERK1/2 but not c-Src inhibition
prevented or reversed acidification by steady flow. This suggests that
alternate pathways link the mechanical stimulus to ERK1/2 that can
critically determine its net effect on pHi. In
addition to the Na+-H+
exchanger, the Na+o-independent
Cl--HCO3-
exchanger can also be activated in cardiomyocytes
by ATP phosphorylation modulated by
c-Src.12 Neither of these pathways, to our knowledge, has
previously been shown to play a role in pHi
modulation due to steady or pulsatile shear stress.
Experimental Issues
Cellular alkalinization generally reversed despite continued
exposure to pulsatile flow, and this might suggest a limited influence
of such signals in physiological systems
continuously exposed to phasic shear. However, in vivo shear undergoes
frequent dynamic change from sympathetic stimulation, exertional
demand, etc. We also imposed pulsatility only after cells were already
acclimatized to steady flow and pressure. This is unlike most other in
vitro studies of shear stress signaling, in which different mechanical
stresses are generally imposed de novo on previously nonmechanically
stimulated cells.2 9 10 11 Because the
pHi signaling reported in the present study
occurs in cells already flow and pressure adapted, our findings may be
very relevant to the often-varying in vivo situation. Shear
stressinduced changes in pHi may be important
in vivo, given that pHi modulates NO release
stimulated by bradykinin or shear stress.8 9
pHi changes are also linked to vascular
proliferation in part via endothelial
production of smooth muscle cell mitogens such as
platelet-derived growth factor.36
Conclusion
The effects of pulsatile shear are only beginning to be realized
and yet may be more directly relevant to many
physiological and
pathophysiological conditions than the more
oftenstudied effects of steady laminar fluid shear stress. The
present study demonstrates for the first time that
pHi signaling is differentially modulated by
phasic versus steady shear stress and links this to a differential
signaling via c-Src tyrosine kinase and ERK1/2-kinase activity. Further
studies are needed to elucidate the specific nature of mechanical
stress required for this discrimination and the impact that such
changes ultimately have on endothelial physiology.
| Footnotes |
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Received December 14, 1999; accepted April 28, 2000.
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