Altered shear stress of blood flow causes plasma membrane damage in endothelial cells

Blood Vessels, Thrombosis & Hemostasis Pub Date : 2025-02-01 Epub Date: 2024-12-13 DOI:10.1016/j.bvth.2024.100040
Nikita Raj , Chang Pan , Ann Marleen Starke , Anna L. L. Matos , Oliver Soehnlein , Volker Gerke
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Abstract

The endothelial lining of blood vessels faces many mechanical challenges, including the shear stress (SS) of blood flow, which render it prone to cell membrane ruptures. Such ruptures must be repaired efficiently to maintain cellular integrity and proper vascular function. However, whether SS of blood flow can indeed affect plasma membrane integrity of endothelial cells and whether any ruptures occurring are repaired is not understood. Here, we show that alterations in the SS of fluid flow induce membrane damage in human endothelial cells, and membrane ruptures increase with increasing shear alterations. Furthermore, we show that inherent SS disturbances at aortic branches in mice are associated with endothelial membrane wounds, which are not observed in regions of laminar flow. We also show that endothelial membrane damages inflicted by shear stress alterations are repaired by a Ca2+-dependent process that involves early endosome exocytosis to provide membrane material for wound closure, suggesting conserved and robust membrane repair responses to endothelial damage in vitro and in vivo. Thus, shear stress alterations, which frequently occur at sites of endothelial dysfunction and before associated pathophysiology, cause membrane wounds in the endothelium, which are repaired efficiently to maintain a functional vasculature.
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血流剪切应力的改变导致内皮细胞质膜损伤
血管内皮内层面临许多力学挑战,包括血流的剪切应力(SS),使其容易发生细胞膜破裂。这种破裂必须有效地修复,以保持细胞的完整性和正常的血管功能。然而,血流的SS是否确实会影响内皮细胞的质膜完整性以及发生的任何破裂是否得到修复尚不清楚。在这里,我们发现流体流动的SS改变会引起人内皮细胞的膜损伤,并且膜破裂随着剪切改变的增加而增加。此外,我们发现小鼠主动脉分支固有的SS紊乱与内皮膜损伤有关,而这在层流区域没有观察到。我们还表明,由剪切应力改变造成的内皮膜损伤可以通过Ca2+依赖过程修复,该过程涉及早期内核体胞外分泌,为伤口愈合提供膜材料,这表明在体外和体内对内皮损伤的膜修复反应是保守的和强大的。因此,在相关病理生理发生之前,经常发生在内皮功能障碍部位的剪切应力改变会导致内皮膜损伤,内皮膜被有效修复以维持血管系统的功能。
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