Entry |
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Name |
Fluid shear stress and atherosclerosis
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Description |
Shear stress represents the frictional force that the flow of blood exerts at the endothelial surface of the vessel wall and plays a central role in vascular biology and contributes to the progress of atherosclerosis. Sustained laminar flow with high shear stress upregulates expressions of endothelial cell (EC) genes and proteins that are protective against atherosclerosis. The key shear stress-induced transcription factors that govern the expression of these genes are Kruppel-like factor 2 (KLF2) and nuclear factor erythroid 2-like 2 (Nrf2). On the other hand, disturbed flow with associated reciprocating, low shear stress generally upregulates the EC genes and proteins that promote oxidative and inflammatory states in the artery wall, resulting in atherogenesis. Important transcriptional events that reflect this condition of ECs in disturbed flow include the activation of activator protein 1 (AP-1) and nuclear factor kappaB (NF-kappaB).
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Class |
Human Diseases; Cardiovascular disease
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Pathway map |
map05418 | Fluid shear stress and atherosclerosis |

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Reference |
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Authors |
Nigro P, Abe J, Berk BC |
Title |
Flow shear stress and atherosclerosis: a matter of site specificity. |
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Reference |
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Authors |
McSweeney SR, Warabi E, Siow RC |
Title |
Nrf2 as an Endothelial Mechanosensitive Transcription Factor: Going With the Flow. |
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Reference |
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Authors |
Heo KS, Fujiwara K, Abe J |
Title |
Disturbed-flow-mediated vascular reactive oxygen species induce endothelial dysfunction. |
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Reference |
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Authors |
Wild J, Soehnlein O, Dietel B, Urschel K, Garlichs CD, Cicha I |
Title |
Rubbing salt into wounded endothelium: sodium potentiates proatherogenic effects of TNF-alpha under non-uniform shear stress. |
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Reference |
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Authors |
Noguchi N, Jo H |
Title |
Redox going with vascular shear stress. |
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Reference |
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Authors |
Li X, Yang Q, Wang Z, Wei D |
Title |
Shear stress in atherosclerotic plaque determination. |
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Reference |
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Authors |
Chatzizisis YS, Coskun AU, Jonas M, Edelman ER, Feldman CL, Stone PH |
Title |
Role of endothelial shear stress in the natural history of coronary atherosclerosis and vascular remodeling: molecular, cellular, and vascular behavior. |
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Reference |
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Authors |
Lu D, Kassab GS |
Title |
Role of shear stress and stretch in vascular mechanobiology. |
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Reference |
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Authors |
Givens C, Tzima E |
Title |
Endothelial Mechanosignaling: Does One Sensor Fit All? |
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Reference |
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Authors |
Paravicini TM, Touyz RM |
Title |
Redox signaling in hypertension. |
Journal |
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Reference |
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Authors |
Boon RA, Horrevoets AJ |
Title |
Key transcriptional regulators of the vasoprotective effects of shear stress. |
Journal |
Hamostaseologie 29:39-40, 41-3 (2009) |
Reference |
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Authors |
Bryan MT, Duckles H, Feng S, Hsiao ST, Kim HR, Serbanovic-Canic J, Evans PC |
Title |
Mechanoresponsive networks controlling vascular inflammation. |
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Reference |
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Authors |
Brown AJ, Teng Z, Evans PC, Gillard JH, Samady H, Bennett MR |
Title |
Role of biomechanical forces in the natural history of coronary atherosclerosis. |
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Reference |
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Authors |
Zhou J, Li YS, Chien S |
Title |
Shear stress-initiated signaling and its regulation of endothelial function. |
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Reference |
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Authors |
Liu HB, Zhang J, Xin SY, Liu C, Wang CY, Zhao D, Zhang ZR |
Title |
Mechanosensitive properties in the endothelium and their roles in the regulation of endothelial function. |
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Reference |
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Authors |
Boon RA, Leyen TA, Fontijn RD, Fledderus JO, Baggen JM, Volger OL, van Nieuw Amerongen GP, Horrevoets AJ |
Title |
KLF2-induced actin shear fibers control both alignment to flow and JNK signaling in vascular endothelium. |
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Reference |
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Authors |
Whyte JJ, Laughlin MH |
Title |
The effects of acute and chronic exercise on the vasculature. |
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Reference |
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Authors |
Quillon A, Fromy B, Debret R |
Title |
Endothelium microenvironment sensing leading to nitric oxide mediated vasodilation: a review of nervous and biomechanical signals. |
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Reference |
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Authors |
Sorescu GP, Song H, Tressel SL, Hwang J, Dikalov S, Smith DA, Boyd NL, Platt MO, Lassegue B, Griendling KK, Jo H |
Title |
Bone morphogenic protein 4 produced in endothelial cells by oscillatory shear stress induces monocyte adhesion by stimulating reactive oxygen species production from a nox1-based NADPH oxidase. |
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Reference |
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Authors |
Hopkins PN |
Title |
Molecular biology of atherosclerosis. |
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Reference |
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Authors |
Johnson BD, Mather KJ, Wallace JP |
Title |
Mechanotransduction of shear in the endothelium: basic studies and clinical implications. |
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Reference |
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Authors |
Hu LS, George J, Wang JH |
Title |
Current concepts on the role of nitric oxide in portal hypertension. |
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Reference |
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Authors |
Collins C, Guilluy C, Welch C, O'Brien ET, Hahn K, Superfine R, Burridge K, Tzima E |
Title |
Localized tensional forces on PECAM-1 elicit a global mechanotransduction response via the integrin-RhoA pathway. |
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Reference |
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Authors |
Conway DE, Schwartz MA |
Title |
Flow-dependent cellular mechanotransduction in atherosclerosis. |
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Reference |
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Authors |
Chen J, Green J, Yurdagul A Jr, Albert P, McInnis MC, Orr AW |
Title |
alphavbeta3 Integrins Mediate Flow-Induced NF-kappaB Activation, Proinflammatory Gene Expression, and Early Atherogenic Inflammation. |
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Reference |
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Authors |
Nigro P, Abe J, Woo CH, Satoh K, McClain C, O'Dell MR, Lee H, Lim JH, Li JD, Heo KS, Fujiwara K, Berk BC |
Title |
PKCzeta decreases eNOS protein stability via inhibitory phosphorylation of ERK5. |
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Related pathway |
map04270 | Vascular smooth muscle contraction |
map04670 | Leukocyte transendothelial migration |
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KO pathway |
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