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2017 ; 114
(41
): E8675-E8684
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Autophagy is required for endothelial cell alignment and atheroprotection under
physiological blood flow
#MMPMID28973855
Vion AC
; Kheloufi M
; Hammoutene A
; Poisson J
; Lasselin J
; Devue C
; Pic I
; Dupont N
; Busse J
; Stark K
; Lafaurie-Janvore J
; Barakat AI
; Loyer X
; Souyri M
; Viollet B
; Julia P
; Tedgui A
; Codogno P
; Boulanger CM
; Rautou PE
Proc Natl Acad Sci U S A
2017[Oct]; 114
(41
): E8675-E8684
PMID28973855
show ga
It has been known for some time that atherosclerotic lesions preferentially
develop in areas exposed to low SS and are characterized by a proinflammatory,
apoptotic, and senescent endothelial phenotype. Conversely, areas exposed to high
SS are protected from plaque development, but the mechanisms have remained
elusive. Autophagy is a protective mechanism that allows recycling of defective
organelles and proteins to maintain cellular homeostasis. We aimed to understand
the role of endothelial autophagy in the atheroprotective effect of high SS.
Atheroprotective high SS stimulated endothelial autophagic flux in human and
murine arteries. On the contrary, endothelial cells exposed to atheroprone low SS
were characterized by inefficient autophagy as a result of mammalian target of
rapamycin (mTOR) activation, AMPK? inhibition, and blockade of the autophagic
flux. In hypercholesterolemic mice, deficiency in endothelial autophagy increased
plaque burden only in the atheroresistant areas exposed to high SS; plaque size
was unchanged in atheroprone areas, in which endothelial autophagy flux is
already blocked. In cultured cells and in transgenic mice, deficiency in
endothelial autophagy was characterized by defects in endothelial alignment with
flow direction, a hallmark of endothelial cell health. This effect was associated
with an increase in endothelial apoptosis and senescence in high-SS regions.
Deficiency in endothelial autophagy also increased TNF-?-induced inflammation
under high-SS conditions and decreased expression of the antiinflammatory factor
KLF-2. Altogether, these results show that adequate endothelial autophagic flux
under high SS limits atherosclerotic plaque formation by preventing endothelial
apoptosis, senescence, and inflammation.
|*Autophagy
[MESH]
|*Stress, Physiological
[MESH]
|Animals
[MESH]
|Apoptosis
[MESH]
|Atherosclerosis/metabolism/pathology/*prevention & control
[MESH]