PMID- 23387849 OWN - NLM STAT- MEDLINE DCOM- 20130930 LR - 20230829 IS - 1538-7836 (Electronic) IS - 1538-7836 (Linking) VI - 11 IP - 4 DP - 2013 Apr TI - BMP receptor-integrin interaction mediates responses of vascular endothelial Smad1/5 and proliferation to disturbed flow. PG - 741-55 LID - 10.1111/jth.12159 [doi] AB - BACKGROUND: Vascular endothelial cells (ECs) are constantly exposed to blood flow-induced shear stress. Our previous study demonstrated that disturbed flow with low and oscillatory shear stress (OSS) induces bone morphogenetic protein receptor (BMPR)-specific Smad1/5 activation in ECs, but the underlying mechanisms and the in vivo functional role of Smad1/5 remain unclear. OBJECTIVES: Here we elucidated the molecular mechanisms by which OSS activates EC Smad1/5 and its in vivo functional role. METHODS: Lentiviral Smad5-specific short hairpin RNA (Lenti-shSmad5) was constructed and intra-arterially injected into the lumen of stenosed abdominal aorta in bromodeoxyuridine-infused rats. Co-immunoprecipitation and in situ proximity ligation assays were performed on ECs exposed to OSS (0.5 +/- 4 dynes/cm(2) ) in a parallel-plate flow chamber to investigate BMPR-integrin interactions and their regulatory role in OSS-activation of EC Smad1/5. RESULTS: Intra-arterial administration of Lenti-shSmad5 inhibited bromodeoxyuridine uptake of ECs at post-stenotic sites, where disturbed flow with OSS occurs. OSS induced sustained BMPRIB-alphav beta3 integrin association in ECs, which was mediated by the intracytoplasmic kinase domain of BMPRII and subsequently activated the Shc/focal adhesion kinase (FAK)/extracellular signal-regulated kinase (ERK) cascade, leading to Smad1/5 activation. This OSS-activation of Smad1/5 induced its association with and activation of runt-related transcription factor-2 (Runx2), leading to activations of mammalian target of rapamycin (mTOR) and p70S6 kinase (p70S6K), a pathway critical for EC proliferation in response to OSS. CONCLUSIONS: Oscillatory shear stress induces synergistic interactions between specific BMPRs and integrin to activate Smad1/5 through the Shc/FAK/ERK pathway, which leads to the activation of the Runx2/mTOR/p70S6K pathway to promote EC proliferation. CI - (c) 2013 International Society on Thrombosis and Haemostasis. FAU - Zhou, J AU - Zhou J AD - Institute of Cellular and System Medicine, National Health Research Institutes, Miaoli, Taiwan. FAU - Lee, P-L AU - Lee PL FAU - Lee, C-I AU - Lee CI FAU - Wei, S-Y AU - Wei SY FAU - Lim, S H AU - Lim SH FAU - Lin, T-E AU - Lin TE FAU - Chien, S AU - Chien S FAU - Chiu, J-J AU - Chiu JJ LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - J Thromb Haemost JT - Journal of thrombosis and haemostasis : JTH JID - 101170508 RN - 0 (Integrins) RN - 0 (SMAD1 protein, human) RN - 0 (SMAD5 protein, human) RN - 0 (Smad1 Protein) RN - 0 (Smad5 Protein) RN - EC 2.7.11.30 (Bone Morphogenetic Protein Receptors) SB - IM MH - Animals MH - Bone Morphogenetic Protein Receptors/*metabolism MH - *Cell Proliferation MH - Cells, Cultured MH - Endothelium, Vascular/cytology/*metabolism MH - Humans MH - Integrins/*metabolism MH - Male MH - Rats MH - Smad1 Protein/*physiology MH - Smad5 Protein/*physiology EDAT- 2013/02/08 06:00 MHDA- 2013/10/01 06:00 CRDT- 2013/02/08 06:00 PHST- 2012/08/01 00:00 [received] PHST- 2013/01/25 00:00 [accepted] PHST- 2013/02/08 06:00 [entrez] PHST- 2013/02/08 06:00 [pubmed] PHST- 2013/10/01 06:00 [medline] AID - S1538-7836(22)13719-0 [pii] AID - 10.1111/jth.12159 [doi] PST - ppublish SO - J Thromb Haemost. 2013 Apr;11(4):741-55. doi: 10.1111/jth.12159.