PMID- 28973855 OWN - NLM STAT- MEDLINE DCOM- 20180626 LR - 20220409 IS - 1091-6490 (Electronic) IS - 0027-8424 (Print) IS - 0027-8424 (Linking) VI - 114 IP - 41 DP - 2017 Oct 10 TI - Autophagy is required for endothelial cell alignment and atheroprotection under physiological blood flow. PG - E8675-E8684 LID - 10.1073/pnas.1702223114 [doi] AB - 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, AMPKalpha 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-alpha-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. FAU - Vion, Anne-Clemence AU - Vion AC AD - INSERM, U970, Paris Cardiovascular Research Center, 75015 Paris, France. AD - Universite Paris Descartes, Sorbonne Paris Cite, 75006 Paris, France. FAU - Kheloufi, Marouane AU - Kheloufi M AUID- ORCID: 0000-0002-2411-4497 AD - INSERM, U970, Paris Cardiovascular Research Center, 75015 Paris, France. AD - Universite Paris Descartes, Sorbonne Paris Cite, 75006 Paris, France. AD - Universite Paris Diderot, Sorbonne Paris Cite, 75013 Paris, France. FAU - Hammoutene, Adel AU - Hammoutene A AD - INSERM, U970, Paris Cardiovascular Research Center, 75015 Paris, France. AD - Universite Paris Descartes, Sorbonne Paris Cite, 75006 Paris, France. FAU - Poisson, Johanne AU - Poisson J AD - INSERM, U970, Paris Cardiovascular Research Center, 75015 Paris, France. AD - Universite Paris Descartes, Sorbonne Paris Cite, 75006 Paris, France. FAU - Lasselin, Juliette AU - Lasselin J AD - INSERM, U970, Paris Cardiovascular Research Center, 75015 Paris, France. AD - Universite Paris Descartes, Sorbonne Paris Cite, 75006 Paris, France. FAU - Devue, Cecile AU - Devue C AD - INSERM, U970, Paris Cardiovascular Research Center, 75015 Paris, France. AD - Universite Paris Descartes, Sorbonne Paris Cite, 75006 Paris, France. FAU - Pic, Isabelle AU - Pic I AD - INSERM, U970, Paris Cardiovascular Research Center, 75015 Paris, France. AD - Universite Paris Descartes, Sorbonne Paris Cite, 75006 Paris, France. FAU - Dupont, Nicolas AU - Dupont N AD - Universite Paris Descartes, Sorbonne Paris Cite, 75006 Paris, France. AD - INSERM U1151, Institut Necker-Enfants Malades-INEM, 75014 Paris, France. AD - CNRS UMR 8253, 75014 Paris, France. FAU - Busse, Johanna AU - Busse J AD - Medizinische Klinik I, Klinikum der Universitat Munchen, 81377 Munich, Germany. FAU - Stark, Konstantin AU - Stark K AD - Medizinische Klinik I, Klinikum der Universitat Munchen, 81377 Munich, Germany. FAU - Lafaurie-Janvore, Julie AU - Lafaurie-Janvore J AD - Mechanics & Living Systems, Cardiovascular Cellular Engineering, Laboratoire d'Hydrodynamique, Ecole Polytechnique, UMR 7646, 91128 Palaiseau, France. FAU - Barakat, Abdul I AU - Barakat AI AD - Mechanics & Living Systems, Cardiovascular Cellular Engineering, Laboratoire d'Hydrodynamique, Ecole Polytechnique, UMR 7646, 91128 Palaiseau, France. FAU - Loyer, Xavier AU - Loyer X AD - INSERM, U970, Paris Cardiovascular Research Center, 75015 Paris, France. AD - Universite Paris Descartes, Sorbonne Paris Cite, 75006 Paris, France. FAU - Souyri, Michele AU - Souyri M AD - INSERM UMR_S1131/IHU/Universite Paris Diderot, 75013 Paris, France. FAU - Viollet, Benoit AU - Viollet B AD - Universite Paris Descartes, Sorbonne Paris Cite, 75006 Paris, France. AD - INSERM U1016, Institut Cochin, 75014 Paris, France. AD - CNRS, UMR 8104, 75014 Paris, France. FAU - Julia, Pierre AU - Julia P AD - Universite Paris Descartes, Sorbonne Paris Cite, 75006 Paris, France. AD - Service de Chirurgie Cardiaque et Vasculaire, Hopital Europeen Georges Pompidou, AP-HP, 75015 Paris, France. FAU - Tedgui, Alain AU - Tedgui A AD - INSERM, U970, Paris Cardiovascular Research Center, 75015 Paris, France. AD - Universite Paris Descartes, Sorbonne Paris Cite, 75006 Paris, France. FAU - Codogno, Patrice AU - Codogno P AD - Universite Paris Descartes, Sorbonne Paris Cite, 75006 Paris, France. AD - INSERM U1151, Institut Necker-Enfants Malades-INEM, 75014 Paris, France. AD - CNRS UMR 8253, 75014 Paris, France. FAU - Boulanger, Chantal M AU - Boulanger CM AUID- ORCID: 0000-0002-3687-651X AD - INSERM, U970, Paris Cardiovascular Research Center, 75015 Paris, France; chantal.boulanger@inserm.fr. AD - Universite Paris Descartes, Sorbonne Paris Cite, 75006 Paris, France. FAU - Rautou, Pierre-Emmanuel AU - Rautou PE AD - INSERM, U970, Paris Cardiovascular Research Center, 75015 Paris, France. AD - Universite Paris Descartes, Sorbonne Paris Cite, 75006 Paris, France. AD - Universite Paris Diderot, Sorbonne Paris Cite, 75013 Paris, France. AD - Departement Hospitalo-Universitaire Unity, Pole des Maladies de l'Appareil Digestif, Service d'Hepatologie, Centre de Reference des Maladies Vasculaires du Foie, Hopital Beaujon, Assistance Publique-Hopitaux de Paris, 92110 Clichy, France. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20170925 PL - United States TA - Proc Natl Acad Sci U S A JT - Proceedings of the National Academy of Sciences of the United States of America JID - 7505876 SB - IM MH - Animals MH - Apoptosis MH - Atherosclerosis/metabolism/pathology/*prevention & control MH - *Autophagy MH - Cellular Senescence MH - Female MH - Human Umbilical Vein Endothelial Cells/*cytology/metabolism MH - Humans MH - Hypercholesterolemia/*physiopathology MH - Inflammation/metabolism/pathology/*prevention & control MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Mice, Transgenic MH - *Stress, Physiological PMC - PMC5642679 OTO - NOTNLM OT - atherosclerosis OT - autophagy OT - endothelial OT - inflammation OT - shear stress COIS- The authors declare no conflict of interest. EDAT- 2017/10/05 06:00 MHDA- 2018/06/27 06:00 PMCR- 2018/04/10 CRDT- 2017/10/05 06:00 PHST- 2017/10/05 06:00 [pubmed] PHST- 2018/06/27 06:00 [medline] PHST- 2017/10/05 06:00 [entrez] PHST- 2018/04/10 00:00 [pmc-release] AID - 1702223114 [pii] AID - 201702223 [pii] AID - 10.1073/pnas.1702223114 [doi] PST - ppublish SO - Proc Natl Acad Sci U S A. 2017 Oct 10;114(41):E8675-E8684. doi: 10.1073/pnas.1702223114. Epub 2017 Sep 25.