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Blood, 15 May 2007, Vol. 109, No. 10, pp. 4249-4257.
Prepublished online as a Blood First Edition Paper on January 23, 2007; DOI 10.1182/blood-2006-07-036020.


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Submitted July 18, 2006
Accepted January 11, 2007

Prolonged shear stress and KLF2 suppress constitutive pro-inflammatory transcription through inhibition of ATF2

Joost O. Fledderus, Johannes V. van Thienen, Reinier A. Boon, Rob J. Dekker, Jakub Rohlena, Oscar L. Volger, Ann-Pascale J.J. Bijnens, Mat J.A.P. Daemen, Johan Kuiper, Theo J.C. van Berkel, Hans Pannekoek, and Anton J.G. Horrevoets*

Dept of Medical Biochemistry, Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands
Dept of Pathology, Cardiovascular Research Institute Maastricht, University of Maastricht, Netherlands
Division of Biopharmaceutics, Leiden/Amsterdam Center for Drug Research, Gorlaeus Laboratories, Leiden, Netherlands

* Corresponding author; email: a.j.horrevoets{at}amc.uva.nl.

Absence of shear stress due to disturbed blood flow at arterial bifurcations and curvatures leads to endothelial dysfunction and pro-inflammatory gene expression, ultimately resulting in atherogenesis. KLF2 has recently been implicated as a transcription factor involved in mediating the anti-inflammatory effects of flow. We investigated the effect of shear on basal and TNF-{alpha}-induced genome-wide expression profiles of human umbilical vein endothelial cells (HUVEC). Cluster analysis confirmed that shear stress induces expression of protective genes including KLF2, eNOS and thrombomodulin, whereas basal expression of TNF-{alpha}-responsive genes was moderately decreased. Promoter analysis of these genes showed enrichment of binding sites for ATF transcription factors, whereas TNF-{alpha}-induced gene expression was mostly NF-{kappa}B-dependent. Furthermore, human endothelial cells overlying atherosclerotic plaques had increased amounts of phosphorylated nuclear ATF2 compared to endothelium at unaffected sites. In HUVEC, a dramatic reduction of nuclear binding activity of ATF2 was observed under shear and appeared to be KLF2-dependent. Reduction of ATF2 with siRNA potently suppressed basal pro-inflammatory gene expression under no-flow conditions. In conclusion, we demonstrate that shear stress and KLF2 inhibit nuclear activity of ATF2, providing a potential mechanism by which endothelial cells exposed to laminar flow are protected from basal pro-inflammatory, atherogenic gene-expression.


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