reviewNature Reviews CardiologyMay 24, 2023HYBRID OA

Flow-induced reprogramming of endothelial cells in atherosclerosis

Georgia Institute of Technology · Emory University · +1 more institution

PubMed
Indexed incrossrefpubmed

Abstract

Atherosclerotic diseases such as myocardial infarction, ischaemic stroke and peripheral artery disease continue to be leading causes of death worldwide despite the success of treatments with cholesterol-lowering drugs and drug-eluting stents, raising the need to identify additional therapeutic targets. Interestingly, atherosclerosis preferentially develops in curved and branching arterial regions, where endothelial cells are exposed to disturbed blood flow with characteristic low-magnitude oscillatory shear stress. By contrast, straight arterial regions exposed to stable flow, which is associated with high-magnitude, unidirectional shear stress, are relatively well protected from the disease through…

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