Physiol Biochem 2016;39:423-437 Cellular Physiology Cell © 2016 The Author(s) Published by S Karger AG, Basel DOI: 10.1159/000445636 DOI: 10.1159/000445636 © 2016 The Author(s) www.karger.com/cpb online:July July07, 07, 2016 Published online: 2016 Published by S Karger AG, Basel and Biochemistry Published 1421-9778/16/0392-0423$39.50/0 423 Zhang et al.: Myoendothelial Gap Junction Regulates Smooth Muscle Cell Differentiation Accepted: June 02, 2016 www.karger.com/cpb by Laminar Shear Stress This article is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND) (http://www.karger.com/Services/OpenAccessLicense) Usage and distribution for commercial purposes as well as any distribution of modified material requires written permission Original Paper Role of Myoendothelial Gap Junctions in the Regulation of Human Coronary Artery Smooth Muscle Cell Differentiation by Laminar Shear Stress Zongqi Zhang Yizhu Chen Tiantian Zhang Lingyu Guo Wenlong Yang Junfeng Zhang Changqian Wang Department of Cardiology, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China Key Words Human coronary artery smooth muscle cells • Human coronary artery endothelial cells • Coculture • Shear stress • Myoendothelial gap junction • Connexin Z Zhang and Y Chen contributed equally to this work Dr Junfeng Zhang or Dr Changqian Wang Department of Cardiology, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, 280 Mohe Road, Shanghai 201900, (China) Tel +862156691101-6260, E-Mail jfzhang_dr@163.com / changqianwang@hotmail.com Downloaded by: Univ of California San Diego 132.239.1.231 - 1/12/2017 7:27:05 PM Abstract Background/Aims: Smooth muscle cells may dedifferentiate into the synthetic phenotype and promote atherosclerosis Here, we explored the role of myoendothelial gap junctions in phenotypic switching of human coronary artery smooth muscle cells (HCASMCs) co-cultured with human coronary artery endothelial cells (HCAECs) exposed to shear stress Methods: HCASMCs and HCAECs were seeded on opposite sides of Transwell inserts, and HCAECs were exposed to laminar shear stress of 12 dyn/cm2 or dyn/cm2 The myoendothelial gap junctions were evaluated by using a multi-photon microscope Results: In co-culture with HCAECs, HCASMCs exhibited a contractile phenotype, and maintained the expression of differentiation markers MHC and H1-calponin HCASMCs and HCAECs formed functional intercellular junctions, as evidenced by colocalization of connexin(Cx)40 and Cx43 on cellular projections inside the Transwell membrane and biocytin transfer from HCAECs to HCASMCs Cx40 siRNA and 18-α-GA attenuated protein expression of MHC and H1-calponin in HCASMCs Shear stress of dyn/cm2 increased Cx43 and decreased Cx40 expression in HCAECs, and partly inhibited biocytin transfer from HCAECs to HCASMCs, which could be completely blocked by Cx43 siRNA or restored by Cx40 DNA transfected into HCAECs The exposure of HCAECs to shear stress of dyn/cm2 promoted HCASMC phenotypic switching, manifested by morphological changes, decrease in MHC and H1-calponin expression, and increase in platelet-derived growth factor (PDGF)-BB release, which was partly rescued by Cx43 siRNA or Cx40 DNA or PDGF receptor signaling inhibitor Conclusions: The exposure of HCAECs to shear stress of dyn/cm2 caused the dysfunction of Cx40/Cx43 heterotypic myoendothelial gap junctions, which may be replaced by homotypic Cx43/Cx43 channels, and induced HCASMC transition Physiol Biochem 2016;39:423-437 Cellular Physiology Cell © 2016 The Author(s) Published by S Karger AG, Basel DOI: 10.1159/000445636 and Biochemistry Published online: July 07, 2016 www.karger.com/cpb 424 Zhang et al.: Myoendothelial Gap Junction Regulates Smooth Muscle Cell Differentiation by Laminar Shear Stress to the synthetic phenotype associated with the activation of PDGF receptor signaling, which may contribute to shear stress-associated arteriosclerosis © 2016 The Author(s) Published by S Karger AG, Basel Vasculature is composed of highly differentiated smooth muscle cells (SMCs) residing in the arterial tunica media layer, where SMCs perform contractile function and regulate vascular tone and luminal diameter to maintain an appropriate blood pressure and flow distribution A number of proteins have been identified as markers of SMC differentiated contractile phenotype, including α-smooth muscle actin (α-SMA), myosin heavy chain (MHC), H1-calponin, SM22α, and smoothelin; among them, H1-calponin and MHC expression is considered the most specific indicator of differentiated SMCs [1, 2] However, fully differentiated SMCs could undergo phenotypic switching to synthetic SMCs characterized with different morphology, proliferation and migration, and reduced expression of differentiation markers, and are associated with vascular remodeling and atherosclerosis [2] Shear stress created by blood flow has emerged as an essential factor in atherogenesis Laminar shear stress is considered atheroprotective at the physiological levels (10-20 dyn/ cm2), while at the low levels (0-4 dyn/cm2), it may promote atherosclerosis by inducing SMCs proliferation [3], migration [4], and protein synthesis [5, 6] SMCs are directly exposed to hemodynamic shear stress after the injury of vascular endothelial cell (EC) layer covering the luminal surface of blood vessels In addition, recent studies using EC-SMC co-culture models revealed that low shear stress applied to intact endothelium could also indirectly influence the behavior of neighboring SMCs Thus, in a rat aorta culture model, the exposure of endothelium to shear stress (5 dyn/cm2) downregulated RhoGDIα and induced SMC migration and apoptosis [7] In vitro, laminar shear stress (5 dyn/cm2) applied to vascular ECs stimulated the secretion of endothelial IGF-1 and induced a loss of SMC contractile phenotype [8] These findings suggest that in EC-SMC co-cultures, shear stress is a regulator of SMC phenotypic switching; however, the underlying mechanisms are not fully understood Myoendothelial gap junctions are intercellular channels that directly link ECs and SMCs through the internal elastic lamina [9] Endothelial factors such as endothelium-derived hyperpolarizing factor [10] and secondary messengers such as calcium and IP3 [11] could signal directly across the myoendothelial gap junction to regulate smooth muscle cell contraction Myoendothelial gap junctions can be mimicked in vitro by co-culturing ECs and SMCs on the opposite sides of a porous membrane; this model have been widely used to study the mechanisms of cell-cell interaction in the vasculature Thus, it has been reported that in human coronary artery SMCs (HCASMCs) co-cultured with human coronary ECs (HCAECs), differentiation markers were significantly induced, indicating a regulatory role of EC-SMC intercellular contacts in SMC phenotypic switching [12] Furthermore, in a static ECs-SMCs co-culture model using Transwell inserts, myoendothelial gap junctions have been shown to modulate the differentiation of pulmonary arterial SMCs [13, 14] Although these findings suggest a regulatory role of myoendothelial gap junctions in SMC differentiation, their involvement in the regulation of SMC phenotypic transition by shear stress is still unclear Myoendothelial gap junctions are composed of connexins, a family of structurally related transmembrane proteins Connexins Cx43, 40, and 37 were identified in vascular bridges between endothelium and SMCs [15], where they demonstrated heterogeneous expression and phosphorylation [16, 17] Cx40 is abundant in ECs, while Cx43 is highly expressed in SMCs and some ECs except coronary cells [18], and has been shown to form functional myoendothelial gap junctions in vitro [9] In addition, endothelial Cx43 and Cx40, but not Cx37, demonstrated mechanosensitivity to shear stress [19, 20]; thus, Cx43 distribution on the endothelium surface was changed in response to shear stress [21] A recent study revealed that shear stress at low levels (4 dyn/cm2), but not at high levels (12 Downloaded by: Univ of California San Diego 132.239.1.231 - 1/12/2017 7:27:05 PM Introduction Physiol Biochem 2016;39:423-437 Cellular Physiology Cell © 2016 The Author(s) Published by S Karger AG, Basel DOI: 10.1159/000445636 and Biochemistry Published online: July 07, 2016 www.karger.com/cpb 425 Zhang et al.: Myoendothelial Gap Junction Regulates Smooth Muscle Cell Differentiation by Laminar Shear Stress dyn/cm2), upregulated Cx43 expression in human umbilical vein ECs (HUVECs) co-cultured with HUVSMCs, and induced HUVEC inflammatory phenotype [22] Overall, these findings suggest that the exposure to shear stress of ECs co-cultured with SMCs may regulate SMC phenotype switching, and the formation of myoendothelial gap junctions may play a pivotal role in the process In the present study, HCAECs were co-cultured with HCASMCs on the opposite sides of a porous membrane HCAECs were exposed to high or low shear stress, and co-cultures were evaluated for the formation of myoendothelial gap junctions and its role in SMC phenotype switching Materials and Methods Cell culture and shear stress application HCAECs (catalog no FC-0032) and HCASMCs (catalog no FC-0031) were purchased from Lifeline Cell Technology (Frederick, MD, USA) HCAECs and HCASMCs were cultured in LL-0003 and LL-0014 media (both from Lifeline Cell Technology) at 37°C in a humidified 5% CO2 incubator, and used after 3-4 passages For contact co-culture experiments, HCAECs were seeded on the bottom side of 6-well Transwell insert membranes (catalog no CLS3450-24EA; Sigma, St Louis, MO, USA) at the concentration of × 105 cells/ membrane for h to allow cell attachment Then, HCASMCs were seeded on the top side of the membrane at the same concentration [9] After 48 h of static co-culture with HCASMCs, HCAECs were exposed to laminar shear stress for 24 h using a previously described co-culture flow system [23], which could generate the diverse levels of shear stress (5 or 12 dyn/cm2), and provided on-line microscopic cell visualization during the experiment The shear stress (τ) was calculated as μQ/wh2; where μ is the viscosity of the perfusate and Q is the flow rate w (= 38mm) and h (= 0.25mm) are the height and width of the flow chamber, respectively μ = 0.007 dyn*s/cm2 is the fluid viscosity for the medium at 37°C In the preliminary experiments, at 24 hours after the exposure of shear stress of dyn/cm2, the contractile markers expression was decreased significantly in HCASMCs co-cultured HCAECs (data not shown) Thus, shear stresses (5 or 12 dyn/cm2) were loaded to HCAECs for 24 hours in the following experiments Cell-cell contact detection To detect physical contacts between HCAECs and HCASMCs before and after shear stress, Transwell membranes were examined by microscopy Confocal images were obtained by scanning through the membranes from HCAEC to HCASMC monolayers five times in 2.5-μm increments as described previously [9] The membranes with HCAECs and HCASMCs were rinsed with cold PBS, fixed in 4% paraformaldehyde for 10 min, and cells were incubated with cold solutions of lipophilic dyes FM 4-64 FX (5 μg/mL, red, catalog no T3166; Invitrogen, Grand Island, NY) and FM 1-43 FX (5 μg/mL, green, catalog no T35355; Invitrogen), respectively, for 10 as described previously [14] The membranes were rinsed with PBS, immersed in 30% sucrose overnight, frozen in cryoembedding medium (catalog no 14-373-65; Thermo Fisher Scientific, Rochester, NY, USA), and cut into 10-μm transverse sections Direct cell-cell contacts in the membrane pores were observed using a Zeiss LSM510 Meta microscope (Carl Zeiss AG, Germany) equipped with a PlanApochromat 63× 1.4 NA oil objective for imaging fixed cells in mounting media FM 4-64 FX-labeled HCAECs and FM1-43 FX-labeled HCASMCs were observed at the excitation/emission wavelengths of 588 nm/734 nm and 510 nm/626 nm, respectively Downloaded by: Univ of California San Diego 132.239.1.231 - 1/12/2017 7:27:05 PM Immunocytochemistry HCASMCs cultured on membranes with or without stress were rinsed with PBS, fixed for 15 at room temperature, blocked for h in PBS containing 5% normal goat serum and 2% BSA, and incubated with monoclonal antibodies (diluted 1:1000) against α-SMA (catalog no CBL171; Millipore Corporation, Billerica, MA, USA) or anti-SM22α (catalog no SAB1400272; Sigma) at 4°C overnight Cells were rinsed five times in PBS and incubated with Alexa Fluor 488-conjugated (green) or Alexa Fluor 594-conjugated (red) goat anti-mouse antibody (diluted 1:500) for h at room temperature Physiol Biochem 2016;39:423-437 Cellular Physiology Cell © 2016 The Author(s) Published by S Karger AG, Basel DOI: 10.1159/000445636 and Biochemistry Published online: July 07, 2016 www.karger.com/cpb 426 Zhang et al.: Myoendothelial Gap Junction Regulates Smooth Muscle Cell Differentiation by Laminar Shear Stress The expression of Cx40 in HCAECs and Cx43 in HCASMCs was examined by immunocytochemistry as described above using monoclonal antibodies against Cx40 and Cx43 (catalog no sc-365107 and sc271837, respectively; Santa Cruz Biotechnology, Santa Cruz, CA, USA) Dye transfer HCAECs were loaded with lucifer yellow biocytin (5 mg/mL, catalog no L-6950; Thermo Fisher Scientific), using a pinocytotic uptake method (catalog no I14402; Invitrogen, Grand Island, NY) After 20 min, cells on the insert were fixed in 4% paraformaldehyde for 10 min, and the dye uptake in HCAECs and HCASMCs was observed as yellow fluorescence at the excitation/emission wavelengths of 428 nm/536 nm as described previously [24], and assessed semi-quantitatively using the ImageJ software (http://rsbweb nih.gov/ij/) [25] Inhibition of gap junctions HCAECs were treated with 50 μM 18-α-glycyrrhetinic acid (18-α-GA) (catalog no G 8503; Sigma) dissolved in 0.5% DMSO for 24 h to block the formation of gap junctions Cells treated with DMSO were used as control To assess the effect of connexin expression on the formation of myoendothelial gap junctions and HCASMC phenotypic switching, HCAECs were transfected with Cx40 and Cx43 siRNA (catalog no sc-29276 and sc-43078, respectively; Santa Cruz Biotechnology) or Cx40 DNA (catalog no sc-401031-ACT; Santa Cruz Biotechnology) according to the manufacturer’s instructions and co-cultured in contact with HCASMCs Western blotting Proteins were extracted as described previously [26], separated by 10% SDS-PAGE, electrophoretically transferred to PVDF membranes, and probed with the following primary antibodies: anti-MYH15 (to detection MHC; catalog no sc-103055), anti-Cx40 (catalog no sc-365107), anti-Cx43 (catalog no sc271837), and anti-GAPDH (catalog no sc-365062) (all 1:500 dilution; Santa Cruz Biotechnology), and anti-H1-calponin (catalog no C2687; Sigma) The membranes were then incubated with a horseradish peroxidase (HRP)-conjugated secondary antibody (1:2000 dilution) at room temperature for hour, and the signals were visualized using an enhanced chemiluminescence substrate (Santa Cruz Biotechnology) Inactivation of platelet-derived growth factor (PDGF) receptor signaling After 24-h shear stress, HCASMC incubation medium in the upper chamber was collected, and used to measure PDGF-BB concentration by ELISA (catalog no RAB0397; Sigma) AG-17 (catalog no 658425; Merck Millipore, Shanghai, China; 100 nM), a PDGF receptor tyrosine kinase inhibitor, was used to block PDGF receptor signaling Statistical analysis The data were expressed as the mean ± SD, and analyzed by ANOVA followed by least significant difference (LSD) t-test for post-hoc comparison using the SPSS 13.0 software P values less than 0.05 were considered statistically significant HCASMCs co-cultured with HCAECs show a contractile-like phenotype Protein expression levels of MHC and H1-calponin, the markers of SMC contractile phenotype, were markedly decreased in HCASMCs co-cultured with HCASMCs at 48 hours and could be barely detected at 72 hours (Fig 1A) However, such a protein expression profile was reversed in HCASMCs co-cultured with HCAECs at 48 or 72 hours (Fig 1B) Furthermore, HCASMCs applied to both sides of the membrane for 48 h exhibited a rhomboid shape, diffuse actin staining (Fig 1C), and a significant loss of SM22α protein expression compared to the initial level (Fig 1E), which is typical for dedifferentiated SMCs In contrast, HCASMCs cocultured in contact with HCAECs demonstrated a spindle shape with actin filaments arranged in parallel bundles characteristic for differentiated cells (Fig 1D), and maintained the initial Downloaded by: Univ of California San Diego 132.239.1.231 - 1/12/2017 7:27:05 PM Results Physiol Biochem 2016;39:423-437 Cellular Physiology Cell © 2016 The Author(s) Published by S Karger AG, Basel DOI: 10.1159/000445636 and Biochemistry Published online: July 07, 2016 www.karger.com/cpb 427 Zhang et al.: Myoendothelial Gap Junction Regulates Smooth Muscle Cell Differentiation by Laminar Shear Stress Fig HCASMCs co-cultured with HCAECs differentiate into the contractile-like phenotype HCASMCs were maintained in homotypic cultures (SMC/SMC) or co-cultured with HCAECs (SMC/EC) At different timing points, protein expression of MHC and H1-calponin in HCASMCs was detected by western blotting (A and B) Immunocytochemistry was performed for the expression of αSMA (C and D) and SM22α (E and F) of HCASMCs at 48 hours in homotypic cultures or co-cultured with HCAECs GAPDH was used as an internal control in western blotting analysis The data are presented as the mean ± SD of four independent experiments *P < 0.05, **P < 0.01 compared to 0h by LSD t-test level of SM22α expression (Fig 1F) Thus, before receiving the exposure of shear stresses, HCAECs were co-cultured with HCASMs for 48 hours for the examination of myoendothelial gap junctions in the following experiments Myoendothelial gap junctions are involved in HCASMC differentiation The formation of myoendothelial gap junctions was further examined by knocking down Cx40 expression in HCAECs by specific siRNA (Fig 3A) The results indicate that biocytin transfer from HCAECs to HCASMCs was inhibited by the downregulation of Cx40 levels (Fig 3B&C), as well as by the treatment with 18-α-GA, a gap junction inhibitor (Fig 3D&E) Furthermore, Cx40 siRNA attenuated protein expression of MHC and H1-calponin in HCASMCs, while 18-α-GA downregulated H1-calponin (Fig 3F) Downloaded by: Univ of California San Diego 132.239.1.231 - 1/12/2017 7:27:05 PM Co-cultured HCASMCs and HCAECs form functional myoendothelial gap junctions HCASMCs and HCAECs seeded on the top and bottom sides of Transwell membranes, respectively (Fig 2A), extended processes into membrane pores to make close physical contact (Fig 2B) To confirm the formation of intercellular contacts, the cell membranes of HCASMCs and HCAECs were labeled with lipophilic fluorescent dyes (HCASMCs, FM 1-43FX, green, and HCAECs, FM 4-64, red) The image shows that merged fluorescence signal (yellow) was detectable at a distance of μm from both cell monolayers (Fig 2B) Furthermore, HCASMCs and HCAECs extended cellular processes toward each other, as indicated by merged fluorescence (yellow) within the Transwell membrane (Fig 2C&D) The formation of projections between HCASMCs and HCAECs was further confirmed by the transfer of biocytin (yellow fluorescence) from HCAECs (Fig 2E) to HCASMCs on the opposite side of the insert membrane (Fig 2F) In addition, the expression of connexins Cx40 in HCAECs and Cx43 in HCASMCs was colocalized in intercellular projections formed within the Transwell insert membrane, as evidenced by yellow fluorescence (Fig 2G&H) Physiol Biochem 2016;39:423-437 Cellular Physiology Cell © 2016 The Author(s) Published by S Karger AG, Basel DOI: 10.1159/000445636 and Biochemistry Published online: July 07, 2016 www.karger.com/cpb 428 Zhang et al.: Myoendothelial Gap Junction Regulates Smooth Muscle Cell Differentiation by Laminar Shear Stress Shear stress of dyn/cm2 applied to HCAECs impairs the formation of myoendothelial gap junctions The exposure of HCAECs to shear stress of 12 dyn/cm2 did not affect biocytin transfer from HCAECS to HCASMCs compared to the static co-culture model (Fig 4A&B), while shear stress of dyn/cm2 partially inhibited intercellular biocytin transfer (Fig 4C) However, if HCAECs were transfected with Cx43 siRNA not Cx40 DNA, and exposed to low shear stress, biocytin transfer from HCAECs to HCASMCs was completely blocked (Fig 4D&E&F) Cx43 expression was markedly augmented in HCAECs exposed to low shear stress compared to the cells in static co-culture with HCASMCs or subjected to shear stress of 12 dyn/cm2 (Fig 4G) However, in Cx40 DNA-transfected HCAECs, shear stress of dyn/cm2 did not increase Cx43 expression (Fig 4G) At the same time, Cx40, which is highly expressed Downloaded by: Univ of California San Diego 132.239.1.231 - 1/12/2017 7:27:05 PM Fig HCASMCs and HCAECs form functional myoendothelial gap junctions HCAECs and HCASMCs were co-cultured on the bottom and top, respectively, of the Transwell insert membrane for 48 h, and labeled with lipophilic dyes FM 4-64 (red) and FM 1-43FX (green), respectively The nuclei were stained with DAPI (blue) (A) Transverse image of the Transwell insert membrane The red box highlights cell-cell contacts between HCAECs and HCASMCs in the pores of the insert membrane (B) Enlarged image of the boxed area in A The insert membrane was examined under a confocal microscope En face confocal Z-sections were performed from the basal side of HCAEC monolayer (0 μm) to that of HCASMCs monolayer (10 μm) in 2.5μm increments (5 red horizontal lines in A) (C, D) Immunofluorescence image of HCAEC/HCASMC cellular contact via extended processes (yellow, ×630) in the transverse section of the insert membrane (marked by white arrowheads in the enlarged image, D) (E, F) Lucifer yellow biocytin was loaded into HCAECs (E) and its transfer to HCASMCs (F) was detected by yellow fluorescence marked by red arrowheads (×400) (G, H) Immunofluorescence staining of Cx40 in HCAECs (red) and Cx43 in HCASMCs (green) in the transverse section of the insert membrane (red box, ×630) enlarged in (H); merged Cx40 and Cx43 signals are marked by yellow arrowheads Physiol Biochem 2016;39:423-437 Cellular Physiology Cell © 2016 The Author(s) Published by S Karger AG, Basel DOI: 10.1159/000445636 and Biochemistry Published online: July 07, 2016 www.karger.com/cpb 429 Zhang et al.: Myoendothelial Gap Junction Regulates Smooth Muscle Cell Differentiation by Laminar Shear Stress Fig Inhibition of myoendothelial gap junction induces dedifferentiation of HCASMCs co-cultured with HCAECs (A) HCAECSs were transfected with Cx40 siRNA and Cx40 protein expression was detected by western blotting GAPDH was used as an internal control B–E) HCASMCs were co-cultured with HCAECs transfected with non-targeting siRNA (B) or Cx40 siRNA (C), or treated with DMSO (18-α-GA-vehicle, D) or 18-α-GA (E) and loaded with lucifer yellow biocytin Yellow fluorescence in HCASMCs indicates biocytin transfer from HCAECs to HCASMCs (red arrowheads in B and D; ×630) Green, FM 1-43FX-labeled HCASMCs; blue, DAPI-labeled nuclei (F) Semi-quantitative assessment of lucifer yellow biocytin transfer to HCASMCs by pixel intensity (mean ± SD) (G) MHC and H1-calponin expression in HCASMCs co-cultured with differently treated HCAECs was analyzed by western blotting; HCASMCs in co-culture with untreated HCAECs were used as control Lane 1, control; Lane 2, non-targeting siRNA; Lane 3, Cx40 siRNA; Lane 4, DMSO (18-α-GA-vehicle); Lane 5, 18-α-GA GAPDH served as an internal control The data are presented as the mean ± SD of four independent experiments and analyzed by LSD t-test Shear stress of dyn/cm2 applied to HCAECs induces HCASMC dedifferentiation Immunofluorescence staining showed that when HCAECs were subjected to shear stress of 12 dyn/cm2, Cx43 was observed evenly distributed in HCASMC monolayers, and sporadically in HCAECs monolayers (Fig 5A) However, the exposure to shear stress of dyn/cm2 increased Cx43 expression in HCAECs and was even detected within the Transwell membrane (Fig 5B) In the static co-culture with HCAECs, HCASMCs were randomly aligned and intracellular actin filaments were organized in parallel bundles, as evidenced by immunofluorescence staining for α-SMA (Fig 5C) When HCAECs were exposed to shear stress of 12 dyn/cm2, HCASMCs were aligned in the flow direction (Fig 5D); however, when HCAECs were subjected to shear stress of dyn/cm2, HCASMCs were arranged randomly and exhibited a typical Downloaded by: Univ of California San Diego 132.239.1.231 - 1/12/2017 7:27:05 PM in untreated HCAECs, was significantly decreased by the exposure to shear stress of dyn/ cm2 Interestingly, in Cx43 siRNA-transfected HCAECs, shear stress of dyn/cm2 slightly increased Cx40 expression; however, the difference was not statistically significant (Fig 4G) Physiol Biochem 2016;39:423-437 Cellular Physiology Cell © 2016 The Author(s) Published by S Karger AG, Basel DOI: 10.1159/000445636 and Biochemistry Published online: July 07, 2016 www.karger.com/cpb 430 Zhang et al.: Myoendothelial Gap Junction Regulates Smooth Muscle Cell Differentiation by Laminar Shear Stress Fig HCAECs exposure to shear stress of dyn/cm2 impairs myoendothelial gap junctions HCAECs transfected with Cx43 siRNA (D) or Cx40 DNA (E) were co-cultured with HCASMCs for 48 h and exposed to static conditions (A), shear stress of 12 dyn/cm2 (B) or shear stress of dyn/cm2 (C) for 24 h Lucifer yellow biocytin transfer was detected in HCASMCs (yellow fluorescence, red arrowheads); blue arrowheads show flow direction (F) Semi-quantitative assessment of lucifer yellow biocytin transfer to HCASMCs by mean pixel intensity (G) Cx40 and Cx43 expression in HCAECs detected by western blotting; GAPDH was used as an internal control Lane 1, Static; Lane 2, 12 dyn/cm2; Lane 3, dyn/cm2; Lane 4, dyn/cm2+Cx43 siRNA; Lane 5, dyn/cm2+Cx40 DNA The data are presented as the mean ± SD of four independent experiments; **P < 0.01 compared to Static, ## P < 0.01 compared to dyn/cm2 by LSD t-test PDGF signaling is involved in the shear stress-induced dedifferentiation of HCASMCs cocultured with HCAECs Figure 6A shows that there was no difference in PDGF release between HCASMCs cocultured with HCAECs in static conditions and under shear stress (12 dyn/cm2) However, PDGF levels in HCASMC culture supernatant were significantly increased after HCAEC exposure to shear stress of dyn/cm2, while Cx43 downregulation by specific siRNA or Cx40 upregulation by specific plasmid DNA reversed the effect (Fig 6A) Shear stress of dyn/cm2 attenuated MHC and H1-calponin levels in HCASMCs compared to physiological stress conditions, but their expression was rescued by the pretreatment of HCASMCs with AG-17, an inhibitor of PDGF receptor signaling (Fig 6B), suggesting that the PDGF pathway mediates the effects of shear stress on HCASMCs Downloaded by: Univ of California San Diego 132.239.1.231 - 1/12/2017 7:27:05 PM rhomboid shape and diffuse actin staining characteristic for dedifferentiated SMCs (Fig 5E) However, Cx43-specific siRNA (but not control siRNA) or Cx40 DNA transfected into HCAECs partially reversed the effect of low shear stress by restoring spindle-like morphology in HCASMCs (Fig 5F&G&H) Furthermore, the expression of MHC and H1-calponin in HCASMCs was downregulated by the exposure of HCAECs to shear stress of dyn/cm2 compared to static or shear stress of 12 dyn/cm2 However, the levels of these two proteins in HCASMCs were restored by transfection of HCAECs with Cx43 siRNA or Cx40 DNA (Fig 5I) Physiol Biochem 2016;39:423-437 Cellular Physiology Cell © 2016 The Author(s) Published by S Karger AG, Basel DOI: 10.1159/000445636 and Biochemistry Published online: July 07, 2016 www.karger.com/cpb 431 Zhang et al.: Myoendothelial Gap Junction Regulates Smooth Muscle Cell Differentiation by Laminar Shear Stress Fig HCAECs exposure to shear stress of dyn/cm2 induces dedifferentiation of HCASMCs HCAECS were co-cultured with HCASMCs for 48 h and subjected to shear stress of 12 dyn/cm2 or dyn/cm2 for another 24 h (A, B) Cx43 expression (yellow arrowheads) in transverse sections of the insert membranes containing HCASMCs (top) and HCAECs (bottom) was analyzed by immunofluorescence staining (C–H) α-SMA expression in HCASMCs HCASMCs co-cultured with HCAECs in static or shear stress of 12 dyn/cm2 conditions had an elongated spindle shape with actin filaments arranged in parallel bundles, and were aligned to flow direction (C, D; ×630) When HCAECs were exposed to shear stress of dyn/cm2, HCASMCs acquired a rhomboid shape with diffuse actin staining (E, ×630) Transfection with Cx43 siRNA (F, G; ×630) or Cx40 DNA (H; ×630) in HCAECs partly restored spindle-like morphology of HCASMCs in shear stress conditions; blue, DAPI-stained nuclei Blue arrowheads represent flow direction (I) MHC and H1-calponin expression in HCASMCs was analyzed by western blotting GAPDH was used as an internal control Lane 1, Static; Lane 2, 12 dyn/cm2; Lane 3, dyn/cm2; Lane 4, dyn/cm2+non-targeting siRNA; Lane 5, dyn/cm2+Cx43 siRNA; Lane 6, dyn/cm2+Cx40 DNA The data are presented as the mean ± SD of four independent experiments; **P < 0.01 compared to Static, ## P < 0.01 compared to dyn/cm2 by LSD t-test It is known that resident medial SMCs are not terminally differentiated and can undergo phenotypic switching and proliferate and migrate into the intima, where they play an important role in the development of atherosclerotic lesions SMC proliferation and migration can be induced by the exposure of vascular endothelium to low shear stress, which is considered atherogenic; however, the underlying mechanisms are not fully understood In the present study, we observed that HCAECS and HCASMCs co-cultured on the opposite sides of a porous membrane could form heterotypic Cx40/Cx43 myoendothelial gap junctions, which were responsible for the contractile phenotype of HCASMCs However, the exposure of HCAECs to shear stress of dyn/cm2 caused the dysfunction of Cx40/Cx43 heterotypic myoendothelial gap junctions, which may be replaced by homotypic Cx43/Cx43 gap junctions, and induced HCASMC phenotypic transition associated with the activation of PDGF receptor signaling Downloaded by: Univ of California San Diego 132.239.1.231 - 1/12/2017 7:27:05 PM Discussion Physiol Biochem 2016;39:423-437 Cellular Physiology Cell © 2016 The Author(s) Published by S Karger AG, Basel DOI: 10.1159/000445636 and Biochemistry Published online: July 07, 2016 www.karger.com/cpb 432 Zhang et al.: Myoendothelial Gap Junction Regulates Smooth Muscle Cell Differentiation by Laminar Shear Stress In vivo, dedifferentiated SMCs that underwent phenotypic transition contribute to arteriosclerosis In vitro, SMCs co-cultured with ECs in the medium without serum and growth factors could maintain contractile characteristics [27] However, they would undergo phenotypic changes if cultured alone in conditioned medium [14], which is consistent with the current findings of diffuse cytoplasmic actin staining in HCASMCs cultured alone in full medium When co-cultured with HCAECs, HCASMCs demonstrated the contractile phenotype and maintained the expression of MHC and H1-calponin, the markers of SMCs differentiation, suggesting that HCAECs could inhibit HCASMC transition to the synthetic phenotype Our observations are in agreement with previous findings that in co-culture, ECs inhibited SMC proliferation, migration, and collagen synthesis, and supported SMC contractile phenotype [28-30] Furthermore, it has been shown that in co-culture, HCAECs could increase the expression of SM-22α and calponin in HCASMCs [12], suggesting a regulatory role of intercellular contacts with HCAECs in HCASMC differentiation Moreover, when cocultured on the opposite sides of Transwell membranes, ECs and SMCs were shown to form myoendothelial gap junctions [9, 28], through which ECs could directly communicate with SMCs and regulate their functional activity [31] Thus, Cx43-containing myoendothelial gap junctions have been shown to participate in the regulation of pulmonary artery SMC differentiation [14] In this study, HCAECs and HCASMCs extended their cellular processes toward each other through a porous substrate and established intercellular contacts similar to those observed between mouse ECs and SMCs in co-culture [9] Furthermore, biocytin loaded in HCAECs was transferred to HCASMCs, indicating the formation of functional myoendothelial gap junctions between HCAECs and HCASMCs Downloaded by: Univ of California San Diego 132.239.1.231 - 1/12/2017 7:27:05 PM Fig PDGF signaling is involved in shear stress (5 dyn/cm2)-induced dedifferentiation of HCASMCs HCAECs transfected with Cx43 siRNA or control siRNA or Cx40 DNA were co-cultured with HCASMCs for 48 h and exposed to shear stress of 12 dyn/cm2 or dyn/cm2 for another 24 h (A) PDGF-BB release by HCASMCs was assessed in culture medium by ELISA The data are presented as the mean ± SD; **P < 0.01 compared to Static, ## P < 0.01 compared to dyn/cm2 by LSD t-test (B) HCASMCs were treated with AG-17 (100 nM), an inhibitor of PDGF receptor signaling; DMSO was used as vehicle control MHC and H1-calponin expression in HCASMCs was detected by western blotting; GAPDH was used as an internal control The data are presented as the mean ± SD of four independent experiments and analyzed by LSD t-test Physiol Biochem 2016;39:423-437 Cellular Physiology Cell © 2016 The Author(s) Published by S Karger AG, Basel DOI: 10.1159/000445636 and Biochemistry Published online: July 07, 2016 www.karger.com/cpb 433 Myoendothelial gap junctions can be formed by different connexin proteins In coronary endothelium, Cx40 is abundant, while Cx37 is expressed heterogeneously and Cx43 weakly [18, 24] In the present study, biocytin transfer from HCAECs to HCASMCs was inhibited by Cx40 siRNA, suggesting that the myoendothelial gap junctions between HCAECs and HCASMCs contained Cx40 Given that HCASMCs are rich in Cx43 [17], the current findings suggest that HCAECs and HCASMCs could form heterotypic Cx40/Cx43 myoendothelial gap junctions similar to those observed in vitro for SMCs co-cultured with insulinoma cells [32] and neuroblastoma cells [33] To investigate the role of myoendothelial gap junctions in HCASMC differentiation, Cx40 expression in HCAECs was knocked down by siRNA, which inhibited intercellular dye transfer from HCAECs to HCASMCs and significantly decreased MHC and H1-calponin levels in HCASMCs Given that similar effects were caused by 18-α-GA, a gap junction blocker, these results suggest that the formation of Cx40/Cx43 myoendothelial gap junctions between HCAECs and HCASMCs prevents phenotypic switching of HCASMCs The expression of connexins can depend on the physiological state, including hibernation, arousal, level of hormone and mechanical environments [34-36] Several studies demonstrated that Cx43 was increased in ECs cultured alone by high laminar shear stress (15 dyn/cm2) compared to static conditions [19, 37] However, in the present study we found that shear stress of dyn/cm2 not 12 dyn/cm2 increased the level of Cx43 compared to static conditions in HCAECs co-cultured with HCASMCs, supported by the findings that shear stress of dyn/cm2 induced a higher Cx43 expression in ECs co-cultured with SMCs compared to ECs cultured alone [22] In case of Cx40, a previous study showed that its endothelial protein expression was elevated markedly by shear stress from 6-10 dyn/cm2, while higher shear stress did not affect the expression of Cx40 in HUVECs cultured alone compared to static conditions [20] However, an earlier study showed that shear stress of 15 dyn/cm2 downregulated the level of Cx40 expression in rat aortic HUVECs co-cultured with HUVSMCs compared to static conditions [38] These discrepancies might be explained by different cellular culture models used in the studies and suggested that SMCs might affect the mechanical response of ECs to shear stress It should be noted that in the present study, we found that shear stress of dyn/cm2 decreased the level of Cx40 in HCAECs co-cultured with HCSMCs, while shear stress of 12 dyn/cm2 had no effect, which is not consistent with the findings in the previous study of HUVECs [38] This discrepancy may be attributed to the difference in the cell lines used, indirectly supported by the difference of HCAECs and HUVECs in the wound closure under low laminar shear stress (3 dyn/cm2) [39] Furthermore, intercellular communication between HCAECs and HCASMCs (biocytin transfer) was not affected by sheer stress at 12 dyn/cm2, but inhibited by that at the low level Taken together, these results suggested that shear stress of dyn/cm2 decreased Cx40 expression in HCAECs, which impaired the formation and functional performance of Cx40/Cx43 heterotypic myoendothelial gap junctions between HCAECs and HCASMCs The expression ratio of Cx40 to Cx43 could influence the opening and closing of heterotypic gap channels [40] A recent study showed that induction of Cx40 expression in liver epithelial cell could lead to about 25% reduction of the protein level of Cx43 [41] Here, we observed that in HCAECs, Cx40 and Cx43, which had high and low expression levels, respectively, were down- and upregulated by shear stress of dyn/cm2 To upregulate Cx40 expression in HCAECs by the transfection with Cx40 DNA could reverse the increased Cx43 expression in HCAECs, and could rescue the biocytin transfer from HCAECs to HCASMCs under low shear stress conditions These findings suggest that the Cx40/Cx43 myoendothelial gap junctions may be regulated by shear stress of dyn/cm2 via the Cx40/Cx43 expression ratio In addition, the exposure of HCAECs to shear stress of dyn/cm2 induced HCASMC phenotypic switch characterized by the loss of contractile morphology and decrease in MHC and H1-calponin expression, which was partly rescued by Cx40 augmentation, suggesting that Cx40/Cx43 heterotypic gap junction plays an inhibitory role in the phenotypic switching of HCASMCs co-cultured with HCAECs under low shear stress conditions Downloaded by: Univ of California San Diego 132.239.1.231 - 1/12/2017 7:27:05 PM Zhang et al.: Myoendothelial Gap Junction Regulates Smooth Muscle Cell Differentiation by Laminar Shear Stress Physiol Biochem 2016;39:423-437 Cellular Physiology Cell © 2016 The Author(s) Published by S Karger AG, Basel DOI: 10.1159/000445636 and Biochemistry Published online: July 07, 2016 www.karger.com/cpb 434 Interestingly, in the present study compared to static conditions, shear stress of 12 dyn/cm2 did not change the protein expression of contractile markers in HCASMCs cocultured with HCAECs for 48 hours, which is inconsistent with the previous findings that shear stress of 12 dyn/cm2 augmented the level of MHC and H1-calponin in HUASMCs cocultured with HUVECs for 24 hours [42] Other studies showed that SMCs co-cultured with ECs at or more than 48 hours were more prone to the contractile phenotype compared to SMCs cultured alone or with SMCs [43, 44], However, compared to SMCs cultured alone or co-cultured with SMCs at 24 hours, SMCs co-cultured with ECs at 48 hours exerted a more synthetic phenotype characterized by the “hill and valley” morphology and acceleration in proliferation and protein synthesis, probably due to myoendothelial gap junctions that were not fully formed [28] Thus, the discrepancy might be attributed to the longer time in coculture of HCASMCs with HCAECs in this study, which caused a higher basal level of MCH and H1-calponin in HCASMCs before the exposure of HCAECs to shear stress Then compared to static conditions in this study, the relative elevation in protein expression of MCH and H1calponin caused by shear stress of 12 dyn/cm2 might be too slight to be detected significantly, suggesting that shear stress of 12 dyn/cm2 is more prone to prevent HCASMCs from lose of the contractile phenotype, which need to be elucidated further in future studies It should be noted, however, that shear stress of dyn/cm2 did not completely block HCAECs/HCASMCs myoendothelial gap junctions Cx43 immunofluorescence was mainly detected in HCASMCs, while after shear stress of dyn/cm2, it was increased in HCAECs and was even observed inside Transwell membrane pores, suggesting a formation of Cx43 homotypic myoendothelial gap junctions between HCASMCs and HCAECs In addition, foregoing effects of shear stress of dyn/cm2 on the phenotypic switching of HCASMCs was also partly reversed by Cx43 inhibition, suggesting that Cx43/Cx43 homotypic gap junction plays a contributive role in the phenotypic switching of HCASMCs in the present study It has been reported that upregulation of Cx40 could reduce the amount of Cx43 in the junctional fraction markedly in cells endogenously expressing Cx43 [41] Taken together, our findings suggest that HCAEC exposure to shear stress of dyn/cm2 prevented the formation of Cx40/Cx43 heterotypic myoendothelial gap junctions between HCAECs and HCASMCs, possibly inducing the assembly of Cx43 homotypic channels, which may facilitate the transition of HCASMCs to the synthetic phenotype This hypothesis requires further confirmation in future studies PDGF is a potent stimulator of SMC phenotypic switching [2] The injury of the endothelial layer has been shown to induce PDGF synthesis and secretion from co-cultured SMCs, and promote SMC proliferation In the present study, we observed an increase in PDGF secretion by HCASMCs co-cultured with HCAECs exposed to shear stress of dyn/cm2, which was attenuated by Cx43 downregulation in HCAECs, suggesting that PDGF secretion was associated with Cx43-dependent myoendothelial channels At the same time, Cx40 upregulation in HCAECs also decreased PDGF secretion in HCASMCs, which may be realized indirectly by regulate Cx43 homotypic channels between HCAECs and HCASMCs in this study However, a contribution of PDGF released from HCAECs after shear stress induction at dyn/cm2 could not be excluded Furthermore, the inhibition of PDGF receptor signaling reversed the downregulation of MHC and H1-calponin levels by shear stress of dyn/cm2, suggesting the involvement of PDGF signaling in HCASMC phenotypic switching induced by low shear stress-treated HCAECs It should be noted that Cx40 levels in HCAECs were slightly, though insignificantly, increased by Cx43 siRNA Given that Cx43 downregulation in HCAECs partly reversed HCASMC phenotypic transition, it suggests that the loss of Cx43/Cx40 heterotypic myoendothelial gap junctions induced by shear stress of dyn/cm2 may be restored to some degree by inhibiting Cx43 expression in HCAECs Further experiments are required to support this suggestion Besides PDGF, the differentiation of smooth muscle cells could be regulated by several cytokines such as transforming growth factor (TGF)-β1 [14] or inflammatory mediators such as interleukin-1(IL-1) [45] and salusin-β [46], which were also responsbile in ECs to low shear stress [47] In particular, IL-1 was demonstrated to specificly inhibit heterogenous Downloaded by: Univ of California San Diego 132.239.1.231 - 1/12/2017 7:27:05 PM Zhang et al.: Myoendothelial Gap Junction Regulates Smooth Muscle Cell Differentiation by Laminar Shear Stress Physiol Biochem 2016;39:423-437 Cellular Physiology Cell © 2016 The Author(s) Published by S Karger AG, Basel DOI: 10.1159/000445636 and Biochemistry Published online: July 07, 2016 www.karger.com/cpb 435 Zhang et al.: Myoendothelial Gap Junction Regulates Smooth Muscle Cell Differentiation by Laminar Shear Stress gap junctions [48] Therefore, whether these factors were involved in the changes of myoendothelial gap junction and phenotypic switching of HCASMCs regulated by shear stress in this study needed to be explored further in the future study In vivo, the presence of myoendothelial gap junctions has been demonstrated mainly in resistance arteries, and the frequency of myoendothelial gap junctions increases with decreasing vessel size [49] Their presence in coronary arteries was suggested by previous studies that SMCs were hyperpolarized by EET-induced endothelial cell hyperpolariztion in pig coronary artery [50] Although the current results suggested that myoendothelial gap channels were changed by laminar shear stress in vitro, it needs to be elucidated whether the organizaion and distribution of myoendothelial gap junctions are dependent on the mechanical stimulation of shear stress in vivo Furthermore, in the coronary arteries, endothelial Cx40 is readily detectable in the proximal parts, whereas endothelial Cx43 is more abundant in the bifurcation region [18] constantly exposed to low and oscillating shear stress and considered atherogenic [51] Additionally, the shear stress was changed with the size of coronary arteries and cardiac cycle [51, 52].Thus the levels of laminar shear stress used in this study could not represent the typical shear stress conditions in the coronary systems, although they were found to regulate the myoendothelail gap junctions involved in the phenotypic transition of HCASMCs Therefore, the effects of other types of shear stress in vivo, especially the oscillating shear stress which is considered more atheroprone, should be explored further in the future study In conclusion, the formation of Cx40/Cx43 heterotypic myoendothelial gap junctions between HCAECs and HCASMCs could inhibit phenotypic transition of HCASMCs to the dedifferentiated state The exposure of HCAECs co-cultured with HCASMCs to laminar shear stress of dyn/cm2 could prevent the formation of Cx40/Cx43 heterotypic myoendothelial channels and favor that of Cx43 homotypic channels, which correlated with HCASMC phenotypic switching and PDGF receptor signaling in HCASMCs, suggesting that changes of myoendothelial gap junctions might be implicated in shear stress-associated arteriosclerosis Acknowledgements This work was supported by the National Natural Science Foundation of China (81200206 to ZQ Zhang), Science and Technology Commission Foundation of Bashan District in Shanghai (11-E-5 to ZQ Zhang), and Doctoral Fund of the Ministry of Education of China (20110073120096 to ZQ Zhang) Disclosure Statement We declare that we have no conflict of interest Daniel JM, Sedding DG: Circulating smooth muscle progenitor cells in arterial remodeling J Mol Cell Cardiol 2011;50:273-279 Gomez D, Owens GK: Smooth muscle cell phenotypic switching in atherosclerosis Cardiovasc Res 2012;95:156-164 Sterpetti AV, Cucina A, D'Angelo LS, Cardillo B, Cavallaro A: Shear stress modulates the proliferation rate, protein synthesis, and mitogenic activity of arterial smooth muscle cells Surgery 1993;113:691-699 Dirksen MT, van der Wal AC, van den Berg FM, van der Loos CM, Becker AE: Distribution of inflammatory cells in atherosclerotic plaques relates to the direction of flow Circulation 1998;98:2000-2003 Papadaki M, Ruef J, Nguyen KT, Li F, Patterson C, Eskin SG, McIntire LV, Runge MS: Differential regulation of protease activated receptor-1 and tissue plasminogen activator expression by shear stress in vascular smooth muscle cells Circ Res 1998;83:1027-1034 Downloaded by: Univ of California San Diego 132.239.1.231 - 1/12/2017 7:27:05 PM References Physiol Biochem 2016;39:423-437 Cellular Physiology Cell © 2016 The Author(s) Published by S Karger AG, Basel DOI: 10.1159/000445636 and Biochemistry Published online: July 07, 2016 www.karger.com/cpb 436 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Ding Z, Liu S, Wang X, Deng X, Fan Y, Sun C, Wang Y, Mehta JL: Hemodynamic shear stress via ROS modulates PCSK9 expression in human vascular endothelial and smooth muscle cells and along the mouse aorta Antioxid Redox Signal 2015;22:760-771 Qi YX, Qu MJ, Long DK, Liu B, Yao QP, Chien S, Jiang ZL: Rho-GDP dissociation inhibitor alpha downregulated by low shear stress promotes vascular smooth muscle cell migration and apoptosis: a proteomic analysis Cardiovasc Res 2008;80:114-122 Wang L, Han Y, Shen Y, Yan ZQ, Zhang P, Yao QP, Shen BR, Gao LZ, Qi YX, Jiang ZL: Endothelial insulin-like growth factor-1 modulates proliferation and phenotype of smooth muscle cells induced by low shear stress Ann Biomed Eng 2014;42:776-786 Isakson BE, Duling BR: Heterocellular contact at the myoendothelial junction influences gap junction organization Circ Res 2005;97:44-51 de Wit C, Boettcher M, Schmidt VJ: Signaling across myoendothelial gap junctions fact or fiction? Cell Commun Adhes 2008;15:231-245 Isakson BE: Localized expression of an Ins(1,4,5)P3 receptor at the myoendothelial junction selectively regulates heterocellular Ca2+ communication J Cell Sci 2008;121:3664-3673 Bhattacharyya A, Lin S, Sandig M, Mequanint K: Regulation of vascular smooth muscle cell phenotype in three-dimensional coculture system by Jagged1-selective Notch3 signaling Tissue Eng Part A 2014;20:1175-1187 Gairhe S, Bauer NN, Gebb SA, McMurtry IF: Serotonin passes through myoendothelial gap junctions to promote pulmonary arterial smooth muscle cell differentiation Am J Physiol Lung Cell Mol Physiol 2012;303:L767-777 Gairhe S, Bauer NN, Gebb SA, McMurtry IF: Myoendothelial gap junctional signaling induces differentiation of pulmonary arterial smooth muscle cells Am J Physiol Lung Cell Mol Physiol 2011;301:L527-535 Isakson BE, Best AK, Duling BR: Incidence of protein on actin bridges between endothelium and smooth muscle in arterioles demonstrates heterogeneous connexin expression and phosphorylation Am J Physiol Heart Circ Physiol 2008;294:H2898-2904 Mikkelsen HB, Huizinga JD, Thuneberg L, Rumessen JJ: Immunohistochemical localization of a gap junction protein (connexin43) in the muscularis externa of murine, canine, and human intestine Cell Tissue Res 1993;274:249-256 Yeh HI, Dupont E, Coppen S, Rothery S, Severs NJ: Gap junction localization and connexin expression in cytochemically identified endothelial cells of arterial tissue J Histochem Cytochem 1997;45:539-550 van Kempen MJ, Jongsma HJ: Distribution of connexin37, connexin40 and connexin43 in the aorta and coronary artery of several mammals Histochem Cell Biol 1999;112:479-486 Cowan DB, Lye SJ, Langille BL: Regulation of vascular connexin43 gene expression by mechanical loads Circ Res 1998;82:786-793 Vorderwulbecke BJ, Maroski J, Fiedorowicz K, Da Silva-Azevedo L, Marki A, Pries AR, Zakrzewicz A: Regulation of endothelial connexin40 expression by shear stress Am J Physiol Heart Circ Physiol 2012;302:H143-152 Inai T, Mancuso MR, McDonald DM, Kobayashi J, Nakamura K, Shibata Y: Shear stress-induced upregulation of connexin 43 expression in endothelial cells on upstream surfaces of rat cardiac valves Histochem Cell Biol 2004;122:477-483 Shav D, Gotlieb R, Zaretsky U, Elad D, Einav S: Wall shear stress effects on endothelial-endothelial and endothelial-smooth muscle cell interactions in tissue engineered models of the vascular wall PLoS One 2014;9:e88304 Chiu JJ, Chen LJ, Chen CN, Lee PL, Lee CI: A model for studying the effect of shear stress on interactions between vascular endothelial cells and smooth muscle cells J Biomech 2004;37:531-539 Makino A, Platoshyn O, Suarez J, Yuan JX, Dillmann WH: Downregulation of connexin40 is associated with coronary endothelial cell dysfunction in streptozotocin-induced diabetic mice Am J Physiol Cell Physiol 2008;295:C221-230 Zhang L, Yu K, Robert KW, DeBolt KM, Hong N, Tao JQ, Fukuda M, Fisher AB, Huang S: Rab38 targets to lamellar bodies and normalizes their sizes in lung alveolar type II epithelial cells Am J Physiol Lung Cell Mol Physiol 2011;301:L461-477 Zhang Z, Zhang T, Zhou Y, Wei X, Zhu J, Zhang J, Wang C: Activated phosphatidylinositol 3-kinase/Akt inhibits the transition of endothelial progenitor cells to mesenchymal cells by regulating the forkhead box subgroup O-3a signaling Cell Physiol Biochem 2015;35:1643-1653 Rose SL, Babensee JE: Complimentary endothelial cell/smooth muscle cell co-culture systems with alternate smooth muscle cell phenotypes Ann Biomed Eng 2007;35:1382-1390 Fillinger MF, O'Connor SE, Wagner RJ, Cronenwett JL: The effect of endothelial cell coculture on smooth muscle cell proliferation J Vasc Surg 1993;17:1058-1067; discussion 1067-1058 Downloaded by: Univ of California San Diego 132.239.1.231 - 1/12/2017 7:27:05 PM Zhang et al.: Myoendothelial Gap Junction Regulates Smooth Muscle Cell Differentiation by Laminar Shear Stress Physiol Biochem 2016;39:423-437 Cellular Physiology Cell © 2016 The Author(s) Published by S Karger AG, Basel DOI: 10.1159/000445636 and Biochemistry Published online: July 07, 2016 www.karger.com/cpb 437 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 Brown DJ, Rzucidlo EM, Merenick BL, Wagner RJ, Martin KA, Powell RJ: Endothelial cell activation of the smooth muscle cell phosphoinositide 3-kinase/Akt pathway promotes differentiation J Vasc Surg 2005;41:509-516 Powell RJ, Hydowski J, Frank O, Bhargava J, Sumpio BE: Endothelial cell effect on smooth muscle cell collagen synthesis J Surg Res 1997;69:113-118 Triggle CR, Samuel SM, Ravishankar S, Marei I, Arunachalam G, Ding H: The endothelium: influencing vascular smooth muscle in many ways Can J Physiol Pharmacol 2012;90:713-738 Cottrell GT, Burt JM: Heterotypic gap junction channel formation between heteromeric and homomeric Cx40 and Cx43 connexons Am J Physiol Cell Physiol 2001;281:C1559-1567 Lin X, Xu Q, Veenstra RD: Functional formation of heterotypic gap junction channels by connexins-40 and -43 Channels (Austin) 2014;8:433-443 Saitongdee P, Becker DL, Milner P, Knight GE, Burnstock G: Levels of gap junction proteins in coronary arterioles and aorta of hamsters exposed to the cold and during hibernation and arousal J Histochem Cytochem 2004;52:603-615 Johnstone S, Isakson B, Locke D: Biological and biophysical properties of vascular connexin channels Int Rev Cell Mol Biol 2009;278:69-118 Ponce A, Larre I, Castillo A, Garcia-Villegas R, Romero A, Flores-Maldonado C, Martinez-Rendon J, Contreras RG, Cereijido M: Ouabain increases gap junctional communication in epithelial cells Cell Physiol Biochem 2014;34:2081-2090 Johnson TL, Nerem RM: Endothelial connexin 37, connexin 40, and connexin 43 respond uniquely to substrate and shear stress Endothelium 2007;14:215-226 Yao QP, Qi YX, Zhang P, Cheng BB, Yan ZQ, Jiang ZL: SIRT1 and Connexin40 Mediate the normal shear stressinduced inhibition of the proliferation of endothelial cells co-cultured with vascular smooth muscle cells Cell Physiol Biochem 2013;31:389-399 Albuquerque ML, Waters CM, Savla U, Schnaper HW, Flozak AS: Shear stress enhances human endothelial cell wound closure in vitro Am J Physiol Heart Circ Physiol 2000;279:H293-302 Cottrell GT, Wu Y, Burt JM: Cx40 and Cx43 expression ratio influences heteromeric/ heterotypic gap junction channel properties Am J Physiol Cell Physiol 2002;282:C1469-1482 Desplantez T, Grikscheit K, Thomas NM, Peters NS, Severs NJ, Dupont E: Relating specific connexin coexpression ratio to connexon composition and gap junction function J Mol Cell Cardiol 2015;89:195-202 Tsai MC, Chen L, Zhou J, Tang Z, Hsu TF, Wang Y, Shih YT, Peng HH, Wang N, Guan Y, Chien S, Chiu JJ: Shear stress induces synthetic-to-contractile phenotypic modulation in smooth muscle cells via peroxisome proliferator-activated receptor alpha/delta activations by prostacyclin released by sheared endothelial cells Circ Res 2009;105:471-480 Powell RJ, Cronenwett JL, Fillinger MF, Wagner RJ, Sampson LN: Endothelial cell modulation of smooth muscle cell morphology and organizational growth pattern Ann Vasc Surg 1996;10:4-10 Powell RJ, Bhargava J, Basson MD, Sumpio BE: Coculture conditions alter endothelial modulation of TGFbeta activation and smooth muscle growth morphology Am J Physiol 1998;274:H642-649 Yoshida T, Yamashita M, Horimai C, Hayashi M: Smooth muscle-selective inhibition of nuclear factorkappaB attenuates smooth muscle phenotypic switching and neointima formation following vascular injury J Am Heart Assoc 2013;2:e000230 Xu X, He M, Liu T, Zeng Y, Zhang W: Effect of Salusin-beta on Peroxisome Proliferator-Activated Receptor Gamma Gene Expression in Vascular Smooth Muscle Cells and its Possible Mechanism Cell Physiol Biochem 2015;36:2466-2479 Ishibazawa A, Nagaoka T, Yokota H, Ono S, Yoshida A: Low shear stress up-regulation of proinflammatory gene expression in human retinal microvascular endothelial cells Exp Eye Res 2013;116:308-311 Hu J, Cotgreave IA: Differential regulation of gap junctions by proinflammatory mediators in vitro J Clin Invest 1997;99:2312-2316 Sandow SL, Looft-Wilson R, Doran B, Grayson TH, Segal SS, Hill CE: Expression of homocellular and heterocellular gap junctions in hamster arterioles and feed arteries Cardiovasc Res 2003;60:643-653 Edwards G, Thollon C, Gardener MJ, Feletou M, Vilaine J, Vanhoutte PM, Weston AH: Role of gap junctions and EETs in endothelium-dependent hyperpolarization of porcine coronary artery Br J Pharmacol 2000;129:1145-1154 Soulis J, Fytanidis D, Seralidou K, Giannoglou G: Wall shear stress oscillation and its gradient in the normal left coronary artery tree bifurcations Hippokratia 2014;18:12-16 LaDisa JF, Jr., Hettrick DA, Olson LE, Guler I, Gross ER, Kress TT, Kersten JR, Warltier DC, Pagel PS: Stent implantation alters coronary artery hemodynamics and wall shear stress during maximal vasodilation J Appl Physiol (1985) 2002;93:1939-1946 Downloaded by: Univ of California San Diego 132.239.1.231 - 1/12/2017 7:27:05 PM Zhang et al.: Myoendothelial Gap Junction Regulates Smooth Muscle Cell Differentiation by Laminar Shear Stress