In this study, we found that endothelial cells on soft substrates not only activate Dll4-Notch signaling by suppressing YAP activation, but also modulate endothelial cellular function. More specifically, we first confirmed that endothelial cells on softer substrates attenuate YAP localization in the nuclei and YAP activation, and that endothelial cells on soft substrates elongate certain cellular aspects in a manner similar to that of the angiogenic phenotype. We then showed that endothelial cells on soft substrates upregulated VEGFR mRNA expression and that VEGF stimulation facilitated soft substrate-induced VEGFR1 and VEGFR3 expression. In addition, we determined that endothelial cells on soft substrates increase Dll4 expression, but not Notch1 expression, via YAP signaling. Elevated Dll4-Notch1 signaling in endothelial cells on soft substrates contribute not only to VEGFR1 upregulation, but also to inflammation and blood coagulation-related gene expression. Thus, endothelial cells might modulate their cellular function as a consequence of adapting to substrate stiffness.
Engler et al. have reported that mesenchymal stem cells constitutively differentiate into different type of cells in response to the stiffness of cell adhesion substrates 24. Numerous studies have subsequently shown that extracellular substrate stiffness is a determinant factor of cell differentiation for several types of cells 24–29. Furthermore, Segel et al. have reported that brain stiffening with age is sufficient to attenuate the proliferation and differentiation rates of oligodendrocyte progenitor cells. For example, the authors showed that isolated aged oligodendrocyte progenitor cells cultured on synthetic scaffolds in order to mimic the stiffness of young brains are molecularly and functionally rejuvenated 30. In addition to normal healthy cells, tumor cells and other pathogenic cells can also modulate their aggressiveness in response to the stiffness of extracellular environments 31,32. Taken together, these studies suggest that cell functionality and phenotype are directly linked to the stiffness of the surrounding niche and the extracellular environment. In agreement with these findings, in the current study, we demonstrated that endothelial cells modulate not only the capability of angiogenesis, but also inflammatory and coagulant states in response to substrate stiffness by regulating the activation of Dll4-Notch1 signaling.
Recent studies have reported that the arterial stiffening observed during atherosclerosis and aging is a cholesterol-independent risk factor for cardiovascular events 5,33. The composition and structure of elastin and collagen, which are predominant components of the vascular wall, determine the passive mechanical properties of the large arteries. Elastic fibers become degraded and fragmented with age and disease, while collagen levels increase 34. Additional crosslinking between elastin and collagen is a cause of fiber stiffening and prevents enzymatic digestion and degradation, leading to increased vascular stiffness. Endothelial cells are thus exposed to a stiffening environment as aging and arteriosclerosis progress, suggesting that endothelial cells might adapt their function to stiff environments, thereby leading to be onset of endothelial dysfunction.
Endothelial cells play a pivotal role in the regulation and crosstalk of inflammation and blood coagulation in vascular vessels 35,36. Under healthy conditions, endothelial cells constitutively exhibit anti-inflammatory and anti-coagulant protein on the surface. In contrast, under pro-inflammatory conditions, they immediately induce the expression of inflammatory cytokines and pro-coagulant factors and reduce anti-inflammatory and anti-coagulant factors 37. Many earlier studies have indicated that hyperlipidemia 38, high glucose 39, hypertension 40, and disturbed shear stress 41 continuously activate endothelial cells, leading to the endothelial cell dysfunction associated with chronic inflammation. Thus, it is thought that endothelial cell dysfunction-mediated uncontrolled activation of inflammation and blood coagulation is a trigger of vascular inflammatory diseases and cardiovascular events. Our data indicating that endothelial cells on stiff substrates promote continuous pro-inflammatory IL-6 and PAI-1 expression suggests that stiff vascular vessels become an inducible factor of endothelial cell dysfunction.
Stiffness of the extracellular substrate involves in a number of biological processes involving endothelial cells as a result of cell adaptation. Integrin mechano-sensing interaction and YAP mechano-transduction are recognized as an essential mechanism for cell adaptation to extracellular environments 10,15. Transcription co-factor YAP is known as an essential molecule that regulates various cellular functions by modulating gene expression 3,12. In particular, YAP activation orchestrates angiogenesis through the regulation of MYC signaling 42, STAT3 (signal transducer- and activator of transcription 3) activation 43, and angiopoietin2 expression 19. Moreover, it has reported that YAP directly regulates the expression of delta-like ligands and Notch signaling in epidermal progenitors 44. It is well known that Dll4-Notch1 signaling regulates vascular growth and angiogenesis, including EC sprouting and arterial specification 45,46. Our findings that endothelial cells on softer substrates induced VEGFRs expression through Dll4 expression and Notch signaling under YAP inactivation have elucidated the mechanism underlying substrate stiffness-mediated angiogenesis.
In addition to angiogenesis, previous studies have implicated both the YAP and Notch signaling pathways in vascular inflammation and coagulation. Lv et al. reported that deletion of YAP in endothelial cells markedly augmented the inflammatory response by preventing TRAF6 (tumor necrosis factor receptor-associated factor 6)-mediated NF-κB (nuclear factor-κB) activation 16. Yi et al. reported that knockdown of YAP protein suppresses LPS-induced pro-coagulant TF expression and apoptosis by attenuating the ROCK/YAP/Egr-1 signaling pathway and the YAP/P73/Caspase-3 signaling pathway, respectively 47,48. In addition, pro-inflammatory stimulation triggers the alteration of Notch family and ligand expression patterns in endothelial cells 49. Of note, blockade of Dll4-Notch signaling attenuated the development of atherosclerosis in LDL-receptor-deficient mice 50. These studies, therefore, suggest the possibility that substrate stiffness modulates endothelial cell function through YAP-Dll4-Notch1 signaling. Our data indicate not only that reduced YAP activation in endothelial cells on soft substrates increases Dll4 expression and subsequently Notch1 signaling, but also that Dll4 expression contributes to a part of the alteration of several gene expression patterns involved in endothelial cellular function. As several pathways have been linked to physical stress, more studies are required to further our understanding of how endothelial cells modulate cell function in response to substrate/vascular stiffness. Taken together, our results suggest that endothelial cells might be able to integrate physical signals derived from vascular vessels into biological endothelial cellular functions via activation of YAP-Dll4-Notch signaling. Our work shows that endothelial cells on soft substrates facilitate Dll4-Notch1 signaling by reducing YAP activation and subsequently modulating angiogenesis, inflammation, and blood coagulation-related gene expression. Our study provides novel insights into the fundamental pathway by which endothelial cells modulate endothelial cellular function in response to vascular stiffness.