Abstract
Purpose: Intracranial aneurysms (IAs) are pathological dilations of cerebrovascular vessels due to degeneration of the mechanical strength of the arterial wall, precluded by altered cellular functionality. The presence of swirling hemodynamic flow (vortices) is known to alter vascular endothelial cell (EC) morphology and protein expression indicative of IAs. Unfortunately, less is known if vortices with varied spatial and temporal stability lead to differing levels of EC change. The aim of this work is to investigate vortices of varying spatial and temporal stability impact on ECs. Methods: Vortex and EC interplay was investigated by a novel combination of parallel plate flow chamber (PPFC) design and computational analysis. ECs were exposed to laminar (7.5 dynes/\(\hbox {cm}^2\) wall shear stress) or low (<1 dynes/\(\hbox {cm}^2\)) stress vortical flow using PPFCs. Immunofluorescent imaging analyzed EC morphology, while ELISA tests quantified VE-cadherin (cell-cell adhesion), VCAM-1 (macrophage-EC adhesion), and cleaved caspase-3 (apoptotic signal) expression. PPFC flow was simulated, and vortex stability was calculated via the temporally averaged degree of (volume) overlap (TA-DVO) of vortices within a given area. Results: EC morphological changes were independent of vortex stability. Increased stability promoted VE-cadherin degradation (correlation coefficient r = \(-\)0.84) and 5-fold increased cleaved caspase-3 post 24 h in stable (TA-DVO 0.736 ± 0.05) vs unstable (TA-DVO 0.606 \(\pm \,\)0.2) vortices. ECs in stable vortices displayed a 4.5-fold VCAM-1 increase than unstable counterparts after 12 h. Conclusion: This work demonstrates highly stable disturbed flow imparts increased inflammatory signaling, degraded cell-cell adhesion, and increased cellular apoptosis than unstable vortices. Such knowledge offers novel insight toward understanding IA development and rupture.
This is a preview of subscription content, access via your institution.





References
Balaguru UM, Sundaresan L, Manivannan J et al (2016) Disturbed flow mediated modulation of shear forces on endothelial plane: a proposed model for studying endothelium around atherosclerotic plaques. Sci Rep 6(1):1–15
Berk BC (2008) Atheroprotective signaling mechanisms activated by steady laminar flow in endothelial cells. Circulation 117(8):1082–1089
Cancel LM, Ebong EE, Mensah S et al (2016) Endothelial glycocalyx, apoptosis and inflammation in an atherosclerotic mouse model. Atherosclerosis 252:136–146
Caolo V, Peacock HM, Kasaai B et al (2018) Shear stress and ve-cadherin: the molecular mechanism of vascular fusion. Arterioscler Thromb Vasc Biol 38(9):2174–2183
Cebral JR, Mut F, Weir J et al (2011) Association of hemodynamic characteristics and cerebral aneurysm rupture. Am J Neuroradiol 32(2):264–270
Chalouhi N, Ali MS, Jabbour PM et al (2012) Biology of intracranial aneurysms: role of inflammation. J Cereb Blood Flow Metab 32(9):1659–1676
Chien S (2008) Effects of disturbed flow on endothelial cells. Ann Biomed Eng 36(4):554–562
Chiu JJ, Chien S (2011) Effects of disturbed flow on vascular endothelium: pathophysiological basis and clinical perspectives. Physiol Rev 91(1):327–387
Chung J, Kim KH, Lee SC et al (2015) Ursodeoxycholic acid (udca) exerts anti-atherogenic effects by inhibiting endoplasmic reticulum (er) stress induced by disturbed flow. Mol Cells 38(10):851
Cook-Mills JM, Marchese ME, Abdala-Valencia H (2011) Vascular cell adhesion molecule-1 expression and signaling during disease: regulation by reactive oxygen species and antioxidants. Antioxid Redox Signal 15(6):1607–1638
Dabagh M, Jalali P, Butler PJ et al (2017) Mechanotransmission in endothelial cells subjected to oscillatory and multi-directional shear flow. J R Soc Interface 14(130):20170,185
Darby R, Darby R, Chhabra RP (2017) Chem Eng Fluid Mech Revis Expand. CRC Press
Dorland YL, Huveneers S (2017) Cell-cell junctional mechanotransduction in endothelial remodeling. Cell Mol Life Sci 74(2):279–292
Dunzendorfer S, Lee HK, Tobias PS (2004) Flow-dependent regulation of endothelial toll-like receptor 2 expression through inhibition of sp1 activity. Circ Res 95(7):684–691
Elkun Y, Cooper J, Kamal H et al (2020) Management of small unruptured intracranial aneurysms: To treat or not to treat? Cardiol Rev 29(1):33–38
Fan J, Li X, Zhong L et al (2010) Mcp-1, icam-1 and vcam-1 are present in early aneurysmal dilatation in experimental rats. Folia histochemica et cytobiologica 48(3):455–461
Findlay JM, Deagle GM (1998) Causes of morbidity and mortality following intracranial aneurysm rupture. Can J Neurol Sci 25(3):209–215
Frösen J, Cebral J, Robertson AM et al (2019) Flow-induced, inflammation-mediated arterial wall remodeling in the formation and progression of intracranial aneurysms. Neurosurg Focus 47(1):E21
Gambillara V, Chambaz C, Montorzi G et al (2006) Plaque-prone hemodynamics impair endothelial function in pig carotid arteries. Am J Physio Heart Circ Physiol 290(6):H2320–H2328. https://doi.org/10.1152/ajpheart.00486.2005
Gimbrone MA Jr, GarcÃa-Cardeña G (2016) Endothelial cell dysfunction and the pathobiology of atherosclerosis. Circ Res 118(4):620–636
Gourbesville P, Cunge JA, Caignaert G (2015) Adv Hydroinf SIMHYDRO 2014. Springer
Gruszka W, Zbroszczyk M, Komenda J et al (2018) The role of inflammation and potential pharmacological therapy in intracranial aneurysms. Neurologia i neurochirurgia polska 52(6):662–669
Hackenberg KA, Hänggi D, Etminan N (2018) Unruptured intracranial aneurysms: contemporary data and management. Stroke 49(9):2268–2275
Hochmuth R, Mohandas N, Spaeth E et al (1972) Surface adhesion, deformation and detachment at low shear of red cells and white cells. ASAIO J 18(1):325–332
Karino T, Goldsmith HL (1977) Flow behaviour of blood cells and rigid spheres in an annular vortex. Philos Trans R Soc London B Biol Sci 279(967):413–445
Lee WH, Kang S, Vlachos PP et al (2009) A novel in vitro ischemia/reperfusion injury model. Arch Pharm Res 32(3):421–429
Lipp SN, Niedert EE, Cebull HL et al (2020) Computational hemodynamic modeling of arterial aneurysms: A mini-review. Front Physiol 11:454. https://doi.org/10.3389/fphys.2020.00454
Maamoun H, Abdelsalam SS, Zeidan A et al (2019) Endoplasmic reticulum stress: a critical molecular driver of endothelial dysfunction and cardiovascular disturbances associated with diabetes. Int J Mol Sci 20(7):1658
McIlwain DR, Berger T, Mak TW (2013) Caspase functions in cell death and disease. Cold Spring Harbor Perspec Biol 5(4):a008
Meng H, Tutino V, Xiang J et al (2014) High wss or low wss? complex interactions of hemodynamics with intracranial aneurysm initiation, growth, and rupture: toward a unifying hypothesis. Am J Neuroradiol 35(7):1254–1262
Miao H, Hu YL, Shiu YT et al (2005) Effects of flow patterns on the localization and expression of ve-cadherin at vascular endothelial cell junctions: in vivo and in vitro investigations. J Vasc Res 42(1):77–89
Mullin T, Shipton S, Tavener S (2003) Flow in a symmetric channel with an expanded section. Fluid Dyn Res 33(5–6):433
Mundi S, Massaro M, Scoditti E et al (2018) Endothelial permeability, ldl deposition, and cardiovascular risk factors-a review. Cardiovasc Res 114(1):35–52
Poduri A, Chang AH, Raftrey B et al (2017) Endothelial cells respond to the direction of mechanical stimuli through smad signaling to regulate coronary artery size. Development 144(18):3241–3252
Polanczyk A, Klinger M, Nanobachvili J, et al (2018) Artificial circulatory model for analysis of human and artificial vessels. App Sci 8(7). https://doi.org/10.3390/app8071017,https://www.mdpi.com/2076-3417/8/7/1017
Reglero-Real N, Colom B, Bodkin JV et al (2016) Endothelial cell junctional adhesion molecules: role and regulation of expression in inflammation. Arterioscl Thromb Vasc Biol 36(10):2048–2057
Revilla-Pacheco F, Escalante-Seyffert MC, Herrada-Pineda T et al (2018) Prevalence of incidental clinoid segment saccular aneurysms. World Neurosurg 115:e244–e251
Salman HE, Ramazanli B, Yavuz MM, et al (2019) Biomechanical investigation of disturbed hemodynamics-induced tissue degeneration in abdominal aortic aneurysms using computational and experimental techniques. Front Bioeng Biotechnol 7:111. https://doi.org/10.3389/fbioe.2019.00111,https://www.frontiersin.org/article/10.3389/fbioe.2019.00111
Seebach J, Donnert G, Kronstein R et al (2007) Regulation of endothelial barrier function during flow-induced conversion to an arterial phenotype. Cardiovasc Res 75(3):598–607
Serbanovic-Canic J, de Luca A, Warboys C et al (2017) Zebrafish model for functional screening of flow-responsive genes. Arterioscl Thromb Vasc Biol 37(1):130–143
Shannon CE (1948) A mathematical theory of communication. Bell Syst Tech J 27(3):379–423
Shao S, Xiang C, Qin K et al (2017) Visualizing the spatiotemporal map of rac activation in bovine aortic endothelial cells under laminar and disturbed flows. PLoS ONE 12:1–14. https://doi.org/10.1371/journal.pone.0189088
Signorelli F, Sela S, Gesualdo L et al (2018) Hemodynamic stress, inflammation, and intracranial aneurysm development and rupture: a systematic review. World Neurosurg 115:234–244
Sinha R, Le Gac S, Verdonschot N et al (2016) Endothelial cell alignment as a result of anisotropic strain and flow induced shear stress combinations. Sci Rep 6(1):1–12
Sunderland K, Jiang J (2019) Multivariate analysis of hemodynamic parameters on intracranial aneurysm initiation of the internal carotid artery. Med Eng Phys 74:129–136
Sunderland K, Wang M, Pandey A et al (2021) Quantitative analysis of flow vortices: differentiation of unruptured and ruptured medium-sized middle cerebral artery aneurysms. Acta Neurochirurgica 163(8):2339–2349
Tkachenko E, Gutierrez E, Saikin SK et al (2013) The nucleus of endothelial cell as a sensor of blood flow direction. Biol Open 2(10):1007–1012
Tovar-Lopez F, Thurgood P, Gilliam C, et al (2019) A microfluidic system for studying the effects of disturbed flow on endothelial cells. Front Bioeng Biotech 7:81. https://doi.org/10.3389/fbioe.2019.00081,https://www.frontiersin.org/article/10.3389/fbioe.2019.00081
Versaevel M, Grevesse T, Gabriele S (2012) Spatial coordination between cell and nuclear shape within micropatterned endothelial cells. Nat Commun 3(1):1–11
Villablanca JP, Duckwiler GR, Jahan R et al (2013) Natural history of asymptomatic unruptured cerebral aneurysms evaluated at ct angiography: growth and rupture incidence and correlation with epidemiologic risk factors. Radiology 269(1):258–265
Vion AC, Kheloufi M, Hammoutene A et al (2017) Autophagy is required for endothelial cell alignment and atheroprotection under physiological blood flow. Proc Natl Acad Sci 114(41):E8675–E8684
Vion AC, Perovic T, Petit C et al (2021) Endothelial cell orientation and polarity are controlled by shear stress and vegf through distinct signaling pathways. Front Physiol 11(623):769
Wang G, Wang S, Ll Liu et al (2019) A simple scoring model for prediction of rupture risk of anterior communicating artery aneurysms. Front Neurol 10:520
Xiao Z, Jl Zhao, Wl Rong et al (2019) Role of vascular endothelial- cadherin and p120-catenin in the formation of experimental intracranial aneurysm in animals. World Neurosurg 128:e177–e184
Acknowledgements
This study was supported by the National Institutes of Health (1R01HL146652-01A1, and 1R15HL145654-01 to FZ and 1R01EB029570-01A1 to JJ). It was also funded by American Heart Association (18PRE33990321) to KS.
Author information
Authors and Affiliations
Corresponding authors
Ethics declarations
Conflict of interest
None of the authors of this work has any conflict of interest or competing interests to report.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Appendices
A Computational fluid dynamic simulation
Volumetric flow waveforms generated by the peristaltic pump in this work. User-defined functions were used to recreate these waveforms for CFD simulation inflow boundary conditions. The waveform for the pulsatile laminar flow (red) had an averaged volumetric flow rate of 0.667Â ml/second (40Â ml/min) while the waveform for the disturbed flow (blue) was 0.441Â ml/second (26.5Â ml/min)
B Experimental setup
Setup of the chamber. A Masterflex L/S peristaltic pump (Cole-Parmer, Vernon Hills IL, USA), cell culture medium reservoir (red circle), 2nm pore filter for gas exchange (white arrow), flow chamber (blue square) with inserted PDMS baffles (green arrows), and silicone washer (yellow arrow). 3-way stopcocks pre- and post-chamber for bubble removal. Laminar flow experiments had a similar setup, with the laminar flow chamber having no PDMS baffles
C Morphological measurements
Rights and permissions
Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Sunderland, K., Jia, W., He, W. et al. Impact of spatial and temporal stability of flow vortices on vascular endothelial cells. Biomech Model Mechanobiol 22, 71–83 (2023). https://doi.org/10.1007/s10237-022-01632-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10237-022-01632-y
Keywords
- Endothelial cells
- Swirling flow
- Aneurysm
- Aneurysmal flow



