{"doi":"10.7554/elife.72579","title":"Stable flow-induced expression of KLK10 inhibits endothelial inflammation and atherosclerosis","abstract":"Atherosclerosis preferentially occurs in arterial regions exposed to disturbed blood flow ( d-flow ), while regions exposed to stable flow ( s-flow ) are protected. The proatherogenic and atheroprotective effects of d-flow and s-flow are mediated in part by the global changes in endothelial cell (EC) gene expression, which regulates endothelial dysfunction, inflammation, and atherosclerosis. Previously, we identified kallikrein-related peptidase 10 ( Klk10 , a secreted serine protease) as a flow-sensitive gene in mouse arterial ECs, but its role in endothelial biology and atherosclerosis was unknown. Here, we show that KLK10 is upregulated under s-flow conditions and downregulated under d-flow conditions using in vivo mouse models and in vitro studies with cultured ECs. Single-cell RNA sequencing (scRNAseq) and scATAC sequencing (scATACseq) study using the partial carotid ligation mouse model showed flow-regulated Klk10 expression at the epigenomic and transcription levels. Functionally, KLK10 protected against d-flow -induced permeability dysfunction and inflammation in human artery ECs, as determined by NFκB activation, expression of vascular cell adhesion molecule 1 and intracellular adhesion molecule 1, and monocyte adhesion. Furthermore, treatment of mice in vivo with rKLK10 decreased arterial endothelial inflammation in d-flow regions. Additionally, rKLK10 injection or ultrasound-mediated transfection of Klk10 -expressing plasmids inhibited atherosclerosis in Apoe −/− mice. Moreover, KLK10 expression was significantly reduced in human coronary arteries with advanced atherosclerotic plaques compared to those with less severe plaques. KLK10 is a flow-sensitive endothelial protein that serves as an anti-inflammatory, barrier-protective, and anti-atherogenic factor.","journal":"eLife","year":2022,"id":240938,"datarank":0.5709993734655481,"base_score":3.8066624897703196,"endowment":3.8066624897703196,"self_citation_contribution":0.5709993734655481,"citation_network_contribution":0.0,"self_endowment_contribution":0.5709993734655481,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":44,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9524,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2022-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":869083,"name":"Marwa Mahmoud","orcid":"0000-0003-4382-1725","position":1,"is_corresponding":false},{"id":869084,"name":"Renfa Liu","orcid":"0000-0001-6426-4126","position":2,"is_corresponding":false},{"id":240719,"name":"Aitor Andueza","orcid":"0000-0002-6501-3035","position":3,"is_corresponding":false},{"id":240720,"name":"Sandeep Kumar","orcid":"0000-0003-3440-3628","position":4,"is_corresponding":false},{"id":240722,"name":"Dong Won Kang","orcid":"0000-0003-0144-6795","position":5,"is_corresponding":false},{"id":380632,"name":"Jiahui Zhang","orcid":"0000-0002-4949-6217","position":6,"is_corresponding":false},{"id":652380,"name":"Ian A. 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