Physiological levels of shear stress alter the genetic program of cult
ured endothelial cells and reduce endothelial cell turnover in vivo. T
o test the hypothesis that shear stress interferes with programmed cel
l death, apoptosis was induced in human umbilical venous endothelial c
ells by growth factor withdrawal or incubation with tumor necrosis fac
tor alpha (TNF alpha) for 18 h. Apoptosis was quantified by ELISA spec
ific for histone-associated DNA fragments and confirmed by demonstrati
ng the specific pattern of internucleosomal DNA fragmentation detected
by electrophoresis and immunohistochemical staining. The TNF alpha (3
00 U/ml)-mediated increase in DNA fragmentation was completely abrogat
ed by shear stress. Furthermore, shear stress dose-dependently reduced
DNA fragmentation induced by growth factor withdrawal with maximal ef
fect at 45 dyn/cm(2). Inhibition of the CPP32-like proteases with Ac-D
EVD-CHO (100 mu T) revealed similar anti-apoptotic effects. In contras
t, CPP32-independent induction of endothelial cell apoptosis by C-2-ce
ramide (50 mu M) was not prevented by shear stress. Thus, we propose t
hat shear stress interferes with common cell death signal transduction
involving the CPP32-bke protease family and may contribute to endothe
lial cell integrity by inhibition of apoptosis.