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Contractile and hemodynamic forces coordinate Notch1b-mediated outflow tract valve formation
Jeffrey J. Hsu, Vijay Vedula, Kyung In Baek, Cynthia Chen, Junjie Chen, Man In Chou, Jeffrey Lam, Shivani Subhedar, Jennifer Wang, Yichen Ding, Chih-Chiang Chang, Juhyun Lee, Linda L. Demer, Yin Tintut, Alison L. Marsden, Tzung K. Hsiai
Jeffrey J. Hsu, Vijay Vedula, Kyung In Baek, Cynthia Chen, Junjie Chen, Man In Chou, Jeffrey Lam, Shivani Subhedar, Jennifer Wang, Yichen Ding, Chih-Chiang Chang, Juhyun Lee, Linda L. Demer, Yin Tintut, Alison L. Marsden, Tzung K. Hsiai
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Research Article Cardiology Development

Contractile and hemodynamic forces coordinate Notch1b-mediated outflow tract valve formation

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Abstract

Biomechanical forces and endothelial-mesenchymal transition (EndoMT) are known to mediate valvulogenesis. However, the relative contributions of myocardial contractile and hemodynamic shear forces remain poorly understood. We integrated 4D light-sheet imaging of transgenic zebrafish models with moving-domain computational fluid dynamics to determine effects of changes in contractile forces and fluid wall shear stress (WSS) on ventriculobulbar (VB) valve development. Augmentation of myocardial contractility with isoproterenol increased both WSS and Notch1b activity in the developing outflow tract (OFT) and resulted in VB valve hyperplasia. Increasing WSS in the OFT, achieved by increasing blood viscosity through EPO mRNA injection, also resulted in VB valve hyperplasia. Conversely, decreasing myocardial contractility by Tnnt2a morpholino oligonucleotide (MO) administration, 2,3-butanedione monoxime treatment, or Plcγ1 inhibition completely blocked VB valve formation, which could not be rescued by increasing WSS or activating Notch. Decreasing WSS in the OFT, achieved by slowing heart rate with metoprolol or reducing viscosity with Gata1a MO, did not affect VB valve formation. Immunofluorescent staining with the mesenchymal marker, DM-GRASP, revealed that biomechanical force–mediated Notch1b activity is implicated in EndoMT to modulate valve morphology. Altogether, increases in WSS result in Notch1b- and EndoMT-mediated VB valve hyperplasia, whereas decreases in contractility result in reduced Notch1b activity, absence of EndoMT, and VB valve underdevelopment. Thus, we provide developmental mechanotransduction mechanisms underlying Notch1b-mediated EndoMT in the OFT.

Authors

Jeffrey J. Hsu, Vijay Vedula, Kyung In Baek, Cynthia Chen, Junjie Chen, Man In Chou, Jeffrey Lam, Shivani Subhedar, Jennifer Wang, Yichen Ding, Chih-Chiang Chang, Juhyun Lee, Linda L. Demer, Yin Tintut, Alison L. Marsden, Tzung K. Hsiai

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Figure 4

Effects of changes in hemodynamic shear force on VB valve leaflet formation.

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Effects of changes in hemodynamic shear force on VB valve leaflet format...
Selective-plane illumination microscopy (SPIM) images of VB valves during ventricular systole and diastole at 5 dpf, with corresponding outline of the endocardium/endothelium (with valve leaflets highlighted in red), in Tg(fli1a:GFP) zebrafish embryos. (A) Control (untreated) embryo. (B) Vehicle control p53 MO–injected embryo showing similar size of VB valvular leaflets. (C) Metoprolol-treated embryo showing similar size of VB valvular leaflets despite reduction in HR. (D) BDM-treated embryo showing absence of VB valvular leaflets in response to significantly decreased HR and contractility. (E) Tnnt2a MO–injected embryo showing absence of VB leaflets in response to complete inhibition of myocardial contractile forces. 3D reconstruction at 5 dpf in a Tg(fli1a:GFP) zebrafish reveals an absence of cardiac looping accompanied by an underdeveloped OFT. The 2D schematic outline delineates the endocardial borders. (F) Isoproterenol-treated embryo showing prominence of VB valvular leaflets in response to increased HR and contractility. (G) EPO mRNA–injected embryo showing prominence of VB valve leaflets in response to increased blood viscosity with concomitant increase in shear stress. (H) NICD mRNA–injected embryo showing hyperplastic VB valve leaflets. (I) Gata1a MO–injected embryo showing normal leaflet morphology despite reductions in blood viscosity and endocardial shear stress. (J) Quantification of the VB valve leaflet volumes after 3D reconstruction (n = 5 per group). Scale bar: 10 μm in all except 50 μm in E. Data are presented as mean ± SD (*P < 0.0001, and **P = 0.0001 compared with Ctrl. †P = 0.003, and ‡P = 0.0003 compared with p53 MO. One-way ANOVA with Dunnett’s multiple-comparisons test with respective control groups). ba, bulbus arteriosus.

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