Steady and disturbed flow effects on human umbilical vein endothelial cells (HUVECs) in vascular system: an experimental study.

Coronary artery disease is still one of the most important reasons of the death in the world. The endothelium is the membrane of special cells which lines the interior surface of blood vessels forming an interface between circulating blood in the lumen and the rest of the vessel wall. Endothelial cells (ECs) line the entire circulatory system, from the heart to the smallest capillary. ECs dysfunction has been linked with atherosclerosis through their response to fluid forces. ECs change their morphology when exposed to mechanical stresses. The morphological responses include reorientation, elongation, and rearrangement of adhering molecules. Atherosclerotic lesions are formed in specific arterial regions, where low and oscillatory endothelial shear stress (ESS) occur. In this study, the effects of steady and disturbed flow over human umbilical vein endothelial cells (HUVECs) at different flow rates and periods were determined. Steady flow experiments were performed at flow rate of 1000 cm3/min for twenty four hours. Disturbed flow experiments simulating the flow in branching regions of arterial systems were carried out at flow rates of 250 cm3/min for five hours. The results obtained testified to the morphological changes easily observed. The directional alignment of the cells was determined in the steady flow experiments. Under disturbed flow conditions we observed not only the cell movement at the stagnation point but also the polygonal cell shape downstream the flow field.