Transglutaminase activity regulates atherosclerotic plaque composition at locations exposed to oscillatory shear stress

Atherosclerosis. 2012 Oct;224(2):355-62. doi: 10.1016/j.atherosclerosis.2012.07.044. Epub 2012 Aug 7.


Objective: Atherosclerosis preferentially develops at sites of disturbed blood flow. We tested the hypothesis that transglutaminase activity plays a role in plaque development at these locations.

Methods and results: Exposure of endothelial cells to steady flow (7 dynes/cm(2)) was associated with relatively low transglutaminase activity, whereas under low oscillatory flow (1.3 ± 2.6 dynes/cm(2)) endothelial cells showed a >4-fold higher level of transglutaminase activity. Under oscillatory flow, transglutaminase activity increased the expression of the chemokine MCP-1 (CCL2). In vivo, oscillatory flow was induced by placement of a tapered perivascular cast around the carotid artery of type 2 transglutaminase (TGM2) knockout mice and WT counterparts. After 2 days, significantly less monocytes adhered to the endothelium in TGM2 knockout mice as compared to WT. In a more chronic setting, ApoE knockout mice that were equipped with the flow-modifying cast developed lesions proximal to the cast (low shear stress), and distal to the cast (oscillatory shear stress). Inhibition of transglutaminase induced a marked reduction in macrophage and fat content in distal lesions only. In addition, lesion size was increased in this area, which was attributed to an increase in smooth muscle content.

Conclusion: Oscillatory shear stress increases endothelial transglutaminase activity. In turn, transglutaminase activity affects the expression of MCP-1 in vitro and monocyte recruitment in vivo. In a mouse model of atherosclerosis, transglutaminase activity has a major effect on plaque composition under oscillatory shear stress.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Apolipoproteins E / deficiency
  • Apolipoproteins E / genetics
  • Carotid Arteries / drug effects
  • Carotid Arteries / enzymology*
  • Carotid Arteries / pathology
  • Carotid Arteries / physiopathology
  • Carotid Artery Diseases / enzymology*
  • Carotid Artery Diseases / genetics
  • Carotid Artery Diseases / pathology
  • Carotid Artery Diseases / physiopathology
  • Carotid Artery Diseases / prevention & control
  • Cell Adhesion
  • Cells, Cultured
  • Chemokine CCL2 / metabolism
  • Chemotaxis, Leukocyte
  • Disease Models, Animal
  • Enzyme Inhibitors / pharmacology
  • Female
  • GTP-Binding Proteins / antagonists & inhibitors
  • GTP-Binding Proteins / deficiency
  • GTP-Binding Proteins / genetics
  • GTP-Binding Proteins / metabolism*
  • Human Umbilical Vein Endothelial Cells / drug effects
  • Human Umbilical Vein Endothelial Cells / enzymology*
  • Humans
  • Macrophages / metabolism
  • Mice
  • Mice, Knockout
  • Monocytes / metabolism
  • Plaque, Atherosclerotic*
  • Regional Blood Flow
  • Stress, Mechanical
  • Time Factors
  • Transglutaminases / antagonists & inhibitors
  • Transglutaminases / deficiency
  • Transglutaminases / genetics
  • Transglutaminases / metabolism*
  • Up-Regulation


  • Apolipoproteins E
  • CCL2 protein, human
  • Chemokine CCL2
  • Enzyme Inhibitors
  • transglutaminase 2
  • Transglutaminases
  • GTP-Binding Proteins