You are leaving Medscape Education
Cancel Continue
Log in to save activities Your saved activities will show here so that you can easily access them whenever you're ready. Log in here CME & Education Log in to keep track of your credits.
 

CME / ABIM MOC

Mechanosensation by Endothelial PIEZO1 Is Required for Leukocyte Diapedesis

  • Authors: ShengPeng Wang, PhD; Bianbian Wang, MS; Yue Shi, MS; Tanja Möller; Rebekka I. Stegmeyer, MS; Boris Strilic, PhD; Zuyi Yuan, MD, PhD; Changhe Wang, PhD; Nina Wettschureck, MD; Dietmar Vestweber, PhD; Stefan Offermanns, MD
  • CME / ABIM MOC Released: 7/21/2022
  • Valid for credit through: 7/21/2023
Start Activity

  • Credits Available

    Physicians - maximum of 1.00 AMA PRA Category 1 Credit(s)™

    ABIM Diplomates - maximum of 1.00 ABIM MOC points

    You Are Eligible For

    • Letter of Completion
    • ABIM MOC points

Target Audience and Goal Statement

This activity is intended for hematologists and other specialists in pathophysiologic mechanisms underlying inflammatory and infectious disease.

The goal of this activity is for learners to be better able to describe how molecular mechanisms underlying the initial interactions between leukocytes and endothelial cells are linked to opening of the endothelial barrier, based on a mouse model.

Upon completion of this activity, participants will:

  1. Describe how low flow and leukocyte-induced intercellular adhesion molecule 1 clustering interact to mechanically activate endothelial PIEZO1, based on a mouse model
  2. Identify the role of PIEZO1 activation in signaling processes leading to opening of the endothelial barrier and leukocyte extravasation, based on a mouse model
  3. Determine pathophysiologic and clinical implications of how molecular mechanisms underlying the initial interactions between leukocytes and endothelial cells are linked to opening of the endothelial barrier, based on a mouse model


Disclosures

Medscape, LLC requires every individual in a position to control educational content to disclose all financial relationships with ineligible companies that have occurred within the past 24 months. Ineligible companies are organizations whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

All relevant financial relationships for anyone with the ability to control the content of this educational activity are listed below and have been mitigated according to Medscape policies. Others involved in the planning of this activity have no relevant financial relationships.


Faculty

  • ShengPeng Wang, PhD

    Department of Cardiology
    First Affiliated Hospital
    Cardiovascular Research Center
    School of Basic Medical Sciences
    Xi'an Jiaotong University
    Xi’an, China
    Max Planck Institute for Heart and Lung Research
    Department of Pharmacology
    Bad Nauheim, Germany

  • Bianbian Wang, MS

    Center for Mitochondrial Biology and Medicine
    School of Life Science and Technology
    Xi’an Jiaotong University
    Xi’an, China

  • Yue Shi, MS

    Department of Cardiology
    First Affiliated Hospital
    Cardiovascular Research Center
    School of Basic Medical Sciences
    Xi'an Jiaotong University
    Xi’an, China
    Max Planck Institute for Heart and Lung Research
    Department of Pharmacology
    Bad Nauheim, Germany

  • Tanja Möller

    Department of Vascular Cell Biology
    Max Planck Institute for Molecular Biomedicine
    Muenster, Germany

  • Rebekka I. Stegmeyer, MS

    Department of Vascular Cell Biology
    Max Planck Institute of Molecular Biomedicine
    Muenster, Germany

  • Boris Strilic, PhD

    Max Planck Institute for Heart and Lung Research
    Department of Pharmacology
    Bad Nauheim, Germany

  • Ting Li, MS

    Department of Cardiology
    First Affiliated Hospital
    Cardiovascular Research Center
    School of Basic Medical Sciences
    Xi'an Jiaotong University
    Xi’an, China

  • Zuyi Yuan, MD, PhD

    Department of Cardiology
    First Affiliated Hospital, Cardiovascular Research Center
    School of Basic Medical Sciences
    Xi'an Jiaotong University
    Xi’an, China

  • Changhe Wang, PhD

    Center for Mitochondrial Biology and Medicine
    School of Life Science and Technology
    Xi’an Jiaotong University
    Xi’an, China

  • Nina Wettschureck, MD

    Max Planck Institute for Heart and Lung Research
    Department of Pharmacology
    Bad Nauheim, Germany
    Center for Molecular Medicine
    Goethe University Frankfurt
    Frankfurt, Germany
    Cardiopulmonary Institute
    Bad Nauheim, Germany
    German Center for Cardiovascular Research (DZHK)
    Rhine-Main site
    Frankfurt and Bad Nauheim, Germany

  • Dietmar Vestweber, PhD

    Department of Vascular Cell Biology
    Max Planck Institute for Molecular Biomedicine
    Muenster, Germany

  • Stefan Offermanns, MD

    Department of Pharmacology
    Max Planck Institute for Heart and Lung Research
    Bad Nauheim, Germany
    Center for Molecular Medicine
    Goethe University Frankfurt
    Frankfurt, Germany
    Cardiopulmonary Institute
    Bad Nauheim, Germany
    German Center for Cardiovascular Research (DZHK)
    Rhine-Main site
    Frankfurt and Bad Nauheim, Germany

CME Author

  • Laurie Barclay, MD

    Freelance writer and reviewer
    Medscape, LLC

    Disclosures

    Disclosure: Laurie Barclay, MD, has disclosed the following relevant financial relationships:
    Formerly owned stocks in: AbbVie

Editor

  • Thomas D. Coates

     Associate Editor, Blood

Compliance Reviewer

  • Leigh A. Schmidt, MSN, RN, CMSRN, CNE, CHCP

    Associate Director, Accreditation and Compliance
    Medscape, LLC

    Disclosures

    Disclosure: Leigh A. Schmidt, MSN, RN, CMSRN, CNE, CHCP, has disclosed no relevant financial relationships.


Accreditation Statements



In support of improving patient care, this activity has been planned and implemented by Medscape, LLC and the American Society of Hematology. Medscape, LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

    For Physicians

  • Medscape, LLC designates this Journal-based CME activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™ . Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.0 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

    Contact This Provider

For questions regarding the content of this activity, contact the accredited provider for this CME/CE activity noted above. For technical assistance, contact [email protected]


Instructions for Participation and Credit

There are no fees for participating in or receiving credit for this online educational activity. For information on applicability and acceptance of continuing education credit for this activity, please consult your professional licensing board.

This activity is designed to be completed within the time designated on the title page; physicians should claim only those credits that reflect the time actually spent in the activity. To successfully earn credit, participants must complete the activity online during the valid credit period that is noted on the title page. To receive AMA PRA Category 1 Credit™, you must receive a minimum score of 75% on the post-test.

Follow these steps to earn CME/CE credit*:

  1. Read about the target audience, learning objectives, and author disclosures.
  2. Study the educational content online or print it out.
  3. Online, choose the best answer to each test question. To receive a certificate, you must receive a passing score as designated at the top of the test. We encourage you to complete the Activity Evaluation to provide feedback for future programming.

You may now view or print the certificate from your CME/CE Tracker. You may print the certificate, but you cannot alter it. Credits will be tallied in your CME/CE Tracker and archived for 6 years; at any point within this time period, you can print out the tally as well as the certificates from the CME/CE Tracker.

*The credit that you receive is based on your user profile.

From Blood
CME / ABIM MOC

Mechanosensation by Endothelial PIEZO1 Is Required for Leukocyte Diapedesis

Authors: ShengPeng Wang, PhD; Bianbian Wang, MS; Yue Shi, MS; Tanja Möller; Rebekka I. Stegmeyer, MS; Boris Strilic, PhD; Zuyi Yuan, MD, PhD; Changhe Wang, PhD; Nina Wettschureck, MD; Dietmar Vestweber, PhD; Stefan Offermanns, MDFaculty and Disclosures

CME / ABIM MOC Released: 7/21/2022

Valid for credit through: 7/21/2023

processing....

References

  1. Gerhardt T, Ley K. Monocyte trafficking across the vessel wall. Cardiovasc Res. 2015;107(3):321–330.
  2. Vestweber D. How leukocytes cross the vascular endothelium. Nat Rev Immunol. 2015;15(11):692–704.
  3. Muller WA. Getting leukocytes to the site of inflammation. Vet Pathol. 2013;50(1):7–22.
  4. Nourshargh S, Alon R. Leukocyte migration into inflamed tissues. Immunity. 2014;41(5):694–707.
  5. Ley K, Laudanna C, Cybulsky MI, Nourshargh S. Getting to the site of inflammation: the leukocyte adhesion cascade updated. Nat Rev Immunol. 2007;7(9):678–689.
  6. van Steen ACI, van der Meer WJ, Hoefer IE, van Buul JD. Actin remodelling of the endothelium during transendothelial migration of leukocytes. Atherosclerosis. 2020;315:102–110.
  7. Alon R, van Buul JD. Leukocyte breaching of endothelial barriers: the actin link. Trends Immunol. 2017;38(8):606–615.
  8. Goswami D, Vestweber D. How leukocytes trigger opening and sealing of gaps in the endothelial barrier. F1000 Res. 2016;5:5.
  9. Hordijk PL. Recent insights into endothelial control of leukocyte extravasation. Cell Mol Life Sci. 2016;73(8):1591–1608.
  10. Muller WA. Transendothelial migration: unifying principles from the endothelial perspective. Immunol Rev. 2016;273(1):61–75.
  11. Schimmel L, Heemskerk N, van Buul JD. Leukocyte transendothelial migration: a local affair. Small GTPases. 2017;8(1):1–15.
  12. Wettschureck N, Strilic B, Offermanns S. Passing the vascular barrier: endothelial signaling processes controlling extravasation. Physiol Rev. 2019;99(3):1467–1525.
  13. Huang AJ, Manning JE, Bandak TM, Ratau MC, Hanser KR, Silverstein SC. Endothelial cell cytosolic free calcium regulates neutrophil migration across monolayers of endothelial cells. J Cell Biol. 1993;120(6):1371–1380.
  14. Su WH, Chen HI, Huang JP, Jen CJ. Endothelial [Ca(2+)](i) signaling during transmigration of polymorphonuclear leukocytes. Blood. 2000;96(12):3816–3822.
  15. Etienne-Manneville S, Manneville JB, Adamson P, Wilbourn B, Greenwood J, Couraud PO. ICAM-1-coupled cytoskeletal rearrangements and transendothelial lymphocyte migration involve intracellular calcium signaling in brain endothelial cell lines. J Immunol. 2000;165(6):3375–3383.
  16. Pfau S, Leitenberg D, Rinder H, Smith BR, Pardi R, Bender JR. Lymphocyte adhesion-dependent calcium signaling in human endothelial cells. J Cell Biol. 1995;128(5):969–978.
  17. Kielbassa-Schnepp K, Strey A, Janning A, Missiaen L, Nilius B, Gerke V. Endothelial intracellular Ca2+ release following monocyte adhesion is required for the transendothelial migration of monocytes. Cell Calcium. 2001;30(1):29–40.
  18. Dalal PJ, Sullivan DP, Weber EW, et al. Spatiotemporal restriction of endothelial cell calcium signaling is required during leukocyte transmigration. J Exp Med. 2021;218(1):e20192378.
  19. Weber EW, Han F, Tauseef M, Birnbaumer L, Mehta D, Muller WA. TRPC6 is the endothelial calcium channel that regulates leukocyte transendothelial migration during the inflammatory response. J Exp Med. 2015;212(11):1883–1899.
  20. Coste B, Xiao B, Santos JS, et al. Piezo proteins are pore-forming subunits of mechanically activated channels. Nature. 2012;483(7388):176–181.
  21. Murthy SE, Dubin AE, Patapoutian A. Piezos thrive under pressure: mechanically activated ion channels in health and disease. Nat Rev Mol Cell Biol. 2017;18(12):771–783.
  22. Zhao Q, Zhou H, Chi S, et al. Structure and mechanogating mechanism of the Piezo1 channel. Nature. 2018;554(7693):487–492.
  23. Cox CD, Bae C, Ziegler L, et al. Removal of the mechanoprotective influence of the cytoskeleton reveals PIEZO1 is gated by bilayer tension. Nat Commun. 2016;7:10366.
  24. Lewis AH, Grandl J. Mechanical sensitivity of Piezo1 ion channels can be tuned by cellular membrane tension. eLife. 2015;4:4.
  25. Syeda R, Florendo MN, Cox CD, et al. Piezo1 channels are inherently mechanosensitive. Cell Rep. 2016;17(7):1739–1746.
  26. Ranade SS, Qiu Z, Woo SH, et al. Piezo1, a mechanically activated ion channel, is required for vascular development in mice. Proc Natl Acad Sci USA. 2014;111(28):10347–10352.
  27. Li J, Hou B, Tumova S, et al. Piezo1 integration of vascular architecture with physiological force. Nature. 2014;515(7526):279–282.
  28. Wang S, Chennupati R, Kaur H, Iring A, Wettschureck N, Offermanns S. Endothelial cation channel PIEZO1 controls blood pressure by mediating flow-induced ATP release. J Clin Invest. 2016;126(12):4527–4536.
  29. Lawson C, Wolf S. ICAM-1 signaling in endothelial cells. Pharmacol Rep. 2009;61(1):22–32.
  30. Allingham MJ, van Buul JD, Burridge K. ICAM-1-mediated, Src- and Pyk2-dependent vascular endothelial cadherin tyrosine phosphorylation is required for leukocyte transendothelial migration. J Immunol. 2007;179(6):4053–4064.
  31. Lessey-Morillon EC, Osborne LD, Monaghan-Benson E, et al. The RhoA guanine nucleotide exchange factor, LARG, mediates ICAM-1-dependent mechanotransduction in endothelial cells to stimulate transendothelial migration. J Immunol. 2014;192(7):3390–3398.
  32. Yeh YT, Serrano R, François J, et al. Three-dimensional forces exerted by leukocytes and vascular endothelial cells dynamically facilitate diapedesis. Proc Natl Acad Sci USA. 2018;115(1):133–138.
  33. Liu Z, Sniadecki NJ, Chen CS. Mechanical forces in endothelial cells during firm adhesion and early transmigration of human monocytes. Cell Mol Bioeng. 2010;3(1):50–59.
  34. Wang Q, Chiang ET, Lim M, et al. Changes in the biomechanical properties of neutrophils and endothelial cells during adhesion. Blood. 2001;97(3):660–668.
  35. Li W, Yu X, Xie F, et al. A membrane-bound biosensor visualizes shear stress-induced inhomogeneous alteration of cell membrane tension. iScience. 2018;7:180–190.
  36. Colom A, Derivery E, Soleimanpour S, et al. A fluorescent membrane tension probe. Nat Chem. 2018;10(11):1118–1125.
  37. Schaefer A, Te Riet J, Ritz K, et al. Actin-binding proteins differentially regulate endothelial cell stiffness, ICAM-1 function and neutrophil transmigration. J Cell Sci. 2014;127(Pt 20):4470–4482.
  38. Schnoor M, Lai FP, Zarbock A, et al. Cortactin deficiency is associated with reduced neutrophil recruitment but increased vascular permeability in vivo. J Exp Med. 2011;208(8):1721–1735.
  39. Celli L, Ryckewaert JJ, Delachanal E, Duperray A. Evidence of a functional role for interaction between ICAM-1 and nonmuscle alpha-actinins in leukocyte diapedesis. J Immunol. 2006;177(6):4113–4121.
  40. Kelkar M, Bohec P, Charras G. Mechanics of the cellular actin cortex: from signalling to shape change. Curr Opin Cell Biol. 2020;66:69–78.
  41. Sitarska E, Diz-Muñoz A. Pay attention to membrane tension: mechanobiology of the cell surface. Curr Opin Cell Biol. 2020;66:11–18.
  42. van Buul JD, Kanters E, Hordijk PL. Endothelial signaling by Ig-like cell adhesion molecules. Arterioscler Thromb Vasc Biol. 2007;27(9):1870–1876.
  43. Carman CV, Jun CD, Salas A, Springer TA. Endothelial cells proactively form microvilli-like membrane projections upon intercellular adhesion molecule 1 engagement of leukocyte LFA-1. J Immunol. 2003;171(11):6135–6144.
  44. Heemskerk N, van Rijssel J, van Buul JD. Rho-GTPase signaling in leukocyte extravasation: an endothelial point of view. Cell Adhes Migr. 2014;8(2):67–75.
  45. Wee H, Oh HM, Jo JH, Jun CD. ICAM-1/LFA-1 interaction contributes to the induction of endothelial cell-cell separation: implication for enhanced leukocyte diapedesis. Exp Mol Med. 2009;41(5):341–348.
  46. Clayton A, Evans RA, Pettit E, Hallett M, Williams JD, Steadman R. Cellular activation through the ligation of intercellular adhesion molecule-1. J Cell Sci. 1998;111(Pt 4):443–453.
  47. Alcaide P, Martinelli R, Newton G, et al. p120-Catenin prevents neutrophil transmigration independently of RhoA inhibition by impairing Src dependent VE-cadherin phosphorylation. Am J Physiol Cell Physiol. 2012;303(4):C385-C395.
  48. Wallez Y, Cand F, Cruzalegui F, et al. Src kinase phosphorylates vascular endothelialcadherin in response to vascular endothelial growth factor: identification of tyrosine 685 as the unique target site. Oncogene. 2007;26(7):1067–1077.
  49. Soni D, Regmi SC, Wang DM, et al. Pyk2 phosphorylation of VE-PTP downstream of STIM1-induced Ca2+ entry regulates disassembly of adherens junctions. Am J Physiol Lung Cell Mol Physiol. 2017;312(6):L1003–L1017.
  50. van Buul JD, Anthony EC, Fernandez-Borja M, Burridge K, Hordijk PL. Proline-rich tyrosine kinase 2 (Pyk2) mediates vascular endothelial-cadherin-based cell-cell adhesion by regulating beta-catenin tyrosine phosphorylation. J Biol Chem. 2005;280(22):21129–21136.
  51. Wu J, Lewis AH, Grandl J. Touch, tension, and transduction: the function and regulation of piezo ion channels. Trends Biochem Sci. 2017;42(1):57–71.
  52. Zhao R, Russell RG, Wang Y, et al. Rescue of embryonic lethality in reduced folate carrier-deficient mice by maternal folic acid supplementation reveals early neonatal failure of hematopoietic organs. J Biol Chem. 2001;276(13):10224–10228.
  53. Morikis VA, Simon SI. Neutrophil mechanosignaling promotes integrin engagement with endothelial cells and motility within inflamed vessels. Front Immunol. 2018;9:2774.
  54. Wang Q, Doerschuk CM. Neutrophil-induced changes in the biomechanical properties of endothelial cells: roles of ICAM-1 and reactive oxygen species. J Immunol. 2000;164(12):6487–6494.
  55. Wang J, Jiang J, Yang X, Zhou G, Wang L, Xiao B. Tethering Piezo channels to the actin cytoskeleton for mechanogating via the cadherin-b-catenin mechanotransduction complex. Cell Rep. 2022;38(6):110342.
  56. Shi Z, Graber ZT, Baumgart T, Stone HA, Cohen AE. Cell membranes resist flow. Cell. 2018;175(7):1769–1779.e13.
  57. Cinamon G, Matloubian M, Lesneski MJ, et al. Sphingosine 1-phosphate receptor 1 promotes B cell localization in the splenic marginal zone. Nat Immunol. 2004;5(7):713–720.
  58. Cinamon G, Shinder V, Alon R. Shear forces promote lymphocyte migration across vascular endothelium bearing apical chemokines. Nat Immunol. 2001;2(6):515–522.
  59. Cuvelier SL, Patel KD. Shear-dependent eosinophil transmigration on interleukin 4-stimulated endothelial cells: a role for endothelium-associated eotaxin-3. J Exp Med. 2001;194(12):1699–1709.
  60. Kitayama J, Hidemura A, Saito H, Nagawa H. Shear stress affects migration behavior of polymorphonuclear cells arrested on endothelium. Cell Immunol. 2000;203(1):39–46.
« Return to: Mechanosensation by Endothelial PIEZO1 Is Required for Leukocyte Diapedesis