RT Journal Article SR Electronic T1 JAG1-NOTCH4 Mechanosensing Drives Atherosclerosis JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.05.15.097931 DO 10.1101/2020.05.15.097931 A1 Celine Souilhol A1 Xiuying Li A1 Lindsay Canham A1 Hannah Roddie A1 Daniela Pirri A1 Blanca Tardajos Ayllon A1 Emily V Chambers A1 Mark J Dunning A1 Mark Ariaans A1 Jin Li A1 Yun Fang A1 Maria Fragiadaki A1 Victoria Ridger A1 Jovana Serbanovic-Canic A1 Sarah de Val A1 Sheila E. Francis A1 Timothy JA Chico A1 Paul C Evans YR 2020 UL http://biorxiv.org/content/early/2020/05/16/2020.05.15.097931.abstract AB Endothelial cell (EC) sensing of fluid shear stress regulates atherosclerosis, a disease of arteries that causes heart attack and stroke. Atherosclerosis preferentially develops at regions of arteries exposed to low oscillatory shear stress (LOSS), whereas high shear regions are protected. We show using inducible EC-specific genetic deletion in hyperlipidaemic mice that the Notch ligands JAG1 and DLL4 have opposing roles in atherosclerosis. While endothelial Jag1 promoted atherosclerosis at sites of LOSS, endothelial Dll4 was atheroprotective. Analysis of porcine and murine arteries and cultured human coronary artery EC exposed to experimental flow revealed that JAG1 and its receptor NOTCH4 are strongly upregulated by LOSS. Functional studies in cultured cells and in mice with EC-specific deletion of Jag1 show that JAG1-NOTCH4 signalling drives vascular dysfunction by repressing endothelial repair. These data demonstrate a fundamental role for JAG1-NOTCH4 in sensing LOSS during disease, and suggest therapeutic targeting of this pathway to treat atherosclerosis.Competing Interest StatementThe authors have declared no competing interest.