Endothelium, lining the inner surface of blood vessels, plays a pivotal role in maintaining vascular health. Endothelial cells (ECs) are central to regulating various cardiovascular functions, including vessel tone control, selective permeability, hemostasis, and mechanotransduction1,2. Research has firmly linked EC dysfunction to a primary role in atherosclerosis development. Notably, ECs encounter diverse mechanical forces at the interfaces where they interact with blood flow and underlying vessel tissues3,4. Several studies have associated EC dysfunction with abnormal changes in mechanical factors within the vascular environment, such as the fluid shear stress from blood flow and tissue rigidity5,6,7.
However, prior research has received limited attention in comprehending the combined effects of tissue rigidity and shear stress on EC function. To enhance the ability to translate research outcomes into effective treatments for atherosclerosis and other cardiovascular diseases, it is essential to improve the cellular models used in the field. Significant progress has been made in humanizing cellular models by employing human ECs and subjecting them to either shear stress or substrates with varying stiffness levels8,9,10. However, the adoption and refinement of cellular models that integrate dynamic flow environments with EC substrates possessing adjustable stiffness properties has progressed slowly. The challenge lies in devising non-swelling EC substrates to prevent alterations in flow parameters within the flow channel while also facilitating the cultivation of intact and well-adhered EC monolayers. An in vitro model capable of overcoming these obstacles could facilitate more effective investigations into how hypertension, aging, and flow conditions collaboratively influence EC mechanotransduction, vascular health, and, ultimately, the development of atherosclerosis. Various methods have been developed to apply shear stress on cells while controlling substrate stiffness, including rotating plates and microfluidic devices. In the rotating plate method, cells are placed between two plates and shear stress is applied through the rotational movement of the plates. This method is less complicated and provides a quick model; however, it suffers from spatial shear stress variation, with zero shear stress at the center and maximum shear stress at the periphery11.
On the other hand, microfluidic devices represent the new generation of tools with the ability to control substrate rigidity and flow conditions. These systems are suitable for mimicking microvasculatures under laminar flow conditions. However, studying atherosclerosis with such devices is impractical, as atherosclerosis occurs in large vessels with disturbed flow11. This paper aims to contribute to the critical research domain of EC studies by presenting a cost-effective system capable of examining the effects of varying stiffness levels in EC substrates under different flow conditions. The system integrates substrates with different stiffnesses to emulate pathological and physiological blood vessels. This protocol outlines the method for creating gelatin-based hydrogels with no swelling and stiffness levels of 5 kPa and 10 kPa, representing physiological and pathological stiffness, respectively. Additionally, the construction of a parallel-plate flow chamber capable of integrating these substrates is detailed. Computational fluid dynamics (CFD) was employed to evaluate shear stress and flow conditions. The preparation of hydrogels for EC culture and the execution of a 6 h flow experiment are described, followed by a discussion on post-experiment immunostaining.