Abstract-We investigated the effect of shear stress on the sterol regulatory element-binding protein 1 (SREBP1) in vascular endothelial cells (ECs) and the mechanotransduction mechanism involved. Application of a shear stress (12 dyn/cm 2 ) caused the proteolytic cleavage of SREBP1 and the ensuing translocation of its transcription factor domain into the nucleus. As a result, shear stress increased the mRNAs encoding the low density lipoprotein receptor (LDLR), as well as the binding of 125 I-LDL. Using a step flow channel, we showed that SREBP1 activation in ECs under laminar flow is transient, but disturbed flow causes sustained activation. In studying the shear stress-elicited molecular signaling that activates SREBP1, we found that blocking the  1 -integrin with the AIIB2 blocking-type monoclonal antibody inhibited SREBP1 activation induced by shear stress. EC attachment to fibronectin or the activation of  1 -integrin in the suspended ECs by the TS2/16 monoclonal antibody was sufficient for SREBP1 activation. Furthermore, transient transfection assays showed that dominant-negative mutants of focal adhesion kinase and c-Src attenuated the shear stress-increased LDLR promoter activity. These results demonstrate that integrin signaling plays a critical role in the modulation of SREBP in ECs in response to shear stress. Key Words: shear stress Ⅲ sterol regulatory element-binding protein 1 Ⅲ integrins Ⅲ endothelial cells Ⅲ cholesterol A key feature of atherosclerosis is lipid accumulation in the artery wall resulting from the transendothelial entry of LDL, followed by LDL oxidation and uptake by monocytes/macrophages. 1 Although every part of the arterial tree is exposed to the same concentration of plasma LDL, atherosclerotic lesions are prevalent in bifurcations and curved regions, 2 which suggests that local hemodynamic forces play a significant role in the focal nature of the lesions. 3 This thesis is supported by studies demonstrating that LDL infused into experimental animals is preferentially located in the areas with disturbed blood flow, such as branch points. 4 The increased LDL uptake in the lesion-prone areas can be due to an enhanced permeability through endothelial junctions 5 and/or an LDL receptor (LDLR)-mediated endocytosis. 6 Using an in vitro flow system with cultured vascular endothelial cells (ECs), Sprague et al 7 demonstrated that laminar shear stress increased the binding, internalization, and degradation of LDL in ECs, and these changes were mediated through upregulated LDLR. To date, the molecular mechanism by which shear stress modulates the expression of LDLR has not been elucidated.Sterol regulatory element-binding proteins (SREBPs) are key transcription factors that modulate the multiple genes involved in the biosynthesis of cholesterol and fatty acids and receptor-mediated LDL uptake. There are 3 members in the SREBP family: SREBP1a and SREBP1c are encoded by the same gene, whereas SREBP2 is from a separate gene (see Brown and Goldstein 8 for a review). When cells are depleted of...