“…Hemodynamic signals, including wall shear stress (WSS) and blood pressure (BP), which vary with cyclic flow characteristics and intensities, have different effects on EC function. For example, hemodynamic signals in the normal physiological range can activate Ca 2+ channels and signaling pathways on EC membranes, causing a dynamic response to the intracellular Ca 2+ concentration [22][23][24][25][26] and promoting the formation of vasodilators, including nitric oxide (NO) in ECs, [27][28][29] thus inhibiting vascular wall inflammation and preventing thrombosis. [27][28][29][30][31][32] However, under the stimulation of some hemodynamic signals in abnormal physiological conditions, the permeability of arterial ECs can be enhanced, and the secretion of pro-inflammatory cytokines, such as reactive oxygen species (ROS) in ECs can increase, [33][34][35][36][37][38] leading to arterial EC dysfunction, which often manifests as local arterial stenosis and ischemia of downstream organs and tissues in the target arteries.…”