“…For example, atherosclerotic plaque formation has been reported to be localized in the arterial vasculature where ECs experience d-flow(Libby et al, 2002). D-flow occurs at branch points, bifurcations, and curvatures along the arterial tree and not only down-regulates the atheroprotective mechanisms of ECs and vascular reactivity, but also increases EC inflammation (via upregulated expression of leukocyte adhesion molecules), apoptosis, and proliferation(Heo et al, 2016). In contrast, plaque formation is rare in areas exposed to s-flow (10–20 dyn/cm 2 ), which can stimulate ECs to release various factors including NO, PGI 2 , and tPA to inhibit the inflammatory response of leukocytes, coagulation, and proliferation of smooth muscle cells while simultaneously promoting the survival of ECs (Garin et al, 2007, Reinhart-King et al, 2008, Frangos et al, 1985, Di Francesco et al, 2009, Korenaga et al, 1994, Diamond et al, 1989), all of which have anti-atherogenic effects.…”