“…8,9,29 Furthermore, extrinsic factors, such as hydrophobic air−water interfaces, 30−32 have shown to significantly accelerate primary nucleation, 30,33,34 which may impact the morphology of protein aggregates. 25,30,32,35 Similarly, the presence of hydrodynamic flows strongly influences aggregation kinetics by promoting secondary nucleation 33,34,36 and protein−protein interaction, 26,36−38 suggesting a further influence on fibrillar polymorphism. Hydrodynamic and interfacial effects often show a synergetic impact in many physiological circumstances, 33,39,40 such as bloodstream to cerebrovascular system.…”