“…1,2 Fluid shear stress has been shown to modulate a variety of endothelial functions, including the expression of a variety of genes, such as endothelin-1, [3][4][5] cyclooxygenase-2, 6 NO synthase, 6,7 tissue factor, 8 transforming growth factor-, 9 platelet-derived growth factor (PDGF), 10,11 basic fibroblast growth factor, 11 heparin-binding epidermal growth factor-like growth factor, 12 monocyte chemotactic protein-1, 13 intercellular adhesion molecule-1, 14,15 and vascular cell adhesion molecule-1, 16,17 as well as its effects on cytoskeletal organization and cell morphology. 4,18,19 These biological effects elicited by fluid shear stress appear to be mediated by intracellular signal transduction cascades, including intracellular Ca 2ϩ mobilization, 20 -22 inositol trisphosphate, 23 K ϩ channel, 24 G protein, 25 mitogen-activated protein kinases, 26,27 N-terminal Jun kinase, 28,29 and platelet endothelial cell adhesion molecule-1 tyrosine phosphorylation, 30 and by the subsequent activation of transcription factors, such as activator protein-1 (AP-1), 31,32 nuclear factor-B (NF-B), 31,33 and Egr-1 (an early growth response gene product), 34,35 and may potentially affect vascular tone, thrombus formation, and atherogenesis.…”