“…In another d-flow-related study, ( Li F. et al, 2021 ) also found that d-flow induced EC transformation into pro-atherogenic phenotypes. Several EC subsets have been identified, which highly express Klk8 (a secretory serine protease, acting as an oncogene or anti-oncogene in various tumors and associated with learning and memory), Lrp1(LDL receptor-related protein 1, associated with lipid homeostasis, clearance of apoptotic cells and metabolism of amyloid-β peptides), Dkk2 (dickkopf WNT signaling pathway inhibitor 2, related to angiogenesis) and Cd36 (a scavenger receptor associated with lipid metabolism) respectively, namely Klk8 hi , Lrp1 hi , Dkk2 hi , and Cd36 hi ECs ( Endemann et al, 1993 ; Min et al, 2011 ; Shinohara et al, 2017 ; Li J. et al, 2021 ; Hua et al, 2021 ). Klk8 hi and Lrp1 hi ECs are mainly derived from non-PCL carotid arteries, whereas Dkk2 hi and Cd36 hi ECs are d-flow-derived EC subsets.…”