“…To isolate the effects of only blood flow from those of O 2 , Fisher's group has established an in vivo model of pulmonary ischemia (by stopping only blood flow) in isolated and perfused rat lungs, where constant alveolar PO 2 (∼100 mmHg) was maintained by ventilation (Al-Mehdi et al, 1997;Song et al, 2001). Using this system, they identified that the cessation of blood flow was "sensed" by the endothelial cells and activated the "mechanosome" consisting of Platelet Endothelial Cell Adhesion Molecule (PECAM), VEGFR, and Vascular Endothelial (VE) cadherin (Chatterjee et al, 2014(Chatterjee et al, , 2015, to lead to the closure of K ATP channels (Olesen et al, 1988), and activation of NADPH oxidase 2 (NOX2) to generate reactive oxygen species (ROS) and nitric oxide, ultimately leading to oxidative injury (Chatterjee et al, 2008;Browning et al, 2012). Endothelial depolarization also resulted in opening Ca +2 channels with increased intracellular Ca +2 and activation of nitric oxide (NO) synthase, increase in NO, and consequent vasodilation (Chatterjee et al, 2014).…”