“…After extensive further study, we found that the source of ROS with ischemia was the endothelium, and the mechanism was related to altered mechanotransduction, namely the cessation of the normal shear forces applied to the pulmonary endothelial cells by the pulmonary blood flow (3,71,75). Additional studies showed that shear in pulmonary endothelium is sensed by caveolae and is somehow related to endothelial platelet-endothelial adhesion molecule (PECAM) (61,63 pulmonary endothelial ATP-sensitive K ϩ channels in the open configuration, contributing to the endothelial cell transmembrane potential; cessation of flow leads to ATP-sensitive K ϩ channel closure, endothelial cell membrane depolarization, and activation of NOX2 with subsequent O 2 ·Ϫ generation (4,14,16) (Fig. 3).…”