gens, and exclusion of microbiota and exogenous hazards including bacteria. The ability of intestinal epithelial cells to actively transcytose nano-and micronsized particles has long been established, but the mechanisms and extent to which this process occurs in healthy intestinal tissues have been the object of significant discussion. [1] Specialized epithelial Microfold (M) cells located in the gut associated lymphoid tissue (GALT) have high particle transcytotic capabilities. [2] In addition to their role in shaping intestinal immune homeostasis, M cells have been postulated to play a key role in particle transport. However, they represent <1% of the cellular population in the human small intestine and while M cells may contribute to particle transport across the intestinal epithelium, several studies have shown that they are not essential to particle transport. [3][4][5] Conversely, there is strong evidence that nano-and micro-particles are efficiently transported across enterocytes in villi within the small intestine. [1,[6][7][8] For example, Reineke et al. conclusively demonstrated in a rat model that nonphagocytic processes are key to the absorption of nano-and even micro-particles in the small intestine and, consequently, to their systemic bioavailability. [1] These studies refute the view that enterocyte transcytosis is a neglectable process in the small Understanding the intestinal transport of particles is critical in several fields ranging from optimizing drug delivery systems to capturing health risks from the increased presence of nano-and micro-sized particles in human environment. While Caco-2 cell monolayers grown on permeable supports are the traditional in vitro model used to probe intestinal absorption of dissolved molecules, they fail to recapitulate the transcytotic activity of polarized enterocytes. Here, an intestine-on-chip model is combined with in silico modeling to demonstrate that the rate of particle transcytosis is ≈350× higher across Caco-2 cell monolayers exposed to fluid shear stress compared to Caco-2 cells in standard "static" configuration. This relates to profound phenotypical alterations and highly polarized state of cells grown under mechanical stimulation and it is shown that transcytosis in the microphysiological model is energy-dependent and involves both clathrin and macropinocytosis mediated endocytic pathways. Finally, it is demonstrated that the increased rate of transcytosis through cells exposed to flow is explained by a higher rate of internal particle transport (i.e., vesicular cellular trafficking and basolateral exocytosis), rather than a change in apical uptake (i.e., binding and endocytosis). Taken together, the findings have important implications for addressing research questions concerning intestinal transport of engineered and environmental particles.