Abstract-Many cells are constantly exposed to fluid mechanical forces generated by flowing blood, and wall shear stresses modulate aspects of their structure and function. However, the mechanisms for mechanotransduction of flow are not well understood. Here we report that TRPM7, which is both an ion channel and a functional kinase, is translocated within cells in response to laminar flow. After exposure of cells to physiological values of laminar fluid flow, the number of TRPM7 molecules localized at or near the plasma membrane increased up to 2-fold, in less than 100 seconds. This increase in membrane-localized GFP-TRPM7, as seen by total internal reflection fluorescence microscopy, closely correlated with increases in TRPM7 current. Both endogenous and heterologously expressed TRPM7 was found in tubulovesicular structures that were translocated to the region of the plasma membrane on induction of shear stress. In vascular smooth muscle cells, but not in several types of endothelial cells, fluid flow increased endogenous native TRPM7 current amplitude. We hypothesize that TRPM7 plays a role in pathological response to vessel wall injury. Key Words: TRP ion channels Ⅲ TRPM7 Ⅲ shear force Ⅲ total internal reflection fluorescence (TIRF) microscopy Ⅲ vascular smooth muscle cells T RP ion channels are often found in sensory systems, but their wide distribution suggests they are cellular sensors in a broad sense. 1 TRPM6 and TRPM7 are unique channels that possess both ion channel and protein kinase activities. The C-terminal kinase domain bears little sequence identity with other kinases but is enzymatically active and structurally homologous to protein kinase A. 2,3 The physiological mechanism for activation of the widely expressed TRPM7 is unknown. TRPM7 channels are inhibited by phospholipase C (PLC)-catalyzed phosphatidylinositol 4,5-bisphosphate (PIP 2 ) hydrolysis 4 and reportedly regulated through protein kinase A by receptors coupled to adenylyl cyclase. 5 TRPM7 may be involved in anoxia-induced cell death in brain 6 and has been reported to be required for cell viability in TRPM7-null avian DT40 cells. 7 Cells sense shear stress-induced mechanical stimulation and convert it into a biochemical response that impacts normal and abnormal tissue development, including growth, differentiation, migration, gene expression, protein synthesis, and apoptosis. 8 The response of cells to fluid flow depends on the cell type and the magnitude and characteristics of the shear stress applied under physiological or pathological conditions. Endothelial cells are constantly subjected to blood flow that regulates physiological blood vessel responses as well as pathological arterial wall responses. In large arteries, the endothelium is exposed to shear stress values in the range 10 to 40 dyne/cm 2 . 9 The vascular smooth muscle cells are protected from shear stress by endothelial cell lining under physiological conditions but become exposed to shear stress after endothelial injury.Ion channels can respond to shear stress. 10,11 A...