Endothelial cells (ECs) in blood vessels are exposed to fluid shear stress, the tangential component of the hemodynamic forces acting on the vessel wall. Shear stress has been implicated in pathophysiological processes in the vascular wall such as atherosclerosis, reperfusion, and EC wound healing (1-8). The role of shear stress in atherogenesis is manifested by the finding that the atherosclerotic lesions in the arterial tree are preferentially located in the disturbed flow region. In vitro experiments using ECs cultured in flow channels have shown that the structure and function of ECs are modulated by shear stress (reviewed in ref. 9). The early responses of ECs to applied shear stress in vitro may represent in vivo responses of ECs to the temporal and spatial changes of shear stress resulting from disturbed flow. It has been shown that shear stress modulates the expression of genes encoding growth factors, adhesion molecules, coagulation molecules, chemoattractants, proto-oncogenes, and vasoactive substances (reviewed in ref. 10). For example, the platelet-derived growth factors, intercellular adhesion molecule-1, monocyte chemotactic protein-1 (MCP-1), and c-fos genes are all transiently upregulated by shear stress (11)(12)(13)(14). Several laboratories, including ours, have attempted to define the upstream signaling pathways leading to the expression of these shear-inducible genes. It has been shown that shear stress induces a rapid and transient activation of Ras small GTPase, which in turn regulates the mitogen-activated protein kinases (MAPKs), including extracellular signal-regulated kinases (ERKs) and c-Jun NH 2 -terminal kinases (JNKs) (15, 16). In the downstream, target genes such as the MCP-1 gene are transiently upregulated through the transcription factor activating protein-1 (AP-1) acting on the 12-O-tetradecanoyl-13-phorbolacetate-responsive element (TRE) (17). Long-term exposure of ECs to shear stress causes the elongation of ECs along the direction of flow, with rearranged microfilaments and focal adhesion sites, attenuated cortical Factin, and enhanced central stress fibers (18-21). These structural features are similar to those seen in vivo in ECs in the straight part of the arterial tree (22), an area that is relatively resistant to atherosclerosis. Recent studies indicate that the shear stress modulation of endothelial shape and F-actin network depends on tyrosine kinase activities, intracellular calcium, and an intact microtubule network but that it is independent of protein kinase C, intermediate filaments, and shear-and stretch-activated mechanosensitive channels (23).Ras-related Rho family GTPases (e.g., Cdc42, Rac, and Rho) have distinct functions in regulating the actinbased cytoskeletal structure (reviewed in refs. 24 and 25): Cdc42 regulates filopodia formation (26, 27); Rac regulates membrane ruffling (28); and Rho increases cell contractility, focal adhesions, and actin stress fibers (29). It was also shown that Rho stimulated the tyrosine phosphorylation of focal adhesion kinas...