ABSTRACT. Endothelial cells are capable of responding to fluid shear stress, but the molecular mechanism for this biological response remains largely unknown. Our studies indicate that the cell-cell adhesion site is a possible site of flow sensing. PECAM-1, a cell adhesion molecule localized to the interendothelial cell adhesion site, is tyrosine-phosphorylated when endothelial cells are exposed to physiological levels of fluid shear stress. This PE-CAM-1 phosphorylation initiates a signaling cascade leading to ERK activation. Here we review what is known about PECAM-1 tyrosine phosphorylation and suggest a possible role of PECAM-1 in mechanosensing by endothelial cells.Key words: PECAM-1/fluid shear stress/mechanosensing/cell adhesion/cytoskeleton Until recently, blood vessels were considered to be a static hardware of the body that distributed blood throughout the body, and their biology was not a major concern for biologists and medical researchers. When blood vessels were referred to as 'living pipes', it meant that they were made of live cells and could be repaired if damaged. However, recent progress in vascular biology gave a new meaning to the term. We now know that new vessels can be formed while existing ones can be remodeled. We also know that they are metabolically highly active and perform multifaceted functions, such as synthesizing physiologically active substances, receiving and transmitting chemical as well as mechanical signals, and controlling the passage of molecules and cells across the vessel wall. The blood vessel has become a target of intense research also because its diseases are often life-threatening.Atherosclerosis is a disease that affects the arteries. It has long been known that certain regions within the arterial tree are more likely to develop atherosclerotic lesions. The most common region is the branch point of the artery. Many factors are known to contribute to the development and progression of the disease, such as consumption of fatty foods, smoking, stress, age, male hormone, high blood sugar, and lack of exercise. However, it is not obvious how these factors that most likely affect the entire body contribute to the development of atherosclerosis in specific areas of the blood vessel. Attempting to find some features specific to the vessel branch points, investigators turned to hemodynamic forces of blood flow. The blood flow pattern within the straight portion of arteries is considered to be essentially laminar, but disturbed flow is expected in the areas of high incidence of atherogenesis (Caro et al., 1971;Zarins et al., 1983). In terms of fluid shear stress, the vessel wall of the area with disturbed flow is exposed to more reduced shear stress than the straight portion of the vessel. Thus, it is widely accepted that the reduced level of time-averaged fluid shear stress in large arteries is pro-atherogenic (for review, see . Conversely, the areas exposed to steady laminar flow of high shear stress have a lower tendency to develop plaques, and the current thinking is th...