“…The ability of integrins to sense and respond to force is essential for cell shape, tissue architecture, cell migration and other fundamental processes. In the vasculature, the influence of flow on EC physiology involves shear stress-mediated activation of integrins (Tzima et al, 2001), which engage with extracellular matrix thereby triggering outside-in signalling (Bhullar et al, 1998;Chen et al, 2015;Chen et al, 1999;Jalali et al, 2001;Orr et al, 2006;Orr et al, 2005;Shyy and Chien, 2002;Tzima et al, 2001). Activation of a5b1 integrins by shear stress leads to Ca 2+ signalling (Buschmann et al, 2010;Loufrani et al, 2008;Matthews et al, 2006;Thodeti et al, 2009;Yang et al, 2011), which in turn promotes vascular quiescence and health (Urbich et al, 2002) (Urbich et al, 2000) (Luu et al, 2013).…”