Laminar shear stress (LSS) is known to increase endothelial nitric oxide (NO) production, which is essential for vascular health, through expression and activation of nitric oxide synthase 3 (NOS3). Recent studies demonstrated that LSS also increases the expression of argininosuccinate synthetase 1 (ASS1) that regulates the provision of L-arginine, the substrate of NOS3. It was thus hypothesized that ASS1 might contribute to vascular health by enhancing NO production in response to LSS. This hypothesis was pursued in the present study by modulating NOS3 and ASS1 levels in cultured endothelial cells. Exogenous expression of either NOS3 or ASS1 in human umbilical vein endothelial cells increased NO production and decreased monocyte adhesion stimulated by tumor necrosis factor-␣ (TNF-␣). The latter effect of overexpressed ASS1 was reduced when human umbilical vein endothelial cells were co-treated with small interfering RNAs (siRNAs) for ASS1 or NOS3. SiRNAs of NOS3 and ASS1 attenuated the increase of NO production in human aortic endothelial cells stimulated by LSS (12 dynes⅐cm ؊2 ) for 24 h. LSS inhibited monocyte adhesion to human aortic endothelial cells stimulated by TNF-␣, but this effect of LSS was abrogated by siRNAs of NOS3 and ASS1 that recovered the expression of vascular cell adhesion molecule-1. The current study suggests that the expression of ASS1 harmonized with that of NOS3 may be important for the optimized endothelial NO production and the prevention of the inflammatory monocyte adhesion to endothelial cells.Atherosclerosis is a chronic disease characterized by the accumulation of lipids and fibrous elements in the intimal lining of the large-and medium-sized arteries. Its development takes place step-by-step involving endothelial cell injury, migration of inflammatory cells, deposition of lipids and proliferation of smooth muscle cells, growth of this mass (atheroma) into the vessel lumen, and rupture of the plaque with subsequent thrombosis (1). When endothelial cells are activated by an inflammatory stimulus, they express intercellular adhesion molecule-1 (ICAM-1), vascular cell adhesion molecule-1 (VCAM-1), 2 E-selectin, and other selective adhesion molecules that mediate the heterotypic binding between leukocytes and endothelial cells, the primary event of atherosclerotic lesion formation (2). Endothelial cell senescence also increases monocyte recruitment, independently of acute inflammatory stimuli, by increasing the expression of adhesion molecules such as CD44 (3). Therefore, the "health" of endothelial cells is essential for the prevention of the initial events of atherosclerosis.Laminar shear stress (LSS) due to pulsatile blood flow is known to provide beneficial effects on vascular health (4 -6). Indeed, the straight regions of the arteries that experience pulsatile LSS are usually protected from the formation of atherosclerotic lesions (7,8). The anti-atherogenic effects of pulsatile LSS and steady LSS (the latter does not occur in arteries in vivo but is being studied in vitro) have...