“…increasing evidence has demonstrated that the endothelial dysfunction process is directly influenced by various factors, including nitric oxide dysfunction, epigenetic factors, oxidative stress, inflammatory factors and low shear stress (LSS) (5)(6)(7)(8)(9)(10)(11). among these, lSS, tangential stress produced by endothelial surface blood flow friction, which is observed at bifurcations, branching points and inside areas of curved segments of the coronary artery, induces inflammation and apoptosis, and subsequently disrupts the endothelial barrier, eventually leading to atherosclerosis (11)(12)(13)(14)(15). However, to date, no molecular targets have clearly linked lSS with the endothelial barrier.…”