“…To sense and transmit the constantly varying hemodynamic forces from the EC surface to its cytoplasm and further into the nucleus, a variety of mechano‐sensors and transducers (with size in the range from 10 −9 to 10 −6 m) are required. So far, at least 10 candidates have been identified as mechano‐sensors and transducers, including cell adhesion proteins (e.g., VE‐cadherin, PECAM‐1),8,9 ion channels,10,11 tyrosine kinase receptors (e.g., vascular endothelial growth factor receptor 2),9 G‐protein‐coupled receptors and G‐proteins,6 caveolae,12 primary cilia,13 actin filaments,14 nesprins,15 integrins,16 and endothelial surface glycocalyx (ESG)17 (Figure 2). Because of its proteoglycan and glycosaminoglycan (GAG) composition and structure, the ESG may cover the entire surface of the EC as shown in Figure 2 (the yellow coat), and thus can interact with other EC sensors and transducers to play a role in sensing and transmitting hemodynamic forces.…”