Interstitial flow in and around bone tissue is oscillatory in nature and affects the mechanical microenvironment for bone cell growth and formation. We investigated the role of oscillatory shear stress (OSS) in modulating the proliferation of human osteoblast-like MG63 cells and its underlying mechanisms. Application of OSS (0.5 ؎ 4 dynes/cm 2 ) to MG63 cells induced sustained activation of phosphatidylinositol 3-kinase (PI3K)/ Akt/mTOR/p70S6K (p70S6 kinase) signaling cascades and hence cell proliferation, which was accompanied by increased expression of cyclins A and D1, cyclin-dependent protein kinases-2, -4, and -6, and bone formation-related genes (c-fos, Egr-1, and Cox-2) and decreased expression of p21 CIP1 and p27
KIP1. OSS-induced activation of PI3K/Akt/mTOR/p70S6K and cell proliferation were inhibited by specific antibodies or small interference RNAs of ␣ v  3 and  1 integrins and by dominant-negative mutants of Shc (Shc-SH2) and focal adhesion kinase (FAK) (FAK(F397Y)). Co-immunoprecipitation assay showed that OSS induces sustained increases in association of Shc and FAK with ␣ v  3 and  1 integrins and PI3K subunit p85, which were abolished by transfecting the cells with FAK(F397Y) or Shc-SH2. OSS also induced sustained activation of ERK, which was inhibited by the specific PI3K inhibitor LY294002 and was required for OSS-induced activation of mTOR/p70S6K and proliferation in MG63 cells. Our findings provide insights into the mechanisms by which OSS induces osteoblast-like cell proliferation through activation of ␣ v  3 and  1 integrins and synergistic interactions of FAK and Shc with PI3K, leading to the modulation of downstream ERK and Akt/ mTOR/p70S6K pathways.Mechanical loading is critical for the formation of new bone (1-3). During dynamic and periodic loading of intact bone, the reciprocating flow of interstitial fluid through the canaliculi generates oscillatory shear stress (OSS), 3 which is detected by osteocytes in the canaliculi and osteoblasts lining the endosteal and periosteal surfaces of bone (4, 5). Stimulation of osteocytes by fluid shear stress induces their release of osteoblastic factors, which are transferred via gap junctions of the osteocyte-interconnecting network to induce osteoblast recruitment and hence bone growth (4, 6). There is increasing evidence that fluid shear stress regulates signaling, gene expression, and differentiation in osteocytes and osteoblasts (4 -9). Recent studies using flow channels have demonstrated that application of steady fluid shear stress to osteoblasts induces cell proliferation (10, 11) and the expression of many genes, including c-fos (8, 12), Egr-1 (early growth response-1) (8, 13), and Cox-2 (cyclooxygenase-2) (8, 12), all of which have been shown to play a role in bone formation in vivo (14 -17).The signaling molecules that have been shown to regulate mechanically induced proliferation in osteoblasts include NO (10,[18][19][20], prostaglandin E 2 , prostacyclin (10, 18 -20), and ERK (10,11,18). Kapur et al. (11) demonstrated that ERK1...