Abstract-This study tested the hypothesis that fluid shear stress regulates the release of fibroblast growth factor (FGF)-2 from human aortic smooth muscle cells. FGF-2 is a potent mitogen that is involved in the response to vascular injury and is expressed in a wide variety of cell types. FGF-2 is found in the cytoplasm of cells and outside cells, where it associates with extracellular proteoglycans. To test the hypothesis that shear stress regulates FGF-2 release, cells were exposed to flow, and FGF-2 amounts were measured from the conditioned medium, pericellular fraction (extracted by heparin treatment), and cell lysate. Results from the present study show that after 15 minutes of shear stress at 25 dyne/cm 2 in a parallel-plate flow system, a small but significant fraction (17%) of the total FGF-2 was released from human aortic smooth muscle cells. FGF-2 levels in the circulating medium increased 10-fold over medium from static controls (PϽ0.01). A 50% increase in FGF-2 content versus control (PϽ0.01) was found in the pericellular fraction (extracted by heparin treatment). Furthermore, a significant decrease in FGF-2 was detected in the cell lysate, indicating that FGF-2 was released from inside the cell. Cell permeability studies with fluorescent dextran were performed to examine whether transient membrane disruption caused FGF-2 release. Flow cytometry detected a 50% increase in mean fluorescence of cells exposed to 25 dyne/cm 2 versus control cells. This indicates that the observed FGF-2 release from human aortic smooth muscle cells is likely due to transient membrane disruption on initiation of flow. Key Words: shear stress Ⅲ fibroblast growth factor-2 Ⅲ vascular smooth muscle A fter vascular injury, it is believed that regions of denuded endothelium directly expose underlying smooth muscle cells (SMCs) to blood flow. 1 Consequently, SMCs can experience fluid shear stress that may alter their biological properties. Previous work has shown that flow decreases the proliferation of cultured human aortic SMCs (hASMCs) 2 and increases the production of nitric oxide (NO) by these cells. 3 Furthermore, fluid dynamic models of intact blood vessels suggest that SMCs normally experience shear stress as a result of interstitial flow driven by transmural pressure gradients. 4 Fibroblast growth factor (FGF)-2 is a potent mitogen for SMCs and endothelial cells (ECs). FGF-2 is expressed ubiquitously in the basement membranes of normal human blood vessels 5 and on the apical surface of cultured ECs. 6 FGF-2 exists in several molecular weight isoforms generated by the initiation of translation at alternate upstream CUG codons. 7 The 18-kDa molecular mass form is found mainly in the cytoplasm, whereas higher molecular mass forms (22 to 24 kDa) are found in the nucleus. The biological activity of FGF-2 is mediated through interaction with specific highaffinity cell surface FGF receptors (FGFRs). 8 There are 4 members in the FGFR family, and among these, FGFR-1 is the predominant form expressed by arterial SMCs. 9 Studies ...