“…In addition to promoting lymphatic capillary morphogenesis in vivo (Boardman and Swartz, 2003;Rutkowski et al, 2006), interstitial flow can stimulate blood and lymphatic endothelial cells (BECs and LECs) to organize into capillary-like structures containing lumen (Helm et al, 2005(Helm et al, , 2007Ng et al, 2004), at least partly due to the generation of morphogen gradients around the cells that lead to growth in the direction of flow (Helm et al, 2005). Interstitial flow also plays important roles in a variety of physiological and pathophysiological processes, including tumor cell invasion and metastasis (Fleury et al, 2006;Shields et al, 2007;Swartz et al, 2008), matrix remodeling and myofibroblast differentiation (Ng et al, 2005), and bone and cartilage remodeling (Buschmann et al, 1999;Evans and Quinn, 2006;Hayward and Morgan, 2009;Santos et al, 2009), to name a few. It is worth noting that physiological flows are generated by pressure gradients, even though cells may sense and respond to the actual flow velocities in terms of shear stresses.…”