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Updated: Mar 13, 2026

Ultrasound Assessment of Endothelial-Dependent Flow-Mediated Vasodilation of the Brachial Artery in Clinical Research
Published on: October 22, 2014
Acetylcholine released by endothelial cells facilitates flow-mediated dilatation
Calum Wilson1, Matthew D Lee1, John G McCarron1
1Strathclyde Institute of Pharmacy and Biomedical Sciences, University of Strathclyde, SIPBS Building, Glasgow, UK.
Endothelial cells release acetylcholine (ACh) in response to blood flow, triggering calcium signaling and artery relaxation. This autocrine mechanism reveals a new role for ACh in vascular mechanotransduction.
Area of Science:
- Vascular biology
- Endothelial cell signaling
- Mechanotransduction
Background:
- The endothelium regulates vascular function through responses to stimuli like shear stress.
- The precise mechanisms of flow sensing and signal transduction in the endothelium are not fully understood.
- Acetylcholine (ACh) sensitivity in the endothelium is known, but its physiological role is unclear.
Purpose of the Study:
- To investigate the mechanisms of flow-mediated endothelial calcium signaling.
- To determine the role of acetylcholine (ACh) in endothelial responses to blood flow.
- To elucidate the signaling pathway from flow to endothelial cell activation.
Main Methods:
- Imaging endothelial calcium signaling in intact arteries under flow conditions.
- Investigating the release mechanism of ACh from endothelial cells.
- Analyzing the role of organic cation transporters and mitochondrial acetyl-CoA production.
Main Results:
- Endothelial cells release ACh in response to blood flow (shear stress).
- This flow-induced ACh acts in an autocrine manner to trigger endothelial calcium release.
- ACh release is non-vesicular, occurring via organic cation transporters, and involves mitochondrial acetyl-CoA.
Conclusions:
- Acetylcholine (ACh) is an autocrine signaling molecule released by endothelial cells in response to flow.
- Endothelial ACh release mediates flow-induced calcium signaling and artery relaxation.
- This study identifies a novel role for ACh in endothelial mechanotransduction.
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