NOTCH1 is a mechanosensor in adult arteries

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 in vivo increases of laminar blood flow elicit proportional Notch1 receptor signaling that promotes vascular endothelial cell elongation, while maintaining cell-to-cell junctional integrity and repressing proliferation. Of note, fluid shear stress-elicited Notch1 mechanosignaling protects hypercholesterolemic mice from atherosclerosis.

Pulling mechanical forces exerted by the endocytosis of Delta ligands unfold Notch receptors, thus allowing their cleavage and signaling {1,2}.