Mechanical forces ave constantly exerting stress upon the tissues and
cells of the cardiovascular system. To influence the biology of cells,
these stimuli, which exist in the physical domain, must be converted
into signals in the biochemical language of the cells. This process ha
s been referred to as mechano-chemical signal transduction, or mechano
transduction. Although a great deal is known about which aspects of ca
rdiovascular biology are influenced or dictated by physical forces, a
great deal of uncertainty exists about which of the many signaling pat
hways that respond in cardiovascular cells to mechanical stimuli speci
fically regulate mechanosensitive aspects of the ''cardiovascular phen
otype.'' Even less is known regarding the identity and function of str
uctures and catalysts that operate at the physical-biochemical interfa
ce and act to convert physical energy into signals of biological relev
ance. This article presents what is known regarding signaling pathways
in cells of the cardiovascular system, which have been shown empirica
lly to respond to mechanical stimuli, and what can be inferred from bi
ochemical and pharmacological studies in cultured cardiovascular cells
regarding the potential for certain, signaling pathways to be involve
d in the manifestation of mechanically responsive phenotypes in the ca
rdiovascular system.