MiRNAs, such as miR-34a, miR-217, and miR-146, mediate proatherotic factors induced suppression of the key anti-senesence factor Sirtuin 1 (SIRT1) transcript in ECs. Reactive oxygen species (ROS) sensitive miRNA such as miR-200c mediated inhibition of SIRT1, MnSOD and CAT and enhancement in endothelial sensense by downregulating zinc finger E-box binding homeobox 1(ZEB1) or Forkhead box protein O1(FOXO1) transcription. Shear stress enhanced miR-19a impairs the cellular self-repair by inhibiton of cyclin D. Endothelial miR-19a is also transferred in microparticles and mediates proinflammation response in neighboring adipocytes in a paracrine manner. Moreover, disturbed flow and hyperlipidemia decrease miR-21 and mir126 expression in ECs, resulting in derepression of NF-kB medicate VCAM-1 production, which triggers inflammation.