Red blood cell endothelial cells. Exposure of red blood cells to physiological levels of shear stress activates nitric oxide synthase and export of nitric oxide, which may contribute to the regulation of vascular tonus. Red blood cells can also produce hydrogen sulfide, a signalling gas that acts to relax vessel walls. It is believed that the cardioprotective effects of garlic are due to red blood cells converting its sulfur compounds into hydrogen sulfide. Red blood cells also play a part in the body's immune response: when lysed by pathogens such as bacteria, their hemoglobin releases free radicals, which break down the pathogen's cell
Vascular remodelling in the embryo early cardiovascular flow, such as preventing the entry of red blood cells into blood plasma, thereby lowering viscosity and associated shear stresses. Starch can also be injected into the blood stream in order to increase viscosity and shear stress. Studies have shown that vascular remodelling in the embryo proceeds without the presence of erythrocytes, which are responsible for oxygen delivery. Therefore, vascular remodelling does not depend on the presence of oxygen and in fact occurs before perfused tissues require oxygen delivery. However, it is still unknown whether or not other nutrients or genetic factors may have promotional effects on vascular