Atherosclerotic lesions develop preferentially at sites of disturbed blood flow. As shown by Christian Weber in Nature Medicine, doi:10.1038/nm.3487, and his coworkers, this predilection stems from effects of disturbed blood flow on endothelial expression of the microRNA miR-126-5p, which maintains the proliferative reserve of endothelial cells through repression of the Notch pathway inhibitor Dlk1.