Mechanical forces including shear stress and hydrostatic pressure play pivotal roles in endothelial physiology and pathophysiology. Native endothelial cells are constantly exposed to these mechanical forces, while most mechanosensitive ion channels including the notable PIEZO1 channels possess a well-known fast-inactivation kinetic. It remains completely unknown how the constant mechanical forces generated by shear stress or hydrostatic pressure are sensed in endothelium. In this study, we identified that PIEZO1 channels are the mechanosensors for both shear stress and hydrostatic pressure in native endothelial cells through pharmacological and gene manipulation approaches. Interestingly, these channels have an unusual non-inactivation property. We further revealed the biophysical basis underlying this conversion of fast-inactivation to non-inactivation in endothelial PIEZO1 channel through electrophysiology, computational modelling and an unbiased screening. It was found that inhibition of neutral sphingomyelinase activity cause PIEZO1 to switch to profoundly inactivating behaviour in native endothelial cells. Moreover, a key product of neutral sphingomyelinase, ceramide, rescues non-inactivating channel behaviour, while its co-product, phosphoryl choline, had no effect. In contrast to ceramide, the substrate of neutral sphingomyelinase, sphingomyelin, did not affect inactivation but altered the channel's mechanosensitivity. Molecular dynamics simulations suggested that the reduction of the depth of the inward-facing dome in endothelial cell membrane caused by sphingomyelinase activity through replacing sphingomyelin with newly-generated ceramide could underlie this atypical transition of PIEZO1 inactivation kinetic. The data suggest that local lipid environment created by sphingomyelinase activity and ceramide enables fast-inactivation PIEZO1 channel to sense constant mechanical forces in native endothelial cells through a novel biophysical and regulatory mechanism.