in the gut, these Piezo 1 and Piezo 2 channels convert mechanical forces such as tissue stretching, fluid flow, and pressure into cellular signals via by allowing calcium and sodium ions to enter cells that control gastrointestinal motility, secretion, barrier integrity, immune responses, and cancer progression
a key feature of Piezo signaling is its ability to activate major intracellular pathways through calcium influx - Piezo activation stimulates signaling networks including MAPK, RhoA/ROCK, PI3K-Akt, and YAP/TAZ, linking mechanical stress to cellular proliferation, migration, inflammation, and tissue remodeling
in inflammatory bowel disease, Piezo1 amplifies inflammation by activating NF-κB and NLRP3 inflammasome pathways, promoting oxidative stress and disrupting intestinal barrier function. Piezo2 contributes to visceral hypersensitivity by enhancing mechanosensory signaling in sensory neurons
in functional gastrointestinal disorders such as irritable bowel syndrome and functional constipation, Piezo2 drives abnormal pain sensitivity and serotonin-mediated signaling, while Piezo1 affects epithelial permeability and barrier integrity
Piezo1 is broadly distributed throughout digestive tissues, including the stomach, liver, pancreas, intestinal epithelium, and enteric nervous system. It regulates processes such as ghrelin secretion, intestinal peristalsis, mucus production, bile flow, and microbial homeostasis.
in hepatocellular carcinoma, elevated Piezo1 expression promotes tumor invasion, angiogenesis, epithelial-mesenchymal transition, and metastasis through pathways involving FAK/Src signaling, TGF-β activation, and HIF-1α stabilization.
in colorectal cancer, Piezo1 supports cancer stem-cell maintenance, invasion, and metastasis, whereas Piezo2 promotes lymphangiogenesis and tumor dissemination through the SLIT2/ROBO1/VEGFC pathway
in gastric cancer, both Piezo1 and Piezo2 contribute to disease progression - Piezo1 enhances tumor cell proliferation and migration, while Piezo2 expression correlates with advanced disease stage, lymph node metastasis, immune-cell infiltration, and reduced survival.
Piezo1 is a critical mediator of pressure-induced pancreatitis. Mechanical stress activates Piezo1 in pancreatic acinar cells, leading to calcium overload, mitochondrial dysfunction, and premature digestive enzyme activation
Piezo2, in contrast, is more specialized in sensory pathways, where it mediates mechanosensation, serotonin release, visceral pain perception, and gastrointestinal reflexes