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A mechanosensitive ion channel,\n                      <jats:styled-content style=\"fixed-case\">PIEZO1<\/jats:styled-content>\n                      , is involved in various musculoskeletal tissues, but its role in the annulus fibrosus (\n                      <jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content>\n                      ) remains unclear. This study aimed to elucidate the function of\n                      <jats:styled-content style=\"fixed-case\">PIEZO1<\/jats:styled-content>\n                      in\n                      <jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content>\n                      cells under mechanical stimulation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Primary rat\n                      <jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content>\n                      cells were subjected to cyclic tensile strain (\n                      <jats:styled-content style=\"fixed-case\">CTS<\/jats:styled-content>\n                      ) at low (2%) and high (12%) strain levels to investigate strain\u2010dependent effects on osteogenic gene expression. We evaluated the effects of\n                      <jats:italic>Piezo1<\/jats:italic>\n                      ,\n                      <jats:italic>Piezo2<\/jats:italic>\n                      , and\n                      <jats:italic>Trpv4<\/jats:italic>\n                      knockdown by\n                      <jats:styled-content style=\"fixed-case\">RNA<\/jats:styled-content>\n                      interference to identify the upstream mechanotransducer. Furthermore,\n                      <jats:styled-content style=\"fixed-case\">PIEZO1<\/jats:styled-content>\n                      was activated using the agonist Yoda1, followed by\n                      <jats:styled-content style=\"fixed-case\">RNA<\/jats:styled-content>\n                      \u2010sequencing analysis and evaluation of its effects on\n                      <jats:styled-content style=\"fixed-case\">BMP2<\/jats:styled-content>\n                      \u2010induced osteogenesis in rat\n                      <jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content>\n                      cells. We also examined the effects of Yoda1 in primary human\n                      <jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content>\n                      cells.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Low\u2010strain\n                      <jats:styled-content style=\"fixed-case\">CTS<\/jats:styled-content>\n                      significantly suppressed osteogenic marker expression, which was not observed with high strain.\n                      <jats:italic>Piezo1<\/jats:italic>\n                      knockdown reversed this suppression, whereas\n                      <jats:italic>Piezo2<\/jats:italic>\n                      and\n                      <jats:italic>Trpv4<\/jats:italic>\n                      had no effect. Piezo1 activation by Yoda1 produced similar anti\u2010osteogenic effects in both rat and human\n                      <jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content>\n                      cells.\n                      <jats:styled-content style=\"fixed-case\">RNA<\/jats:styled-content>\n                      sequencing revealed the enrichment of ossification and calcineurin signaling pathways in rat cells. Furthermore, Piezo1 activation inhibited\n                      <jats:styled-content style=\"fixed-case\">BMP2<\/jats:styled-content>\n                      \u2010induced osteogenesis and nuclear translocation of p\u2010Smad1\/5\/9.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Piezo1 maintains\n                      <jats:styled-content style=\"fixed-case\">AF<\/jats:styled-content>\n                      cell homeostasis under mechanical stress by suppressing osteogenic changes via calcineurin\u2010mediated inhibition of\n                      <jats:styled-content style=\"fixed-case\">BMP<\/jats:styled-content>\n                      signaling, which may represent a novel therapeutic target for\n                      <jats:styled-content style=\"fixed-case\">IVDD<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jsp2.70168","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T09:04:40Z","timestamp":1772960680000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Mechanosensitive Ion Channel\n                    <scp>PIEZO1<\/scp>\n                    Suppresses\n                    <scp>BMP2<\/scp>\n                    \u2010Induced Ossification of the Annulus Fibrosus Cells"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-4710-7213","authenticated-orcid":false,"given":"Hisakazu","family":"Shitozawa","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Science of Functional Recovery and Reconstruction Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences  Okayama 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