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Piezo proteins constitute a family of excitatory ion channels directly gated by mechanical forces. Piezo is functionally conserved and very important

because all living organisms are subjected to mechanical forces from their environment for instance proprioception, osmoregulation, vascular tone, blood flow regulation, muscle homeostasie, flow sensing in kidney, bladder and lungs. ^[1], ^[2]

Function

The different forces perceived by Piezo

Piezo 1 is a mechanosensitive channel which means, it can sense external mechanical forces such as fluid flow-induced shear stress, osmotic stress, and pressure-induced membrane stretch [1]. Moreover, “studies have demonstrated wide expression of the Piezo1 channel that enables many different types of cells to sense a diversity of “outside-in” mechanical forces, including indentation, membrane stretch, shear stress, osmotic stress, ultrasound, and compression”. Since piezo 1 channel could also be activated by traction forces, there are two different mechanisms that have been proposed to explain the mechanical activation of piezo 1 channel. These mechanisms are called “force-from-lipids” and “force-from-filaments”. ^[3]

For the “force-from-lipids” mechanism, membrane tension is induced by mechanical forces. This membrane tension leads to a reorganization of lipids within and surrounding the channel proteins. This reorganization of lipids results into membrane lipid-channel protein interactions that induce the channel to open. We can note that a recent study (Lin et al., 2019)^[4] gave support to this mechanism.

The “force-from-filaments” mechanism proposes that conformational changes occur thanks to interactions between the channel and extracellular matrix or intracellular cytoskeletal proteins resulting in the channel opening^[3].

The wide variety of Piezo1’s functions

The cells are able to perceive the stomach or bladder to fill, blood flowing and lungs inflate.

Piezo1 is a sensor of mechanical forces in endothelial, urothelial and renal epithelial cells. For instance, Piezo 1 is involved is shear stress sensing in blood vessel endothelial cells and is implicated in the development and physiological functions of the circulatory system, including the proper formation of blood, vessels, regulation of vascular tone and remodelling of small resistance arteries upon hypertension. It’s also involved in red blood cell volume homeostasis. ^[2]

Piezo channel mediated cationic [non selective currents]. Indeed, monovalent (Na+, K+) and divalent (Ca2+, Mg2+) can flow through. However, Piezo 1 is implicated in [excitatory channels] because cation can enter into the cell and lead to membrane [depolarisation] or [calcium dependent signalling pathway] (if Ca2+ enter). When calcium-dependent signalling pathway is activated, NO can be released by endothelial cells and lead to vasodilation but also, some channels can also be activated in red blood cells. Piezo has a wide variety of functions, but we will focus on the vascularisation.

Vascularisation: detection of shearing forces

Piezo1 plays a critical role in the formation of blood vessels. Indeed, fluid flow induces a frictional force, and this shear stress activates the piezo1 channels located in endothelial cells’ membranes. It results in an alignment process, leading to healthy vascular development. The entry of Ca2+ is the key to the process. The shear stress-enhanced Ca2+ entry through piezo1 channels is coupled with calpain activation. From this association steams proteolytic cleavage of cytoskeletal actin and focal adhesion proteins, which induces endothelial cell organisation and alignment. A deficit in Piezo1’s expression can lead to a cobblestone-like appearance of endothelial cells’ organisation, instead of its standard linear appearance. The subcellular localisation of piezo1 is also determining. In static conditions, its repartition is even on the membrane, but when a mechanical stimulus arises, piezo1 accumulates at the cell’s apical. This process characterises endothelial cells’ alignment toward frictional force. However, piezo1 is also able to drive endothelial cell migration without shear stress, through endothelial oxide synthase, a protein with major roles in vascular biology. ^[5]

Structure

CED or cap

The (carboxyterminal extracellular domain) also called cap is a large extracellular domain in loop shape that forms a trimer. This CED is located in the central module surrounded by the and contains 240 residus. ^{[6] [1]} This CED mediates efficient ion conduction and cation selectivity because which may allow cations to enter or exit the transmembrane pore. For this, the cap structure may provide a mechanism for enriching cation at the extracellular vestibule by utilizing a large patch of ). CED constitutes the extracellular pathway to regulate ion permeation as selecticity properties of Piezo 1 channels. ^[1]

Ion conducting pore

The of piezo1 is lined with the , inner helix and cytosolic . The extracellular cations can approach the pore entry “vertically through the internal cavity along the threefold axis of the cap domain”, they can also approach laterally through spaces (gaps) between the flexible linkers which connect the cap with inner and outer helices.^[7] The is situated below the , and is lined by the three inner transmembrane helices. The possible access for lipids or other hydrophobic molecules through the pore could be “two lateral openings between the inner helices separated by a ‘seal’ formed by ”. These openings are approximately 11 Å wide and 16 Å tall. ^[7]

It forms an intracellular vestibule along the z-axis, and it is essential for ion permeation properties. More precisely, the pore module of 

Piezo channels comprises the C-terminal region from residues 2172 to 2547.^[8] The CTD triangular plane has a beam-facing side of the triangular, and it is separated into two surfaces with negative and positive electrostatic potentials.^[9]

The beam is a 90 Å-long intracellular structure in the central region of the ion channel. It is a part of the three-bladed, propeller-shaped architecture characteristic of piezo1. It is a piece of the “beam-CTD-anchor-OH-IH” relaying interface that forms the central pore module. It is because the beam connects the THU, to the CTD and the outer helix (OH) that it enables the transmission of the mechanical force, and thus the opening of piezo1’s pore.^[9] It delivers the mechanical signals from the blades, or the plasma membrane, to the central pore module region.^[10]

Indeed, the beams are connected to the transmembrane helical units (THUs), which forms a triangular plane above its proximal end, more precisely to the intracellular surface of THU7–THU9. The THU7-THU8 makes the largest intracellular loop of piezo1. This loop starts at the distal end of the beam, interacts with the CTD, and then folds back to the distal end of the beam before connecting to a transmembrane region. Moreover, the beam crosses through the beam-facing side of the triangular CTD, forming interactions with both CTDα 1 and CTDα 2. This position and connections of the beam render it an ideal structure for mechanical transmission from the distal THUs to the central ion-conducting pore. The lever-like mechanotransduction apparatus constituted by the beam is possible because of its uneven movement. It displays large motion at the distal beam while subtle movement at the proximal end. It enables Piezo channels to effectively convert a large conformational change of the distal blades to a relatively slight opening of the central pore, allowing cation-selective permeation. The L1342 and L1345 residues of the beam act as a pivot to form the lever-like apparatus.^[9]

Blade

Piezo 1 has a central domain which is composed of This central domain is surrounded by 3 extended arms called extending out from the central pore in a rotatory manner ^[11]. Each of these blade, deflecting at an angle of 100° perpendicular to the membrane, contains 6 tandems transmembranar helical unites (THUs) constitute of 4 transmembrane domains ^{[12] [11]}. These blades are not planar: instead, they lie on a spherically curved surface with the membrane bulging into the cytoplasm ^[13] These blades flexibles are inside the membrane and force the membrane to curve. That why, they are considered as mechanotransduction modules, force sensors and transducers to gate the central pore. These 3 blades propeller architecture is mechanically interesting because 3 blades are the minimum for omnidirectional sensitivity ^{[13] [14]}

Gating mechanism

Piezo 1 possesses delicate force sensing and mechanotransduction mechanisms. Here, we explain how Piezo channels sense and transduce mechanical force to gate the central ion-conducting pore. Piezo 1 can sense membrane tension through changes in the local curvature of the membrane and channel open in response to this change thanks to this structure. ^[13] Indeed, mPiezo trimer is non-planar conformation inside lipid bilayer, it produces a local dome-shaped deformation of the membrane. In cells, this membrane curvature project towards the cytoplasm and some electrostatics interactions stabilize the trimeric assembly in its curved conformation. ^[15] The structure of Piezo1 offers a plausible explanation for the origin of its tension gating. Indeed, if the semi-spherical dome becomes flatter when Piezo opens, then the channel membrane system will expand thanks to the flexibility of the blades. However, because flattening does not constrain the pore to open wide, expansion and pore diameter are decoupled such that Piezo can exhibit is small conductance and cation selecticity, properties that are essential to its function.^{[13] [16]}

image gating ?? ou morphing ??

Disease

Dehydrated hereditary stomatocytosis (DHS) is a genetic disease with impaired red blood cell (RBC) membrane properties that affect intracellular cation concentrations. ^[17] The RBCs are abnormally shaped and they result in haemolytic anaemia. Piezo1 is expressed in the plasma membranes of RBCs, and its role is to control RBCs’ osmolarity. It also plays a prevalent role in the erythroid differentiation. Mutations in PIEZO1 distort mechanosensitive channel regulation, leading to increased cation transport in erythroid cells.

According to studies, piezo1 mutations are the cause of DHS.^[18] Those mutations could provoke increases in permeability of cations in RBC by different mechanisms. It could induce mechanically activated currents that inactivate more slowly than wild-type currents. They could also affect the inactivation process by either destabilising the inactivated state or stabilising the channel in the open state. As a result, the open to inactivated state equilibrium shifts towards open. Na+ and Ca2+ ion influx consequently increase, and the intracellular K+ concentration decreases in a steady state.

The evolution of piezo1’s function steams from a change in its 3D structure. All the dehydrated hereditary stomatocytosis-associated mutations locate at C-terminal half of PIEZO1, but the way it affects piezo1’s structure is yet to be fully understood.^[17]

Relevance

Even if a lot is already known about Piezo1's structure, the precise mechanism of the pore is still unknown. Moreover, Piezo1 is present in a large number of tissues, but the differences in its roles are unclear. More researches carried out regarding these two points would allow a better understanding of diseases liked to Piezo1 (like DHS), and thus a better treatment of those diseases.

Structural highlights

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