Evidence map›Paper›PMID 41703062›Full record

ArticleNature chemical biology2026

A two-step clockwork mechanism opens a proteo-lipidic pore in PIEZO2.

Shu Li, Tharaka Wijerathne, Aashish Bhatt, Wenjuan Jiang, Jerome Lacroix, Wei Han, Yun Lyna Luo

Abstract read
In one paragraph

Article in Nature chemical biology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Yoda molecules agonize PIEZO2.bioRxiv : the preprint server for biology · 2026
    Article
  6. Review
  7. Piezo2 tension sensitivity and its modulation by alternative splicing.bioRxiv : the preprint server for biology · 2026
    Article
  8. Article
  9. Article
  10. Delayed-Onset Muscle Soreness Begins with a Transient Neural Switch.International journal of molecular sciences · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Shu LiCentre for Artificial Intelligence Driven Drug Discovery, Faculty of Applied Sciences, Macao Polytechnic University, Macao SAR, China.
Tharaka Wijerathne *Department of Biomedical Sciences, Western University of Health Sciences, Pomona, CA, USA.ORCID http://orcid.org/0000-0002-6900-3272
Aashish Bhatt *Department of Biotechnology and Pharmaceutical Sciences, Western University of Health Sciences, Pomona, CA, USA.
Wenjuan JiangDepartment of Biotechnology and Pharmaceutical Sciences, Western University of Health Sciences, Pomona, CA, USA.ORCID http://orcid.org/0000-0002-6360-3875
Jerome LacroixDepartment of Biomedical Sciences, Western University of Health Sciences, Pomona, CA, USA. jlacroix@westernu.edu.ORCID http://orcid.org/0000-0001-5687-0652
Wei HanDepartment of Chemistry, Faculty of Science, Hong Kong Baptist University, Hong Kong SAR, China. hanw_chem@hkbu.edu.hk.ORCID http://orcid.org/0000-0003-0759-1766
Yun Lyna LuoDepartment of Biotechnology and Pharmaceutical Sciences, Western University of Health Sciences, Pomona, CA, USA. luoy@westernu.edu.ORCID http://orcid.org/0000-0003-3581-754X

Funding

Breakthrough Molecular Dynamics Research via an Anton2 SupercomputerR01GM116961 · NIGMS · CARNEGIE-MELLON UNIVERSITY · PI BLOOD, PHILIP D. · 2016 to 2023
$3.0M
PHARMACOLOGICAL MODULATION OF PIEZO1 CHANNELSR01GM130834 · NIGMS · WESTERN UNIVERSITY OF HEALTH SCIENCES · PI Yun Lyna LUO, Jerome Lacroix · 2019 to 2026
$2.8M
Cooperative Modulation of Piezo ChannelsR01HL179692 · NHLBI · WESTERN UNIVERSITY OF HEALTH SCIENCES · PI Yun Lyna LUO, Jerome Lacroix · 2025 to 2026
$1.3M
National Natural Science Foundation of China (National Science Foundation of China) 21977011NHLBI NIH HHS R01 HL179692NIGMS NIH HHS R01 GM116961NIGMS NIH HHS R01 GM130834NSF | National Science Board (NSB) #2427812U.S. Department of Health & Human Services | NIH | National Heart, Lung, and Blood Institute (NHLBI) R01HL179692U.S. Department of Health & Human Services | NIH | National Institute of General Medical Sciences (NIGMS) GM130834
6 · The paper itself

Abstract

Mechanosensitive PIEZO channels are thought to open via tension-induced flattening of peripheral transmembrane arm domains, yet the structural basis of this activation remains unclear. Here, by leveraging hybrid-resolution molecular dynamics simulations, we uncover how large-scale PIEZO2 arm movements funnel into subtle gating motions in the central pore under physiological tension. Arm flattening correlates with anticlockwise rotation of the pore relative to the arms and with clockwise twisting of inner pore helices. These clockwork motions open the pore in a two-step fashion, yielding a fully conducting state and a stable subconducting state populated at a low tension, which was detected electrophysiologically. The fully open PIEZO2 pore is walled by both lipids and amino acids and recapitulates minimal pore size, conductance, ion selectivity and outward rectification of chloride currents measured electrophysiologically. These findings provide structural insights into PIEZO2 gating and demonstrate hybrid-resolution molecular dynamics as a powerful approach to study large-scale membrane protein dynamics and guide drug discovery.

Indexed as

Ion ChannelsLipidsHumansIon Channel GatingMolecular Dynamics SimulationIon ChannelsLipidsPIEZO2 protein, human

Identifiers

PMID41703062
PMCPMC13423835

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.