“…TM responsiveness to mechanical stress, elevated TGFb concentrations and chronic steroid treatment converge at the level of increased ECM stiffness and actomyosin contractility as Rho kinase (ROCK)-dependent increases in JCT resistance to uid ow (10,12,13). This process has been associated with upregulation of the mTOR-AKT1 pathway, SMAD2/3 transcription, autophagy (14), overactivation of integrin-based cell-ECM contacts (15), release of matrix metalloproteinases (MMPs) (16), and altered expression of TM proteins related to aging, DNA structure, cytochrome P450 signaling and cell differentiation (17) while the identity of pressure sensing molecules that drive these remodeling pathways remains poorly understood. Cultured human TM cells are highly mechanosensitive, responding to physiological (5-15 mm Hg) pressure steps with Na + , K + and Ca 2+ currents mediated by Piezo1, TRPV4 and TREK-1 channels (18-21).…”