Polarization mechanism of the piezoelectric effect.
(A) Heatmap visualization of RNA-seq results and cluster analysis of differentially expressed genes (DEGs). Red indicates upregulated genes; blue indicates downregulated genes. (B) Volcano plots of the gene expression profile in macrophages: Ctr versus BMC and BMC versus BMC + L groups; up, ns, and down indicate upregulated genes, nonsignificant genes, and downregulated genes, respectively. (C) Gene ontology analysis of all genes in macrophages cultured on BMC membranes with LIPUS stimulation versus without LIPUS stimulation. (D) Enriched KEGG pathways of BMC versus BMC + L. (E) Heatmap of typical DEGs associated with macrophage polarization. (F) Immunofluorescence images and quantification analysis of Piezo1 expression in macrophages. Scale bar = 50 μm. (G) Detection of intracellular calcium content by flow cytometry. (H) Immunofluorescence analysis of CD163 and iNOS expression in macrophages under various treatments. Scale bar = 30 μm. (I) Schematic summary of the macrophage polarization pathways induced by BMC + L. L, LIPUS stimulation; **P < 0.01, ****P < 0.0001.