Illustration of the relationships between extracellular matrix (ECM) composition and
structure, mechano-electrochemical signals, and cell biosynthetic activities in
temporomandibular joint (TMJ) disc. Mechanocoupling involves the conversion of applied
physical forces at the tissue level into detectable physical signals at the cellular
level. Mechanical loading induces various signals (e.g., deformation, pressure,
electrical, and fluid, solute [e.g., nutrient], and ion flow fields). These signals
influence biological activities of TMJ disc cells by acting independently or
together.