The study relies on mouse cell lines, so the direct relevance to human cells and tissues remains to be established. Further research is needed to see if similar effects occur in human cells.
This is an in vitro study, meaning it was done in a controlled lab setting outside of a living organism. The complexity of a living organism could affect sound wave transmission and responses in ways not captured in a dish.
Limited exploration of sound parameters
While the study tested different frequencies and waveforms, a more thorough exploration of acoustic parameters (e.g., duration, pulse patterns, intensity) and their impact on different cell types is needed.
Potential confounding factors
The study acknowledges difficulty isolating the pure effect of compressional waves from fluid shear stress induced by acoustic wave generation, so some findings may not be solely based on 'sound'.
While the study identified a potential pathway, full details of acoustic signal transduction are not yet understood, especially the involvement of pathways other than those involving focal adhesions.