Pilla A A, Muehsam D J, Markov M S, Sisken B F
Department of Orthopaedics, Mount Sinai School of Medicine, New York, NY 10029, USA.
Bioelectrochem Bioenerg. 1999 Feb;48(1):27-34. doi: 10.1016/s0302-4598(98)00148-2.
The kinetics of an electromagnetic field (EMF) target pathway are used to estimate frequency windows for EMF bioeffects. Ion/ligand binding is characterized via first order kinetics from which a specific electrical impedance can be derived. The resistance/capacitance properties of the binding pathway impedance, determined by the kinetics of the rate-determining step, define the frequency range over which the target pathway is most sensitive to external EMF. Applied signals may thus be configured such that their spectral content closely matches that of the target, using evaluation of the signal to thermal noise ratio to optimize waveform parameters. Using the approach proposed in this study, a pulsed radio frequency (PRF) waveform, currently employed clinically for soft tissue repair, was returned by modulation of burst duration, producing significant bioeffects at substantially reduced signal amplitude. Application is made to Ca2+/Calmodulin-dependent myosin phosphorylation, for which the binding time constants may be estimated from reported kinetics, neurite outgrowth from embryonic chick dorsal root explants and bone repair in a fracture model. The results showed that the retuned signal produced increased phosphorylation rates, neurite outgrowth and biomechanical strength that were indistinguishable from those produced by the clinical signal, but with a tenfold reduction in peak signal amplitude, approximately 800-fold reduction in average amplitude and approximately 10(6)-fold reduction in average power.
利用电磁场(EMF)目标通路的动力学来估计EMF生物效应的频率窗口。离子/配体结合通过一级动力学来表征,由此可以推导出特定的电阻抗。由速率决定步骤的动力学所确定的结合通路阻抗的电阻/电容特性,定义了目标通路对外部EMF最敏感的频率范围。因此,可以通过评估信号与热噪声之比来优化波形参数,从而配置施加的信号,使其频谱内容与目标信号的频谱内容紧密匹配。使用本研究中提出的方法,通过调制脉冲串持续时间,得到了目前临床上用于软组织修复的脉冲射频(PRF)波形,在信号幅度大幅降低的情况下产生了显著的生物效应。该方法应用于Ca2+/钙调蛋白依赖性肌球蛋白磷酸化(其结合时间常数可根据已报道的动力学进行估计)、胚胎鸡背根外植体的神经突生长以及骨折模型中的骨修复。结果表明,重新调整后的信号产生了与临床信号相同的磷酸化速率增加、神经突生长和生物力学强度,但峰值信号幅度降低了10倍,平均幅度降低了约800倍,平均功率降低了约10^6倍。