Brighton C T, Wang W, Seldes R, Zhang G, Pollack S R
Department of Orthopaedic SUrgery, University of Pennsylvania, Philadelphia 19104-6081, USA.
J Bone Joint Surg Am. 2001 Oct;83(10):1514-23. doi: 10.2106/00004623-200110000-00009.
Electrical stimulation is used to treat nonunions and to augment spinal fusions. We studied the biochemical pathways that are activated in signal transduction when various types of electrical stimulation are applied to bone cells.
Cultured MC3T3-E1 bone cells were exposed to capacitive coupling, inductive coupling, or combined electromagnetic fields at appropriate field strengths for thirty minutes and for two, six, and twenty-four hours. The DNA content of each dish was determined. Other cultures of MC3T3-E1 bone cells were exposed to capacitive coupling, inductive coupling, or combined electromagnetic fields for two hours in the presence of various inhibitors of signal transduction, with or without electrical stimulation, and the DNA content of each dish was determined.
All three signals produced a significant increase in DNA content per dish compared with that in the controls at all time-points (p < 0.05), but only exposure to capacitive coupling resulted in a significant, ever-increasing DNA production at each time-period beyond thirty minutes. The use of specific metabolic inhibitors indicated that, with capacitive coupling, signal transduction was by means of influx of Ca(2+) through voltage-gated calcium channels leading to an increase in cytosolic Ca(2+) (blocked by verapamil), cytoskeletal calmodulin (blocked by W-7), and prostaglandin E2 (blocked by indomethacin). With inductive coupling and combined electromagnetic fields, signal transduction was by means of intracellular release of Ca(2+) leading to an increase in cytosolic Ca(2+) (blocked by TMB-8) and an increase in activated cytoskeletal calmodulin (blocked by W-7).
The initial events in signal transduction were found to be different when capacitive coupling was compared with inductive coupling and with combined electromagnetic fields; the initial event with capacitive coupling is Ca(2+) ion translocation through cell-membrane voltage-gated calcium channels, whereas the initial event with inductive coupling and with combined electromagnetic fields is the release of Ca(2+) from intracellular stores. The final pathway, however, is the same for all three signals-that is, there is an increase in cytosolic Ca(2+) and an increase in activated cytoskeletal calmodulin.
电刺激用于治疗骨不连和增强脊柱融合。我们研究了将各种类型的电刺激应用于骨细胞时信号转导中被激活的生化途径。
将培养的MC3T3-E1骨细胞在适当的场强下暴露于电容耦合、电感耦合或组合电磁场中30分钟以及2小时、6小时和24小时。测定每个培养皿中的DNA含量。MC3T3-E1骨细胞的其他培养物在存在各种信号转导抑制剂的情况下暴露于电容耦合、电感耦合或组合电磁场中2小时,有或无电刺激,然后测定每个培养皿中的DNA含量。
与所有时间点的对照组相比,所有三种信号均使每个培养皿中的DNA含量显著增加(p < 0.05),但仅暴露于电容耦合导致在30分钟后的每个时间段内DNA产量显著且持续增加。使用特定的代谢抑制剂表明,对于电容耦合,信号转导是通过Ca(2+)通过电压门控钙通道流入导致胞质Ca(2+)增加(被维拉帕米阻断)、细胞骨架钙调蛋白增加(被W-7阻断)以及前列腺素E2增加(被吲哚美辛阻断)。对于电感耦合和组合电磁场,信号转导是通过Ca(2+)从细胞内释放导致胞质Ca(2+)增加(被TMB-8阻断)以及活化的细胞骨架钙调蛋白增加(被W-7阻断)。
当将电容耦合与电感耦合以及组合电磁场进行比较时,发现信号转导的初始事件不同;电容耦合的初始事件是Ca(2+)离子通过细胞膜电压门控钙通道转运,而电感耦合和组合电磁场的初始事件是Ca(2+)从细胞内储存释放。然而,所有三种信号的最终途径是相同的,即胞质Ca(2+)增加以及活化的细胞骨架钙调蛋白增加。