Rogachefsky Richard A, Altman Roy D, Markov Marko S, Cheung Herman S
Department of Orthopedics, University of Miami School of Medicine, Miami, Florida, USA.
Bioelectromagnetics. 2004 May;25(4):260-70. doi: 10.1002/bem.10192.
This study was designed to determine the potential of a permanent magnetic field to inhibit the progression of osteoarthritis (OA) in a canine model. The magnetic field was created by 72 domino-sized ceramic magnets with surface field strength of 1100 G (0.11 T). The magnetic field strength at the surface of the mattress was 450-500 G (45-50 mT) and was equally distributed over the mattress surface. Eighteen animals had closed resection of their right stifle anterior cruciate ligament. Their kennel floors were covered in one of three ways: no floor mattress (OA) (N = 6); a floor mattress with domino-sized ceramic pieces placed between two layers of foam (sham control OA-MAT) (N = 6); or a floor mattress with domino-sized ceramic permanent magnets placed between two layers of foam (OA-MAT-MAG) (N = 6). Animals were kept in their cages except for 4 h of exercise each day. The left stifle of six animals served as the normal control. The stifle joints were examined at 12 weeks for synovial effusion, gross anatomic appearance, microscopic anatomic appearance (Mankin score), and metalloproteinase (MMP)-1 and -3. Macroscopically, the OA-MAT-MAG group appeared to have less synovitis, less synovial effusion, less disruption of the cartilage surface, and less cartilage ulceration than did the OA group or the control mattress group. The mean Mankin score for the OA-MAT-MAG group was less than that for the OA group (4.2 +/- 0.8 vs. 6.7 +/- 0.3; P <.05) and the control mattress group (4.2 +/- 0.8 vs. 5.2 +/- 0.8; P >.05), but greater than that for the normal left group (4.2 +/- 0.8 vs. 1.0 +/- 0.4; P <.05). These scores show a trend of improvement for OA-MAT-MAG group but the difference with the sham control OA-MAT group was not statistically significant. In immunohistochemical studies, the OA-MAT-MAG group cartilage was stained less heavily for MMP-1 and MMP-3 than were the OA group cartilage and the control mattress group cartilage, but did not differ significantly in MMP-1 and MMP-3 from the normal left group cartilage. The OA-MAT-MAG group did not differ from the normal left group in MMP-3 as determined by Western blot analysis. The study suggests that OA of the medial femoral condyle developed in a canine model exposed to a magnetic field may be inhibited beyond the benefit provided by mattress. Further studies are needed to delineate more precisely the effect of the magnetic field in reducing the severity of OA.
本研究旨在确定在犬类模型中,永久磁场抑制骨关节炎(OA)进展的潜力。该磁场由72块多米诺骨牌大小的陶瓷磁体产生,表面场强为1100 G(0.11 T)。床垫表面的磁场强度为450 - 500 G(45 - 50 mT),且在床垫表面均匀分布。18只动物接受了右膝关节前交叉韧带的闭合切除术。它们的犬舍地面以三种方式之一覆盖:无地面床垫(OA组)(N = 6);在两层泡沫之间放置多米诺骨牌大小陶瓷片的地面床垫(假对照OA - MAT组)(N = 6);或在两层泡沫之间放置多米诺骨牌大小陶瓷永久磁体的地面床垫(OA - MAT - MAG组)(N = 6)。除每天4小时的运动外,动物均饲养在笼中。6只动物的左膝关节作为正常对照。在12周时检查膝关节,观察滑膜积液、大体解剖外观、微观解剖外观(曼金评分)以及金属蛋白酶(MMP)-1和-3。宏观上,与OA组或对照床垫组相比,OA - MAT - MAG组似乎滑膜炎更少、滑膜积液更少、软骨表面破坏更少且软骨溃疡更少。OA - MAT - MAG组的平均曼金评分低于OA组(4.2±0.8对6.7±0.3;P <.05)和对照床垫组(4.2±0.8对5.2±0.8;P >.05),但高于正常左膝关节组(4.2±0.8对1.0±0.4;P <.05)。这些评分显示OA - MAT - MAG组有改善趋势,但与假对照OA - MAT组的差异无统计学意义。在免疫组织化学研究中,OA - MAT - MAG组软骨中MMP - 1和MMP - 3的染色程度低于OA组软骨和对照床垫组软骨,但在MMP - 1和MMP - 3方面与正常左膝关节组软骨无显著差异。通过蛋白质印迹分析确定,OA - MAT - MAG组在MMP - 3方面与正常左膝关节组无差异。该研究表明,暴露于磁场的犬类模型中发生的股骨内侧髁OA可能受到抑制,其益处超过床垫所提供的。需要进一步研究以更精确地描述磁场在降低OA严重程度方面的作用。