Department of Physical Medicine and Rehabilitation, Reina Sofía Hospital, C/Carretera Tarazona, KM 3, CP 31500, Tudela, Spain.
Rheumatol Int. 2011 Oct;31(10):1283-9. doi: 10.1007/s00296-010-1488-0. Epub 2010 Apr 7.
The clinical use of pulsed electromagnetic fields (PEMF) in osteoarticular pathology is widely extended, although the mechanisms involved are unknown. The aim of this study was to evaluate the action of a new protocol of treatment with PEMF on liquid medium cultures of fibroblast-like cells derivates of mononuclear peripheral blood cells. Fibroblast-like cells growth was obtained in liquid medium culture from mononuclear cells (MNC) of human peripheral blood. The PEMF irradiation protocol included an intensity of 2.25 mT, a frequency of 50 Hz and an application time of 15 min on days 7, 8 and 9 of cell culture. Immunophenotype was performed with specific heterologous monoclonal antibodies for each cell receptor (Vimentin, Cytokeratin, CD34, CD41, CD61 and CD68). The cytokines' production was determined in the supernatant of the culture medium by means of the Luminex technology. The immunophenotype did not show any statistical difference on comparing treated against non-treated cell cultures on any of the days. In the treatment cell population, the proinflammatory cytokines, IL-1β and TNF-α showed a significant decrease on days 14 and 21 of the culture, whilst IL-10 increased significantly on day 21. It is concluded that PEMF irradiation does not alter the cell immunophenotype of the fibroblast-like cell population, but does provoke a decrease in the production of inflammatory-type cytokines (IL-1β, TNF-α) and an increase in cytokines of lymphocytic origin (IL-10). These facts coincide with the chronology of the clinical effect undergone by patients with osteoarticular pathology after PEMF irradiation.
脉冲电磁场(PEMF)在骨关节炎病理中的临床应用得到了广泛的扩展,尽管其涉及的机制尚不清楚。本研究旨在评估一种新的 PEMF 治疗方案对来源于外周血单核细胞的成纤维样细胞的液体培养基培养物的作用。成纤维样细胞生长是从人外周血单核细胞(MNC)的液体培养基培养中获得的。PEMF 辐射方案包括在细胞培养的第 7、8 和 9 天,强度为 2.25 mT、频率为 50 Hz 和应用时间为 15 分钟。免疫表型通过针对每个细胞受体的特异性异源单克隆抗体进行(波形蛋白、细胞角蛋白、CD34、CD41、CD61 和 CD68)。通过 Luminex 技术测定培养物上清液中的细胞因子产生。在任何一天,与未处理的细胞培养物相比,处理过的细胞培养物的免疫表型没有显示出任何统计学差异。在治疗细胞群中,促炎细胞因子 IL-1β 和 TNF-α在培养的第 14 和 21 天显著下降,而 IL-10 在第 21 天显著增加。结论是,PEMF 辐射不会改变成纤维样细胞群体的细胞免疫表型,但会引起炎症型细胞因子(IL-1β、TNF-α)的产生减少和淋巴细胞来源的细胞因子(IL-10)的增加。这些事实与接受 PEMF 辐射后的骨关节炎患者的临床效果的时间进程一致。
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