Gerontechnology Center, Korea Institute of Industrial Technology, Cheonan, Chungnam 330-825, Korea.
J Orthop Res. 2011 Jan;29(1):116-25. doi: 10.1002/jor.21191.
Osteoporosis is a disease characterized by low bone mass, increased bone fragility, and a greater risk for bone fracture. Currently, pharmacological intervention can generally aid in the prevention and treatment of osteoporosis, but these therapies are often accompanied by undesirable side effects. Therefore, alternative therapies that minimize side effects are necessary. Biophysical stimuli, especially low-intensity ultrasound stimulation (LIUS), may be potential alternatives to drug-based therapies for osteoporosis. Hence, we sought to address whether LIUS therapy can effectively prevent or treat osteoporotic bone loss induced by estrogen deficiency. LIUS (1.5 MHz frequency, 1.0 kHz pulse repetition on frequency, 30 mW/cm(2) intensity, 200 µs pulse length) was applied to right tibiae of eight 14-week-old ovariectomized virgin ICR female mice for 20 min per day, 5 days per week, over a 6-week period. Changes in 3D structural bone characteristics were detected using in vivo micro-computed tomography. Left tibiae served as controls. Structural characteristics including bone volume/tissue volume, trabecular number, trabecular bone pattern factor, and mean polar moment inertia were significantly enhanced 6 weeks after LIUS compared to the control, nonstimulated group (p < 0.05). In particular, the bone volume/tissue volume in the region exposed directly to LIUS was significantly higher in the treated group (p < 0.05). These findings indicate that new bone formation may be activated or that bone structure may be maintained by LIUS, and that LIUS may be effective for preventing estrogen deficiency-induced bone loss.
骨质疏松症是一种以骨量低、骨脆性增加和骨折风险增加为特征的疾病。目前,药物干预通常可以辅助骨质疏松症的预防和治疗,但这些治疗方法往往伴随着不良的副作用。因此,需要寻找副作用较小的替代疗法。生物物理刺激,特别是低强度超声刺激(LIUS),可能是骨质疏松症药物治疗的潜在替代方法。因此,我们试图探讨 LIUS 治疗是否可以有效预防或治疗雌激素缺乏引起的骨质疏松性骨丢失。LIUS(1.5MHz 频率、1.0kHz 脉冲重复频率、30mW/cm²强度、200µs 脉冲长度)应用于 8 只 14 周龄去卵巢未交配 ICR 雌性小鼠的右侧胫骨,每天 20 分钟,每周 5 天,持续 6 周。使用体内 micro-CT 检测 3D 结构骨特征的变化。左侧胫骨作为对照。结构特征包括骨体积/组织体积、骨小梁数量、骨小梁模式因子和平均极惯性矩,与对照组相比,LIUS 治疗 6 周后显著增加(p<0.05)。特别是,直接接受 LIUS 照射的区域的骨体积/组织体积在治疗组中显著更高(p<0.05)。这些发现表明,LIUS 可能通过激活新骨形成或维持骨结构来预防雌激素缺乏引起的骨丢失。