Ultrasound therapy modulates osteocalcin expression during bone repair in rats.

The aim of this study was to measure the temporal pattern of the protein expression of RUNX2, RANKL, OPG, and osteocalcin after ultrasound therapy during the process of bone healing by immunohistochemistry. The animals were randomly distributed into two groups: control or ultrasound-treated group. A non-critical size bone defects were surgically created at the upper third of the tibia. The treatments started 24h post-surgery, and they are performed for 3, 6, and 12 sessions, with an interval of 48h. A low-intensity pulsed ultrasound (1.5MHz, 1:4 duty cycle, intensity SATA 30mW/cm(2), 20min/session, stationary mode application) was used. On days 7, 13, and 25 post-injury, rats were killed individually by carbon dioxide asphyxia. The tibias were removed for analysis. The histopathological analysis pointed out no remarkable differences between groups for all periods evaluated. However, immunohistochemical data revealed that ultrasound therapy produced an up-regulation of osteocalcin at day 7th and 13th post-surgery. Taken together, our results indicate that ultrasound therapy modulates osteocalcin expression during bone repair in rats as depicted by differential immunopression at the initial and intermediate stages of recovery.