Wang Jing, An Yanxin, Li Feijiang, Li Dongmei, Jing Da, Guo Tianwen, Luo Erping, Ma Chufan
Department of Prosthetic Dentistry, School of Stomatology, Fourth Military Medical University, 169 West Changle Road, Xi'an 710032, China.
Department of General Surgery, Jinan Military General Hospital, Jinan 250031, China; Xijing Hospital of Digestive Diseases, Fourth Military Medical University, 169 West Changle Road, Xi'an 710032, China.
Acta Biomater. 2014 Feb;10(2):975-85. doi: 10.1016/j.actbio.2013.10.008. Epub 2013 Oct 17.
The use of pulsed electromagnetic fields (PEMFs) is a promising approach to promote osteogenesis. However, few studies have reported the effects of this technique on the osseointegration of endosseous implants, especially with regard to different implant topographies. We focused on how the initial interaction between cells and the titanium surface is enhanced by a PEMF and the possible regulatory mechanisms in this study. Rat osteoblasts were cultured on three types of titanium surfaces (Flat, Micro and Nano) under PEMF stimulation or control conditions. Protein adsorption was significantly increased by the PEMF. The number of osteoblasts attached to the surfaces in the PEMF group was substantially greater than that in the control group after 1.5h incubation. PEMF stimulation oriented the osteoblasts perpendicular to the electromagnetic field lines and increased the number of microfilaments and pseudopodia formed by the osteoblasts. The cell proliferation on the implant surfaces was significantly promoted by the PEMF. Significantly increased extracellular matrix mineralization nodules were observed under PEMF stimulation. The expression of osteogenesis-related genes, including BMP-2, OCN, Col-1,ALP, Runx2 and OSX, were up-regulated on all the surfaces by PEMF stimulation. Our findings suggest that PEMFs enhance the osteoblast compatibility on titanium surfaces but to different extents with regard to implant surface topographies. The use of PEMFs might be a potential adjuvant treatment for improving the osseointegration process.
使用脉冲电磁场(PEMF)是促进骨生成的一种有前景的方法。然而,很少有研究报道该技术对骨内种植体骨结合的影响,特别是关于不同种植体表面形貌方面。在本研究中,我们关注PEMF如何增强细胞与钛表面之间的初始相互作用以及可能的调节机制。将大鼠成骨细胞在三种类型的钛表面(平面、微结构和纳米结构)上于PEMF刺激或对照条件下培养。PEMF显著增加了蛋白质吸附。孵育1.5小时后,PEMF组附着在表面的成骨细胞数量明显多于对照组。PEMF刺激使成骨细胞垂直于电磁场线排列,并增加了成骨细胞形成的微丝和伪足数量。PEMF显著促进了种植体表面的细胞增殖。在PEMF刺激下观察到细胞外基质矿化结节明显增加。PEMF刺激使所有表面上与骨生成相关的基因(包括BMP - 2、OCN、Col - 1、ALP、Runx2和OSX)的表达上调。我们的研究结果表明,PEMF增强了钛表面上成骨细胞的相容性,但在种植体表面形貌方面程度不同。使用PEMF可能是改善骨结合过程的一种潜在辅助治疗方法。
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