Department of Trauma Surgery, Experimental Trauma Surgery, Klinikum rechts der Isar, Technical University Munich, Ismaninger Strasse 22, D-81675 Munich, Germany.
Eur J Med Res. 2014 Jul 5;19(1):37. doi: 10.1186/2047-783X-19-37.
BACKGROUND: The promotion of the healing process following musculoskeletal injuries comprises growth factor signalling, migration, proliferation and apoptosis of cells. If these processes could be modulated, the healing of tendon tissue may be markedly enhanced. Here, we report the use of the Somagen™ device, which is certified for medical use according to European laws. It generates low-frequency pulsed electromagnetic fields that trigger effects of a nature that are yet to be determined. METHODS: A 1.5-cm wide, linear scrape was introduced into patellar tendon fibroblast cultures (N = 5 donors). Treatment was carried out every second day. The regimen was applied three times in total with 30 minutes comprising pulsed electromagnetic field packages with two fundamental frequencies (10 minutes of 33 Hz, 20 minutes of 7.8 Hz). Control cells remained untreated. All samples were analyzed for gap closure time, proliferation and apoptosis one week after induction of the scrape wound. RESULTS: The mean time for bridging the gap in the nontreated cells was 5.05 ± 0.33 days, and in treated cells, it took 3.35 ± 0.38 days (P <0.001). For cell cultures with scrape wounds, a mean value for BrdU incorporation of OD = 0.70 ± 0.16 was found. Whereas low-frequency pulsed electromagnetic fields treated samples showed OD = 1.58 ± 0.24 (P <0.001). However, the percentage of apoptotic cells did not differ between the two groups. CONCLUSIONS: Our data demonstrate that low-frequency pulsed electromagnetic fields emitted by the Somagen™ device influences the in vitro wound healing of patellar tendon fibroblasts and, therefore, possibly increases wound healing potential.
背景:促进肌肉骨骼损伤后的愈合过程包括生长因子信号转导、细胞的迁移、增殖和凋亡。如果这些过程能够被调节,那么肌腱组织的愈合可能会显著增强。在这里,我们报告使用 Somagen™ 设备,该设备根据欧洲法律被认证为医疗用途。它产生低频脉冲电磁场,引发尚未确定性质的效应。
方法:在髌腱成纤维细胞培养物(N=5 个供体)中引入 1.5 厘米宽的线性划痕。每隔一天进行一次治疗。该方案总共进行 3 次,每次 30 分钟,包括两个基本频率(10 分钟 33 Hz,20 分钟 7.8 Hz)的脉冲电磁场包。对照细胞未经处理。在划痕诱导后一周,所有样本均用于分析间隙闭合时间、增殖和凋亡。
结果:未经处理的细胞桥接间隙的平均时间为 5.05±0.33 天,而经处理的细胞为 3.35±0.38 天(P<0.001)。对于有划痕伤口的细胞培养物,BrdU 结合的平均 OD 值为 0.70±0.16。而低频脉冲电磁场处理的样本的 OD 值为 1.58±0.24(P<0.001)。然而,两组细胞的凋亡细胞百分比没有差异。
结论:我们的数据表明,Somagen™ 设备发射的低频脉冲电磁场影响髌腱成纤维细胞的体外伤口愈合,因此可能增加伤口愈合潜力。
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