Randelli Pietro, Menon Alessandra, Ragone Vincenza, Creo Pasquale, Alfieri Montrasio Umberto, Perucca Orfei Carlotta, Banfi Giuseppe, Cabitza Paolo, Tettamanti Guido, Anastasia Luigi
IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy.
Department of Biomedical Sciences for Health, University of Milan, piazza Malan 2, 20097, San Donato Milanese, Milan, Italy.
BMC Complement Altern Med. 2016 Aug 18;16:293. doi: 10.1186/s12906-016-1261-3.
BACKGROUND: Current clinical procedures for rotator cuff tears need to be improved, as a high rate of failure is still observed. Therefore, new approaches have been attempted to stimulate self-regeneration, including biophysical stimulation modalities, such as low-frequency pulsed electromagnetic fields, which are alternative and non-invasive methods that seem to produce satisfying therapeutic effects. While little is known about their mechanism of action, it has been speculated that they may act on resident stem cells. Thus, the purpose of this study was to evaluate the effects of a pulsed electromagnetic field (PST®) on human tendon stem cells (hTSCs) in order to elucidate the possible mechanism of the observed therapeutic effects. METHODS: hTSCs from the rotator cuff were isolated from tendon biopsies and cultured in vitro. Then, cells were exposed to a 1-h PST® treatment and compared to control untreated cells in terms of cell morphology, proliferation, viability, migration, and stem cell marker expression. RESULTS: Exposure of hTSCs to PST® did not cause any significant changes in proliferation, viability, migration, and morphology. Instead, while stem cell marker expression significantly decreased in control cells during cell culturing, PST®-treated cells did not have a significant reduction of the same markers. CONCLUSIONS: While PST® did not have significant effects on hTSCs proliferation, the treatment had beneficial effects on stem cell marker expression, as treated cells maintained a higher expression of these markers during culturing. These results support the notion that PST® treatment may increase the patient stem cell regenerative potential.
背景:目前用于治疗肩袖撕裂的临床方法仍需改进,因为失败率仍然很高。因此,人们尝试了新的方法来刺激自我修复,包括生物物理刺激方式,如低频脉冲电磁场,这是一些替代性的非侵入性方法,似乎能产生令人满意的治疗效果。虽然对其作用机制了解甚少,但据推测它们可能作用于驻留干细胞。因此,本研究的目的是评估脉冲电磁场(PST®)对人肌腱干细胞(hTSCs)的影响,以阐明观察到的治疗效果的可能机制。 方法:从肌腱活检组织中分离出肩袖的hTSCs并在体外培养。然后,将细胞暴露于1小时的PST®处理,并在细胞形态、增殖、活力、迁移和干细胞标志物表达方面与未处理的对照细胞进行比较。 结果:hTSCs暴露于PST®后,在增殖、活力、迁移和形态方面未引起任何显著变化。相反,在细胞培养过程中,对照细胞中的干细胞标志物表达显著下降,而经PST®处理的细胞中这些标志物没有显著降低。 结论:虽然PST®对hTSCs增殖没有显著影响,但该处理对干细胞标志物表达有有益作用,因为处理后的细胞在培养过程中维持了这些标志物的较高表达。这些结果支持了PST®治疗可能增加患者干细胞再生潜力的观点。
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