Wang Pan, Liu Juan, Yang Yuefan, Zhai Mingming, Shao Xi, Yan Zedong, Zhang Xuhui, Wu Yan, Cao Lu, Sui Bingdong, Luo Erping, Jing Da
Department of Biomedical Engineering, Fourth Military Medical University, Xi'an, China.
Department of Neurosurgery, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Bioelectromagnetics. 2017 Dec;38(8):602-612. doi: 10.1002/bem.22070. Epub 2017 Jul 24.
Pulsed electromagnetic fields (PEMF) have been proven to be effective for promoting bone mass and regulating bone turnover both experimentally and clinically. However, the exact mechanisms for the regulation of PEMF on osteoclastogenesis as well as optical exposure parameters of PEMF on inhibiting osteoclastic activities and functions remain unclear, representing significant limitations for extensive scientific application of PEMF in clinics. In this study, RAW264.7 cells incubated with RANKL were exposed to 15 Hz PEMF (2 h/day) at various intensities (0.5, 1, 2, and 3 mT) for 7 days. We demonstrate that bone resorbing capacity was significantly decreased by 0.5 mT PEMF mainly by inhibiting osteoclast formation and maturation, but enhanced at 3 mT by promoting osteoclast apoptosis. Moreover, gene expression of RANK, NFATc1, TRAP, CTSK, BAX, and BAX/BCL-2 was significantly decreased by 0.5 mT PEMF, but increased by 3 mT. Our findings reveal a significant intensity window for low-intensity PEMF in regulating bone resorption with diverse nature for modulating osteoclastogenesis and apoptosis. This study not only enriches our basic knowledge for the regulation of PEMF in osteoclastogenesis, but also may lead to more efficient and scientific clinical application of PEMF in regulating bone turnover and inhibiting osteopenia/osteoporosis. Bioelectromagnetics. 38:602-612, 2017. © 2017 Wiley Periodicals, Inc.
脉冲电磁场(PEMF)在实验和临床研究中均已被证明对促进骨量增加和调节骨转换有效。然而,PEMF调节破骨细胞生成的确切机制以及PEMF抑制破骨细胞活性和功能的最佳暴露参数仍不清楚,这是PEMF在临床上广泛科学应用的重大限制。在本研究中,将与RANKL孵育的RAW264.7细胞暴露于不同强度(0.5、1、2和3 mT)的15 Hz PEMF(每天2小时)下,持续7天。我们发现,0.5 mT的PEMF主要通过抑制破骨细胞的形成和成熟,显著降低了骨吸收能力,但3 mT的PEMF通过促进破骨细胞凋亡增强了骨吸收能力。此外,0.5 mT的PEMF显著降低了RANK、NFATc1、TRAP、CTSK、BAX和BAX/BCL-2的基因表达,但3 mT的PEMF使其增加。我们的研究结果揭示了低强度PEMF在调节骨吸收方面存在一个显著的强度窗口,其通过调节破骨细胞生成和凋亡具有不同的作用机制。本研究不仅丰富了我们对PEMF调节破骨细胞生成的基础知识,还可能导致PEMF在调节骨转换和抑制骨质减少/骨质疏松方面更有效和科学的临床应用。《生物电磁学》。2017年,第38卷,第602 - 612页。© 2017威利期刊公司
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