Department of Orthopaedic Surgery, Yong Loo Lin School of Medicine, National University of Singapore, NUHS Tower Block, Level 11, 1E Kent Ridge Road, Singapore, 119288, Singapore.
Department of Surgery, Yong Loo Lin School of Medicine, National University of Singapore, NUHS Tower Block, Level 8, IE Kent Ridge Road, Singapore, 119228, Singapore.
Sci Rep. 2017 Aug 25;7(1):9421. doi: 10.1038/s41598-017-09892-w.
Pulse electromagnetic fields (PEMFs) have been shown to recruit calcium-signaling cascades common to chondrogenesis. Here we document the effects of specified PEMF parameters over mesenchymal stem cells (MSC) chondrogenic differentiation. MSCs undergoing chondrogenesis are preferentially responsive to an electromagnetic efficacy window defined by field amplitude, duration and frequency of exposure. Contrary to conventional practice of administering prolonged and repetitive exposures to PEMFs, optimal chondrogenic outcome is achieved in response to brief (10 minutes), low intensity (2 mT) exposure to 6 ms bursts of magnetic pulses, at 15 Hz, administered only once at the onset of chondrogenic induction. By contrast, repeated exposures diminished chondrogenic outcome and could be attributed to calcium entry after the initial induction. Transient receptor potential (TRP) channels appear to mediate these aspects of PEMF stimulation, serving as a conduit for extracellular calcium. Preventing calcium entry during the repeated PEMF exposure with the co-administration of EGTA or TRP channel antagonists precluded the inhibition of differentiation. This study highlights the intricacies of calcium homeostasis during early chondrogenesis and the constraints that are placed on PEMF-based therapeutic strategies aimed at promoting MSC chondrogenesis. The demonstrated efficacy of our optimized PEMF regimens has clear clinical implications for future regenerative strategies for cartilage.
脉冲电磁场 (PEMFs) 已被证明可募集软骨发生中常见的钙信号级联反应。在这里,我们记录了特定的 PEMF 参数对间充质干细胞 (MSC) 软骨分化的影响。正在进行软骨发生的 MSC 对电磁场强度、暴露持续时间和频率定义的电磁功效窗口具有优先响应性。与 PEMFs 长时间重复暴露的常规做法相反,在软骨诱导开始时,仅进行一次短暂(10 分钟)、低强度(2mT)、6ms 磁脉冲爆发(15Hz)的 10 分钟单次暴露即可获得最佳的软骨生成效果。相比之下,重复暴露会降低软骨生成效果,这可能归因于初始诱导后的钙内流。瞬时受体电位 (TRP) 通道似乎介导了 PEMF 刺激的这些方面,作为细胞外钙的通道。在用 EGTA 或 TRP 通道拮抗剂共同给药来防止重复 PEMF 暴露时的钙内流,可以防止分化抑制。这项研究强调了早期软骨发生过程中钙稳态的复杂性,以及针对促进 MSC 软骨发生的基于 PEMF 的治疗策略所施加的限制。我们优化的 PEMF 方案的功效表明,其对未来的软骨再生策略具有明显的临床意义。
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