正弦电磁场对幼年大鼠峰值骨量影响的时间依赖性研究。

Exposure Duration Is a Determinant of the Effect of Sinusoidal Electromagnetic Fields on Peak Bone Mass of Young Rats.

机构信息

School of Life Science and Engineering, Lanzhou University of Technology, Lanzhou, 730050, People's Republic of China.

Institute of Orthopaedics, Lanzhou General Hospital of CPLA, Lanzhou, 730050, People's Republic of China.

出版信息

Calcif Tissue Int. 2018 Jul;103(1):95-106. doi: 10.1007/s00223-018-0396-2. Epub 2018 Jan 23.

Abstract

We proposed a three-step strategy to obtain the optimal therapeutic parameters, which is composed of large-scale screening at cellular level, verification in animal experiments, and confirmation by a clinical trial. The objective of the current study was to test the feasibility of our strategy. Newborn rat calvarial osteoblasts were treated by 50 Hz 1.8 mT sinusoidal electromagnetic fields (SEMFs) with 0.5, 1.0, 1.5, 2.0, 2.5, and 3.0 h/days, respectively. The osteogenic differentiation and maturation of the osteoblast were assayed and compared to obtain the optimal duration. One-month-old growing rats were then treated by the same SEMFs with 0.5, 1.5, and 2.5 h/days, respectively, and the peak bone mass was analyzed after 2 months. It was found that the optimal exposure duration to promote the osteogenic differentiation and maturation of osteoblasts was 1.5 h/days, judging by the increasing degrees of ALP activity, calcified nodules formed, the gene and protein expression levels of Runx-2, BMP-2, and Col-I, as well as the expression levels of signaling proteins of the BMP-2/Smad1/5/8 pathway. The highest increase of peak bone mass after 2 months was also obtained by 1.5 h/days, judging by the results of X-ray dual-energy absorptiometry, mechanical property analysis, micro-CT scanning, and serum bone turnover marker examinations. The above results indicated that exposure duration is a determinant for the therapeutic effect of EMFs, and the optimal therapeutic effects only can be obtained by the optimal exposure duration.

摘要

我们提出了一种三步策略来获得最佳治疗参数,该策略由细胞水平的大规模筛选、动物实验验证和临床试验确认组成。本研究的目的是测试我们策略的可行性。将新生大鼠颅骨成骨细胞用 50Hz1.8mT 正弦电磁场(SEMFs)分别处理 0.5、1.0、1.5、2.0、2.5 和 3.0h/d,以测试最佳持续时间。然后用相同的 SEMFs 分别对 1 月龄生长大鼠进行 0.5、1.5 和 2.5h/d 的处理,2 个月后分析峰值骨量。结果发现,通过增加碱性磷酸酶(ALP)活性、矿化结节形成、Runx-2、BMP-2 和 Col-I 基因和蛋白表达水平以及 BMP-2/Smad1/5/8 通路信号蛋白的表达水平,促进成骨细胞的成骨分化和成熟的最佳暴露时间为 1.5h/d。通过 X 射线双能吸收法、力学性能分析、微 CT 扫描和血清骨转换标志物检测,2 个月后获得的峰值骨量增加最高也是 1.5h/d。上述结果表明,暴露时间是电磁场治疗效果的决定因素,只有通过最佳暴露时间才能获得最佳治疗效果。

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