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脉冲电磁场:骨质疏松症的有前途的治疗方法。

Pulsed electromagnetic fields: promising treatment for osteoporosis.

机构信息

Department of Rehabilitation Medicine, West China Hospital, Sichuan University, No. 37 Guoxue Xiang, Chengdu, 610041, Sichuan, People's Republic of China.

Key Laboratory of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, People's Republic of China.

出版信息

Osteoporos Int. 2019 Feb;30(2):267-276. doi: 10.1007/s00198-018-04822-6. Epub 2019 Jan 2.

Abstract

Osteoporosis (OP) is considered to be a well-defined disease which results in high morbidity and mortality. In patients diagnosed with OP, low bone mass and fragile bone strength have been demonstrated to significantly increase risk of fragility fractures. To date, various anabolic and antiresorptive therapies have been applied to maintain healthy bone mass and strength. Pulsed electromagnetic fields (PEMFs) are employed to treat patients suffering from delayed fracture healing and nonunions. Although PEMFs stimulate osteoblastogenesis, suppress osteoclastogenesis, and influence the activity of bone marrow mesenchymal stem cells (BMSCs) and osteocytes, ultimately leading to retention of bone mass and strength. However, whether PEMFs could be taken into clinical use to treat OP is still unknown. Furthermore, the deeper signaling pathways underlying the way in which PEMFs influence OP remain unclear.

摘要

骨质疏松症(OP)被认为是一种明确的疾病,会导致高发病率和死亡率。在诊断为 OP 的患者中,低骨量和脆弱的骨强度已被证明显著增加了脆性骨折的风险。迄今为止,各种合成代谢和抗吸收疗法已被用于维持健康的骨量和强度。脉冲电磁场(PEMFs)用于治疗骨折延迟愈合和骨不连的患者。虽然 PEMFs 可刺激成骨细胞生成、抑制破骨细胞生成,并影响骨髓间充质干细胞(BMSCs)和骨细胞的活性,最终导致骨量和强度的保留,但 PEMFs 是否可用于临床治疗 OP 仍不清楚。此外,PEMFs 影响 OP 的更深层次信号通路仍不清楚。

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