Medical Device Innovation Center, National Cheng Kung University, Tainan, Taiwan; Department of Orthopedics, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Department of Orthopedics, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Med Eng Phys. 2020 Mar;77:130-136. doi: 10.1016/j.medengphy.2019.12.001. Epub 2020 Jan 15.
Tendinopathy is a progressive pathology of tendon that is characteristic of imbalance between matrix synthesis and degeneration and is often caused by failure to adapt to mechanical loading. Non-steroidal anti-inflammatory medications (NSAIDS) are used as a conventional treatment to alleviate pain and swelling in the short term, but the ideal treatment for tendinopathy remains unclear. Here, we show a single pulsed electromagnetic field (SPEMF, 0.2 Hz) that up-regulated tenogenic gene expression (Col1a1, Col3a1, Scx, Dcn) and down-regulated inflammatory gene expression (Mmp1) in vitro. After five days of SPEMF stimulation (3 min/day), the collagen type I and total collagen synthesis protein levels were significantly increased. Under pro-inflammatory cytokine (IL-1β) irritation, the decreased expression of Col1a1/Col3a1 was up-regulated by SPEMF treatment, and the increased expression of Mmp1 was also reversed. From the above, it can be inferred that SPEMF that enhances matrix synthesis and reduces matrix degeneration may counteract the imbalance in tendinopathy. SPEMF application may be developed as a potential future strategy for therapeutic intervention in tendon disorders.
腱病是一种渐进性的肌腱疾病,其特征是基质合成和退化之间的失衡,通常是由于无法适应机械负荷引起的。非甾体抗炎药(NSAIDs)被用作一种常规治疗方法,以缓解短期的疼痛和肿胀,但腱病的理想治疗方法仍不清楚。在这里,我们展示了一种单一脉冲电磁场(SPEMF,0.2 Hz),它可以在体外上调腱形成基因的表达(Col1a1、Col3a1、Scx、Dcn),并下调炎症基因的表达(Mmp1)。在 SPEMF 刺激 5 天后(每天 3 分钟),I 型胶原和总胶原合成蛋白水平显著增加。在促炎细胞因子(IL-1β)刺激下,SPEMF 治疗可上调 Col1a1/Col3a1 的表达下调,也可逆转 Mmp1 的表达上调。由此可以推断,增强基质合成和减少基质退化的 SPEMF 可能会对抗腱病的失衡。SPEMF 的应用可能会被开发为治疗肌腱疾病的潜在未来策略。
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