Department of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, People's Republic of China.
School of Rehabilitation Sciences, West China School of Medicine, Sichuan University, Chengdu, People's Republic of China.
Bioelectromagnetics. 2020 May;41(4):298-307. doi: 10.1002/bem.22263. Epub 2020 Apr 10.
Pulsed electromagnetic field (PEMF) and whole body vibration (WBV) interventions are expected to be important strategies for management of osteoarthritis (OA). The aim of the study was to investigate the comparative effectiveness of PEMF versus WBV on cartilage and subchondral trabecular bone in mice with knee OA (KOA) induced by surgical destabilization of the medial meniscus (DMM). Forty 12-week-old male C57/BL mice were randomly divided into four groups (n = 10): Control, OA, PEMF, and WBV. OA was induced (OA, PEMF, and WBV groups) by surgical DMM of right knee joint. Mice in PEMF group received 1 h/day PEMF exposure with 75 Hz, 1.6 mT for 4 weeks, and the WBV group was exposed to WBV for 20 min/day with 5 Hz, 4 mm, 0.3 g peak acceleration for 4 weeks. Micro-computed tomography (micro-CT), histology, and immunohistochemistry analyses were performed to evaluate the changes in cartilage and microstructure of trabecular bone. The bone volume fraction (BV/TV), trabecular thickness (Tb.Th), and trabecular number (Tb.N) increased, and bone surface/bone volume (BS/BV) decreased by micro-CT analysis in PEMF and WBV groups. The Osteoarthritis Research Society International (OARSI) scores in PEMF and WBV groups were significantly lower than in the OA group. Immunohistochemical results showed that PEMF and WBV promoted expressions of Aggrecan, and inhibited expressions of IL-1β, ADAMTS4, and MMP13. Superior results are seen in PEMF group compared with WBV group. Both PEMF and WBV were effective, could delay cartilage degeneration and preserve subchondral trabecular bone microarchitecture, and PEMF was found to be superior to WBV. Bioelectromagnetics. 2020;41:298-307 © 2020 Bioelectromagnetics Society.
脉冲电磁场(PEMF)和全身振动(WBV)干预预计将成为治疗骨关节炎(OA)的重要策略。本研究旨在探讨 PEMF 与 WBV 对内侧半月板手术不稳(DMM)诱导的膝骨关节炎(KOA)小鼠软骨和软骨下骨小梁的比较效果。40 只 12 周龄雄性 C57/BL 小鼠随机分为 4 组(n=10):对照组、OA 组、PEMF 组和 WBV 组。通过右膝关节 DMM 手术诱导 OA(OA、PEMF 和 WBV 组)。PEMF 组接受 1h/d PEMF 暴露,频率为 75Hz,强度为 1.6mT,持续 4 周,WBV 组接受 5Hz、4mm、0.3g 峰值加速度的 WBV 暴露,每天 20min,持续 4 周。采用微计算机断层扫描(micro-CT)、组织学和免疫组织化学分析评估软骨和小梁骨微观结构的变化。Micro-CT 分析显示,PEMF 和 WBV 组的骨体积分数(BV/TV)、骨小梁厚度(Tb.Th)和骨小梁数量(Tb.N)增加,骨表面/骨体积(BS/BV)减少。PEMF 和 WBV 组的骨关节炎研究协会国际(OARSI)评分明显低于 OA 组。免疫组织化学结果显示,PEMF 和 WBV 促进 Aggrecan 的表达,抑制 IL-1β、ADAMTS4 和 MMP13 的表达。与 WBV 组相比,PEMF 组的结果更优。PEMF 和 WBV 均有效,能延缓软骨退变,保护软骨下骨小梁微观结构,且 PEMF 优于 WBV。生物电磁学。2020;41:298-307 © 2020 生物电磁学学会。
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