Department of Wound Repair and Rehabilitation Medicine, Center of Bone Metabolism and Repair, Laboratory for Prevention and Rehabilitation of Training Injuries, State Key Laboratory of Trauma, Burns and Combined Injury, Trauma Center, Research Institute of Surgery, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing 400042, China.
Biomed Res Int. 2020 May 26;2020:4307385. doi: 10.1155/2020/4307385. eCollection 2020.
Synovitis plays an important role in the pathogenesis of arthritis, which is closely related to the joint swell and pain of patients. The purpose of this study was to investigate the anti-inflammatory effects of pulsed electromagnetic fields (PEMF) on synovitis and its underlying mechanisms. Destabilization of the medial meniscus (DMM) model and air pouch inflammation model were established to induce synovitis in C57BL/6 mice. The mice were then treated by PEMF (pulse waveform, 1.5 mT, 75 Hz, 10% duty cycle). The synovitis scores as well as the levels of IL-1 and TNF- suggested that PEMF reduced the severity of synovitis in vivo. Moreover, the proportion of neutrophils in the synovial-like layer was decreased, while the proportion of macrophages increased after PEMF treatment. In addition, the phagocytosis of apoptotic neutrophils by macrophages (efferocytosis) was enhanced by PEMF. Furthermore, the data from western blot assay showed that the phosphorylation of P38 was inhibited by PEMF. In conclusion, our current data show that PEMF noninvasively exhibits the anti-inflammatory effect on synovitis via upregulation of the efferocytosis in macrophages, which may be involved in the phosphorylation of P38.
滑膜炎在关节炎的发病机制中起重要作用,与患者的关节肿胀和疼痛密切相关。本研究旨在探讨脉冲电磁场(PEMF)对滑膜炎的抗炎作用及其潜在机制。建立内侧半月板不稳定(DMM)模型和气囊炎症模型,以诱导 C57BL/6 小鼠滑膜炎。然后用 PEMF(脉冲波形,1.5mT,75Hz,10%占空比)对小鼠进行治疗。滑膜炎评分以及 IL-1 和 TNF-α 的水平表明,PEMF 减轻了体内滑膜炎的严重程度。此外,PEMF 治疗后,滑膜样层中的中性粒细胞比例降低,而巨噬细胞比例增加。此外,PEMF 增强了巨噬细胞对凋亡中性粒细胞的吞噬作用(胞葬作用)。此外,Western blot 检测结果表明,PEMF 抑制了 P38 的磷酸化。总之,我们目前的数据表明,PEMF 通过上调巨噬细胞的胞葬作用,非侵入性地发挥对滑膜炎的抗炎作用,这可能涉及 P38 的磷酸化。
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