Department of Orthopedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, Hubei, China.
Stem Cell Res Ther. 2023 Jan 11;14(1):7. doi: 10.1186/s13287-022-03217-z.
Bone tissue engineering (BTE) emerged as one of the exceptional means for bone defects owing to it providing mechanical supports to guide bone tissue regeneration. Great advances have been made to facilitate the success of BTE in regenerating bone within defects. The use of externally applied fields has been regarded as an alternative strategy for BTE. Electromagnetic fields (EMFs), known as a simple and non-invasive therapy, can remotely provide electric and magnetic stimulation to cells and biomaterials, thus applying EMFs to assist BTE would be a promising strategy for bone regeneration. When combined with BTE, EMFs improve cell adhesion to the material surface by promoting protein adsorption. Additionally, EMFs have positive effects on mesenchymal stem cells and show capabilities of pro-angiogenesis and macrophage polarization manipulation. These advantages of EMFs indicate that it is perfectly suitable for representing the adjuvant treatment of BTE. We also summarize studies concerning combinations of EMFs and diverse biomaterial types. The strategy of combining EMFs and BTE receives encouraging outcomes and holds a promising future for effectively treating bone defects.
骨组织工程(BTE)作为一种治疗骨缺损的特殊手段而出现,它为骨组织再生提供机械支撑。为了促进 BTE 在再生骨缺损中的成功,已经取得了很大的进展。外部施加场的使用被认为是 BTE 的另一种策略。电磁场(EMF)作为一种简单、非侵入性的治疗方法,可以远程对细胞和生物材料进行电和磁刺激,因此将 EMF 应用于辅助 BTE 将是一种很有前途的骨再生策略。当与 BTE 结合时,EMF 通过促进蛋白质吸附来提高细胞对材料表面的粘附性。此外,EMF 对间充质干细胞有积极作用,并表现出促进血管生成和巨噬细胞极化的能力。EMF 的这些优势表明它非常适合作为 BTE 的辅助治疗手段。我们还总结了有关 EMF 和各种生物材料类型组合的研究。将 EMF 和 BTE 相结合的策略取得了令人鼓舞的结果,为有效治疗骨缺损带来了广阔的前景。
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