Bourguignon G J, Bourguignon L Y
Program in Physical Therapy, University of Miami School of Medicine, Coral Gables, Florida 33143.
FASEB J. 1987 Nov;1(5):398-402. doi: 10.1096/fasebj.1.5.3678699.
Human fibroblast cell cultures were employed as a model system to rapidly examine several potentially important variables involved in the use of high-voltage, pulsed galvanic stimulation (HVPGS) to increase the healing rate of soft tissue injuries. Fibroblasts were grown on Millipore filters and exposed to HVPGS of various voltages and pulse rates for 20 min in a rectangular, plastic chamber filled with growth medium. Filters with attached cells were placed either in the center of the chamber or close to the positive or negative electrode. Protein synthesis and DNA synthesis were monitored after stimulation using the radioactively labeled precursors, [3H]proline and [3H]thymidine, respectively. The major results obtained in this study are as follows: 1) the rates of both protein and DNA synthesis can be significantly increased by specific combinations of HVPGS voltage and pulse rate; 2) maximum stimulation of protein and DNA synthesis was obtained at 50 and 75 V, respectively, with a pulse rate of 100 pulses/s and the cells located near the negative electrode; and 3) exposure to HVPGS intensities greater than 250 V (at all pulse rates and locations within the chamber) is inhibitory for both protein and DNA synthesis. In view of the results obtained in preliminary clinical studies on the use of HVPGS for the treatment of dermal ulcers, it appears that similar voltages, pulse rates, and relative electrode location may be required for maximum acceleration of human skin wound healing.
人类成纤维细胞培养物被用作一个模型系统,以快速检测在使用高压脉冲电刺激(HVPGS)来提高软组织损伤愈合率时涉及的几个潜在重要变量。成纤维细胞在微孔滤膜上生长,并在充满生长培养基的矩形塑料腔室中,以不同电压和脉冲频率暴露于HVPGS下20分钟。带有附着细胞的滤膜被放置在腔室的中心或靠近正电极或负电极的位置。刺激后,分别使用放射性标记的前体[3H]脯氨酸和[3H]胸苷监测蛋白质合成和DNA合成。本研究获得的主要结果如下:1)蛋白质和DNA合成速率可通过HVPGS电压和脉冲频率的特定组合显著提高;2)在电压为50V和75V、脉冲频率为100脉冲/秒且细胞位于负电极附近时,分别获得了蛋白质和DNA合成的最大刺激;3)暴露于大于250V的HVPGS强度(在腔室内所有脉冲频率和位置)对蛋白质和DNA合成均有抑制作用。鉴于在使用HVPGS治疗皮肤溃疡的初步临床研究中获得的结果,似乎为了最大程度地加速人类皮肤伤口愈合,可能需要类似的电压、脉冲频率和相对电极位置。