Zimmermann Julius, Farooqi Abdul Razzaq, van Rienen Ursula
Institute of General Electrical Engineering, University of Rostock, 18051 Rostock, Germany.
Department of Electronic Engineering, Faculty of Engineering, The Islamia University of Bahawalpur, 63100 Bahawalpur, Pakistan.
Heliyon. 2024 Sep 23;10(19):e38112. doi: 10.1016/j.heliyon.2024.e38112. eCollection 2024 Oct 15.
Cartilage has a limited intrinsic healing capacity. Hence, cartilage degradation and lesions pose a huge clinical challenge, particularly in an ageing society. Osteoarthritis impacts a significant number of the population and requires the development of repair and tissue engineering methods for hyaline articular cartilage. In this context, electrical stimulation has been investigated for more than 50 years already. Yet, no well-established clinical therapy to treat osteoarthritis by means of electrical stimulation exists. We argue that one reason is the lack of replicability of electrical stimulation devices from a technical perspective together with lacking hypotheses of the biophysical mechanism. Hence, first, the electrical stimulation studies reported in the context of cartilage tissue engineering with a special focus on technical details are summarized. Then, an experimental and numerical approach is discussed to make the electrical stimulation experiments replicable. Finally, biophysical hypotheses have been reviewed on the interaction of electric fields and cells that are relevant for cartilage tissue engineering. With that, the aim is to inspire future research to enable clinical electrical stimulation therapies to fight osteoarthritis.
软骨的内在愈合能力有限。因此,软骨退化和损伤带来了巨大的临床挑战,尤其是在老龄化社会中。骨关节炎影响着大量人群,需要开发用于透明关节软骨的修复和组织工程方法。在这种背景下,电刺激已经被研究了50多年。然而,目前尚无通过电刺激治疗骨关节炎的成熟临床疗法。我们认为一个原因是从技术角度来看电刺激设备缺乏可重复性,同时生物物理机制的假设也不足。因此,首先总结了在软骨组织工程背景下报道的电刺激研究,特别关注技术细节。然后,讨论了一种实验和数值方法以使电刺激实验具有可重复性。最后,回顾了与软骨组织工程相关的电场与细胞相互作用的生物物理假设。以此为目的,旨在激发未来的研究,使临床电刺激疗法能够对抗骨关节炎。
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