Yılmaz Muluk Selkin, Hayri Özsan Güner, Öncel Sema, Ateş Halil
Department of Physical Medicine and Rehabilitation, Antalya Atatürk State Hospital, Antalya, Türkiye.
Department of Hematology, Dokuz Eylül University Faculty of Medicine, İzmir, Türkiye.
Turk J Phys Med Rehabil. 2024 Jul 26;71(1):83-91. doi: 10.5606/tftrd.2024.14635. eCollection 2025 Mar.
This study aims to assess the effect of short-wave therapy (SWT) devices emitting radiofrequency (RF) waves on the proliferation rates of fibroblasts and neoplastic cells.
In this experimental study, fibroblasts cultured from sternal mesenchymal cells of a bypass surgery patient were enriched using stem cell techniques between January 2004 and February 2004. The K-562 and ML-1 neoplastic cell lines were prepared for analysis. Fibroblasts and neoplastic cell lines were exposed to 27.12 MHz short-waves at different energy levels. Continuous short-wave (CSW) was applied at 200 W power, and pulsed short-wave (PSW) was applied at three different mean powers: 1.6 W (PSW-1), 14.9 W (PSW-2), and 54 W (PSW-3). Fibroblast colonies were counted using inverted microscopy, and neoplastic cell proliferation rates were measured using enzyme-linked immunosorbent assay. All short-wave-exposed cells were compared to the controls with no exposure.
Short-waves increased the number of fibroblast colonies three- to four-fold across all power levels (1.6 W, 14.9 W, 54 W, and 200 W). They significantly increased K-562 cell proliferation only at 1.6 W and 54 W power levels (p=0.044 and p=0.004, respectively). In contrast, there was no significant increase in ML-1 cell proliferation at any power level tested (p>0.05).
This study found that short-waves can boost fibroblast proliferation, potentially aiding tendon healing. However, it also had unpredictable proliferative effects on K-562 cells, as an inconsistent correlation with energy levels was observed. The ML-1 cells were not affected by short-waves, suggesting variability in tumor biology. These findings emphasize the need for precise dosing and personalized treatment strategies when using SWT devices.
本研究旨在评估发射射频(RF)波的短波疗法(SWT)设备对成纤维细胞和肿瘤细胞增殖率的影响。
在本实验研究中,2004年1月至2004年2月期间,利用干细胞技术富集了一名搭桥手术患者胸骨间充质细胞培养的成纤维细胞。制备了K-562和ML-1肿瘤细胞系用于分析。将成纤维细胞和肿瘤细胞系暴露于不同能量水平的27.12 MHz短波下。以200 W功率施加连续短波(CSW),并以三种不同平均功率施加脉冲短波(PSW):1.6 W(PSW-1)、14.9 W(PSW-2)和54 W(PSW-3)。使用倒置显微镜计数成纤维细胞集落,并使用酶联免疫吸附测定法测量肿瘤细胞增殖率。将所有暴露于短波的细胞与未暴露的对照组进行比较。
在所有功率水平(1.6 W、14.9 W、54 W和200 W)下,短波使成纤维细胞集落数量增加了三到四倍。仅在1.6 W和54 W功率水平下,短波显著增加了K-562细胞增殖(分别为p = 0.044和p = 0.004)。相比之下,在任何测试功率水平下,ML-1细胞增殖均未显著增加(p>0.05)。
本研究发现短波可促进成纤维细胞增殖,可能有助于肌腱愈合。然而,它对K-562细胞也有不可预测的增殖作用,因为观察到与能量水平的相关性不一致。ML-1细胞不受短波影响,表明肿瘤生物学存在变异性。这些发现强调了在使用SWT设备时精确给药和个性化治疗策略的必要性。