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脉冲电磁场对炎症反应的调节

Regulation of Inflammatory Responses by Pulsed Electromagnetic Fields.

作者信息

Kaadan Amr, Salati Simona, Cadossi Ruggero, Aaron Roy

机构信息

Department of Orthopaedic Surgery, Warren Alpert Medical School of Brown University, Providence, RI 02903, USA.

Medical Division, Igea S.p.A., 41012 Carpi, Italy.

出版信息

Bioengineering (Basel). 2025 Apr 30;12(5):474. doi: 10.3390/bioengineering12050474.


DOI:10.3390/bioengineering12050474
PMID:40428093
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12109083/
Abstract

Pulsed Electromagnetic Field (PEMF) therapy has been shown to have substantial suppressive effects on inflammation and is a promising treatment for the modulation of inflammation. Several in vitro and in vivo studies have shown that PEMFs profoundly suppress inflammatory pathways, such as the NF-κB and MAPK signaling pathways, by lowering cytokine levels and improving extracellular matrix synthesis. This review describes studies, ranging from in vitro to clinical, that investigate the lesser-known roles of PEMF in the modulation of inflammation in soft tissue wound, cartilage, and joint healing, alongside angiogenesis. Mechanistically, PEMFs act via adenosine receptors, specifically A, which play a key role in inflammation modulation and tissue repair. In some clinical trials, PEMF has yielded short-term symptom relief and functional improvements in early-stage osteoarthritis patients, arthroscopy patients, and anterior cruciate ligament reconstruction patients.

摘要

脉冲电磁场(PEMF)疗法已被证明对炎症具有显著的抑制作用,是一种很有前景的炎症调节治疗方法。多项体外和体内研究表明,脉冲电磁场通过降低细胞因子水平和改善细胞外基质合成,深刻抑制炎症途径,如NF-κB和MAPK信号通路。本综述描述了从体外到临床的研究,这些研究探讨了脉冲电磁场在软组织伤口、软骨和关节愈合以及血管生成中的炎症调节中鲜为人知的作用。从机制上讲,脉冲电磁场通过腺苷受体,特别是A受体起作用,这些受体在炎症调节和组织修复中起关键作用。在一些临床试验中,脉冲电磁场已使早期骨关节炎患者、关节镜检查患者和前交叉韧带重建患者获得短期症状缓解和功能改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28d6/12109083/c8ba58466218/bioengineering-12-00474-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28d6/12109083/bd70d33620a4/bioengineering-12-00474-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28d6/12109083/e72c0895be85/bioengineering-12-00474-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28d6/12109083/c4638a134e89/bioengineering-12-00474-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28d6/12109083/c8ba58466218/bioengineering-12-00474-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28d6/12109083/bd70d33620a4/bioengineering-12-00474-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28d6/12109083/e72c0895be85/bioengineering-12-00474-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28d6/12109083/c4638a134e89/bioengineering-12-00474-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28d6/12109083/c8ba58466218/bioengineering-12-00474-g004.jpg

相似文献

[1]
Regulation of Inflammatory Responses by Pulsed Electromagnetic Fields.

Bioengineering (Basel). 2025-4-30

[2]
Pulsed Electromagnetic Field Stimulation of Bone Healing and Joint Preservation: Cellular Mechanisms of Skeletal Response.

J Am Acad Orthop Surg Glob Res Rev. 2020-5

[3]
The Effect of Different Frequencies of Pulsed Electromagnetic Fields on Cartilage Repair of Adipose Mesenchymal Stem Cell-Derived Exosomes in Osteoarthritis.

Cartilage. 2022-12

[4]
Pulsed electromagnetic fields increased the anti-inflammatory effect of A₂A and A₃ adenosine receptors in human T/C-28a2 chondrocytes and hFOB 1.19 osteoblasts.

PLoS One. 2013-5-31

[5]
Pulsed Electromagnetic Field Therapy and Direct Current Electric Field Modulation Promote the Migration of Fibroblast-like Synoviocytes to Accelerate Cartilage Repair In Vitro.

Appl Sci (Basel). 2022-12-1

[6]
Pulsed electromagnetic field ameliorates the progression of osteoarthritis via the Sirt1/NF-κB pathway.

Arthritis Res Ther. 2025-2-14

[7]
Pulsed Electromagnetic Fields Reduce Interleukin-6 Expression in Intervertebral Disc Cells Via Nuclear Factor-κβ and Mitogen-Activated Protein Kinase p38 Pathways.

Spine (Phila Pa 1976). 2019-11-15

[8]
Low-frequency pulsed electromagnetic fields alleviate the condylar cartilage degeneration and synovitis at the early stage of temporomandibular joint osteoarthritis.

J Oral Rehabil. 2024-4

[9]
Augmentation of Deficient Bone Healing by Pulsed Electromagnetic Fields-From Mechanisms to Clinical Outcomes.

Bioengineering (Basel). 2024-12-3

[10]
Pulsed Electromagnetic Therapy: Literature Review and Current Update.

Braz Dent J. 2024

本文引用的文献

[1]
Augmentation of Deficient Bone Healing by Pulsed Electromagnetic Fields-From Mechanisms to Clinical Outcomes.

Bioengineering (Basel). 2024-12-3

[2]
Neuroprotective Effects of Pulsed Electromagnetic Fields in Acute Stroke.

J Stroke. 2024-9

[3]
Pulsed electromagnetic fields potentiate bone marrow mesenchymal stem cell chondrogenesis by regulating the Wnt/β-catenin signaling pathway.

J Transl Med. 2024-8-6

[4]
Evolution of the Chronic Venous Leg Ulcer Microenvironment and Its Impact on Medical Devices and Wound Care Therapies.

J Clin Med. 2023-8-28

[5]
Effect of Combined Electromagnetic Field and Plantar Flexion Resistance Exercise on Wound Healing in Patients with Venous Leg Ulcers: A Randomized Controlled Trial.

Medicina (Kaunas). 2023-6-15

[6]
Stimulation of Chondrogenesis in a Developmental Model of Endochondral Bone Formation by Pulsed Electromagnetic Fields.

Int J Mol Sci. 2023-2-7

[7]
Inflammation in osteoarthritis: the latest progress and ongoing challenges.

Curr Opin Rheumatol. 2023-3-1

[8]
The Effect of Different Frequencies of Pulsed Electromagnetic Fields on Cartilage Repair of Adipose Mesenchymal Stem Cell-Derived Exosomes in Osteoarthritis.

Cartilage. 2022-12

[9]
Enhancing cartilage repair with optimized supramolecular hydrogel-based scaffold and pulsed electromagnetic field.

Bioact Mater. 2022-10-12

[10]
Biophysical Modulation of Mesenchymal Stem Cell Differentiation in the Context of Skeletal Repair.

Int J Mol Sci. 2022-4-1

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