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  4. Global Responses of Il-1β-Primed 3D Tendon Constructs to Treatment with Pulsed Electromagnetic Fields

Global Responses of Il-1β-Primed 3D Tendon Constructs to Treatment with Pulsed Electromagnetic Fields

Cells, 2019 · DOI: 10.3390/cells8050399 · Published: April 30, 2019

Regenerative MedicineGeneticsOrthopedics

Simple Explanation

Tendinopathy involves inflammation that leads to tendon breakdown. Interleukin-1β (Il-1β) plays a key role in this process by activating enzymes that degrade the tendon matrix and reducing collagen production. Pulsed electromagnetic field (PEMF) therapy is used for pain relief and wound healing. This study examines how PEMF treatment affects Il-1β-primed 3D tendon constructs made from rat Achilles tendon cells. The goal was to understand how PEMF impacts cell behavior and gene expression related to tendon repair. The study found that PEMF exposure influences various biological processes, including extracellular matrix remodeling and inhibiting cell death (apoptosis). It also showed that PEMF increases the production of protective factors like Il-6 and Il1r2.

Study Duration
Not specified
Participants
Achilles tendons from three months old female Fischer344 rats (n=3)
Evidence Level
In vitro study

Key Findings

  • 1
    PEMF exposure of Il-1β-treated 3D tendon-like constructs resulted in a change in the expression pattern of approximately 5400 genes.
  • 2
    PEMF exposure drives expression of cytoprotective cytokines, including Il1r2, Csf3, Il-6, and Lif.
  • 3
    PEMF treatment significantly reduces Il-1β-induced apoptosis in TDSPCs cultured in 3D.

Research Summary

The study investigated the transcriptome-wide responses of Il-1β-primed rat Achilles tendon cell-derived 3D tendon-like constructs to high-energy PEMF treatment. RNASeq analysis revealed various biological processes to be affected by PEMF, including extracellular matrix remodeling and negative regulation of apoptosis. The results provide fundamental mechanistic insight into the cellular and molecular mode of action of PEMF on tendon cells and can help to optimize treatment protocols for tendinopathies.

Practical Implications

Optimized Treatment Protocols

The findings support the development of optimized PEMF treatment protocols for non-invasive therapy of tendinopathies.

Cellular Protection

PEMF limits the catabolic effects of pro-inflammatory stimuli by inducing cell protective molecules and attenuating apoptosis.

Inflammation Modulation

PEMF shifts a degenerative, inflammatory environment to a more tissue reparative state.

Study Limitations

  • 1
    Short-term ECM Changes
  • 2
    No Significant Attenuation of MMPs
  • 3
    Moderate Gene Expression

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