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Pulsed electromagnetic fields protect the balance between adipogenesis and osteogenesis on steroid-induced osteonecrosis of femoral head at the pre-collapse stage in rats

This study was designed to investigate the effects of pulsed electromagnetic fields (PEMF) on the balance of adipogenesis and osteogenesis on steroid‐induced osteonecrosis of the femoral head (OFH) in rats. Forty‐two rats were divided into three groups: Steroid group (S, n = 16); Steroid + PEMF grou...

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Published in:Bioelectromagnetics 2014-04, Vol.35 (3), p.170-180
Main Authors: Li, Jian-Ping, Chen, Sen, Peng, Hao, Zhou, Jian-Lin, Fang, Hong-Song
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description This study was designed to investigate the effects of pulsed electromagnetic fields (PEMF) on the balance of adipogenesis and osteogenesis on steroid‐induced osteonecrosis of the femoral head (OFH) in rats. Forty‐two rats were divided into three groups: Steroid group (S, n = 16); Steroid + PEMF group (S + P, n = 16); and Control group (C, n = 10). For groups S and S + P, all rats were first intravenously given 10 µg/kg lipopolysaccharide on day 1, and then intramuscularly injected with 20 mg/kg methylprednisolone acetate on days 2, 3, and 4, with an interval of 24 h. After 4 weeks, the S + P group was treated with PEMF (4.5‐ms square pulse, repeated at 15 Hz, with a peak of 1.2 mT) for 4 h a day for the next 8 weeks. Group S was not exposed to PEMF. Group C was chosen as the control group, without steroid use and exposure to PEMF. After 8 weeks of treatment, the histological changes, and mRNA and protein expressions of PPAR‐γ2 and Runx2 were measured and analyzed. Compared with the S group, lower incidence of osteonecrosis (31% vs. 69%, P 
doi_str_mv 10.1002/bem.21833
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Forty‐two rats were divided into three groups: Steroid group (S, n = 16); Steroid + PEMF group (S + P, n = 16); and Control group (C, n = 10). For groups S and S + P, all rats were first intravenously given 10 µg/kg lipopolysaccharide on day 1, and then intramuscularly injected with 20 mg/kg methylprednisolone acetate on days 2, 3, and 4, with an interval of 24 h. After 4 weeks, the S + P group was treated with PEMF (4.5‐ms square pulse, repeated at 15 Hz, with a peak of 1.2 mT) for 4 h a day for the next 8 weeks. Group S was not exposed to PEMF. Group C was chosen as the control group, without steroid use and exposure to PEMF. After 8 weeks of treatment, the histological changes, and mRNA and protein expressions of PPAR‐γ2 and Runx2 were measured and analyzed. Compared with the S group, lower incidence of osteonecrosis (31% vs. 69%, P &lt; 0.05) and empty osteocyte lacuna rate (36.16 ± 15.34 vs. 59.55 ± 21.70, P &lt; 0.01) was observed in the S + P group. Furthermore, PEMF suppressed the expressions of PPAR‐γ2 and improved the expressions of Runx2 in the femoral head (P &lt; 0.05). All data suggest that PEMF is an effective physiotherapy in the treatment of steroid‐induced ONFH, and the possible underlying mechanisms include protecting the balance between adipogenesis and osteogenesis. 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Forty‐two rats were divided into three groups: Steroid group (S, n = 16); Steroid + PEMF group (S + P, n = 16); and Control group (C, n = 10). For groups S and S + P, all rats were first intravenously given 10 µg/kg lipopolysaccharide on day 1, and then intramuscularly injected with 20 mg/kg methylprednisolone acetate on days 2, 3, and 4, with an interval of 24 h. After 4 weeks, the S + P group was treated with PEMF (4.5‐ms square pulse, repeated at 15 Hz, with a peak of 1.2 mT) for 4 h a day for the next 8 weeks. Group S was not exposed to PEMF. Group C was chosen as the control group, without steroid use and exposure to PEMF. After 8 weeks of treatment, the histological changes, and mRNA and protein expressions of PPAR‐γ2 and Runx2 were measured and analyzed. Compared with the S group, lower incidence of osteonecrosis (31% vs. 69%, P &lt; 0.05) and empty osteocyte lacuna rate (36.16 ± 15.34 vs. 59.55 ± 21.70, P &lt; 0.01) was observed in the S + P group. Furthermore, PEMF suppressed the expressions of PPAR‐γ2 and improved the expressions of Runx2 in the femoral head (P &lt; 0.05). All data suggest that PEMF is an effective physiotherapy in the treatment of steroid‐induced ONFH, and the possible underlying mechanisms include protecting the balance between adipogenesis and osteogenesis. Bioelectromagnetics. 35:170–180, 2014. © 2014 Wiley Periodicals, Inc.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>24421074</pmid><doi>10.1002/bem.21833</doi><tpages>11</tpages></addata></record>
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subjects Adipogenesis
Animals
Core Binding Factor Alpha 1 Subunit - metabolism
Electromagnetic Fields
Femur Head - pathology
Femur Head Necrosis - chemically induced
Femur Head Necrosis - pathology
Femur Head Necrosis - physiopathology
Femur Head Necrosis - therapy
glucocorticoids
ischemia necrosis of femoral head
Kidney - pathology
Lipopolysaccharides
Liver - pathology
Magnetic Field Therapy - instrumentation
Magnetic Field Therapy - methods
Male
Methylprednisolone - analogs & derivatives
Osteocytes - pathology
Osteocytes - physiology
Osteogenesis
peroxisome proliferator-activated receptor-γ2 (PPAR-γ2)
PPAR gamma - metabolism
pulsed electromagnetic fields simulation
Rats
Rats, Wistar
RNA, Messenger - metabolism
Runt-related transcription factor 2 (Runx2)
title Pulsed electromagnetic fields protect the balance between adipogenesis and osteogenesis on steroid-induced osteonecrosis of femoral head at the pre-collapse stage in rats
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