1
|
König A, Kat CJ, Ganswindt A, Keough N, Oberholzer HM, van Rensburg IJ, Mavunganidze R, Myburgh J. Feasibility of a Sprague???Dawley Rat Model for Investigating the Effects of Seated Whole-body Vibration. JOURNAL OF THE AMERICAN ASSOCIATION FOR LABORATORY ANIMAL SCIENCE : JAALAS 2024; 63:316-324. [PMID: 38508696 PMCID: PMC11193422 DOI: 10.30802/aalas-jaalas-23-000105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/17/2023] [Revised: 11/28/2023] [Accepted: 02/19/2024] [Indexed: 03/22/2024]
Abstract
Vehicular whole-body vibration (WBV) can have long-term adverse effects on human quality of life. Animal models can be used to study pathophysiologic effects of vibration. The goal of this study was to assess animal cooperation and well-being to determine the feasibility of a novel seated rat model for investigating the effects of WBV on biologic systems. Twenty-four male Sprague???Dawley rats were used. The experiment consisted of an acclimation phase, 2 training phases (TrP1 and TrP2), and a testing phase (TeP), including weekly radiographic imaging. During acclimation, rats were housed in pairs in standard cages without vibration. First, experimental (EG; n = 18) and control group 1 (C1; n = 3) rats were placed in a vibration apparatus without vibration, with increasing duration over 5 d during TrP1. EG rats were exposed to vertical random WBV that was increased in magnitude over 5 d during TrP2 until reaching the vibration signal used during TeP (15min, 0.7m??s-2 root mean square, unweighted). C1 rats were placed in the vibration apparatus but received no vibration during any phase. Control group 2 (C2; n = 3) rats remained in the home cages. Cooperation was evaluated with regard to rat-apparatus interactions and position compliance. Behavior, weight, and fecal glucocorticoid metabolite concentrations (fGCM) were used to evaluate animal well-being. We observed good cooperation and no behavioral patterns or weight loss between phases, indicating little or no animal stress. The differences in fGCM concentration between groups indicated that the EG rats had lower stress levels than the control rats in all phases except TrP1. Thus, this model elicited little or no stress in the conscious, unrestrained, seated rats.
Collapse
Affiliation(s)
- Anya König
- Department of Anatomy, University of Pretoria, Pretoria, South Africa
| | - Cor-Jacques Kat
- Faculty of Engineering, Built Environment and Information Technology, University of Pretoria, Pretoria, South Africa
| | - Andre Ganswindt
- Department of Zoology and Entomology, Faculty of Natural and Agricultural Sciences, University of Pretoria, Pretoria, South Africa
| | - Natalie Keough
- Department of Anatomy, University of Pretoria, Pretoria, South Africa
- Clinical Anatomy and Imaging, Warwick Medical School, University of Warwick, Coventry, United Kingdom
- Department of Anatomy and Cellular Biology, College of Medicine and Health Sciences, Khalifa University, Abu Dhabi, UAE; and
| | | | - Ilse Janse van Rensburg
- Onderstepoort Veterinary Animal Research Unit (OVARU), University of Pretoria, Pretoria, South Africa
| | - Richard Mavunganidze
- Onderstepoort Veterinary Animal Research Unit (OVARU), University of Pretoria, Pretoria, South Africa
| | - Jolandie Myburgh
- Department of Anatomy, University of Pretoria, Pretoria, South Africa
| |
Collapse
|
2
|
Kelly MM, Sharma K, Wright CS, Yi X, Reyes Fernandez PC, Gegg AT, Gorrell TA, Noonan ML, Baghdady A, Sieger JA, Dolphin AC, Warden SJ, Deosthale P, Plotkin LI, Sankar U, Hum JM, Robling AG, Farach-Carson MC, Thompson WR. Loss of the auxiliary α 2δ 1 voltage-sensitive calcium channel subunit impairs bone formation and anabolic responses to mechanical loading. JBMR Plus 2024; 8:ziad008. [PMID: 38505532 PMCID: PMC10945727 DOI: 10.1093/jbmrpl/ziad008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/10/2023] [Revised: 10/31/2023] [Accepted: 11/27/2023] [Indexed: 03/21/2024] Open
Abstract
Voltage-sensitive calcium channels (VSCCs) influence bone structure and function, including anabolic responses to mechanical loading. While the pore-forming (α1) subunit of VSCCs allows Ca2+ influx, auxiliary subunits regulate the biophysical properties of the pore. The α2δ1 subunit influences gating kinetics of the α1 pore and enables mechanically induced signaling in osteocytes; however, the skeletal function of α2δ1 in vivo remains unknown. In this work, we examined the skeletal consequences of deleting Cacna2d1, the gene encoding α2δ1. Dual-energy X-ray absorptiometry and microcomputed tomography imaging demonstrated that deletion of α2δ1 diminished bone mineral content and density in both male and female C57BL/6 mice. Structural differences manifested in both trabecular and cortical bone for males, while the absence of α2δ1 affected only cortical bone in female mice. Deletion of α2δ1 impaired skeletal mechanical properties in both sexes, as measured by three-point bending to failure. While no changes in osteoblast number or activity were found for either sex, male mice displayed a significant increase in osteoclast number, accompanied by increased eroded bone surface and upregulation of genes that regulate osteoclast differentiation. Deletion of α2δ1 also rendered the skeleton insensitive to exogenous mechanical loading in males. While previous work demonstrates that VSCCs are essential for anabolic responses to mechanical loading, the mechanism by which these channels sense and respond to force remained unclear. Our data demonstrate that the α2δ1 auxiliary VSCC subunit functions to maintain baseline bone mass and strength through regulation of osteoclast activity and also provides skeletal mechanotransduction in male mice. These data reveal a molecular player in our understanding of the mechanisms by which VSCCs influence skeletal adaptation.
Collapse
Affiliation(s)
- Madison M Kelly
- Department of Physical Therapy, School of Health and Human Sciences, Indiana University, Indianapolis, IN 46202, United States
- College of Osteopathic Medicine, Marian University, Indianapolis, IN 46222, United States
| | - Karan Sharma
- Department of Physical Therapy, School of Health and Human Sciences, Indiana University, Indianapolis, IN 46202, United States
- College of Osteopathic Medicine, Marian University, Indianapolis, IN 46222, United States
| | - Christian S Wright
- Department of Physical Therapy, School of Health and Human Sciences, Indiana University, Indianapolis, IN 46202, United States
- Indiana Center for Musculoskeletal Health, Indiana University, Indianapolis, IN 46202, United States
| | - Xin Yi
- Department of Physical Therapy, School of Health and Human Sciences, Indiana University, Indianapolis, IN 46202, United States
- Indiana Center for Musculoskeletal Health, Indiana University, Indianapolis, IN 46202, United States
| | - Perla C Reyes Fernandez
- Department of Physical Therapy, School of Health and Human Sciences, Indiana University, Indianapolis, IN 46202, United States
- Indiana Center for Musculoskeletal Health, Indiana University, Indianapolis, IN 46202, United States
| | - Aaron T Gegg
- Department of Physical Therapy, School of Health and Human Sciences, Indiana University, Indianapolis, IN 46202, United States
| | - Taylor A Gorrell
- Department of Physical Therapy, School of Health and Human Sciences, Indiana University, Indianapolis, IN 46202, United States
| | - Megan L Noonan
- Department of Medical and Molecular Genetics, Indiana University, Indianapolis, IN 46202, United States
| | - Ahmed Baghdady
- College of Osteopathic Medicine, Marian University, Indianapolis, IN 46222, United States
| | - Jacob A Sieger
- College of Osteopathic Medicine, Marian University, Indianapolis, IN 46222, United States
| | - Annette C Dolphin
- Department of Neuroscience, Physiology and Pharmacology, University College of London, Gower Street, London WC1E 6BT, United Kingdom
| | - Stuart J Warden
- Department of Physical Therapy, School of Health and Human Sciences, Indiana University, Indianapolis, IN 46202, United States
- Indiana Center for Musculoskeletal Health, Indiana University, Indianapolis, IN 46202, United States
- La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Melbourne Victoria 3086, DX 211319, Australia
| | - Padmini Deosthale
- Indiana Center for Musculoskeletal Health, Indiana University, Indianapolis, IN 46202, United States
- Department of Anatomy, Cell Biology, & Physiology, Indiana University, Indianapolis, IN 46202, United States
| | - Lilian I Plotkin
- Indiana Center for Musculoskeletal Health, Indiana University, Indianapolis, IN 46202, United States
- Department of Anatomy, Cell Biology, & Physiology, Indiana University, Indianapolis, IN 46202, United States
| | - Uma Sankar
- Indiana Center for Musculoskeletal Health, Indiana University, Indianapolis, IN 46202, United States
- Department of Anatomy, Cell Biology, & Physiology, Indiana University, Indianapolis, IN 46202, United States
| | - Julia M Hum
- College of Osteopathic Medicine, Marian University, Indianapolis, IN 46222, United States
- Indiana Center for Musculoskeletal Health, Indiana University, Indianapolis, IN 46202, United States
| | - Alexander G Robling
- Indiana Center for Musculoskeletal Health, Indiana University, Indianapolis, IN 46202, United States
- Department of Anatomy, Cell Biology, & Physiology, Indiana University, Indianapolis, IN 46202, United States
| | - Mary C Farach-Carson
- Department of Diagnostic & Biomedical Sciences, University of Texas Health Science Center at Houston School of Dentistry, Houston, TX 77054, United States
| | - William R Thompson
- Department of Physical Therapy, School of Health and Human Sciences, Indiana University, Indianapolis, IN 46202, United States
- College of Osteopathic Medicine, Marian University, Indianapolis, IN 46222, United States
- Indiana Center for Musculoskeletal Health, Indiana University, Indianapolis, IN 46202, United States
- Department of Anatomy, Cell Biology, & Physiology, Indiana University, Indianapolis, IN 46202, United States
| |
Collapse
|
3
|
Tian S, Gao J, Gong H, Zhang X, Wang S. Effects of whole-body vibration at different periods on lumbar vertebrae in female rats. Med Eng Phys 2022; 110:103918. [PMID: 36564133 DOI: 10.1016/j.medengphy.2022.103918] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2022] [Revised: 11/01/2022] [Accepted: 11/02/2022] [Indexed: 11/06/2022]
Abstract
The current study aimed to investigate the effects of whole-body vibration (WBV) before and after ovariectomy on lumbar vertebrae, and to observe whether the positive effects of WBV before and after ovariectomy on lumbar vertebrae in rats could be maintained after vibration stopped. Three-month-old female rats were divided into four groups (n = 45/group): control (CON), ovariectomy (OVA), WBV before ovariectomy (WBV-BO), and WBV after ovariectomy (WBV-AO) groups. For 1-8 weeks, WBV-BO group was subjected to vertical WBV. At the 9th week, the rats in WBV-BO, WBV-AO, and OVA groups were ovariectomized. During 11-18 weeks, WBV-AO group was subjected to vibration. For 19-26 weeks, no intervention was done for rats. The lumbar vertebrae were examined by Micro-CT, compressive test, creep test, and microindentation test. At the 8th week, the displacement of the L1-L2 annulus fibrosus in WBV-BO group was 18% smaller compared with CON group (p<0.05). At the 18th week, the elastic modulus of the L5 vertebral body in WBV-BO and WBV-AO groups was 53% and 57% higher than that in CON group, respectively (p<0.05); the displacement of the L1-L2 annulus fibrosus in WBV-BO group was 25% smaller than those in the other groups (p<0.05). At the 26th week, there was no significant difference in the displacement of the L1-L2 annulus fibrosus between WBV-BO group and other groups (p>0.05); the elastic modulus of the L5 vertebral body had no significant difference between WBV-AO group and CON group (p>0.05). Our results demonstrated that WBV before ovariectomy effectively prevented disc degeneration with significant effects up to 8 weeks after ovariectomy. The vertebral mechanical properties could be significantly improved by WBV after ovariectomy, but the residual effect did not maintain after WBV stopped.
Collapse
Affiliation(s)
- Sujing Tian
- Department of Engineering Mechanics, Jilin University, Changchun, Jilin, 130025, China
| | - Jiazi Gao
- Department of Engineering Mechanics, Jilin University, Changchun, Jilin, 130025, China
| | - He Gong
- Department of Engineering Mechanics, Jilin University, Changchun, Jilin, 130025, China.
| | - Xiang Zhang
- Department of Engineering Mechanics, Jilin University, Changchun, Jilin, 130025, China
| | - Shuai Wang
- Department of Engineering Mechanics, Jilin University, Changchun, Jilin, 130025, China
| |
Collapse
|
4
|
Masud AA, Shen CL, Luk HY, Chyu MC. Impact of Local Vibration Training on Neuromuscular Activity, Muscle Cell, and Muscle Strength: A Review. Crit Rev Biomed Eng 2022; 50:1-17. [PMID: 35997107 DOI: 10.1615/critrevbiomedeng.2022041625] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
This paper presents a review of studies on the effects of local vibration training (LVT) on muscle strength along with the associated changes in neuromuscular and cell dynamic responses. Application of local/direct vibration can significantly change the structural properties of muscle cell and can improve muscle strength. The improvement is largely dependent on vibration parameters such as amplitude and frequency. The results of 20 clinical studies reveal that electromyography (EMG) and maximal voluntary contraction (MVC) vary depending on vibration frequency, and studies using frequencies of 28-30 Hz reported greater increases in muscle activity in terms of EMG (rms) value and MVC data than the studies using higher frequencies. A greater muscle activity can be related to the recruitment of large motor units due to the application of local vibration. A greater increase in EMG (rms) values for biceps and triceps during extension than flexion under LVT suggests that types of muscles and their functions play an important role. Although a number of clinical trials and animal studies have demonstrated positive effects of vibration on muscle, an optimum training protocol has not been established. An attempt is made in this study to investigate the optimal LVT conditions on different muscles through review and analysis of published results in the literature pertaining to the changes in the neuromuscular activity. Directions for future research are discussed with regard to identifying optimal conditions for LVT and better understanding of the mechanisms associated with effects of vibration on muscles.
Collapse
Affiliation(s)
- Abdullah Al Masud
- Department of Mechanical Engineering, Texas Tech University, Lubbock, TX, USA
| | - Chwan-Li Shen
- Department of Pathology, School of Medicine, Texas Tech University, Lubbock, TX, USA
| | - Hui-Ying Luk
- Department of Kinesiology & Sport Management, Texas Tech University, Lubbock, TX, USA
| | - Ming-Chien Chyu
- Department of Pathology, School of Medicine, Texas Tech University, Lubbock, TX, USA
| |
Collapse
|
5
|
Cariati I, Bonanni R, Annino G, Scimeca M, Bonanno E, D'Arcangelo G, Tancredi V. Dose-Response Effect of Vibratory Stimulus on Synaptic and Muscle Plasticity in a Middle-Aged Murine Model. Front Physiol 2021; 12:678449. [PMID: 34177622 PMCID: PMC8226218 DOI: 10.3389/fphys.2021.678449] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2021] [Accepted: 05/04/2021] [Indexed: 12/20/2022] Open
Abstract
Whole body vibration plays a central role in many work categories and can represent a health risk to the musculoskeletal system and peripheral nervous system. However, studies in animal and human models have shown that vibratory training, experimentally and/or therapeutically induced, can exert beneficial effects on the whole body, as well as improve brain functioning and reduce cognitive decline related to the aging process. Since the effects of vibratory training depend on several factors, such as vibration frequency and vibration exposure time, in this work, we investigated whether the application of three different vibratory protocols could modulate synaptic and muscle plasticity in a middle-aged murine model, counteracting the onset of early symptoms linked to the aging process. To this end, we performed in vitro electrophysiological recordings of the field potential in the CA1 region of mouse hippocampal slices, as well as histomorphometric and ultrastructural analysis of muscle tissue by optic and transmission electron microscopy, respectively. Our results showed that protocols characterized by a low vibration frequency and/or a longer recovery time exert positive effects at both hippocampal and muscular level, and that these effects improve significantly by varying both parameters, with an action comparable with a dose-response effect. Thus, we suggested that vibratory training may be an effective strategy to counteract cognitive impairment, which is already present in the early stages of the aging process, and the onset of sarcopenia, which is closely related to a sedentary lifestyle. Future studies are needed to understand the underlying molecular mechanisms and to determine an optimal vibratory training protocol.
Collapse
Affiliation(s)
- Ida Cariati
- Ph.D. in Medical-Surgical Biotechnologies and Translational Medicine, Department of Clinical Sciences and Translational Medicine, "Tor Vergata" University of Rome, Rome, Italy
| | - Roberto Bonanni
- Department of Systems Medicine, "Tor Vergata" University of Rome, Rome, Italy
| | - Giuseppe Annino
- Department of Systems Medicine, "Tor Vergata" University of Rome, Rome, Italy.,Centre of Space Bio-Medicine, "Tor Vergata" University of Rome, Rome, Italy
| | - Manuel Scimeca
- Department of Biomedicine and Prevention, "Tor Vergata" University of Rome, Rome, Italy
| | - Elena Bonanno
- Department of Experimental Medicine, "Tor Vergata" University of Rome, Rome, Italy.,"Diagnostica Medica" and "Villa dei Platani", Neuromed Group, Avellino, Italy
| | - Giovanna D'Arcangelo
- Department of Systems Medicine, "Tor Vergata" University of Rome, Rome, Italy.,Centre of Space Bio-Medicine, "Tor Vergata" University of Rome, Rome, Italy
| | - Virginia Tancredi
- Department of Systems Medicine, "Tor Vergata" University of Rome, Rome, Italy.,Centre of Space Bio-Medicine, "Tor Vergata" University of Rome, Rome, Italy
| |
Collapse
|
6
|
Mechanical suppression of breast cancer cell invasion and paracrine signaling to osteoclasts requires nucleo-cytoskeletal connectivity. Bone Res 2020; 8:40. [PMID: 33298883 PMCID: PMC7673025 DOI: 10.1038/s41413-020-00111-3] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2020] [Revised: 06/29/2020] [Accepted: 07/21/2020] [Indexed: 01/10/2023] Open
Abstract
Exercise benefits the musculoskeletal system and reduces the effects of cancer. The effects of exercise are multifactorial, where metabolic changes and tissue adaptation influence outcomes. Mechanical signals, a principal component of exercise, are anabolic to the musculoskeletal system and restrict cancer progression. We examined the mechanisms through which cancer cells sense and respond to low-magnitude mechanical signals introduced in the form of vibration. Low-magnitude, high-frequency vibration was applied to human breast cancer cells in the form of low-intensity vibration (LIV). LIV decreased matrix invasion and impaired secretion of osteolytic factors PTHLH, IL-11, and RANKL. Furthermore, paracrine signals from mechanically stimulated cancer cells, reduced osteoclast differentiation and resorptive capacity. Disconnecting the nucleus by knockdown of SUN1 and SUN2 impaired LIV-mediated suppression of invasion and osteolytic factor secretion. LIV increased cell stiffness; an effect dependent on the LINC complex. These data show that mechanical vibration reduces the metastatic potential of human breast cancer cells, where the nucleus serves as a mechanosensory apparatus to alter cell structure and intercellular signaling.
Collapse
|
7
|
Javidi M, McGowan CP, Schiele NR, Lin DC. Tendons from kangaroo rats are exceptionally strong and tough. Sci Rep 2019; 9:8196. [PMID: 31160640 PMCID: PMC6546749 DOI: 10.1038/s41598-019-44671-9] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2018] [Accepted: 05/17/2019] [Indexed: 11/14/2022] Open
Abstract
Tendons must be able to withstand the forces generated by muscles and not fail. Accordingly, a previous comparative analysis across species has shown that tendon strength (i.e., failure stress) increases for larger species. In addition, the elastic modulus increases proportionally to the strength, demonstrating that the two properties co-vary. However, some species may need specially adapted tendons to support high performance motor activities, such as sprinting and jumping. Our objective was to determine if the tendons of kangaroo rats (k-rat), small bipedal animals that can jump as high as ten times their hip height, are an exception to the linear relationship between elastic modulus and strength. We measured and compared the material properties of tendons from k-rat ankle extensor muscles to those of similarly sized white rats. The elastic moduli of k-rat and rat tendons were not different, but k-rat tendon failure stresses were much larger than the rat values (nearly 2 times larger), as were toughness (over 2.5 times larger) and ultimate strain (over 1.5 times longer). These results support the hypothesis that the tendons from k-rats are specially adapted for high motor performance, and k-rat tendon could be a novel model for improving tissue engineered tendon replacements.
Collapse
Affiliation(s)
- Mehrdad Javidi
- Voiland School of Chemical Engineering and Bioengineering, Washington State University, PO Box 646515, Pullman, WA, 99164, USA
| | - Craig P McGowan
- Department of Biological Sciences, University of Idaho, 875 Perimeter Drive, MS 3051, Moscow, ID, 83844, USA.,WWAMI Medical Education Program, University of Idaho, 875 Perimeter Drive, MS 4207, Moscow, ID, 83844, USA.,Washington Center for Muscle Biology, Washington State University, PO Box 646515, Pullman, WA, 99164, USA
| | - Nathan R Schiele
- Department of Biological Engineering, University of Idaho, 875 Perimeter Dr. MS 0904, Moscow, ID, 83844, USA
| | - David C Lin
- Voiland School of Chemical Engineering and Bioengineering, Washington State University, PO Box 646515, Pullman, WA, 99164, USA. .,Washington Center for Muscle Biology, Washington State University, PO Box 646515, Pullman, WA, 99164, USA. .,Department of Integrative Physiology and Neuroscience, Washington State University, PO Box 647620, Pullman, WA, 99164, USA.
| |
Collapse
|
8
|
Soubeyrand M, Laemmel E, Maurel N, Diop A, Lazure T, Duranteau J, Vicaut E. De novo generation in an in vivo rat model and biomechanical characterization of autologous transplants for ligament and tendon reconstruction. Clin Biomech (Bristol, Avon) 2018; 52:33-40. [PMID: 29351870 DOI: 10.1016/j.clinbiomech.2017.12.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/09/2017] [Revised: 11/14/2017] [Accepted: 12/12/2017] [Indexed: 02/07/2023]
Abstract
BACKGROUND Surgical reconstruction of ligaments and tendons is frequently required in clinical practice. The commonly used autografts, allografts, or synthetic transplants present limitations in terms of availability, biocompatibility, cost, and mechanical properties that tissue bioengineering aims to overcome. It classically combines an exogenous extracellular matrix with cells, but this approach remains complex and expensive. Using a rat model, we tested a new bioengineering strategy for the in vivo and de novo generation of autologous grafts without the addition of extracellular matrix or cells, and analyzed their biomechanical and structural properties. METHODS A silicone perforated tubular implant (PTI) was designed and implanted in the spine of male Wistar rats to generate neo-transplants. The tensile load to failure, stiffness, Young modulus, and ultrastructure of the generated tissue were determined at 6 and 12weeks after surgery. The feasibility of using the transplant that was generated in the spine as an autograft for reconstruction of medial collateral ligaments (MCL) and Achilles tendons was also tested. FINDINGS Use of the PTI resulted in de novo transplant generation. Their median load to failure and Young modulus increased between 6 and 12weeks (respectively 12N vs 34N and 48MPa vs 178MPa). At 12weeks, the neo-transplants exhibited collagen bundles (mainly type III) parallel to their longitudinal axis and elongated fibroblasts. Six weeks after their transfer to replace the MCL or the Achilles tendon, the transplants were still present, with their ends healed at their insertion point. INTERPRETATION This animal study is a first step in the design and validation of a new bioengineering strategy to develop autologous transplants for ligament and tendon reconstructions.
Collapse
Affiliation(s)
- Marc Soubeyrand
- Department of Orthopaedic Surgery, Bicetre Universitary Hospital, Public Assistance of Paris Hospital, France; Laboratoire d'Etude de la Microcirculation, Faculté de Médecine Diderot Paris VII, U942, Paris, France; Faculty of Medicine, University Paris Sud-XI, 63 rue Gabiel Peri, 94270 Le Kremlin-Bicêtre, France
| | - Elisabeth Laemmel
- Laboratoire d'Etude de la Microcirculation, Faculté de Médecine Diderot Paris VII, U942, Paris, France
| | - Nathalie Maurel
- Equipe Biomécanique et Remodelage Osseux, Ecole Nationale Supérieure d'Arts et Métiers, 151 Boulevard de l'Hôpital, 75013 Paris, France
| | - Amadou Diop
- Equipe Biomécanique et Remodelage Osseux, Ecole Nationale Supérieure d'Arts et Métiers, 151 Boulevard de l'Hôpital, 75013 Paris, France.
| | - Thierry Lazure
- Department of Pathology, Bicetre Universitary Hospital, Public Assistance of Paris Hospital, France
| | - Jacques Duranteau
- Laboratoire d'Etude de la Microcirculation, Faculté de Médecine Diderot Paris VII, U942, Paris, France; Department of Intensive Care and Anesthesiology, Bicetre Universitary Hospital, Public Assistance of Paris Hospital, France
| | - Eric Vicaut
- Laboratoire d'Etude de la Microcirculation, Faculté de Médecine Diderot Paris VII, U942, Paris, France
| |
Collapse
|
9
|
Temporal Healing of Achilles Tendons After Injury in Rodents Depends on Surgical Treatment and Activity. J Am Acad Orthop Surg 2017; 25:635-647. [PMID: 28837456 PMCID: PMC5603242 DOI: 10.5435/jaaos-d-16-00620] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023] Open
Abstract
INTRODUCTION Achilles tendon ruptures affect 15 of 100,000 women and 55 of 100,000 men each year. Controversy continues to exist regarding optimal treatment and rehabilitation protocols. The objective of this study was to investigate the temporal effects of surgical repair and immobilization or activity on Achilles tendon healing and limb function after complete transection in rodents. METHODS Injured tendons were repaired (n = 64) or left nonrepaired (n = 64). The animals in both cohorts were further randomized into groups immobilized in plantar flexion for 1, 3, or 6 weeks that later resumed cage and treadmill activity for 5, 3, or 0 weeks, respectively (n = 36 for each regimen), which were euthanized at 6 weeks after injury, or into groups immobilized for 1 week and then euthanized (n = 20). RESULTS At 6 weeks after injury, the groups that had 1 week of immobilization and 5 weeks of activity had increased range of motion and decreased ankle joint toe stiffness compared with the groups that had 3 weeks of immobilization and 3 weeks of activity. The groups with 6 weeks of immobilization and no activity period had decreased tendon cross-sectional area but increased tendon echogenicity and collagen alignment. Surgical treatment dramatically decreased fatigue cycles to failure in repaired tendons from groups with 1 week of immobilization and 5 weeks of activity. Normalized comparisons between 1-week and 6-week postinjury data demonstrated that changes in tendon healing properties (area, alignment, and echogenicity) were maximized by 1 week of immobilization and 5 weeks of activity, compared with 6 weeks of immobilization and no activity period. DISCUSSION This study builds on an earlier study of Achilles tendon fatigue mechanics and functional outcomes during early healing by examining the temporal effects of different immobilization and/or activity regimens after initial postinjury immobilization. CONCLUSION This study demonstrates how the temporal postinjury healing response of rodent Achilles tendons depends on both surgical treatment and the timing of immobilization/activity timing. The different pattern of healing and qualities of repaired and nonrepaired tendons suggest that two very different healing processes may occur, depending on the chosen immobilization/activity regimen.
Collapse
|
10
|
Adekanmbi I, Zargar N, Hulley P. An in vitro scratch tendon tissue injury model: effects of high frequency low magnitude loading. Connect Tissue Res 2017; 58:162-171. [PMID: 27294971 DOI: 10.1080/03008207.2016.1198338] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
The healing process of ruptured tendons is suboptimal, taking months to achieve tissue with inferior properties to healthy tendon. Mechanical loading has been shown to positively influence tendon healing. However, high frequency low magnitude (HFLM) loads, which have shown promise in maintaining healthy tendon properties, have not been studied with in vitro injury models. Here, we present and validate an in vitro scratch tendon tissue injury model to investigate effects of HFLM loading on the properties of injured rat tail tendon fascicles (RTTFs). A longitudinal tendon tear was simulated using a needle aseptically to scratch a defined length along individual RTTFs. Tissue viability, biomechanical, and biochemical parameters were investigated before and 7 days after culture . The effects of static, HFLM (20 Hz), and low frequency (1 Hz) cyclic loading or no load were also investigated. Tendon viability was confirmed in damaged RTTFs after 7 days of culture, and the effects of a 0.77 ± 0.06 cm scratch on the mechanical property (tangent modulus) and tissue metabolism in damaged tendons were consistent, showing significant damage severity compared with intact tendons. Damaged tendon fascicles receiving HFLM (20 Hz) loads displayed significantly higher mean tangent modulus than unloaded damaged tendons (212.7 ± 14.94 v 92.7 ± 15.59 MPa), and damaged tendons receiving static loading (117.9 ± 10.65 MPa). HFLM stimulation maintained metabolic activity in 7-day cultured damaged tendons at similar levels to fresh tendons immediately following damage. Only damaged tendons receiving HFLM loads showed significantly higher metabolism than unloaded damaged tendons (relative fluorescence units -7021 ± 635.9 v 3745.1 ± 641.7). These validation data support the use of the custom-made in vitro injury model for investigating the potential of HFLM loading interventions in treating damaged tendons.
Collapse
Affiliation(s)
- Isaiah Adekanmbi
- a Institute of Biomedical Engineering, Department of Engineering Science , University of Oxford , Oxford , UK.,b Biomedical Engineering Division, School of Engineering , University of Glasgow , Glasgow , UK
| | - Nasim Zargar
- c Nuffield Department of Orthopaedics , Rheumatology and Musculoskeletal Sciences, University of Oxford , Oxford , UK
| | - Philippa Hulley
- c Nuffield Department of Orthopaedics , Rheumatology and Musculoskeletal Sciences, University of Oxford , Oxford , UK
| |
Collapse
|
11
|
Dönmez G, Doral MN, Suljevic Ş, Sargon MF, Bilgili H, Demirel HA. Effects of immobilization and whole-body vibration on rat serum Type I collagen turnover. ACTA ORTHOPAEDICA ET TRAUMATOLOGICA TURCICA 2016; 50:452-7. [PMID: 27480210 PMCID: PMC6197172 DOI: 10.1016/j.aott.2016.07.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/27/2015] [Revised: 12/29/2015] [Accepted: 05/09/2016] [Indexed: 11/29/2022]
Abstract
Objective The aim of this study was to investigate the effects of short-term, high-magnitude whole-body vibration (WBV) on serum type I collagen turnover in immobilized rats. Materials and Methods Thirty Wistar albino rats were randomly divided into the following 5 groups: immobilization (IS), immobilization + remobilization (IR), immobilization + WBV (IV), control (C), and WBV control (CV). Immobilization was achieved by casting from the crista iliaca anterior superior to the lower part of the foot for 2 weeks. The applied WBV protocol involved a frequency of 45 Hz and amplitude of 3 mm for 7 days starting a day after the end of the immobilization period. Serum type I collagen turnover markers were measured by using ELISA kits. Results Serum NH2-terminal propeptide of type I collagen (PINP) levels were significantly lower in the immobilization groups (p < 0.02) compared with the control groups. Although WBV improved PINP levels in the control groups, there were no differences in PINP levels among the immobilization groups. Similarly, serum COOH-terminal telopeptide of type I collagen (CTX) levels were higher in the WBV controls than their own controls (p < 0,05). Immobilization led to deterioration of tendon tissue, as observed by histopathological analysis with a transmission electron microscope. Conclusion Although 1 week of WBV had a positive effect on type I collagen turnover in controls, it is not an efficient method for repairing tissue damage in the early stage following immobilization.
Collapse
Affiliation(s)
- Gürhan Dönmez
- Hacettepe University, Dept. of Sports Medicine, Ankara, Turkey.
| | - Mahmut Nedim Doral
- Hacettepe University, Dept. of Sports Medicine, Ankara, Turkey; Hacettepe University, Dept. of Orthopaedics and Traumatology, Ankara, Turkey
| | - Şenay Suljevic
- Hacettepe University, Faculty of Sport Sciences, Ankara, Turkey
| | | | - Hasan Bilgili
- Ankara University, Dept. of Surgery Faculty of Veterinary Medicine, Ankara, Turkey
| | - Haydar Ali Demirel
- Hacettepe University, Dept. of Sports Medicine, Ankara, Turkey; Hacettepe University, Faculty of Sport Sciences, Ankara, Turkey
| |
Collapse
|
12
|
Cerciello S, Rossi S, Visonà E, Corona K, Oliva F. Clinical applications of vibration therapy in orthopaedic practice. Muscles Ligaments Tendons J 2016; 6:147-56. [PMID: 27331044 DOI: 10.11138/mltj/2016.6.1.147] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND Vibration therapy (VT) has been proposed as an option to improve physical performance and reduce the negative effects of ageing on bone, muscles and tendons. Several discrepancies exist on the type of applications, frequency and magnitude. These differences reflex on the contradictory clinical results in literature. Aim of the present study is to carry on an exhaustive review to focus on technical options on the market, clinical applications in orthopaedic practice and expected outcomes. METHODS a literature review using the key words "vibration therapy" and "whole-body vibration" and "orthopaedics" was performed. After checking the available abstracts 71 full text articles were evaluated. RESULTS fifty-one articles focused on the effects of VT on muscles and tendons reporting ways of action and clinical outcomes. In a similar way 20 studies focused on the influence of VT on bone tissue with regard on ways of action and clinical trials. CONCLUSIONS VT provides anabolic mechanical signals to bone and musculo-tendinous system. The best effects seem to be achieved with devices that deliver low-intensity stimuli at high frequencies providing linear horizontal displacement.
Collapse
Affiliation(s)
- Simone Cerciello
- Casa di Cura Villa Betania, Rome, Italy; Marrelli Hospital, Crotone, Italy
| | | | | | - Katia Corona
- Università degli Studi del Molise, Campobasso, Italy
| | - Francesco Oliva
- University of Rome "Tor Vergata", School of Medicine, Rome, Italy
| |
Collapse
|
13
|
Rieder F, Wiesinger HP, Kösters A, Müller E, Seynnes OR. Whole-body vibration training induces hypertrophy of the human patellar tendon. Scand J Med Sci Sports 2015; 26:902-10. [PMID: 26173589 DOI: 10.1111/sms.12522] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/14/2015] [Indexed: 01/26/2023]
Abstract
Animal studies suggest that regular exposure to whole-body vibration (WBV) induces an anabolic response in bone and tendon. However, the effects of this type of intervention on human tendon properties and its influence on the muscle-tendon unit function have never been investigated. The aim of this study was to investigate the effect of WBV training on the patellar tendon mechanical, material and morphological properties, the quadriceps muscle architecture and the knee extension torque-angle relationship. Fifty-five subjects were randomized into either a vibration, an active control, or an inactive control group. The active control subjects performed isometric squats on a vibration platform without vibration. Muscle and tendon properties were measured using ultrasonography and dynamometry. Vibration training induced an increase in proximal (6.3%) and mean (3.8%) tendon cross-sectional area, without any appreciable change in tendon stiffness and modulus or in muscle architectural parameters. Isometric torque at a knee angle of 90° increased in active controls (6.7%) only and the torque-angle relation remained globally unchanged in all groups. The present protocol did not appreciably alter knee extension torque production or the musculo-tendinous parameters underpinning this function. Nonetheless, this study shows for the first time that WBV elicits tendon hypertrophy in humans.
Collapse
Affiliation(s)
- F Rieder
- Department of Sport Science and Kinesiology, University of Salzburg, Salzburg, Austria
| | - H-P Wiesinger
- Department of Sport Science and Kinesiology, University of Salzburg, Salzburg, Austria
| | - A Kösters
- Department of Sport Science and Kinesiology, University of Salzburg, Salzburg, Austria
| | - E Müller
- Department of Sport Science and Kinesiology, University of Salzburg, Salzburg, Austria
| | - O R Seynnes
- Department of Physical Performance, Norwegian School of Sport Sciences, Oslo, Norway
| |
Collapse
|
14
|
Jiang YY, Park JK, Yoon HH, Choi H, Kim CW, Seo YK. Enhancing proliferation and ECM expression of human ACL fibroblasts by sonic vibration. Prep Biochem Biotechnol 2015; 45:476-90. [PMID: 24842289 DOI: 10.1080/10826068.2014.923444] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
Effects of mechanical vibration on cell activity and behavior remain controversial: There has been evidence on both positive and negative effects. Furthermore, research on the anterior cruciate ligament (ACL) has as yet been limited and the frequency-related effects remain unknown, even though ACL injury is common and an injured ACL hardly spontaneously recovers. The object of this work was to address the influence of mechanical vibration on ACL fibroblasts, to determine the effects of frequencies, and to further study this effect at the cellular level. We found that sonic vibration affected ACL fibroblasts' proliferation and metabolism in a frequency-dependent manner, and 20 Hz gave rise to the most ACL cell activity and comprehensively increased extracellular matrix (ECM) contents, including collagen type I, collagen type III, fibronectin, elastin, tenascin, glycosaminoglycan (GAG), and the cytoskeleton protein vimentin. Thus, our results indicate that sonic vibration possesses frequency-dependent effects on proliferation and productivity of ACL fibroblast with an optimal frequency of 20 Hz under the present stimulation conditions, providing further information for future research in how vibrational stimulation manipulates ACL cellular behavior.
Collapse
Affiliation(s)
- Yuan-Yuan Jiang
- a Department of Medical Biotechnology , Dongguk University , Seoul , Korea
| | | | | | | | | | | |
Collapse
|
15
|
Thompson WR, Keller BV, Davis ML, Dahners LE, Weinhold PS. Low-Magnitude, High-Frequency Vibration Fails to Accelerate Ligament Healing but Stimulates Collagen Synthesis in the Achilles Tendon. Orthop J Sports Med 2015; 3. [PMID: 26086026 PMCID: PMC4467027 DOI: 10.1177/2325967115585783] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/25/2023] Open
Abstract
Background: Low-magnitude, high-frequency vibration accelerates fracture and wound healing and prevents disuse atrophy in musculoskeletal tissues. Purpose: To investigate the role of low-magnitude, high-frequency vibration as a treatment to accelerate healing of an acute ligament injury and to examine gene expression in the intact Achilles tendon of the injured limb after low-magnitude, high-frequency vibration. Study Design: Controlled laboratory study. Methods: Complete surgical transection of the medial collateral ligament (MCL) was performed in 32 Sprague-Dawley rats, divided into control and low-magnitude, high-frequency vibration groups. Low-magnitude, high-frequency vibration started on postoperative day 2, and rats received vibration for 30 minutes a day for 12 days. All rats were sacrificed 2 weeks after the operation, and their intact and injured MCLs were biomechanically tested or used for histological analysis. Intact Achilles tendons from the injured limb were evaluated for differences in gene expression. Results: Mechanical testing revealed no differences in the ultimate tensile load or the structural stiffness between the control and vibration groups for either the injured or intact MCL. Vibration exposure increased gene expression of collagen 1 alpha (3-fold), interleukin 6 (7-fold), cyclooxygenase 2 (5-fold), and bone morphogenetic protein 12 (4-fold) in the intact Achilles tendon when compared with control tendons (P < .05). Conclusion: While no differences were observed in the mechanical or histological properties of the fully transected MCL after low-magnitude, high-frequency vibration treatment, significant enhancements in gene expression were observed in the intact Achilles tendon. These included collagen, several inflammatory cytokines, and growth factors critical for tendons. Clinical Relevance: As low-magnitude, high-frequency vibration had no negative effects on ligament healing, vibration therapy may be a useful tool to accelerate healing of other tissues (bone) in multitrauma injuries without inhibiting ligament healing. Additionally, the enhanced gene expression in response to low-magnitude, high-frequency vibration in the intact Achilles tendon suggests the need to further study its potential to accelerate tendon healing in partial injury or repair models.
Collapse
Affiliation(s)
- William R Thompson
- Department of Physical Therapy, School of Health and Rehabilitation Sciences, Indiana University, Indianapolis, Indiana, USA
| | - Benjamin V Keller
- Department of Orthopedics, University of North Carolina, Chapel Hill, North Carolina, USA
| | - Matthew L Davis
- Department of Orthopedics, University of North Carolina, Chapel Hill, North Carolina, USA
| | - Laurence E Dahners
- Department of Orthopedics, University of North Carolina, Chapel Hill, North Carolina, USA
| | - Paul S Weinhold
- Department of Orthopedics, University of North Carolina, Chapel Hill, North Carolina, USA
| |
Collapse
|
16
|
Abstract
PURPOSE OF REVIEW The musculoskeletal system is largely regulated through dynamic physical activity and is compromised by cessation of physical loading. There is a need to recreate the anabolic effects of loading on the musculoskeletal system, especially in frail individuals who cannot exercise. Vibration therapy is designed to be a nonpharmacological analogue of physical activity, with an intention to promote bone and muscle strength. RECENT FINDINGS Animal and human studies suggest that high-frequency, low-magnitude vibration therapy improves bone strength by increasing bone formation and decreasing bone resorption. There is also evidence that vibration therapy is useful in treating sarcopenia, which confounds skeletal fragility and fall risk in aging. Enhancement of skeletal and muscle strength involves regulating the differentiation of mesenchymal stem cells to build these tissues; mesenchymal stem cell lineage allocation is positively promoted by vibration signals. SUMMARY Vibration therapy may be useful as a primary treatment as well as an adjunct to both physical and pharmacological treatments, but future studies must pay close attention to compliance and dosing patterns, and importantly, the vibration signal, be it low-intensity vibration (<1g) appropriate for treatment of frail individuals or high-intensity vibration (>1g) marketed as a training exercise.
Collapse
Affiliation(s)
- William R Thompson
- Department of Medicine, University of North Carolina, Chapel Hill, North Carolina, USA
| | | | | |
Collapse
|
17
|
Freedman BR, Gordon JA, Soslowsky LJ. The Achilles tendon: fundamental properties and mechanisms governing healing. Muscles Ligaments Tendons J 2014; 4:245-255. [PMID: 25332943 PMCID: PMC4187594] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
This review highlights recent research on Achilles tendon healing, and comments on the current clinical controversy surrounding the diagnosis and treatment of injury. The processes of Achilles tendon healing, as demonstrated through changes in its structure, composition, and biomechanics, are reviewed. Finally, a review of tendon developmental biology and mechano transductive pathways is completed to recognize recent efforts to augment injured Achilles tendons, and to suggest potential future strategies for therapeutic intervention and functional tissue engineering. Despite an abundance of clinical evidence suggesting that current treatments and rehabilitation strategies for Achilles tendon ruptures are equivocal, significant questions remain to fully elucidate the basic science mechanisms governing Achilles tendon injury, healing, treatment, and rehabilitation.
Collapse
Affiliation(s)
| | | | - Louis J. Soslowsky
- Corresponding Author: Louis J. Soslowsky, McKay Orthopaedic Research Laboratory, University of Pennsylvania, 424 Stemmler Hall, 3450 Hamilton Walk, Philadelphia, PA 19104-6081, USA, E-mail:
| |
Collapse
|