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Nix Z, Kota D, Ratnayake I, Wang C, Smith S, Wood S. Spectral characterization of cell surface motion for mechanistic investigations of cellular mechanobiology. PROGRESS IN BIOPHYSICS AND MOLECULAR BIOLOGY 2022; 176:3-15. [PMID: 36108781 DOI: 10.1016/j.pbiomolbio.2022.08.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/14/2021] [Revised: 07/27/2022] [Accepted: 08/05/2022] [Indexed: 06/15/2023]
Abstract
Understanding the specific mechanisms responsible for anabolic and catabolic responses to static or dynamic force are largely poorly understood. Because of this, most research groups studying mechanotransduction due to dynamic forces employ an empirical approach in deciding what frequencies to apply during experiments. While this has been shown to elucidate valuable information regarding how cells respond under controlled provocation, it is often difficult or impossible to determine a true optimal frequency for force application, as many intracellular complexes are involved in receiving, propagating, and responding to a given stimulus. Here we present a novel adaptation of an analytical technique from the fields of civil and mechanical engineering that may open the door to direct measurement of mechanobiological cellular frequencies which could be used to target specific cell signaling pathways leveraging synergy between outside-in and inside-out mechanotransduction approaches. This information could be useful in identifying how specific proteins are involved in the homeostatic balance, or disruption thereof, of cells and tissue, furthering the understanding of the pathogenesis and progression of many diseases across a wide variety of cell types, which may one day lead to the development of novel mechanobiological therapies for clinical use.
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Affiliation(s)
- Zachary Nix
- Department of Nanoscience & Biomedical Engineering, BioSystems Networks / Translational Research (BioSNTR), South Dakota School of Mines and Technology, USA
| | - Divya Kota
- Department of Nanoscience & Biomedical Engineering, BioSystems Networks / Translational Research (BioSNTR), South Dakota School of Mines and Technology, USA
| | - Ishara Ratnayake
- Department of Nanoscience & Biomedical Engineering, BioSystems Networks / Translational Research (BioSNTR), South Dakota School of Mines and Technology, USA
| | - Congzhou Wang
- Department of Nanoscience & Biomedical Engineering, BioSystems Networks / Translational Research (BioSNTR), South Dakota School of Mines and Technology, USA
| | - Steve Smith
- Department of Nanoscience & Biomedical Engineering, BioSystems Networks / Translational Research (BioSNTR), South Dakota School of Mines and Technology, USA
| | - Scott Wood
- Department of Nanoscience & Biomedical Engineering, BioSystems Networks / Translational Research (BioSNTR), South Dakota School of Mines and Technology, USA.
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2
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Anterior Mandibular Displacement in Growing Rats—A Systematic Review. Animals (Basel) 2022; 12:ani12162059. [PMID: 36009649 PMCID: PMC9405253 DOI: 10.3390/ani12162059] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2022] [Revised: 08/06/2022] [Accepted: 08/07/2022] [Indexed: 12/17/2022] Open
Abstract
Simple Summary Mandibular deficiency is a very common orthodontic problem. Many different types of appliances have been utilized to correct such malocclusions. Most are appliances that alter the function of the mandible resulting in a more forward positioning of the lower jaw. Many researchers state that such an alteration results in a different rate of mandibular growth, due to condyle endochondral ossification, thus correcting the orthodontic anomaly. Their effect though remains controversial. The aim of the present study was to investigate the effect of such functional appliances in the mandible of growing rats by reviewing the existing literature up to March of 2022. Most of them stated that true condylar growth is observed, although there are many limitations due to the nature of such experiments. Abstract Skeletal Class II malocclusion is the most common skeletal anomaly in orthodontics. Growth in the body of the deficient mandible is induced by periosteal apposition and endochondral ossification in the condyle. Functional appliances have been used in the correction of Class II malocclusions by inducing mandibular growth. Despite their utilization though, their effect still remains controversial. The aim of the present study is to review the existing literature regarding the effects of mandibular protrusion in mandibular growth of growing rats. A protocol was followed according to the guidelines of the Cohrane Handbook for Systematic Reviews. Databases were searched using a specific algorithm. From the ten studies finally analyzed, we conclude that the use of a functional appliance in growing rats induces cell proliferation and bone formation in their condyles, resulting in mandibular growth.
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Zou Y, Cai S, Lin H, Cai J, Zheng DL, Lu YG, Xu L. Experimental functional shift-induced osteoarthritis-like changes at the TMJ and altered integrin expression in a rat model. Ann N Y Acad Sci 2022; 1511:210-227. [PMID: 35188225 DOI: 10.1111/nyas.14741] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2021] [Accepted: 12/01/2021] [Indexed: 12/13/2022]
Abstract
Mandibular deviation affects the biomechanical environment of the temporomandibular joint (TMJ) and causes thinning of cartilage on the deviated side. We aimed to evaluate, using a rat model, the effect of mandibular functional deviation on the TMJ in relation to the functional roles of integrin β family members. The effects of experimental functional deviation on the TMJ of 6-week-old Sprague-Dawley female rats, randomly assigned to control (n = 42) and experimental groups (n = 42), were evaluated at 3 days and 1, 2, 4, and 8 weeks by histological staining, immunofluorescence, real-time quantitative polymerase chain reaction, and micro-computed tomography. The results showed that the experimental functional shift changed the shape of condyles, thinned the cartilage, and increased the proportion of the hypertrophic layer on the deviated sides of condyles. In addition, the extracellular matrix of the condyle cartilage exhibited degradation at 1 week and subchondral trabecular bone was lost at 4 and 8 weeks. Osteoarthritis (OA)-like changes occurred in the left and right condyles of rats in the experimental group and were aggravated over time. Integrin β family expression, especially integrin β2 , was altered from week 1, possibly related to the OA-like changes. These data may provide insight into the onset of TMJ OA.
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Affiliation(s)
- Yuchun Zou
- Fujian Key Laboratory of Oral Diseases, School of Stomatology, Fujian Medical University, Fuzhou, China.,Orthodontics Department, Research Center of Dental Esthetics and Biomechanics, Fujian Medical University, Fuzhou, China
| | - Senxin Cai
- Fujian Key Laboratory of Oral Diseases, School of Stomatology, Fujian Medical University, Fuzhou, China.,Orthodontics Department, Research Center of Dental Esthetics and Biomechanics, Fujian Medical University, Fuzhou, China
| | - Hanyu Lin
- Fujian Key Laboratory of Oral Diseases, School of Stomatology, Fujian Medical University, Fuzhou, China.,Orthodontics Department, Research Center of Dental Esthetics and Biomechanics, Fujian Medical University, Fuzhou, China
| | - Jingwen Cai
- Fujian Key Laboratory of Oral Diseases, School of Stomatology, Fujian Medical University, Fuzhou, China.,Orthodontics Department, Research Center of Dental Esthetics and Biomechanics, Fujian Medical University, Fuzhou, China
| | - Da-Li Zheng
- Fujian Key Laboratory of Oral Diseases, School of Stomatology, Fujian Medical University, Fuzhou, China
| | - You-Guang Lu
- Fujian Key Laboratory of Oral Diseases, School of Stomatology, Fujian Medical University, Fuzhou, China.,Department of Preventive Dentistry, School and Hospital of Stomatology, Fujian Medical University, Fuzhou, China
| | - Linyu Xu
- Fujian Key Laboratory of Oral Diseases, School of Stomatology, Fujian Medical University, Fuzhou, China.,Orthodontics Department, Research Center of Dental Esthetics and Biomechanics, Fujian Medical University, Fuzhou, China
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Franco WF, Galdino MVB, Capeletti LR, Sberowsky BH, Vieira RA, Figueiredo AC, Ramalho KM, Dos Santos FCA, Biancardi MF, de Marco P, Marques MR. Photobiomodulation and Mandibular Advancement Modulates Cartilage Thickness and Matrix Deposition in the Mandibular Condyle. Photobiomodul Photomed Laser Surg 2020; 38:3-10. [PMID: 31855093 DOI: 10.1089/photob.2019.4640] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Objective: We evaluated the effects of photobiomodulation (PBM), mandibular advancement (MA), and the combination of both treatments (PBM+MA) on condylar growth, by the analysis of cartilage and bone formation, fibrillar collagen deposition, proteoglycan content, cell proliferation, and clastic cell index (CCI). Methods: Forty male Wistar rats were randomly assigned to CONTROL, PBM, positive control-MA, and PBM+MA groups. The appliance was worn 10 h/day. Laser was irradiated bilaterally on mandibular condyles in 8 alternate days (1 irradiation point per condyle) using the following parameters: 780 nm, 10 J/cm2, 40 mW, 1 W/cm2, 10 sec/point, 0.4 J/point, and cumulative dose per point: 3.2 J. PBM+MA received both treatments simultaneously. After 15 days, the animals were euthanized and the condyles dissected and embedded in paraffin. Histological sections from the intermediate portion of the condyle were used for morphometric analysis. The relative frequency (%) of fibrillar collagens was determined in sections stained with picrosirius red-hematoxylin under polarized light or Gömöri's method for reticular fibers. Proteoglycan content was evaluated by computerized photocolorimetric analysis. CCI was determined by tartrate-resistant acid phosphatase (TRAP), and proliferating cell nuclear antigen (PCNA) was detected by immunohistochemistry. Results: PBM and MA influenced condylar cartilage thickeness and matrix deposition, but none of the treatments affected significantly the area of the condyle. CCI were not influenced by the treatments, but clastic cells distribution was influenced by MA and PBM+MA treatments. There was no significant difference in proliferating cells among the groups. Conclusions: This study demonstrated that PBM and MA stimulates matrix deposition and cartilage thickening in the mandibular condyle, but was not able to demonstrate a synergistic effect between the treatments. Additional studies should be conducted to evaluate the possible synergistic effect between PBM and MA.
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Affiliation(s)
| | - Marcos Vinicios Borges Galdino
- Biological Sciences Institute, Department of Histology, Embryology and Cell Biology, Federal University of Goiás, Goiânia, Brazil
| | | | | | | | - Augusto César Figueiredo
- Biological Sciences Institute, Department of Histology, Embryology and Cell Biology, Federal University of Goiás, Goiânia, Brazil
| | | | | | - Manoel Francisco Biancardi
- Biological Sciences Institute, Department of Histology, Embryology and Cell Biology, Federal University of Goiás, Goiânia, Brazil
| | - Paulo de Marco
- Biological Sciences Institute, Department of Ecology, Federal University of Goiás, Goiânia, Brazil
| | - Mara Rubia Marques
- Biological Sciences Institute, Department of Histology, Embryology and Cell Biology, Federal University of Goiás, Goiânia, Brazil
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Karamesinis K, Basdra EK. The biological basis of treating jaw discrepancies: An interplay of mechanical forces and skeletal configuration. Biochim Biophys Acta Mol Basis Dis 2018; 1864:1675-1683. [PMID: 29454076 DOI: 10.1016/j.bbadis.2018.02.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2017] [Revised: 02/06/2018] [Accepted: 02/12/2018] [Indexed: 10/18/2022]
Abstract
Jaw discrepancies and malrelations affect a large proportion of the general population and their treatment is of utmost significance for individuals' health and quality of life. The aim of their therapy is the modification of aberrant jaw development mainly by targeting the growth potential of the mandibular condyle through its cartilage, and the architectural shape of alveolar bone through a suture type of structure, the periodontal ligament. This targeted treatment is achieved via external mechanical force application by using a wide variety of intraoral and extraoral appliances. Condylar cartilage and sutures exhibit a remarkable plasticity due to the mechano-responsiveness of the chondrocytes and the multipotent mesenchymal cells of the sutures. The tissues respond biologically and adapt to mechanical force application by a variety of signaling pathways and a final interplay between the proliferative activity and the differentiation status of the cells involved. These targeted therapeutic functional alterations within temporo-mandibular joint ultimately result in the enhancement or restriction of mandibular growth, while within the periodontal ligament lead to bone remodeling and change of its architectural structure. Depending on the form of the malrelation presented, the above treatment approaches, in conjunction or separately, lead to the total correction of jaw discrepancies and the achievement of facial harmony and function. Overall, the treatment of craniofacial and jaw anomalies can be seen as an interplay of mechanical forces and adaptations occurring within temporo-mandibular joint and alveolar bone. The aim of the present review is to present up-to-date knowledge on the mechano-biology behind jaw growth modification and alveolar bone remodeling. Furthermore, future molecular targeted therapeutic strategies are discussed aiming at the improvement of mechanically-driven chondrogenesis and osteogenesis.
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Affiliation(s)
- Konstantinos Karamesinis
- Department of Biological Chemistry, Cellular and Molecular Biomechanics Unit, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece
| | - Efthimia K Basdra
- Department of Biological Chemistry, Cellular and Molecular Biomechanics Unit, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece.
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Kaur H, Uludağ H, Dederich DN, El-Bialy T. Effect of Increasing Low-Intensity Pulsed Ultrasound and a Functional Appliance on the Mandibular Condyle in Growing Rats. JOURNAL OF ULTRASOUND IN MEDICINE : OFFICIAL JOURNAL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE 2017; 36:109-120. [PMID: 27925675 DOI: 10.7863/ultra.15.06063] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/16/2015] [Accepted: 04/07/2016] [Indexed: 06/06/2023]
Abstract
OBJECTIVES Functional appliances are used for treatment of lower-jaw deficiencies in growing individuals; however, their effectiveness is debatable. Low-intensity pulsed ultrasound (US) is a noninvasive method, which has been shown to stimulate cartilage and bone formation with 20 minutes of application. This study was designed to test the hypothesis that increasing low-intensity pulsed US application from 20 to 40 min/d will enhance mandibular condylar growth in growing rats, especially when combined with a functional appliance. METHODS Fifty-four Sprague Dawley rats were divided into 6 groups (n = 9): control, low-intensity pulsed US for 20 minutes, low-intensity pulsed US for 40 minutes, the functional appliance, the functional appliance plus low-intensity pulsed US for 20 minutes, and the functional appliance plus low-intensity pulsed US for 40 minutes. Low-intensity pulsed US was applied for 28 days. All rats were then euthanized, and their mandibles were dissected for morphometric, histomorphometric, and micro-computed tomographic analyses. RESULTS Among all study groups, the 20-minute US group showed significant increases in most of the measured variables (P < .05) except for condylar process length (P = .18), whereas the functional appliance-plus-40-min US group showed the least favorable results. The 20-minute US group showed increases in proliferative and hypertrophic cell counts and widths and enhanced microarchitecture of trabecular bone compared with the 40-minute US group. The functional appliance-plus-20-minute US group showed better results compared with the functional appliance-alone and functional appliance-plus-40-minute US groups. CONCLUSIONS A daily application of low-intensity pulsed US for 20 minutes in growing rats affects mandibular growth, either alone or in combination with a functional appliance. Further study with a longer observation period is required to study the long-term effects and stability of newly formed bone.
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Affiliation(s)
- Harmanpreet Kaur
- Department of Dentistry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada
- Medical Science Graduate Program, University of Alberta, Edmonton, Alberta, Canada
| | - Hasan Uludağ
- Department of Chemical and Materials Engineering, Faculty of Engineering, University of Alberta, Edmonton, Alberta, Canada
| | - Douglas N Dederich
- Department of Dentistry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada
| | - Tarek El-Bialy
- Departments of Dentistry and Biomedical Engineering, University of Alberta, Edmonton, Alberta, Canada
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Karamesinis K, Spyropoulou A, Dalagiorgou G, Katsianou MA, Nokhbehsaim M, Memmert S, Deschner J, Vastardis H, Piperi C. Continuous hydrostatic pressure induces differentiation phenomena in chondrocytes mediated by changes in polycystins, SOX9, and RUNX2. J Orofac Orthop 2016; 78:21-31. [PMID: 27909759 DOI: 10.1007/s00056-016-0061-1] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2016] [Accepted: 06/21/2016] [Indexed: 02/07/2023]
Abstract
PURPOSE The present study aimed to investigate the long-term effects of hydrostatic pressure on chondrocyte differentiation, as indicated by protein levels of transcription factors SOX9 and RUNX2, on transcriptional activity of SOX9, as determined by pSOX9 levels, and on the expression of polycystin-encoding genes Pkd1 and Pkd2. MATERIALS AND METHODS ATDC5 cells were cultured in insulin-supplemented differentiation medium (ITS) and/or exposed to 14.7 kPa of hydrostatic pressure for 12, 24, 48, and 96 h. Cell extracts were assessed for SOX9, pSOX9, and RUNX2 using western immunoblotting. The Pkd1 and Pkd2 mRNA levels were detected by real-time PCR. RESULTS Hydrostatic pressure resulted in an early drop in SOX9 and pSOX9 protein levels at 12 h followed by an increase from 24 h onwards. A reverse pattern was followed by RUNX2, which reached peak levels at 24 h of hydrostatic pressure-treated chondrocytes in ITS culture. Pkd1 and Pkd2 mRNA levels increased at 24 h of combined hydrostatic pressure and ITS treatment, with the latter remaining elevated up to 96 h. CONCLUSIONS Our data indicate that long periods of continuous hydrostatic pressure stimulate chondrocyte differentiation through a series of molecular events involving SOX9, RUNX2, and polycystins-1, 2, providing a theoretical background for functional orthopedic mechanotherapies.
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Affiliation(s)
- Konstantinos Karamesinis
- Department of Biological Chemistry, Medical School, National and Kapodistrian University of Athens, 75, M. Asias Street, 11527, Athens, Greece.,Department of Orthodontics, Dental School, National and Kapodistrian University of Athens, 11527, Athens, Greece
| | - Anastasia Spyropoulou
- Department of Biological Chemistry, Medical School, National and Kapodistrian University of Athens, 75, M. Asias Street, 11527, Athens, Greece
| | - Georgia Dalagiorgou
- Department of Biological Chemistry, Medical School, National and Kapodistrian University of Athens, 75, M. Asias Street, 11527, Athens, Greece
| | - Maria A Katsianou
- Department of Biological Chemistry, Medical School, National and Kapodistrian University of Athens, 75, M. Asias Street, 11527, Athens, Greece
| | - Marjan Nokhbehsaim
- Section of Experimental Dento-Maxillo-Facial Medicine, University of Bonn, Welschnonnenstrasse 17, 53111, Bonn, Germany
| | - Svenja Memmert
- Department of Orthodontics Dento-Maxillo-Facial Medicine, University of Bonn, Welschnonnenstrasse 17, 53111, Bonn, Germany
| | - James Deschner
- Section of Experimental Dento-Maxillo-Facial Medicine, University of Bonn, Welschnonnenstrasse 17, 53111, Bonn, Germany
| | - Heleni Vastardis
- Department of Orthodontics, Dental School, National and Kapodistrian University of Athens, 11527, Athens, Greece
| | - Christina Piperi
- Department of Biological Chemistry, Medical School, National and Kapodistrian University of Athens, 75, M. Asias Street, 11527, Athens, Greece.
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Yu HS, Kim JJ, Kim HW, Lewis MP, Wall I. Impact of mechanical stretch on the cell behaviors of bone and surrounding tissues. J Tissue Eng 2016; 7:2041731415618342. [PMID: 26977284 PMCID: PMC4765821 DOI: 10.1177/2041731415618342] [Citation(s) in RCA: 40] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2015] [Accepted: 10/15/2015] [Indexed: 12/27/2022] Open
Abstract
Mechanical loading is recognized to play an important role in regulating the behaviors of cells in bone and surrounding tissues in vivo. Many in vitro studies have been conducted to determine the effects of mechanical loading on individual cell types of the tissues. In this review, we focus specifically on the use of the Flexercell system as a tool for studying cellular responses to mechanical stretch. We assess the literature describing the impact of mechanical stretch on different cell types from bone, muscle, tendon, ligament, and cartilage, describing individual cell phenotype responses. In addition, we review evidence regarding the mechanotransduction pathways that are activated to potentiate these phenotype responses in different cell populations.
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Affiliation(s)
- Hye-Sun Yu
- Department of Biochemical Engineering, University College London, London, UK; Department of Nanobiomedical Science and BK21 Plus NBM Global Research Center for Regenerative Medicine, Dankook University Graduate School, Cheonan, South Korea; Institute of Tissue Regeneration Engineering (ITREN), Dankook University, Cheonan, South Korea
| | - Jung-Ju Kim
- Department of Nanobiomedical Science and BK21 Plus NBM Global Research Center for Regenerative Medicine, Dankook University Graduate School, Cheonan, South Korea; Institute of Tissue Regeneration Engineering (ITREN), Dankook University, Cheonan, South Korea
| | - Hae-Won Kim
- Department of Nanobiomedical Science and BK21 Plus NBM Global Research Center for Regenerative Medicine, Dankook University Graduate School, Cheonan, South Korea; Institute of Tissue Regeneration Engineering (ITREN), Dankook University, Cheonan, South Korea; Department of Biomaterials Science, School of Dentistry, Dankook University, Cheonan, South Korea
| | - Mark P Lewis
- Musculo-Skeletal Biology Research Group, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK
| | - Ivan Wall
- Department of Biochemical Engineering, University College London, London, UK; Department of Nanobiomedical Science and BK21 Plus NBM Global Research Center for Regenerative Medicine, Dankook University Graduate School, Cheonan, South Korea
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Bleuel J, Zaucke F, Brüggemann GP, Niehoff A. Effects of cyclic tensile strain on chondrocyte metabolism: a systematic review. PLoS One 2015; 10:e0119816. [PMID: 25822615 PMCID: PMC4379081 DOI: 10.1371/journal.pone.0119816] [Citation(s) in RCA: 61] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2014] [Accepted: 01/16/2015] [Indexed: 12/25/2022] Open
Abstract
Chondrocytes reorganize the extracellular matrix of articular cartilage in response to externally applied loads. Thereby, different loading characteristics lead to different biological responses. Despite of active research in this area, it is still unclear which parts of the extracellular matrix adapt in what ways, and how specific loading characteristics affect matrix changes. This review focuses on the influence of cyclic tensile strain on chondrocyte metabolism in vitro. It also aimed to identify anabolic or catabolic chondrocyte responses to different loading protocols. The key findings show that loading cells up to 3% strain, 0.17 Hz, and 2 h, resulted in weak or no biological responses. Loading between 3–10% strain, 0.17–0.5 Hz, and 2–12 h led to anabolic responses; and above 10% strain, 0.5 Hz, and 12 h catabolic events predominated. However, this review also discusses that various other factors are involved in the remodeling of the extracellular matrix in response to loading, and that parameters like an inflammatory environment might influence the biological response.
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Affiliation(s)
- Judith Bleuel
- Institute of Biomechanics and Orthopaedics, German Sport University Cologne, Köln, Germany
- * E-mail:
| | - Frank Zaucke
- Center for Biochemistry, Medical Faculty, University of Cologne, Köln, Germany
- Cologne Center for Musculoskeletal Biomechanics, Medical Faculty, University of Cologne, Köln, Germany
| | - Gert-Peter Brüggemann
- Institute of Biomechanics and Orthopaedics, German Sport University Cologne, Köln, Germany
- Cologne Center for Musculoskeletal Biomechanics, Medical Faculty, University of Cologne, Köln, Germany
| | - Anja Niehoff
- Institute of Biomechanics and Orthopaedics, German Sport University Cologne, Köln, Germany
- Cologne Center for Musculoskeletal Biomechanics, Medical Faculty, University of Cologne, Köln, Germany
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Koul R. Orthodontic Implications of Growth and Differently Enabled Mandibular Movements for the Temporomandibular Joint. Semin Orthod 2012. [DOI: 10.1053/j.sodo.2011.10.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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