Modulation of inflammatory response by electromagnetic field in Neuronal and Microglial cells.

Journal of surgery and research Pub Date : 2025-01-01 Epub Date: 2025-07-02 DOI:10.26502/jsr.10020453
Yssel Mendoza-Mari, Marija Stojanovic, Dan E Miulli, Devendra K Agrawal
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Abstract

Neuroinflammation plays a key role in the development of CNS pathologies. This event encompasses a series of mechanisms involving the immune system and its cellular and molecular components. While it is necessary to activate the innate immune system during the early response to pathogens or traumas, persistent inflammation hinders neuronal recovery and contributes to the development of long-term neuronal complications. In this way, the application of pharmacological and non-pharmacological treatments is crucial to achieving better recovery of patients. We recently observed that the application of a low frequency electromagnetic field (EMF) decreases the expression of pro-inflammatory markers in an animal model of Traumatic Brain Injury in swine. To characterize this effect in terms of individualized response of neurons and microglial cells, we performed an in vitro model of pro-inflammatory damage by treating two different cell lines with tumor necrosis factor-α and then stimulating the cells with two frequencies of EMF. Transcriptional expression of inflammatory mediators was analyzed 24 and 48 hours after. Our results showed that both cell lines are susceptible to EMF, responding to the treatment by reducing the levels of the target genes in study. These observations further support the anti-inflammatory effect of EMF in the function of neurons and microglial cells and thus enhancing the recovery following traumatic brain injury, as observed under in vivo conditions in both experimental animals and human. These findings lay the foundation and warrants further preclinical and clinical studies to determine the effective frequency and duration of EMF stimulation in the healing of brain injury.

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电磁场对神经元和小胶质细胞炎症反应的调节。
神经炎症在中枢神经系统病理的发展中起着关键作用。这一事件包括一系列涉及免疫系统及其细胞和分子成分的机制。虽然在对病原体或创伤的早期反应中激活先天免疫系统是必要的,但持续的炎症会阻碍神经元的恢复,并导致长期神经元并发症的发生。因此,药物和非药物治疗的应用对于实现患者更好的康复至关重要。我们最近观察到,在猪创伤性脑损伤动物模型中,低频电磁场(EMF)的应用降低了促炎标志物的表达。为了在神经元和小胶质细胞的个体化反应方面表征这种效应,我们通过用肿瘤坏死因子-α治疗两种不同的细胞系,然后用两种频率的EMF刺激细胞,建立了促炎损伤的体外模型。在24和48小时后分析炎症介质的转录表达。我们的研究结果表明,这两种细胞系都对EMF敏感,通过降低研究中目标基因的水平来响应治疗。这些观察结果进一步支持EMF对神经元和小胶质细胞功能的抗炎作用,从而促进创伤性脑损伤后的恢复,正如在实验动物和人类的体内条件下观察到的那样。这些发现为进一步的临床前和临床研究奠定了基础,以确定EMF刺激在脑损伤愈合中的有效频率和持续时间。
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