电磁场与骨重建相关疾病转化研究:回顾与展望
作者:
作者单位:

1)西北工业大学深圳研究院,深圳 518057;2)西北工业大学生命学院,西安 710072;3)西北工业大学空间生物实验模拟技术国防重点学科实验室,西安 710072;4)南方医科大学附属龙华人民医院脊柱外科,深圳 518109;5)西安交通大学附属红会医院骨质疏松科,西安 710054

作者简介:

Tel:029-88491613,E-mail:shangpeng@nwpu.edu.cnTel: 86-29-88491613, E-mail: shangpeng@nwpu.edu.cn

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基金项目:

深圳市科创委基础研究(JCYJ20230807145206013),国家自然科学基金(52037007)和西北工业大学博士论文创新基金(CX2023078)资助项目。


Translational Research of Electromagnetic Fields on Diseases Related With Bone Remodeling: Review and Prospects
Author:
Affiliation:

1)Research & Development Institute of Northwestern Polytechnical University in Shenzhen, Shenzhen 518057, China;2)School of Life Science, Northwestern Polytechnical University, Xi’an 710072, China;3)Key Laboratory for Space Bioscience and Biotechnology, Northwestern Polytechnical University, Xi’an 710072, China;4)Department of Spine Surgery, People’s Hospital of Longhua, Southern Medical University, Shenzhen 518109, China;5)Department of Osteoporosis, Honghui Hospital, Xi’an Jiaotong University, Xi’an 710054, China

Fund Project:

This work was supported by grants from Shenzhen Science and Technology Program (JCYJ20230807145206013), The National Natural Science Foundation of China (52037007), and the Innovation Foundation for Doctor Dissertation of Northwestern Polytechnical University (CX2023078).

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    摘要:

    几十年的研究与应用表明:电磁场具有调节骨重建生物学过程的作用,并可作为非侵入性物理治疗方法,对于以骨重建为主要干预环节的各个系统疾病,如骨折和骨质疏松症,具有治疗作用。本文基于已有文献,从电磁场与骨重建的基本概念出发,综述了电磁场在骨重建相关疾病方面的基础研究、电磁技术和临床应用,从生物医学基础与生物电磁学交叉融合的角度,分析了电磁场作用于骨重建及相关疾病的生物学机制,提出了尚未解决、值得深入研究的基础性生物物理机制问题,并对相关生物电磁技术发展及其临床转化应用前景进行了展望。

    Abstract:

    Electromagnetic fields can regulate the fundamental biological processes involved in bone remodeling. As a non-invasive physical therapy, electromagnetic fields with specific parameters have demonstrated therapeutic effects on bone remodeling diseases, such as fractures and osteoporosis. Electromagnetic fields can be generated by the movement of charged particles or induced by varying currents. Based on whether the strength and direction of the electric field change over time, electromagnetic fields can be classified into static and time-varying fields. The treatment of bone remodeling diseases with static magnetic fields primarily focuses on fractures, often using magnetic splints to immobilize the fracture site while studying the effects of static magnetic fields on bone healing. However, there has been relatively little research on the prevention and treatment of osteoporosis using static magnetic fields. Pulsed electromagnetic fields, a type of time-varying field, have been widely used in clinical studies for treating fractures, osteoporosis, and non-union. However, current clinical applications are limited to low-frequency, and research on the relationship between frequency and biological effects remains insufficient. We believe that different types of electromagnetic fields acting on bone can induce various “secondary physical quantities”, such as magnetism, force, electricity, acoustics, and thermal energy, which can stimulate bone cells either individually or simultaneously. Bone cells possess specific electromagnetic properties, and in a static magnetic field, the presence of a magnetic field gradient can exert a certain magnetism on the bone tissue, leading to observable effects. In a time-varying magnetic field, the charged particles within the bone experience varying Lorentz forces, causing vibrations and generating acoustic effects. Additionally, as the frequency of the time-varying field increases, induced currents or potentials can be generated within the bone, leading to electrical effects. When the frequency and power exceed a certain threshold, electromagnetic energy can be converted into thermal energy, producing thermal effects. In summary, external electromagnetic fields with different characteristics can generate multiple physical quantities within biological tissues, such as magnetic, electric, mechanical, acoustic, and thermal effects. These physical quantities may also interact and couple with each other, stimulating the biological tissues in a combined or composite manner, thereby producing biological effects. This understanding is key to elucidating the electromagnetic mechanisms of how electromagnetic fields influence biological tissues. In the study of electromagnetic fields for bone remodeling diseases, attention should be paid to the biological effects of bone remodeling under different electromagnetic wave characteristics. This includes exploring innovative electromagnetic source technologies applicable to bone remodeling, identifying safe and effective electromagnetic field parameters, and combining basic research with technological invention to develop scientifically grounded, advanced key technologies for innovative electromagnetic treatment devices targeting bone remodeling diseases. In conclusion, electromagnetic fields and multiple physical factors have the potential to prevent and treat bone remodeling diseases, and have significant application prospects.

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商澎,刘俊宇,王圣航,杨建成,张哲源,李岸林,张昊,曾玉红.电磁场与骨重建相关疾病转化研究:回顾与展望[J].生物化学与生物物理进展,2025,52(2):439-455

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历史
  • 收稿日期:2024-06-18
  • 最后修改日期:2025-01-05
  • 接受日期:2024-10-08
  • 在线发布日期: 2024-10-08
  • 出版日期: 2025-02-28