PMID- 34580378 OWN - NLM STAT- MEDLINE DCOM- 20211228 LR - 20240404 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 11 IP - 1 DP - 2021 Sep 27 TI - Electromagnetic stimulation increases mitochondrial function in osteogenic cells and promotes bone fracture repair. PG - 19114 LID - 10.1038/s41598-021-98625-1 [doi] LID - 19114 AB - Bone fracture is a growing public health burden and there is a clinical need for non-invasive therapies to aid in the fracture healing process. Previous studies have demonstrated the utility of electromagnetic (EM) fields in promoting bone repair; however, its underlying mechanism of action is unclear. Interestingly, there is a growing body of literature describing positive effects of an EM field on mitochondria. In our own work, we have previously demonstrated that differentiation of osteoprogenitors into osteoblasts involves activation of mitochondrial oxidative phosphorylation (OxPhos). Therefore, it was reasonable to propose that EM field therapy exerts bone anabolic effects via stimulation of mitochondrial OxPhos. In this study, we show that application of a low intensity constant EM field source on osteogenic cells in vitro resulted in increased mitochondrial membrane potential and respiratory complex I activity and induced osteogenic differentiation. In the presence of mitochondrial inhibitor antimycin A, the osteoinductive effect was reversed, confirming that this effect was mediated via increased OxPhos activity. Using a mouse tibial bone fracture model in vivo, we show that application of a low intensity constant EM field source enhanced fracture repair via improved biomechanical properties and increased callus bone mineralization. Overall, this study provides supporting evidence that EM field therapy promotes bone fracture repair through mitochondrial OxPhos activation. CI - (c) 2021. The Author(s). FAU - Hollenberg, Alex M AU - Hollenberg AM AD - Center for Musculoskeletal Research, University of Rochester School of Medicine & Dentistry, Rochester, NY, USA. FAU - Huber, Aric AU - Huber A AD - Center for Musculoskeletal Research, University of Rochester School of Medicine & Dentistry, Rochester, NY, USA. FAU - Smith, Charles O AU - Smith CO AD - Center for Musculoskeletal Research, University of Rochester School of Medicine & Dentistry, Rochester, NY, USA. FAU - Eliseev, Roman A AU - Eliseev RA AD - Center for Musculoskeletal Research, University of Rochester School of Medicine & Dentistry, Rochester, NY, USA. roman_eliseev@urmc.rochester.edu. AD - University of Rochester Medical Center, 601 Elmwood Ave, Rm 1-8541, Rochester, NY, 14642, USA. roman_eliseev@urmc.rochester.edu. LA - eng GR - P30 AR069655/AR/NIAMS NIH HHS/United States GR - R01 AR072601/AR/NIAMS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20210927 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 SB - IM MH - Animals MH - Cell Differentiation/radiation effects MH - Cell Line MH - Fracture Healing/*radiation effects MH - Fractures, Bone/pathology/*therapy MH - Humans MH - Magnetic Field Therapy/*methods MH - Membrane Potential, Mitochondrial/radiation effects MH - Mice MH - Mitochondria/physiology/*radiation effects MH - Osteoblasts/physiology/radiation effects MH - Osteogenesis/radiation effects MH - Oxidative Phosphorylation/radiation effects PMC - PMC8476611 COIS- The study was in part sponsored by Sanabit Technologies Inc (Rochester, NY), a developer of electromagnetic therapy for bone repair. Dr Eliseev's work has been funded in part by Sanabit Technologies Inc. Mr Hollenberg, Mr Huber, and Dr. Smith declare no potential conflict of interest. Sanabit Technologies played no role in the conceptualization, design, data collection, analysis, decision to publish, or preparation of the manuscript. EDAT- 2021/09/29 06:00 MHDA- 2021/12/29 06:00 PMCR- 2021/09/27 CRDT- 2021/09/28 06:22 PHST- 2021/02/22 00:00 [received] PHST- 2021/08/25 00:00 [accepted] PHST- 2021/09/28 06:22 [entrez] PHST- 2021/09/29 06:00 [pubmed] PHST- 2021/12/29 06:00 [medline] PHST- 2021/09/27 00:00 [pmc-release] AID - 10.1038/s41598-021-98625-1 [pii] AID - 98625 [pii] AID - 10.1038/s41598-021-98625-1 [doi] PST - epublish SO - Sci Rep. 2021 Sep 27;11(1):19114. doi: 10.1038/s41598-021-98625-1.