Effects of Electrical Stimuli on Inflammation
Investigating how electric currents influence inflammation in healthy and inflamed cells.
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Table of Contents
The use of physical stimuli in therapy is a diverse field of study. This diversity comes from a variety of reasons, including different kinds of approach to biological knowledge and a lack of common methods. This makes it hard to compare results and translate findings into practical treatments. Our recent discussions highlight how these issues appear in medical conversations. We believe that a clearer understanding of the effects of physical stimuli can be valuable, especially in relation to Inflammation.
Creating a 3D Model
To tackle these challenges, we have developed a simple 3D model that includes human cells arranged in a specific way. The model has human fibroblasts (cells that help form connective tissue) embedded in a collagen structure, with human keratinocytes (skin cells) placed on top. This setup allows us to standardize our experiments. Using this model, we want to observe how different physical stimuli affect inflammation.
Types of Stimuli
We decided to test four types of Electric Currents: two direct current (DC) types at 1 volt and 5 volts, and two alternating current (AC) types at 5 volts with frequencies of 10 Hz and 100 Hz. In all tests, we will look at both normal (healthy) and inflamed conditions. We will take measurements at three key time points: before any treatment, one hour after treatment, and 48 hours after treatment.
Initial Findings
Early analysis indicates that the AC types do not significantly impact inflammation directly. However, they do affect cell growth, depending on the state of the model and the frequency used. In contrast, the 5-volt DC type has been shown to help resolve inflammation, while the 1-volt DC type seems to cause a prolonged state of inflammation in healthy samples. This study adds to previous work that looked at various effects of electric stimuli on different cell types and conditions.
The Experiment Setup
To create our 3D model, we mixed several components, including collagen, water, and human fibroblasts, to form a gel-like substance. This was allowed to set and create a dermal layer. After three days, we added human keratinocytes to the top layer. This model was maintained for two weeks to ensure the cells grew properly.
To simulate inflammation, we added a known inflammatory substance (TNF-α) to the model before applying our electric stimuli. We carefully controlled the conditions to keep the cells healthy and active through regular medium changes. The electric stimulation was applied once at the start of the experiment using sterile acupuncture needles.
Analysis Techniques
We used advanced techniques to analyze how the different conditions affected gene expression and metabolic activity. We extracted RNA from the samples and sequenced it to check which genes were active under different conditions. For metabolism, we used NMR spectroscopy to understand changes in the growth media, identifying various metabolites that were present or used during the experiment.
Results
The results showed clear differences in how the electric currents affected the cells based on their state (healthy vs. inflamed) and the type of current used. For the healthy samples, only one type of direct current (DC1) and higher frequency alternating current (AC100) led to lasting changes in inflammatory activity.
Interestingly, while the DC1 led to increased inflammation and activity of certain immune functions, the AC100 seemed to suppress some cellular processes associated with immune response, indicating that different forms of current can have opposing effects on inflammation.
On the other hand, when we looked at the inflamed samples, all types of electric currents temporarily increased inflammatory activity at the one-hour mark, but this effect diminished after 48 hours, except for the 5-volt direct current (DC5), which continued to show effects associated with wound healing.
Time-Dependent Effects
When we looked at how the effects changed over time, we found that the inflamed samples showed a decrease in some markers related to cell growth over the duration of the experiment. This suggests that while inflammation might stimulate some initial reactions, it eventually leads to a decline in effective healing over time.
In the healthy samples, we observed that the direct current types had more lasting effects on inflammatory markers, suggesting a path that leads to a more pro-inflammatory state over time, even when the initial stimulation was not present.
Differences Based on State
The state of the samples-whether healthy or inflamed-significantly impacted the response to electric stimulation. In our findings, the inflamed samples generally showed more pronounced differences in cellular responses compared to the healthy samples.
For example, we noted that the alternating currents (AC) generally resulted in reduced measures of inflammation in inflamed samples, contrasting with their effects on healthy samples where they sometimes enhanced cellular activity related to inflammation.
Future Directions
Given the findings of this initial investigation, there are several future directions for this line of research. First, it is important to explore other voltages and frequencies for both direct and alternating currents to gather more comprehensive data on how they affect different states of tissue.
Second, investigating the precise biological mechanisms behind the observed effects will be beneficial. This could involve looking at additional factors like the role of different immune cells or metabolic pathways.
Lastly, translating these lab results into practical therapies will require further testing in more complex biological systems, ideally leading to clinical trials that assess the safety and effectiveness of electrotherapy in treating inflammatory conditions in humans.
Conclusion
In summary, this research highlights the complex interplay between electrical stimuli and biological responses in different states of tissue. While there is still much to learn, the results suggest that electrical therapy could play a role in managing inflammation, particularly in specified conditions. Continued exploration in this field could lead to more effective treatment options for patients dealing with inflammatory diseases.
Title: Differential Anti-Inflammatory Effects of Electrostimulation in a Standardized Setting
Abstract: The therapeutic usage of physical stimuli is framed in a highly heterogeneous research area, with variable levels of maturity and of translatability into clinical application. In particular, electrostimulation is deeply studied for its application on the autonomous nervous system, but less is known about the anti-inflammatory effects of such stimuli beyond the inflammatory reflex. Further, reproducibility and meta-analyses on existing results are extremely challenging, owing to the limited rationale on dosage and experimental standardization. In this work we propose a series of controlled experiments on the effects of electrical stimuli (in direct and alternate current) delivered on a standardized 3D bioconstruct constituted by fibroblasts and keratinocytes in a collagen matrix. Transcriptomics backed by metabolomics at selected time points allow to obtain a first systematic overview of the biological functions at stake, highlighting the differential anti-inflammatory potential of such approaches, with promising results for 5V direct current stimuli. We hope that our results will trigger an interest and a facilitation in the study of the anti-inflammatory effects of physical stimuli, highlighting not only the potential but also the limitations of such approaches, offering, ultimately, solid evidence for future translation into the clinic.
Authors: Christine Nardini, B. Di Pietro, S. Villata, S. Dal MOnego, M. Degasperi, V. Ghini, T. Guarnieri, A. Plaksienko, Y. Liu, V. Pecchioli, L. Manni, L. Tenori, D. Licastro, C. Angelini, L. Napione, F. Frascella
Last Update: 2024-07-10 00:00:00
Language: English
Source URL: https://www.biorxiv.org/content/10.1101/2024.07.05.602081
Source PDF: https://www.biorxiv.org/content/10.1101/2024.07.05.602081.full.pdf
Licence: https://creativecommons.org/licenses/by/4.0/
Changes: This summary was created with assistance from AI and may have inaccuracies. For accurate information, please refer to the original source documents linked here.
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