Electrical stimulation in bone tissue engineering treatments

Eur J Trauma Emerg Surg. 2020 Apr;46(2):231-244. doi: 10.1007/s00068-020-01324-1. Epub 2020 Feb 20.

Abstract

Electrical stimulation (EStim) has been shown to promote bone healing and regeneration both in animal experiments and clinical treatments. Therefore, incorporating EStim into promising new bone tissue engineering (BTE) therapies is a logical next step. The goal of current BTE research is to develop combinations of cells, scaffolds, and chemical and physical stimuli that optimize treatment outcomes. Recent studies demonstrating EStim's positive osteogenic effects at the cellular and molecular level provide intriguing clues to the underlying mechanisms by which it promotes bone healing. In this review, we discuss results of recent in vitro and in vivo research focused on using EStim to promote bone healing and regeneration and consider possible strategies for its application to improve outcomes in BTE treatments. Technical aspects of exposing cells and tissues to EStim in in vitro and in vivo model systems are also discussed.

Keywords: Bone regeneration; Bone tissue engineering; Electrical stimulation; In vitro; In vivo.

Publication types

  • Review

MeSH terms

  • Adenosine Triphosphate / metabolism
  • Apoptosis
  • Bone Regeneration*
  • Bone and Bones*
  • Calcium Signaling
  • Cell Adhesion
  • Cell Differentiation
  • Cell Movement
  • Cell Proliferation
  • Chondrogenesis
  • Dental Pulp / cytology
  • Electric Stimulation / methods*
  • Electric Stimulation Therapy / methods*
  • Fracture Healing*
  • Guided Tissue Regeneration / methods*
  • Heat-Shock Proteins / metabolism
  • Humans
  • In Vitro Techniques
  • Inflammation
  • MAP Kinase Signaling System
  • Mechanotransduction, Cellular
  • Membrane Microdomains
  • Mesenchymal Stem Cells
  • Neovascularization, Physiologic
  • Osteoblasts
  • Osteogenesis
  • Reactive Oxygen Species / metabolism
  • Receptors, Cell Surface / metabolism
  • Signal Transduction
  • Tissue Engineering / methods*
  • Tissue Scaffolds

Substances

  • Heat-Shock Proteins
  • Reactive Oxygen Species
  • Receptors, Cell Surface
  • Adenosine Triphosphate