Expression relative of RANK, RANKL and OPG gene on Rat Femoral Fracture Healing Process in Delayed Union Model after Pulsed Electromagnetic Field exposure

Luluk yunaini

Abstract

Pulsed electromagnetic field (PEMF) is application medical devices in healing bone fracture. Osteoblast and osteoclast cells have regulation in femoral fracture healing process. PEMF exposure has effect in cell nucleus activity. Genes that have critical role in bone remodelling are Receptor activator of nuclear factor kappa-B (RANK), receptor activator of nuclear factor kappa-B ligand (RANKL) and osteoprotegerin (OPG).This research aimed to analysis effect PEMF exposure in improve bone fracture healing process with delay union model, which its expression level in RANK, RANKL and OPG gene. Our research used experimental design. Sample for this research was callus from rat femoral fracture with delay union. qRT-PCR technique with Livak’s measurement were used to detection expression relative. Statistic analysis used two way ANOVA with a significant differences value p <0.05. The result showed that relative expression on RANK, RANKL and OPG have significance different in PEMF group and times (days) group. We found that the PEMF group can expedite the higher expression relative of RANK, RANKL and OPG than non PEMF group. The result has concluded using PEMF can improve the healing to normal union process on rat with delay union model.

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Griffin XL, Costa ML, Parsons N, Smith N (2011) Electromagnetic field stimulation for treating delayed union or nonâ€union of long bone fractures in adults. Cochrane Database Syst Rev. https://doi.org/10.1002/14651858.CD008471.pub2

Dilogo IH, Primaputra MRA, Pawitan JA, Liem IK (2017) Modified Masquelet technique using allogeneic umbilical cord-derived mesenchymal stem cells for infected non-union femoral shaft fracture with a 12 cm bone defect: A case report. Int J Surg Case Rep 34:11–16. https://doi.org/10.1016/j.ijscr.2017.03.002

Magetsari R, Kesuma I, Sakti YM (2019) Correlation of Radiographic Parameter with Functional Outcomes in Pediatric Supracondylar Humerus Fractures ( SCHF ) Treated with Close Reduction and Percutaneus Pinning ( CRPP ). J Glob Pharma Technol 11:376–381

Shi H, Xiong J, Chen Y, et al (2013) Early application of pulsed electromagnetic field in the treatment of postoperative delayed union of long-bone fractures: a prospective randomized controlled study. BMC Musculoskelet Disord 14:35. https://doi.org/10.1186/1471-2474-14-35

Pilla A, Fitzsimmons R, Muehsam D, et al (2011) Electromagnetic fields as first messenger in biological signaling: Application to calmodulin-dependent signaling in tissue repair. Biochim Biophys Acta - Gen Subj 1810:1236–1245. https://doi.org/https://doi.org/10.1016/j.bbagen.2011.10.001

Carl T. B, Wei W, Richard S, et al (2001) Signal Transduction in Electrically Stimulated Bone Cells. J Bone Jt Surg 83:1514–1523

Rikk J, Finn K, Liziczai I, et al (2013) Influence of pulsing electromagnetic field therapy on resting blood pressure in aging adults

Claes L, Recknagel S, Ignatius A (2012) Fracture healing under healthy and inflammatory conditions. Rheumatology 8:133–143. https://doi.org/10.1038/nrrheum.2012.1

Einhorn TA (2005) The Science of Fracture Healing. J Orthop Trauma 19:

Marsell R, Einhorn TA (2012) The Biology of Fracture Healing. Injury 42:551–555. https://doi.org/10.1016/j.injury.2011.03.031.

Khosla S (2001) Minireview: the OPG/RANKL/RANK system. Endocrinology 142:5050–5055

Pérez-Sayáns M, Somoza-Martín JM, Barros-Angueira F, et al (2010) RANK/RANKL/OPG role in distraction osteogenesis. Oral Surgery, Oral Med Oral Pathol Oral Radiol Endodontology 109:679–686. https://doi.org/10.1016/j.tripleo.2009.10.042

Henriksen K, Neutzsky-Wulff A V., Bonewald LF, Karsdal MA (2009) Local communication on and within bone controls bone remodeling. Bone 44:1026–1033. https://doi.org/10.1016/j.bone.2009.03.671

Matsuo K, Irie N (2008) Osteoclast-osteoblast communication. Arch Biochem Biophys 473:201–209. https://doi.org/10.1016/j.abb.2008.03.027

Boyce BF, Xing L (2008) Functions of RANKL/RANK/OPG in bone modeling and remodeling. Arch Biochem Biophys 473:139–146. https://doi.org/10.1016/j.abb.2008.03.018

Boyce BF, Xing L (2007) Biology of RANK, RANKL, and Osteoprotegerin. Arthritis Res Ther 9:. https://doi.org/10.1186/ar2165

NCBI (2018) Tnfsf11 TNF superfamily member 11 [ Rattus norvegicus (Norway rat) ]. In: Natl. Cent. Biotechnol. Inf. Search database. https://www.ncbi.nlm.nih.gov/gene/117516. Accessed 21 Jun 2018

Czupkallo L, Rahnama M, Kielbowicz D, et al (2016) Bone metabolism and RANKL / RANK / OPG trail in periodontal disease. Curr Issues Pharm Med Sci 29:171–175. https://doi.org/10.1515/cipms-2016-0036

Ross CL, Siriwardane M, Almeida-Porada G, et al (2015) The Effect of Low-Frequency Electromagnetic Field on Human Bone Marrow Stem/Progenitor Cell Differentiation. Stem Cell Res 15:96–108. https://doi.org/10.1016/j.scr.2015.04.009.The

Wang P, Liu J, Yang Y, et al (2017) Differential Intensity-Dependent Effects of Pulsed Electromagnetic Fields on RANKL-induced Osteoclast Formation, Apoptosis, and Bone Resorbing Ability in RAW 264.7 Cells. Bioelectromagnetics 38:1–11. https://doi.org/10.1002/bem.22070

Kasman D (2013) Analisa Histomorfometri Menggunakan Image J Perlakuan Mekanik Tulang Saja dan Tulang Dan Periosteum Pada Tikus Sprague- Dawley dan Periosteum Pada Tikus Sprague- Dawley. Universitas Indonesia

Umiatin (2019) Pengaruh Pajanan Pulsed Electromagnetic Field (PEMF) Terhadap Kecepatan Penyembuhan Fraktur Model Delayed Union Tikus Sprague-Dawley Melalui Jalur Sinyal WNT. Universitas Indonesia

Livak KJ, Schmittgen TD (2001) Analysis of relative gene expression data using real-time quantitative PCR and the 2-ΔΔCT method. Methods 25:402–408. https://doi.org/10.1006/meth.2001.1262

Kishimoto Y, Fukumoto S, Nishihara S, et al (2018) Gene expression relevant to osteoclastogenesis in the synovium and bone marrow of mature rats with collagen-induced arthritis. Rheumatology 43:1496–1503. https://doi.org/10.1093/rheumatology/keh395

Myers DE, Collier FM, Minkin C, et al (1999) Expression of functional RANK on mature rat and human osteoclasts. FEBS 463:295–300

Ralston SH (2013) Bone structure and metabolism. Medicine (Baltimore) 41:581–585. https://doi.org/10.1016/j.mpmed.2013.07.007

Hofbauer LC, Schoppet M (2004) Clinical implications of the osteoprotegerin/rankl/rank system for bone and vascular diseases. JAMA 292:490–495

Penna F, Guedes L (2008) Imbalance of RANK , RANKL and OPG expression during tibial fracture repair in diabetic rats. 401–408. https://doi.org/10.1007/s10735-008-9178-x

Einhorn TAT, Gerstenfeld LLC (2015) Fracture healing: mechanisms and interventions. Nat Rev Rheumatol 11:45–54. https://doi.org/10.1038/nrrheum.2014.164

Schoppet M, Preissner KT, Hofbauer LC (2002) RANK ligand and osteoprotegerin: Paracrine regulators of bone metabolism and vascular function. Arterioscler Thromb Vasc Biol 22:549–553. https://doi.org/10.1161/01.ATV.0000012303.37971.DA

Funk RH (2018) Coupling of pulsed electromagnetic fields (PEMF) therapy to molecular grounds of the cell. Am J Transl Res 10:1260–1272

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