Abstract
Mesenchymal stem cells (MSCs) are important cell sources in cartilage tissue development and homeostasis, and multiple strategies have been developed to improve MSCs chondrogenic differentiation with an aim of promoting cartilage regeneration. Here we report the effects of combining nanosecond pulsed electric fields (nsPEFs) followed by treatment with ghrelin (a hormone that stimulates release of growth hormone) to regulate chondrogenesis of MSCs. nsPEFs and ghrelin were observed to separately enhance the chondrogenesis of MSCs, and the effects were significantly enhanced when the bioelectric stimulation and hormone were combined, which in turn improved osteochondral tissue repair of these cells within Sprague Dawley rats. We further found that nsPEFs can prime MSCs to be more receptive to subsequent stimuli of differentiation by upregulated Oct4/Nanog and activated JNK signaling pathway. Ghrelin initiated chondrogenic differentiation by activation of ERK1/2 signaling pathway, and RNA-seq results indicated 243 genes were regulated, and JAK-STAT signaling pathway was involved. Interestingly, the sequential order of applying these two stimuli is critical, with nsPEFs pretreatment followed by ghrelin enhanced chondrogenesis of MSCs in vitro and subsequent cartilage regeneration in vivo, but not vice versa. This synergistic prochondrogenic effects provide us new insights and strategies for future cell-based therapies.
Similar content being viewed by others
References
Aaron, R.K., Wang, S., and Ciombor, D.M.K. (2002). Upregulation of basal TGFβl levels by EMF coincident with chondrogenesis—implications for skeletal repair and tissue engineering. J Orthop Res 20, 233–240.
Baek, S., Quan, X., Kim, S., Lengner, C., Park, J.K., and Kim, J. (2014). Electromagnetic fields mediate efficient cell reprogramming into a pluripotent state. ACS Nano 8, 10125–10138.
Barbosa, I., Garcia, S., Barbier-Chassefière, V., Caruelle, J.P., Martelly, I., and Papy-García, D. (2003). Improved and simple micro assay for sulfated glycosaminoglycans quantification in biological extracts and its use in skin and muscle tissue studies. Glycobiology 13, 647–653.
Beebe, S.J., Schoenbach, K.H., and Heller, R. (2010). Bioelectric applications for treatment of melanoma. Cancers 2, 1731–1770.
Caminos, J.E., Gualillo, O., Lago, F., Otero, M., Blanco, M., Gallego, R., Garcia-Caballero, T., Goldring, M.B., Casanueva, F.F., Gomez-Reino, J. J., et al. (2005). The endogenous growth hormone secretagogue (ghrelin) is synthesized and secreted by chondrocytes. Endocrinology 146, 1285–1292.
Chen, J., Li, Y., Wang, B., Yang, J., Heng, B.C., Yang, Z., Ge, Z., and Lin, J. (2018). Tgf-β1 affinity peptides incorporated within a chitosan sponge scaffold can significantly enhance cartilage regeneration. J Mater Chem B 6, 675–687.
Craft, A.M., Rockel, J.S., Nartiss, Y., Kandel, R.A., Alman, B.A., and Keller, G.M. (2015). Generation of articular chondrocytes from human pluripotent stem cells. Nat Biotechnol 33, 638–645.
De Mattei, M., Pellati, A., Pasello, M., Ongaro, A., Setti, S., Massari, L., Gemmati, D., and Caruso, A. (2004). Effects of physical stimulation with electromagnetic field and insulin growth factor-I treatment on proteoglycan synthesis of bovine articular cartilage. Osteoarthr Cartil 12, 793–800.
Decker, R.S., Koyama, E., Enomoto-Iwamoto, M., Maye, P., Rowe, D., Zhu, S., Schultz, P.G., and Pacifici, M. (2014). Mouse limb skeletal growth and synovial joint development are coordinately enhanced by kartogenin. Dev Biol 395, 255–267.
Ding, C., Parameswaran, V., Cicuttini, F., Burgess, J., Zhai, G., Quinn, S., and Jones, G. (2008). Association between leptin, body composition, sex and knee cartilage morphology in older adults: The tasmanian older adult cohort (TASOAC) study. Ann Rheum Dis 67, 1256–1261.
Esfandiari, E., Roshankhah, S., Mardani, M., Hashemibeni, B., Naghsh, E., Kazemi, M., and Salahshoor, M. (2014). The effect of high frequency electric field on enhancement of chondrogenesis in human adipose-derived stem cells. Iran J Basic Med Sci 17, 571–576.
Fan, L., Chen, J., Tao, Y., Heng, B.C., Yu, J., Yang, Z., and Ge, Z. (2019). Enhancement of the chondrogenic differentiation of mesenchymal stem cells and cartilage repair by ghrelin. J Orthop Res 37, 1387–1397.
Foyt, D.A., Taheem, D.K., Ferreira, S.A., Norman, M.D.A., Petzold, J., Jell, G., Grigoriadis, A.E., and Gentleman, E. (2019). Hypoxia impacts human msc response to substrate stiffness during chondrogenic differentiation. Acta Biomater 89, 73–83.
Gong, G., Ferrari, D., Dealy, C.N., and Kosher, R.A. (2010). Direct and progressive differentiation of human embryonic stem cells into the chondrogenic lineage. J Cell Physiol 224, 664–671.
Grogan, S.P., Barbero, A., Winkelmann, V., Rieser, F., Fitzsimmons, J.S., O’Driscoll, S., Martin, I., and Mainil-Varlet, P. (2006). Visual histological grading system for the evaluation of in vitro—generated neocartilage. Tissue Eng 12, 2141–2149.
Guo, W., Zhang, X., Yu, X., Wang, S., Qiu, J., Tang, W., Li, L., Liu, H., and Wang, Z.L. (2016). Self-powered electrical stimulation for enhancing neural differentiation of mesenchymal stem cells on graphene-poly(3,4-ethylenedioxythiophene) hybrid microfibers. ACS Nano 10, 5086–5095.
Hanada, K., Solchaga, L.A., Caplan, A.I., Hering, T.M., Goldberg, V.M., Yoo, J.U., and Johnstone, B. (2001). BMP-2 induction and TGF-β1 modulation of rat periosteal cell chondrogenesis. J Cell Biochem 81, 284–294.
Handorf, A.M., and Li, W.J. (2014). Induction of mesenchymal stem cell chondrogenesis through sequential administration of growth factors within specific temporal windows. J Cell Physiol 229, 162–171.
Hernández-Bule, M.L., Angeles Trillo, M., Martinez Garcia, M.A., Abilahoud, C., and Ubeda, A. (2017). Chondrogenic differentiation of adipose-derived stem cells by radiofrequency electric stimulation. J Stem Cell Res Ther 7, 2.
Hess, R., Jaeschke, A., Neubert, H., Hintze, V., Moeller, S., Schnabelrauch, M., Wiesmann, H.P., Hart, D.A., and Scharnweber, D. (2012). Synergistic effect of defined artificial extracellular matrices and pulsed electric fields on osteogenic differentiation of human MSCs. Biomaterials 33, 8975–8985.
Jiang, Y., Chen, L., Zhang, S., Tong, T., Zhang, W., Liu, W., Xu, G., Tuan, R.S., Heng, B.C., Crawford, R., et al. (2013). Incorporation of bioactive polyvinylpyrrolidone-iodine within bilayered collagen scaffolds enhances the differentiation and subchondral osteogenesis of mesenchymal stem cells. Acta Biomater 9, 8089–8098.
Kim, Y.H., Jin, H.J., Heo, J., Ju, H., Lee, H.Y., Kim, S., Lee, S., Lim, J., Jeong, S.Y., Kwon, J.H., et al. (2018). Small hypoxia-primed mesenchymal stem cells attenuate graft-versus-host disease. Leukemia 32, 2672–2684.
Kojima, M., and Kangawa, K. (2005). Ghrelin: Structure and function. Physiol Rev 85, 495–522.
Kusuyama, J., Bandow, K., Shamoto, M., Kakimoto, K., Ohnishi, T., and Matsuguchi, T. (2014). Low intensity pulsed ultrasound (LIPUS) influences the multilineage differentiation of mesenchymal stem and progenitor cell lines through ROCK-Cot/Tpl2-MEK-ERK signaling pathway. J Biol Chem 289, 10330–10344.
Kusuyama, J., Hwan Seong, C., Ohnishi, T., Bandow, K., and Matsuguchi, T. (2016). 10. Low-intensity pulsed ultrasound (LIPUS) stimulation helps to maintain the differentiation potency of mesenchymal stem cells by induction in nanog protein transcript levels and phosphorylation. J Orthop Trauma 30, S4–S5.
Li, K., Jiang, Y., Yang, Z., Heng, B.C., Tian, H., and Ge, Z. (2021). Can upregulation of pluripotency genes enhance stemness of mesenchymal stem cells? Stem Cell Rev Rep 17, 1505–1507.
Li, K., Ning, T., Wang, H., Jiang, Y., Zhang, J., and Ge, Z. (2020). Nanosecond pulsed electric fields enhance mesenchymal stem cells differentiation via DNMT1-regulated OCT4/NANOG gene expression. Stem Cell Res Ther 11, 308.
Mainil-Varlet, P., Aigner, T., Brittberg, M., Bullough, P., Hollander, A., Hunziker, E., Kandel, R., Nehrer, S., Pritzker, K., Roberts, S., et al. (2003). Histological assessment of cartilage repair. J Bone Joint Surg 85, 45–57.
Mardani, M., Roshankhah, S., Hashemibeni, B., Salahshoor, M., Naghsh, E., and Esfandiari, E. (2016). Induction of chondrogenic differentiation of human adipose-derived stem cells by low frequency electric field. Adv Biomed Res 5, 97.
Martín, A.R., Patel, J.M., Zlotnick, H.M., Carey, J.L., and Mauck, R.L. (2019). Emerging therapies for cartilage regeneration in currently excluded ‘red knee’ populations. NPJ Regen Med 4, 12.
Martos-Moreno, G.A., Barrios, V., Soriano-Guillen, L., and Argente, J. (2006). Relationship between adiponectin levels, acylated ghrelin levels, and short-term body mass index changes in children with diabetes mellitus type 1 at diagnosis and after insulin therapy. Eur J Endocrinol 155, 757–761.
Mayer-Wagner, S., Passberger, A., Sievers, B., Aigner, J., Summer, B., Schiergens, T.S., Jansson, V., and Müller, P.E. (2011). Effects of low frequency electromagnetic fields on the chondrogenic differentiation of human mesenchymal stem cells. Bioelectromagnetics 32, 283–290.
Murphy, M.K., Huey, D.J., Hu, J.C., and Athanasiou, K.A. (2015). TGF-β1, GDF-5, and BMP-2 stimulation induces chondrogenesis in expanded human articular chondrocytes and marrow-derived stromal cells. Stem Cells 33, 762–773.
Murphy, M.P., Koepke, L.S., Lopez, M.T., Tong, X., Ambrosi, T.H., Gulati, G.S., Marecic, O., Wang, Y., Ransom, R.C., Hoover, M.Y., et al. (2020). Articular cartilage regeneration by activated skeletal stem cells. Nat Med 26, 1583–1592.
Ning, T., Guo, J., Zhang, K., Li, K., Zhang, J., Yang, Z., and Ge, Z. (2019a). Nanosecond pulsed electric fields enhanced chondrogenic potential of mesenchymal stem cells via JNK/CREB-STAT3 signaling pathway. Stem Cell Res Ther 10, 45.
Ning, T., Zhang, K., Chin Heng, B., and Ge, Z. (2019b). Diverse effects of pulsed electrical stimulation on cells—with a focus on chondrocytes and cartilage regeneration. Eur Cell Mater 38, 79–93.
Qu, R., Chen, X., Wang, W., Qiu, C., Ban, M., Guo, L., Vasilev, K., Chen, J., Li, W., and Zhao, Y. (2018). Ghrelin protects against osteoarthritis through interplay with Akt and NF-κB signaling pathways. FASEB J 32, 1044–1058.
Saygin, C., Wiechert, A., Rao, V.S., Alluri, R., Connor, E., Thiagarajan, P. S., Hale, J.S., Li, Y., Chumakova, A., Jarrar, A., et al. (2017). Cd55 regulates self-renewal and cisplatin resistance in endometrioid tumors. J Exp Med 214, 2715–2732.
Serena, E., Figallo, E., Tandon, N., Cannizzaro, C., Gerecht, S., Elvassore, N., and Vunjak-Novakovic, G. (2009). Electrical stimulation of human embryonic stem cells: Cardiac differentiation and the generation of reactive oxygen species. Exp Cell Res 315, 3611–3619.
Steward, A.J., Kelly, D.J., and Wagner, D.R. (2014). The role of calcium signalling in the chondrogenic response of mesenchymal stem cells to hydrostatic pressure. Eur Cell Mater 28, 358–371.
Tang, X., Fan, L., Pei, M., Zeng, L., and Ge, Z. (2015). Evolving concepts of chondrogenic differentiation: History, state-of-the-art and future perspectives. Eur Cell Mater 30, 12–27.
Veronese, N., Cooper, C., Reginster, J.Y., Hochberg, M., Branco, J., Bruyère, O., Chapurlat, R., Al-Daghri, N., Dennison, E., Herrero-Beaumont, G., et al. (2019). Type 2 diabetes mellitus and osteoarthritis. Semin Arthritis Rheum 49, 9–19.
Wang, L., Feng, Z., Wang, X., Wang, X., and Zhang, X. (2010). DEGseq: an R package for identifying differentially expressed genes from RNA-seq data. Bioinformatics 26, 136–138.
Wang, X., Lin, Q., Zhang, T., Wang, X., Cheng, K., Gao, M., Xia, P., and Li, X. (2019). Low-intensity pulsed ultrasound promotes chondrogenesis of mesenchymal stem cells via regulation of autophagy. Stem Cell Res Ther 10, 41.
Yanagi, S., Sato, T., Kangawa, K., and Nakazato, M. (2018). The homeostatic force of ghrelin. Cell Metab 27, 786–804.
Yao, C., Hu, X., Mi, Y., Li, C., and Sun, C. (2009). Window effect of pulsed electric field on biological cells. IEEE Trans Dielect Electr Insul 16, 1259–1266.
Zha, K., Sun, Z., Yang, Y., Chen, M., Gao, C., Fu, L., Li, H., Sui, X., Guo, Q., and Liu, S. (2021). Recent developed strategies for enhancing chondrogenic differentiation of MSC: Impact on MSC-based therapy for cartilage regeneration. Stem Cells Int 2021, 1–15.
Zhang, J., Mujeeb, A., Feng, J., Li, Y., Du, Y., Lin, J., and Ge, Z. (2016). Physically entrapped gelatin in polyethylene glycol scaffolds for three-dimensional chondrocyte culture. J Bioact Compat Polyms 31, 513–530.
Acknowledgements
This work was supported by the National Key Research and Development Program of China (2019YFA0111900), and the National Natural Science Foundation of China (81772334). The authors would like to thank Mr. Kaile Wang for operating the nsPEFs equipment.
Author information
Authors and Affiliations
Corresponding authors
Ethics declarations
Compliance and ethics The author(s) declare that they have no conflict of interest.
Electronic supplementary material
Rights and permissions
About this article
Cite this article
Li, K., Fan, L., Lin, J. et al. Nanosecond pulsed electric fields prime mesenchymal stem cells to peptide ghrelin and enhance chondrogenesis and osteochondral defect repair in vivo. Sci. China Life Sci. 65, 927–939 (2022). https://doi.org/10.1007/s11427-021-1983-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11427-021-1983-y