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Interdependence of Pulsed Ultrasound and Shear Stress Effects on Cell Morphology and Gene Expression

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Abstract

Fluid shear stress is a key biomechanical regulatory factor in a several biological systems including bone tissue. Bone cells are also regulated by exogenous acoustic vibration, which has therapeutic benefits. In this study, we determined the effects of shear stress and pulsed ultrasound (US), alone and in series on osteoblast morphology and gene expression. We observed that shear stress (19 dyne/cm2) elongated SaOS-2 cells at 3, 6, 24, and 48 h decreasing their shape index from control values of 0.51 ± 0.01, 0.60 ± 0.05, 0.59 ± 0.04, and 0.45 ± 0.01 to 0.45 ± 0.04, 0.47 ± 0.03, 0.39 ± 0.02, and 0.33 ± 0.01, respectively. This morphological effect was inhibited at 24 and 48 h but not at 3 and 6 h by a 20 min pre-exposure to pulsed US (1.5 MHz, 30 mW/cm2). Shear stress significantly decreased Bone Morphogenetic Protein-4 (BMP-4) mRNA levels at 1, 2, 3, 6, and 24 h by 32.5 ± 1.8%, 30.8 ± 3.5%, 49.6 ± 2.8%, 23.5 ± 5.0%, 24.4 ± 2.3%, respectively. A 20 min pulsed US exposure had no significant effect. However, a 20 min pre-exposure to pulsed US caused significant 39.6 ± 3.0% and 25.6 ± 2.7% decreases in BMP-4 levels in shear stress treated cells at 3 and 24 h, respectively. These results show for the first time that pulsed US alters the mechanotransductive effects of shear stress indicating a more comprehensive understanding of therapeutic US will be obtained when it is studied in conjunction with in vivo, regulatory biomechanical forces.

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REFERENCES

  1. Burr, D. B, A. G. Robling, and C. H. Turner. Effects of biomechanical stress on bones in animals. Bone 30(5):781–786, 2002.

    Article  PubMed  Google Scholar 

  2. Cherian, P. P., A. J. Siller-Jackson, S. Gu, X. Wang, L. F. Bonewald, E. Sprague, and J. X. Jiang. Mechanical strain opens connexin 43 hemichannels in osteocytes: a novel mechanism for the release of prostaglandin. Mol. Biol. Cell.. 16(7):3100–3106, 2005.

    Article  PubMed  CAS  Google Scholar 

  3. Cook, S. D., S. L. Salkeld, L. S. Popich-Patron, J. P. Ryaby, D. G. Jones, and R. L. Barrack. Improved cartilage repair after treatment with low-intensity pulsed ultrasound. Clin. Orthop. 391(Suppl):S231–243., 2001.

    PubMed  Google Scholar 

  4. Corbett, S. A., M. Hukkanen, J. Batten, I. D. McCarthy, J. M. Polak, and S. P. Hughes. Nitric oxide in fracture repair. Differential localisation, expression and activity of nitric oxide synthases. J. Bone Joint Surg. Br. 81(3):531–537, 1999.

    Article  PubMed  CAS  Google Scholar 

  5. Davis, M. E., H. Cai, G. R. Drummond, and D. G. Harrison. Shear stress regulates endothelial nitric oxide synthase expression through c-Src by divergent signaling pathways. Circ. Res. 89(11):1073–1080, 2001.

    Article  PubMed  CAS  Google Scholar 

  6. Duarte, L. R. The stimulation of bone growth by ultrasound. Arch. Orthop. Trauma Surg. 101(3):153–159, 1983.

    Article  PubMed  CAS  Google Scholar 

  7. El-Bialy, T. H., T. J. Royston, R. L. Magin, C. A. Evans, M. Zaki Ael, and L. A. Frizzell. The effect of pulsed ultrasound on mandibular distraction. Ann. Biomed. Eng. 30(10):1251–1261., 2002.

    Article  PubMed  Google Scholar 

  8. Eskin, S. G., C. L. Ives, L. V. McIntire, and L. T. Navarro. Response of cultured endothelial cells to steady flow. Microvasc. Res. 28(1):87–94, 1984.

    Article  PubMed  CAS  Google Scholar 

  9. Ferraro, J. T., M. Daneshmand, R. Bizios, and V. Rizzo. Depletion of plasma membrane cholesterol dampens hydrostatic pressure and shear stress-induced mechanotransduction pathways in osteoblast cultures. Am. J. Physiol. Cell Physiol. 286(4):C831–839, 2004.

    Article  PubMed  CAS  Google Scholar 

  10. Frangos, J. A., L. V. McIntire, and S. G. Eskin. Shear stress induced stimulation of mammalian cell metabolism. Biotechnol. Bioeng. 32(1053–1060, 1988.

    Article  CAS  PubMed  Google Scholar 

  11. Gudi, S. R., C. B. Clark, and J. A. Frangos. Fluid flow rapidly activates G proteins in human endothelial cells. Involvement of G proteins in mechanochemical signal transduction. Circ. Res. 79(4):834–839, 1996.

    PubMed  CAS  Google Scholar 

  12. Harris, M. The conservative management of osteoradionecrosis of the mandible with ultrasound therapy. Br. J. Oral Maxillofac. Surg. 30(5):313–318, 1992.

    Article  PubMed  CAS  Google Scholar 

  13. Heckman, J. D., J. P. Ryaby, J. McCabe, J. J. Frey, and R. F. Kilcoyne. Acceleration of tibial fracture-healing by non-invasive, low-intensity pulsed ultrasound. J. Bone Joint Surg. Am. 76(1):26–34, 1994.

    PubMed  CAS  Google Scholar 

  14. Ito, M., Y. Azuma, T. Ohta, and K. Komoriya. Effects of ultrasound and 1,25-dihydroxyvitamin D3 on growth factor secretion in co-cultures of osteoblasts and endothelial cells. Ultrasound Med. Biol. 26(1):161–166, 2000.

    Article  PubMed  CAS  Google Scholar 

  15. Ives, C. L., S. G. Eskin, and L. V. McIntire. Mechanical effects on endothelial cell morphology: in vitro assessment. In Vitro Cell Dev. Biol. 22(9):500–507, 1986.

    Article  PubMed  CAS  Google Scholar 

  16. Jalali, S., Y. S. Li, M. Sotoudeh, S. Yuan, S. Li, S. Chien, and J. Y. Shyy. Shear stress activates p60src-Ras-MAPK signaling pathways in vascular endothelial cells. Arterioscler. Thromb. Vasc. Biol. 18(2):227–234, 1998.

    PubMed  CAS  Google Scholar 

  17. Jiang, X. Q., J. G. Chen, S. Gittens, C. J. Chen, X. L. Zhang, and Z. Y. Zhang. The ectopic study of tissue-engineered bone with hBMP-4 gene modified bone marrow stromal cells in rabbits. Chin. Med. J. (Engl). 118(4):281–288, 2005.

    CAS  Google Scholar 

  18. Johnson, D. L., T. N. McAllister, and J. A. Frangos. Fluid flow stimulates rapid and continuous release of nitric oxide in osteoblasts. Am. J. Physiol. 271(1 Pt 1):E205–208, 1996.

    PubMed  CAS  Google Scholar 

  19. Kawaguchi, J., P. J. Mee, and A. G. Smith. Osteogenic and chondrogenic differentiation of embryonic stem cells in response to specific growth factors. Bone 36(5):758–769, 2005.

    Article  PubMed  CAS  Google Scholar 

  20. Klein-Nulend, J., C. M. Semeins, N. E. Ajubi, P. J. Nijweide, and E. H. Burger. Pulsating fluid flow increases nitric oxide (NO) synthesis by osteocytes but not periosteal fibroblasts–correlation with prostaglandin upregulation. Biochem. Biophys. Res. Commun. 217(2):640–648, 1995.

    Article  PubMed  CAS  Google Scholar 

  21. Kokubu, T., N. Matsui, H. Fujioka, M. Tsunoda, and K. Mizuno. Low intensity pulsed ultrasound exposure increases prostaglandin E2 production via the induction of cyclooxygenase-2 mRNA in mouse osteoblasts. Biochem. Biophys. Res. Commun. 256(2):284–287, 1999.

    Article  PubMed  CAS  Google Scholar 

  22. Kristiansen, T. K., J. P. Ryaby, J. McCabe, J. J. Frey, and L. R. Roe. Accelerated healing of distal radial fractures with the use of specific, low-intensity ultrasound. A multicenter, prospective, randomized, double-blind, placebo-controlled study. J. Bone Joint Surg. Am. 79(7):961–973, 1997.

    PubMed  CAS  Google Scholar 

  23. Lee, A. A., D. A. Graham, S. Dela Cruz, A. Ratcliffe, and W. J. Karlon. Fluid shear stress-induced alignment of cultured vascular smooth muscle cells. J. Biomech. Eng. 124(1):37–43, 2002.

    Article  PubMed  Google Scholar 

  24. Leong, L. M., and P. M. Brickell. Bone morphogenic protein-4. Int. J. Biochem. Cell Biol. 28(12):1293–1296, 1996.

    Article  PubMed  CAS  Google Scholar 

  25. Li, G., S. Berven, H. Simpson, and J. T. Triffitt. Expression of BMP-4 mRNA during distraction osteogenesis in rabbits. Acta Orthop. Scand. 69(4):420–425, 1998.

    Article  PubMed  CAS  Google Scholar 

  26. Li, J. G., W. H. Chang, J. C. Lin, and J. S. Sun. Optimum intensities of ultrasound for PGE(2) secretion and growth of osteoblasts. Ultrasound Med. Biol. 28(5):683–690, 2002.

    Article  PubMed  Google Scholar 

  27. McAllister, T. N., and J. A. Frangos. Steady and transient fluid shear stress stimulate NO release in osteoblasts through distinct biochemical pathways. J. Bone Miner. Res. 14(6):930–936, 1999.

    Article  PubMed  CAS  Google Scholar 

  28. McCormick, S. M., S. G. Eskin, L. V. McIntire, C. L. Teng, C. M. Lu, C. G. Russell, and K. K. Chittur. DNA microarray reveals changes in gene expression of shear stressed human umbilical vein endothelial cells. Proc. Natl. Acad. Sci. USA 98(16):8955–8960, 2001.

    Article  PubMed  CAS  Google Scholar 

  29. Mourad, P. D., D. A. Lazar, F. P. Curra, B. C. Mohr, K. C. Andrus, A. M. Avellino, L. D. McNutt, L. A. Crum, and M. Kliot. Ultrasound accelerates functional recovery after peripheral nerve damage. Neurosurgery 48(5):1136–1140; discussion 1140-1131., 2001.

    Article  PubMed  CAS  Google Scholar 

  30. Nakase, T., S. Nomura, H. Yoshikawa, J. Hashimoto, S. Hirota, Y. Kitamura, S. Oikawa, K. Ono, and K. Takaoka. Transient and localized expression of bone morphogenetic protein 4 messenger RNA during fracture healing. J. Bone Miner. Res. 9(5):651–659, 1994.

    Article  PubMed  CAS  Google Scholar 

  31. Nolte, P. A., J. Klein-Nulend, G. H. Albers, R. K. Marti, C. M. Semeins, S. W. Goei, and E. H. Burger. Low-intensity ultrasound stimulates endochondral ossification in vitro. J. Orthop. Res. 19(2):301–307, 2001.

    Article  PubMed  CAS  Google Scholar 

  32. Ogura, N., M. Kawada, W. J. Chang, Q. Zhang, S. Y. Lee, T. Kondoh, and Y. Abiko. Differentiation of the human mesenchymal stem cells derived from bone marrow and enhancement of cell attachment by fibronectin. J. Oral Sci. 46(4):207–213, 2004.

    Article  PubMed  CAS  Google Scholar 

  33. Onishi, T., Y. Ishidou, T. Nagamine, K. Yone, T. Imamura, M. Kato, T. K. Sampath, P. ten Dijke, and T. Sakou. Distinct and overlapping patterns of localization of bone morphogenetic protein (BMP) family members and a BMP type II receptor during fracture healing in rats. Bone 22(6):605–612, 1998.

    Article  PubMed  CAS  Google Scholar 

  34. Pilla, A. A., M. A. Mont, P. R. Nasser, S. A. Khan, M. Figueiredo, J. J. Kaufman, and R. S. Siffert. Non-invasive low-intensity pulsed ultrasound accelerates bone healing in the rabbit. J. Orthop. Trauma 4(3):246–253, 1990.

    Article  PubMed  CAS  Google Scholar 

  35. Razani, B., S. E. Woodman, and M. P. Lisanti. Caveolae: from cell biology to animal physiology. Pharmacol. Rev. 54(3):431–467, 2002.

    Article  PubMed  CAS  Google Scholar 

  36. Reher, P., M. Harris, M. Whiteman, H. K. Hai, and S. Meghji. Ultrasound stimulates nitric oxide and prostaglandin E2 production by human osteoblasts. Bone 31(1):236–241, 2002.

    Article  PubMed  CAS  Google Scholar 

  37. Saini, N. S., K. S. Roy, P. S. Bansal, B. Singh, and P. S. Simran. A preliminary study on the effect of ultrasound therapy on the healing of surgically severed achilles tendons in five dogs. J. Vet. Med. A Physiol. Pathol. Clin. Med. 49(6):321–328, 2002.

    PubMed  CAS  Google Scholar 

  38. Sakai, K., M. Mohtai, J. Shida, K. Harimaya, S. Benvenuti, M. L. Brandi, T. Kukita, and Y. Iwamoto. Fluid shear stress increases interleukin-11 expression in human osteoblast-like cells: its role in osteoclast induction. J. Bone Miner. Res. 14(12):2089–2098, 1999.

    Article  PubMed  CAS  Google Scholar 

  39. Sorescu, G. P., M. Sykes, D. Weiss, M. O. Platt, A. Saha, J. Hwang, N. Boyd, Y. C. Boo, J. D. Vega, W. R. Taylor, and H. Jo. Bone morphogenic protein 4 produced in endothelial cells by oscillatory shear stress stimulates an inflammatory response. J. Biol. Chem. 278(33):31128–31135, 2003.

    Article  PubMed  CAS  Google Scholar 

  40. Takakura, Y., N. Matsui, S. Yoshiya, H. Fujioka, H. Muratsu, M. Tsunoda, and M. Kurosaka. Low-intensity pulsed ultrasound enhances early healing of medial collateral ligament injuries in rats. J. Ultrasound Med. 21(3):283–288, 2002.

    PubMed  Google Scholar 

  41. Tzima, E., M. A. del Pozo, S. J. Shattil, S. Chien, and M. A. Schwartz. Activation of integrins in endothelial cells by fluid shear stress mediates Rho-dependent cytoskeletal alignment. EMBO J. 20(17):4639–4647, 2001.

    Article  PubMed  CAS  Google Scholar 

  42. Weinbaum, S., S. C. Cowin, and Y. Zeng. A model for the excitation of osteocytes by mechanical loading-induced bone fluid shear stresses. J. Biomech. 27(3):339–360, 1994.

    Article  PubMed  CAS  Google Scholar 

  43. Wojciak-Stothard, B., and A. J. Ridley. Shear stress-induced endothelial cell polarization is mediated by Rho and Rac but not Cdc42 or PI 3-kinases. J. Cell Biol. 161(2):429–439, 2003.

    Article  PubMed  CAS  Google Scholar 

  44. Yaoita, H., H. Orimo, Y. Shirai, and T. Shimada. Expression of bone morphogenetic proteins and rat distal-less homolog genes following rat femoral fracture. J. Bone Miner. Metab. 18(2):63–70, 2000.

    Article  PubMed  CAS  Google Scholar 

  45. You, J., C. E. Yellowley, H. J. Donahue, Y. Zhang, Q. Chen, and C. R. Jacobs. Substrate deformation levels associated with routine physical activity are less stimulatory to bone cells relative to loading-induced oscillatory fluid flow. J. Biomech. Eng. 122(4):387–393, 2000.

    Article  PubMed  CAS  Google Scholar 

  46. Zhang, D., S. Weinbaum, and S. C. Cowin. Estimates of the peak pressures in bone pore water. J. Biomech. Eng. 120(6):697–703, 1998.

    Article  PubMed  CAS  Google Scholar 

  47. Zhao, S., A. Suciu, T. Ziegler, J. E. Moore Jr., E. Burki, J. J. Meister, and H. R. Brunner. Synergistic effects of fluid shear stress and cyclic circumferential stretch on vascular endothelial cell morphology and cytoskeleton. Arterioscler. Thromb. Vasc. Biol. 15(10):1781–1786, 1995.

    PubMed  CAS  Google Scholar 

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ACKNOWLEDGMENTS

We would like to thank Smith & Nephew for donating the Exogen SAFHS 2000 US devices used in these experiments.

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Correspondence to Susan M. McCormick.

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McCormick, S.M., Saini, V., Yazicioglu, Y. et al. Interdependence of Pulsed Ultrasound and Shear Stress Effects on Cell Morphology and Gene Expression. Ann Biomed Eng 34, 436–445 (2006). https://doi.org/10.1007/s10439-005-9057-5

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  • DOI: https://doi.org/10.1007/s10439-005-9057-5

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