Abstract

Electrical stimulation of cells and tissues for therapeutic benefit is a well-established method. Although animal studies can emulate the complexity of an organism’s physiology, lab-on-a-chip platforms provide a suitable primary model for follow-up animal studies. Thus, inexpensive and easy-to-use platforms for in vitro human cell studies are required. In the present study, we designed a micro-electrical impulse (micro-EI)-on-a-chip (micro-EI-chip), which can precisely control electron density and adjust the frequency based on a micro-EI. The micro-EI-chip can stimulate cells at various micro-EI densities (0–500 mV/mm) and frequencies (0–300 Hz), which enables multiple co-culture of different cell types with or without electrical stimulation. As a proof-of-concept study, a model involving degenerative inflamed human annulus fibrosus (hAF) cells was established in vitro and the effects of micro-EI on inflamed hAF cells were evaluated using the micro-EI-chip. Stimulation of the cells (150 mV/mm at 200 Hz) inhibited the secretion of inflammatory cytokines and downregulated the activities of extracellular matrix-modifying enzymes and matrix metalloproteinase-1. These results show that micro-EI stimulation could affect degenerative diseases based on inflammation, implicating the micro-EI-chip as being useful for basic research of electroceuticals.

Highlights

  • Symptomatic disc degeneration is a major cause of lower back pain[1]

  • After observing that inflammatory mediators www.nature.com/scientificreports and extracellular matrix (ECM)-modifying enzymes in disc tissue are upregulated during intervertebral disc degeneration, we examined whether activated macrophages induce the production of these factors in human annulus fibrosus (hAF) by paracrine signaling

  • After observing that activated macrophages secreted a variety of mediators and enzymes affecting hAFs, we investigated the intrinsic mechanism by which the soluble factors derived from activated macrophages regulate the production of inflammatory mediators and ECM enzymes

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Summary

Introduction

Symptomatic disc degeneration is a major cause of lower back pain[1]. In general, disc degeneration in the lumbar spine appears to result from inflammatory reactions involving various macrophages in the outer annulus fibrosus (AF)[2]. Continuous biomechanical loading on AF tissue leads to damage and induces inflammatory reactions[5,6,7]. The latter subsequently induce ingrowth of nerves positioned near the outer AF tissue toward the inner AF tissue[8]. A previous study reported the inhibitory effect of ES toward inflammatory reactions induced by treatment with dilute recombinant IL-1β reagent[18] This approach has limitations in mimicking the actual inflammatory mechanism of the human body because typical processes can produce inflammation based on complex interactions between damaged tissue and immune cells[2]. We used a micro-EI-chip system to investigate the effects of electrical impulses using a degenerative human AF model to reduce disc pain-related factors

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