Abstract
Although some studies have shown that some static magnetic fields (SMFs) can promote wound healing in diabetic mice, it is not clear whether the other diabetes complications, such as liver disease and diabetic nephropathy, can also be alleviated. Here, we constructed two simple magnetic plates using neodymium permanent magnets to examine the comprehensive effects of moderate SMFs on genetically obese leptin receptor-deficient db/db diabetic mice. We found that although the blood glucose was not obviously reduced by these two SMF settings, both of the glycated serum protein (GSP) and malondialdehyde (MDA) levels were significantly decreased (Cohen’s d = 2.57–3.04). Moreover, the wound healing, liver lipid accumulation, and renal defects were all significantly improved by SMF treatment (Cohen’s d = 0.91–2.05). Wound tissue examination showed obvious nuclear factor erythroid 2-related factor 2 (NRF2) level decrease (Cohen’s d = 2.49–5.40) and Ki-67 level increase (Cohen’s d = 2.30–3.40), indicating decreased oxidative stress and increased cell proliferation. In vitro cellular studies with fibroblast NIH3T3 cells showed that SMFs could reduce high glucose-induced NRF2 nucleus translocation (Cohen’s d = 0.87–1.15) and cellular reactive oxygen species (ROS) elevation (Cohen’s d = 0.92), indicating decreased oxidative stress. Consequently, high glucose-induced impairments in cell vitality, proliferation, and migration were all improved by SMF treatment. Therefore, our results demonstrate that these simple SMF devices could effectively reduce oxidative stress in diabetic mice and may provide a cost-effective physical therapy strategy to alleviate multiple diabetic complications in the future.
Highlights
Our findings demonstrate that these moderate static magnetic fields (SMFs) could improve multiple diabetic complications by reducing oxidative stress and improving cell vitality, which made SMFs a potential physical method to be used in diabetes treatment in the future
Since nuclear factor erythroid 2-related factor 2 (NRF2) is a crucial controller of the cytoprotective reaction, which is closely related to cellular reactive oxygen species (ROS) or oxidative stress [37,38], we investigated the effect of SMFs on ROS levels
Our results showed that superoxide dismutase (SOD) increased and NRF2 decreased in cells and mice after SMF exposure, indicating that the organism was under a low level of oxidative stress
Summary
According to the latest data of the International Diabetes Federation (IDF) in 2021, there are approximately 537 million adults living with diabetes mellitus (DM), a complex disease characterized by hyperglycemia (high blood glucose). Most diabetic patients have multiple skin, liver, and renal complications, which severely impaired their life quality. One of the most prevalent complications in diabetic patients is impaired diabetic wound healing [1]. The diabetic skin ulcers are usually very hard to heal, which cause infections, amputation, and even death [2,3,4]
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