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Non-invasive electrical stimulation enhances the diabetic osseointegration via alleviating mitochondrial damage
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  • Dongzong Huang,
  • Rongchen Xu,
  • Changzhen Xu,
  • Peng Xue,
  • Lin Liu,
  • Yiping Fan,
  • Miaoshen Guan,
  • Menglin Luo,
  • Shaoyuan Cui,
  • Xiaoyu Wang,
  • Jin Liu,
  • Chunyu Zhang,
  • Bo Fu,
  • Hua Jiang,
  • Hongbo Li
Dongzong Huang
Chinese PLA General Hospital First Medical Center
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Rongchen Xu
Chinese PLA General Hospital First Medical Center
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Changzhen Xu
Chinese PLA General Hospital First Medical Center
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Peng Xue
Chinese PLA General Hospital First Medical Center
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Lin Liu
Chinese PLA General Hospital First Medical Center
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Yiping Fan
Chinese PLA General Hospital First Medical Center
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Miaoshen Guan
Chinese PLA General Hospital First Medical Center
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Menglin Luo
Chinese PLA General Hospital First Medical Center
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Shaoyuan Cui
Chinese PLA General Hospital First Medical Center
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Xiaoyu Wang
Chinese PLA General Hospital First Medical Center
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Jin Liu
Chinese PLA General Hospital First Medical Center
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Chunyu Zhang
Guang Dong Janus Biotechnology Co, Heung Kong International Technology Innovation Centre,
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Bo Fu
Chinese PLA General Hospital First Medical Center
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Hua Jiang
Chinese PLA General Hospital First Medical Center
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Hongbo Li
Chinese PLA General Hospital First Medical Center

Corresponding Author:hongbo_l@sina.com

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Abstract

A high-glucose environment induces imbalance of mitochondrial homeostasis, and further result in the decreased autophagic capacity and energy metabolism of mitochondria. This mitochondrial dysfunction inhibits the regeneration of bone tissue. Electrical stimulation (ES) is an efficient strategy to rebalance the mitochondrial homeostasis to further accelerate the bone regeneration process. However, traditional ES strategies are invasive and easily cause secondary trauma, limiting its medical application. Here, we designed a new non-invasive direct-current electric field (DCEF) strategy. This strategy can provide ES in situ without implantation. Results show that this strategy can target and regulate mitochondrial homeostasis through the PI3K-AKT signaling pathway, activating mitochondrial autophagy, alleviate high-glucose-induced mitochondrial damage, and further promote osteogenic differentiation of bone marrow mesenchymal stem cells (BMSCs). Consequently, this exogenous non-invasive ES strategy can effectively accelerate the repair of bone defects in a high-glucose environment through alleviating mitochondrial damage.
28 Nov 2024Submitted to View
02 Dec 2024Submission Checks Completed
02 Dec 2024Assigned to Editor
02 Dec 2024Review(s) Completed, Editorial Evaluation Pending
03 Dec 2024Reviewer(s) Assigned