Mesenchymal Cell Activation by Biomechanical Stimulation and its Clinical Prospects
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The electrical response of cells to mechanical stimulus is known as mechanotransduction. This monograph is a summary of the mechanotransduction in musculoskeletal cells responsible for body tissue maintenance, support, cover and movement. While mechanotransduction is similar among these cells, there are also several important differences in mechanical parameters and cellular pathways characteristic to each cell type. Therefore, readers will have the opportunity to update their knowledge about the increasing volume of information on mechanotransduction in these cells gained from current research.
The book features a primer on general aspects of cellular biomechanics and the experimental methods and equipment commonly used for investigating cellular mechanotransduction in vitro in two dimensional cultures in which cells are adherent to plastic surfaces. Characteristic mechanotransduction pathways in mesenchymal stem cells (MSCs), chondrocytes, osteoblasts and fibroblasts are described in the accompanying chapters. Finally, a description of clinical implementation of mechanical stimulation is presented with emphasis on distraction osteogenesis, involving osteoblast stimulation, and skin stretching techniques based on fibroblast stimulation.
This monograph is a useful reference for readers involved in graduate courses or basic research in cell biology and musculoskeletal physiology.
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Mesenchymal Cell Activation by Biomechanical Stimulation and its Clinical Prospects - Bentham Science Publishers
Israel
PREFACE
Nahum Rosenberg
Department of Orthopaedic Surgery
Rambam - Health Care Campus and Ruth and Bruce Rappaport Faculty of Medicine
Technion – Israel Institute of Technology
Haifa
Israel
Skin, bone and cartilage are the important examples of live tissues that respond to mechanical stimulation and that require it for their metabolic maintenance. The cells in these organs, which are responsible for matrix regeneration and responsive to mechanical stimulation, are, among others, the fibroblasts, the osteocytes (osteoblasts) and the chondrocytes (chondroblasts). All these cells are of the mesenchymal origin and maturate from multipotent mesenchymal stem cells (MSCs). It was previously shown than MSCs can maturate to one of these cell types when exposed to appropriate media (osteogenic, chondrogenic, etc.) with the addition of mechanical stimulation with the optimal characteristic mechanical parameters.
In this book the authors address the special characteristics of the responses of these types of cells to mechanical stimulation. The process of the cellular mechanical stimulation, mechanotransduction, is partially similar among these cells, but there are also several very important differences in mechanical parameters and cellular pathways. The current knowledge on the characteristic cellular mechanotransduction pathways is expanding. The authors aimed to concentrate on the description of the more investigated pathways, which are characteristic to each cell type.
The book starts with the chapters on general aspects of cellular biomechanics and description of the experimental equipment that is commonly used for the research of cellular mechanotransduction in vitro in two dimensional cultures, especially when the cells are adherent to plastic surfaces. The characteristic pathways of mechanotransduction in MSCs, osteoblasts and osteocytes, chondrocytes and fibroblasts are described in following chapters and eventually a description of clinical implementation of mechanical stimulation is added with emphasis on distraction osteogenesis, involving osteoblast stimulation, and on the skin stretching techniques based on fibroblasts’ stimulation.
The area of cellular mechanotransduction research is still widely open for further research and discoveries. In this book the authors tried to summarize the current knowledge on mechanotransduction in the MSCs and the three mature cell types, which are responsible for the maintenance of tissues that provide body support, cover and movement.
Mechanics of Living Cells – General Aspects
Eyal Ginesin, Kamal Hamoud, Nahum Rosenberg*
Department of Orthopaedic Surgery, Rambam Health Care Campus, POB 9602, Haifa 31096, Israel
Abstract
Eukaryotic cells contain specific structural segments that determine the cellular biomechanical characteristics, with the aid of numerous molecular structures. Cell mechanics is mostly determined by the cytoskeleton dynamics in coordination with the extra- and intra-cellular milieu. Cells can sense mechanical forces and, by signalling system, convert them to biological response through mechanotransduction pathways. Cells of mesenchymal origin are specially sensitive and responsive to mechanical forces because they are involved in building of the biomechanically efficient tissues for force propagation.
Keywords: Actin, Adhesion molecules, Cell migration, Fluid shear, Intermediate filaments, Microtubules.
* Corresponding author Rosenberg Nahum: Department of Orthopaedic Surgery, Rambam Health Care Campus, POB 9602, Haifa 31096, Israel; E-mail: nahumrosenberg@hotmail.com
CELL UNIT
Living cell is able to supply its own requirements of energy utilisation, molecular synthesis, transport and maintenance through its life cycle. The cell shape is determined mostly by the two major factors, the plasma membrane, which acts as an anchor for proteins connecting to it, and the actin cortex, which provides a mechanical support [1]. The actin, part of the cytoskeleton, plays a major role in determining the structural deformation due to its ability of fast remodelling [2]. These supporting structures play an important role in controlling the cellular shape during mitosis and cellular migration (Fig. 1) [3, 4].
The actin cell cortex cooperates with a flexible plasma membrane. They both act as resistance to deformation and transmit forces from the extracellular environment into the inner cell [5].
It is now clear that the actin and plasma membrane interact with each other. These interactions influence the extracellular to intracellular biochemical and biomechanical pathways.
Fig. (1))
Schematic representation of actin fibres distribution during cellular deformation and movement.
The direction of the migrating cells is determined by the rearrangement of the cell adhesion molecules (CAM). The CAM-CAM integration and the cell shape are controlled by the microtubules, another part of the cytoskeleton, bonding and the adhesion domain centers.
Cellular Scaffold
As a hemi solid structure, the cell depends on the scaffolding. There are mainly three types of filaments which include the skeleton of the cell, i.e. cytoskeleton: 6-10 nm in diameter actin filaments, 7-11 nm intermediate filaments and 25 nm microtubules. This system plays a role in forming a road
to and away from the nucleus. For the cell to keep its shape without collapsing, it has to maintain a sufficient cortical pressure, which depends on F- actin [6, 7], myosin II [8, 9] and intermediate filaments [10]. The tension of the cells also influences the cell shape and movement [11, 12], locomotion [13, 14], and mitosis [15].
In addition to the internal forces, there is a balance with externally applied force to regulate the cellular functions [16, 17]. Extracellular matrix (ECM) is a part of and regulates the extracellular forces. The molecular component surrounding the cells provides a structural support via interactions with integrin receptors.
Signalling Pathways
Cells communicate with the surrounding environment. Most of the communication of this nature is mediated by fluid shear stress that is converted into activation of cellular pathways and ending with gene expression [18]. These mechanotransduction pathways have still not been determined sufficiently. However, it is known that they induce cytoskeleton remodelling, giving a direction to the cell movement according to the direction of the fluid flow.
Additional way of signalling is via the extracellular scaffolds anchoring into cell with receptor clusters, i.e. focal adhesion complexes, which form channels from the cytoskeleton to the extracellular matrix [19]. These channels also contribute to the intracellular propagation of signalling and changing the cytoskeleton shape [20].
Cell Adhesion
The mechanism of cell adhesion, including its mechanics and kinetics, is of high interest in the research of cellular biomechanics. Cell adhesion is a good example of interweaving of cell signalling and changing of cellular shape. Many mathematical models have analysed the cell processes which are part of this process. It appears that the overall process of cell adhesion is based on kinetic, thermodynamic and mechanical properties of cellular membrane and of the cytoskeleton. The adhesion mechanism involves receptor-ligand bonds. The adhesion domains are the areas of biochemical reactions, which control the enzymes that govern the adhesion process. The adhesion domain is thermodynamically controlled by cohesive forces from the cells surrounding which pass through the actin anchorage at the cellular membrane [21-25]. The order of the adhesion bonds starts from the stronger initial bond followed by weaker successor bond, etc. This order is essential to generate local efficient adhesions. Even for a temporary adhesion this order of bond events is essential [26, 27]. However, in several experimental settings the temporary cellular adhesions are generated by a random order of events of the unrelated bonds [26, 28,