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Low-intensity pulsed ultrasound enhances neurite growth in serum-starved human neuroblastoma cells

Xuanjie Ye, Zitong Wang, Rebekah van Bruggen, Xin-Min Li, Yanbo Zhang, Jie Chen

Frontiers in Neuroscience 2023, 17 · 10.3389/fnins.2023.1269267

in vitro cellothercellular imaginghistology molecular

Abstract

Introduction Low-intensity pulsed ultrasound (LIPUS) is a recognized tool for promoting nerve regeneration and repair; however, the intracellular mechanisms of LIPUS stimulation remain underexplored. Method The present study delves into the effects of varying LIPUS parameters, namely duty cycle, spatial average-temporal average (SATA) intensity, and ultrasound amplitude, on the therapeutic efficacy using SK-N-SH cells cultured in serum-starved conditions. Four distinct LIPUS settings were employed: (A) 50 mW/cm 2 , 40%, (B) 25 mW/cm 2 , 10%, (C) 50 mW/cm 2 , 20%, and (D) 25 mW/cm 2 , 10%. Results Immunochemistry analysis exhibited neurite outgrowth promotion in all LIPUS-treated groups except for Group D. Further, LIPUS treatment was found to successfully promote brain-derived neurotrophic factor (BDNF) expression and enhance the phosphorylation of extracellular signal-regulated kinase (ERK)1/2, protein kinase B (Akt), and mammalian target of rapamycin (mTOR) signaling pathways, as evidenced by western blot analysis. Discussion The study suggests that the parameter combination of LIPUS determines the therapeutic efficacy of LIPUS. Future investigations should aim to optimize these parameters for different cell types and settings and delve deeper into the cellular response mechanism to LIPUS treatment. Such advancements may aid in tailoring LIPUS treatment strategies to specific therapeutic needs.

Abstract via europepmc.

Specieshuman (SK-N-SH neuroblastoma cell line)
Subjects5 cultures
Sessions per subjectnot applicable
Randomisednot applicable
Blindingnot applicable
Sham / controlnone
Auditory controlnot reported
Readout timingoffline
Anaesthesianot applicable
Readoutscellular imaging, histology molecularImmunocytochemistry (tubulin staining, neurite length via NeuronJ); Western blot (BDNF, p-ERK1/2/ERK1/2, p-Akt/Akt, p-mTOR/mTOR); LDH cytotoxicity assay
Direction of effectmixed or unclearLIPUS treatment groups A (50 mW/cm2, 40%), B (25 mW/cm2, 20%) and C (50 mW/cm2, 20%) significantly enhanced neurite outgrowth and increased BDNF, p-ERK1/2, p-Akt and p-mTOR levels relative to the serum-starved control, whereas group D (25 mW/cm2, 10%) did not significantly enhance neurite length or downstream signalling despite raising BDNF.
Adverse eventsnot applicable

Exposures

Exposure 1: LIPUS stimulation of serum-starved SK-N-SH neuroblastoma cells (Groups A-D)

Target: other — “SK-N-SH human neuroblastoma cells (serum-starved, in vitro)
Device: custom-built

Pulse timing
Waveformpulsed
Fundamental frequency (kHz)1,500✓✓
Pulse duration (ms)not reported
Pulse repetition frequency (Hz)1,000✓✓
Duty cycle (%)40, 20, 20, 10swept✓✓
Sonication duration (s)600✓✓
Pressure and intensity, by domain
Free-field pressure (kPa)not reported
Free-field Isppa (W/cm²)not reported
Free-field Ispta (W/cm²)0.025, 0.05swept✓✓
In-situ estimatenot applicable
In-situ pressure (kPa)not applicable
In-situ Isppa (W/cm²)not applicable
In-situ Ispta (W/cm²)not applicable
Protocol, in the paper’s words

Four LIPUS parameter configurations (A: 50 mW/cm2 SATA/40% DC; B: 25 mW/cm2/20% DC; C: 50 mW/cm2/20% DC; D: 25 mW/cm2/10% DC), UFF 1.5 MHz and PRF 1 kHz held constant, were applied to serum-starved (1% FBS) SK-N-SH cells for 10 min/day (transducer rotated 180 degrees after the first 5 min) for 4 consecutive days, compared against a serum-starved control and a healthy (10% FBS) control receiving no LIPUS.

Flags from extraction

  • exposures[0].unspecified_domain.ispta_w_cm2Paper reports 'spatial average-temporal average (SATA)' intensity, not spatial-peak temporal-average (ISPTA); recorded here as the closest available field, but SATA is a spatially-averaged (not spatial-peak) quantity so the two are not equivalent.
  • exposures[0].timing.duty_cycle_pctThe abstract lists group B and D duty cycles both as 10%, inconsistent with the Methods (section 2.3) and Discussion, which both give group B as 20% duty cycle; the Methods/Discussion values (40, 20, 20, 10 for A-D) are used here as the more detailed and internally consistent source.
  • exposures[0].timing.pulse_duration_msOnly duty cycle and PRF are stated; pulse duration is not given directly and was not computed from these per instructions.
  • n_subjectsN=5 is the replicate count reported for the LDH and western blot assays; a different N=250 is reported for neurite-length/soma-width quantification (likely a cell count rather than a replicate/culture count), so a single 'n_subjects' is ambiguous across assays.