Mitochondrial Exercise

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Results Mitochondrial activity The mitochondrial activity of hMSCs exposed to epinephrine or vasopressin for 40 min was not significantly lower than the activity of cells in the control group when measured 1 h, 24 h, and 7 days after exposure (Figure 1). Apoptosis rate To assess apoptosis, we measured levels of caspase-3 and PARP-1 at 1 h, 24 h, and 7 d. A significantly (p < 0.05 - 0.001) higher level of PARP-1 was found in hMSCs 24 h and 7 d after exposure to vasopressin (Figures 2 and 3) and 7 d after exposure to epinephrine (Figure 3). A significantly (p < 0.001) higher level of caspase-3 was found only 24 h after exposure to epinephrine (Figure 4). Discussion Controlling intraoperative bleeding during knee or shoulder arthroscopic …show more content…

They are derived from the mesoderm and they differentiate into bone, cartilage, muscle, and adipose tissue.21, 25 hMSCs are important in natural tissue regeneration processes: during the proliferative and remodeling phases, they migrate to the defected area and differentiate to replace cartilage.25 As such, adult mesenchymal stem cells have obtained great acceptance in the field of cartilage regeneration. Because of the critical role of stem cells in the complex process of cartilage reconstruction, we examined and evaluated whether common hemostasis agents used intra-articularly affect hMSCs. To date, studies have focused only on the efficacy of these medications for hemostasis and the effects on the operative visual field. We chose epinephrine as the hemostasis agent because it improves operative field clearance and is a commonly used medicine.1, 16, 17 Vasopressin has been used as a vasopressor with favorable outcomes,14, 15, 18, 19, 23 but, until now, it has been never been used in …show more content…

First, this in vitro model does not represent intraoperative intra-articular conditions such as bleeding, active blood supply, cell metabolic activities, or amount of synovial fluid. Also, because it is an in vitro model, our observations cannot necessarily be extrapolated to in vivo conditions. Still, the standardized in vitro conditions allow for the reproducibility of results related to substance-specific effects on cell viability, metabolic activity, and induction of apoptosis. The effects of intra-articular exposure to epinephrine and vasopressin on hMSCs require additional investigation. Further studies need to be performed to evaluate these effects closer to the cell membrane. Specifically, the expression of inducible nitric oxide synthase, which rapidly synthesizes large quantities of nitric oxide (a free radical), could be determined. An overproduction of nitric oxide causes damage to cellular components such as lipids, which decreases physiological function and leads to cell death.3,24 Additionally, our results should be confirmed in an animal

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