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Department Letter to the Editor| Volume 93, ISSUE 10, P1882, October 2012

The Authors Respond

      In response to Namazi's letter, we want to comment that the recent evidence on the positive effects of low-intensity pulsed ultrasound (LIPUS) over the regulation of the proinflammatory interleukin 1 (IL1) verifies the validity of the mechanotransduction theory. This cellular theory explains how living cells convert mechanical stimulus into biochemical responses through a complex process mediated by a large number of extracellular and intracellular structures, such as stretch-activated ion channels and integrins.
      • Ingber D.E.
      Cellular mechanotransduction: putting all the pieces together again.
      The down regulation of IL1, observed by Tsuang et al,
      • Tsuang Y.H.
      • Liao L.W.
      • Chao Y.H.
      • et al.
      Effects of low intensity pulsed ultrasound on rat Schwann cells metabolism.
      can be considered a result of the mechanical stimulation of the cell and its extracellular matrix. This evidence supports the theoretical assumption that LIPUS therapy stimulates the cartilage repair process, stressing the importance of continuing with this line of research, specifically for the development of a disease-modifying treatment for osteoarthritis (OA).
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      References

        • Ingber D.E.
        Cellular mechanotransduction: putting all the pieces together again.
        FASEB J. 2006; 20: 811-827
        • Tsuang Y.H.
        • Liao L.W.
        • Chao Y.H.
        • et al.
        Effects of low intensity pulsed ultrasound on rat Schwann cells metabolism.
        Artif Organs. 2011; 35: 373-383

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