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. 2022 Nov 21;10:65. doi: 10.1038/s41413-022-00234-9

Table 2.

Tensile strain (osteogenic differentiation)

Authors Tensile Strain Pattern Cell Type Outcome
Huang et al.90 3%, 0.1 Hz for 1, 3 or 5 days Cyclic hMSCs Reduced proliferation. Increased FAK phosphorylation. Reorientation of cytoskeleton. Increased cbfa1 (P < 0.05), ALP (P < 0.05) and mineralized matrix deposition (P < 0.05). Fibronectin and laminin coatings enhanced differentiation.
Ward et al.96 3%–5%, 0.5 Hz, 2 h·d−1, 28 days Intermittent hMSCs Increased BSP2, OCN, Osterix and mineral deposition.
Jagodzinski et al.88 2% or 8%, 2 h per 3 times a day, 3 days. 1, 4 and 7 days Cyclic hMSCs

2%: increased OCN at 4 days, decreased by Day 7.

8%: increased ALP (P < 0.04), OCN (P < 0.01) and cbfa1 (P < 0.03). Overall effect augmented at 8% stretch.

Haasper et al.234 2% or 8%, 1 Hz. 3 times daily for 2 h over 3 days Cyclic hMSCs Increased FosB, RUNX2 (P < 0.05). Col-I expression increased with length of treatment (P < 0.05). Greater response at 8%.
Shi et al.235 3%, 6% or 9%, 0.5 Hz for 1, 3, 7 and 10 days Uniaxial, cyclic, sinusoidal hMSCs Decreased ALP (P < 0.05). Largest decrease in 3% group. Decreased RUNX2 and OPN (P < 0.05) gene expression but not protein level. Col-I decreased by Day 7.
Zhang et al.236 10%, 1 Hz for 96 h Continuous sinusoidal Rat BMSCs Reduced proliferation. Increased RUNX2, ALP, Col I and OCN (all P < 0.05).
Sumanasinghe et al.91 0, 10% or 12%, 1 Hz, 4 h·d−1, 7 or 14 days. Cultured in 3D collagen matrices Uniaxial, cyclic hMSCs BMP-2 expression increased at 10% and 12% at 7 and 14 days (P < 0.05). Increased BMP-2 in 12% group at 14 days only (P < 0.05).
Koike et al.95 0.8%, 5%, 10%, 15%, 24 and 48 h at 1 Hz Equibiaxial ST-2 murine MSC cell line Proliferation increased at 5%, 10% and 15% (P < 0.05). ALP and RUNX2 increased at 0.8% and 5% (P < 0.05) but decreased at 10% and 15% (P < 0.001). Cbfa1/RUNX2 increased at lower magnitudes (0.8% and 5%) and decreased at the higher 15% elongation (P < 0.05). OCN decreased at 5%, 10% and 15%. Overall, osteoblastic differentiation increased at low magnitudes.
Wu et al.237 0, 3%, 8%, 13% and 18%, 0.5 Hz for 8 h·d−1 for 3 days Cyclic Murine MSCs 8% strain optimal. Increased ALP and matrix mineralization (P < 0.01). Increased BMP-2, RUNX2 (P < 0.01).
Qi et al.89 2 000 με for 40 mins Cyclic Rat MSCs Increased ALP and cbfa1 (P < 0.05)

Studies are presented in increasing order of strain and according to cell type

hMSCs human mesenchymal stem cells, Col-1 collagen-1, OCN osteocalcin, ALP alkaline phosphatase, RUNX 2 runt-related transcription Factor 2, cbfa1 core binding factor alpha 1, FAK focal adhesion kinase, OPN osteopontin, cpm cycles per minute, TGF-β transforming growth factor-1, BGH3 TGF-β1-induced protein ig-h3, BMP2 bone morphogenetic protein-2