Prophylactic Effects of Radiofrequency Electromagnetic Field on Pulmonary Ischemia-Reperfusion via HIF-1α/eNOS Pathway and BCL2/BAX Signaling.

Pulmonary circulation · 2025 · Benefit · Low evidence

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BenefitLow evidencePaper 5899

In a rat lung ischemia-reperfusion model, IR increased histopathologic damage, TNF-alpha and caspase-3 immunoexpression, oxidative stress markers (total oxidant status, oxidative stress index), and Hif-1α/eNOS/BAX, while decreasing BCL2. In the IR + RF-EMF gr…

Study snapshot

PublicationPulmonary circulation · 2025
Study typeanimal
Reported directionBenefit
Evidence ratingLow

Abstract

This study aimed to investigate the vascular effects of a radiofrequency electromagnetic field (RF-EMF) applied in the lung ischemia and reperfusion (IR) model on the hypoxia-inducible factor 1 alpha (Hif-1α)/endothelial nitric oxide synthase (eNOS) pathway and B cell lymphoma 2 (BCL2)/BCL-2 associated X protein (BAX signaling. Forty male Wistar rats were randomly divided into four groups, each consisting of 10 rats: Sham, IR, IR + RF-EMF, and RF-EMF. IR was applied to rats by 60 min of clamping hilus of left lungs and 60 min of reperfusion. Rats were kept in the RF-EMF unit for 60 min with or without activation. After sacrification, lung tissues were excised for histopathological, immunohistochemical, biochemical, and genetic analyses. IR injury led to increased damage-related emphysematous findings, significant hyperemia, and increased septal tissue thickness, as observed histopathologically, and immunoexpression levels of tumor necrosis factor-alpha and caspase-3. In addition, it was noted that the biochemical parameters total oxidant status, oxidative stress index, and genetic parameters Hif 1 α, eNOS, BAX increased, and BCL2 decreased due to IR damage. In the IR-RF-EMF group, improvement has been detected in all parameters. RF-EMF applied in the IR model exerts antioxidant, antiapoptotic, and anti-inflammatory effects on lung tissue damage through the Hif-1α/eNOS pathway and BCL-2/BAX signaling. The use of RF-EMF in IR damage is promising, as models that examine the long-term effects of RF-EMF at different frequencies.

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AI evidence extraction

Structured fields below were generated from the paper’s abstract and metadata to make the evidence easier to inspect. Automated extraction may be incomplete or incorrect; verify important details against the original paper.

Study typeanimal
Effect directionbenefit
PopulationMale Wistar rats
Sample size40
ExposureRF · 60 min
Evidence strengthLowConfidence: 78% · Peer reviewed: yes

Main findings

In a rat lung ischemia-reperfusion model, IR increased histopathologic damage, TNF-alpha and caspase-3 immunoexpression, oxidative stress markers (total oxidant status, oxidative stress index), and Hif-1α/eNOS/BAX, while decreasing BCL2. In the IR + RF-EMF group, improvement was detected across these parameters, and the authors conclude RF-EMF had antioxidant, antiapoptotic, and anti-inflammatory effects via Hif-1α/eNOS and BCL2/BAX signaling.

Outcomes measured

  • Histopathology (emphysematous findings, hyperemia, septal tissue thickness)
  • Immunohistochemistry/immunoexpression (TNF-alpha, caspase-3)
  • Biochemical oxidative stress markers (total oxidant status, oxidative stress index)
  • Genetic parameters/expression (Hif-1α, eNOS, BAX, BCL2)

Limitations

  • RF-EMF frequency not reported in abstract
  • SAR/dose metrics not reported in abstract
  • Short exposure and acute model; long-term effects not assessed (authors note need for long-term models at different frequencies)
  • Animal model; generalizability to humans not established
View raw extracted JSON
{
  "study_type": "animal",
  "exposure": {
    "band": "RF",
    "source": "other",
    "frequency_mhz": null,
    "sar_wkg": null,
    "duration": "60 min"
  },
  "population": "Male Wistar rats",
  "sample_size": 40,
  "outcomes": [
    "Histopathology (emphysematous findings, hyperemia, septal tissue thickness)",
    "Immunohistochemistry/immunoexpression (TNF-alpha, caspase-3)",
    "Biochemical oxidative stress markers (total oxidant status, oxidative stress index)",
    "Genetic parameters/expression (Hif-1α, eNOS, BAX, BCL2)"
  ],
  "main_findings": "In a rat lung ischemia-reperfusion model, IR increased histopathologic damage, TNF-alpha and caspase-3 immunoexpression, oxidative stress markers (total oxidant status, oxidative stress index), and Hif-1α/eNOS/BAX, while decreasing BCL2. In the IR + RF-EMF group, improvement was detected across these parameters, and the authors conclude RF-EMF had antioxidant, antiapoptotic, and anti-inflammatory effects via Hif-1α/eNOS and BCL2/BAX signaling.",
  "effect_direction": "benefit",
  "limitations": [
    "RF-EMF frequency not reported in abstract",
    "SAR/dose metrics not reported in abstract",
    "Short exposure and acute model; long-term effects not assessed (authors note need for long-term models at different frequencies)",
    "Animal model; generalizability to humans not established"
  ],
  "evidence_strength": "low",
  "confidence": 0.78,
  "peer_reviewed_likely": "yes",
  "keywords": [
    "radiofrequency electromagnetic field",
    "RF-EMF",
    "ischemia-reperfusion",
    "lung",
    "pulmonary",
    "HIF-1α",
    "eNOS",
    "BCL2",
    "BAX",
    "oxidative stress",
    "TNF-alpha",
    "caspase-3",
    "Wistar rats"
  ],
  "suggested_hubs": []
}
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AI-extracted fields are generated from the abstract and metadata and may be incomplete or incorrect. This material is for informational purposes and is not medical advice.

Identifiers and source

DOI: 10.1002/pul2.70051
PubMed: 40469637

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