Cellular-level effects of a newly developed low-intensity pulsed ultrasound device on wound healing: An experimental study using the L929 fibroblast cell line


Pazarci O., TAŞ A., AĞBEKTAŞ T., TUNÇBİLEK Z., Almaci I., Keskınbıçkı M. V., ...More

Journal of Orthopaedic Reports, 2026 (Scopus) identifier

  • Publication Type: Article / Article
  • Publication Date: 2026
  • Doi Number: 10.1016/j.jorep.2025.100887
  • Journal Name: Journal of Orthopaedic Reports
  • Journal Indexes: Scopus
  • Keywords: Cell morphology, Cell proliferation, Fibroblast, Low-intensity pulsed ultrasound (LIPUS), Tissue healing
  • Bilecik Şeyh Edebali University Affiliated: Yes

Abstract

Objective: This study aimed to investigate the proliferative effects of a newly developed low-intensity pulsed ultrasound (LIPUS) device, produced in Türkiye, on the healthy L929 mouse fibroblast cell line. Methods: L929 fibroblast cells were exposed to LIPUS at a frequency of 1.5 MHz and a power density of 0.5 W/cm2. The application was performed for 20 min daily over periods of 24, 48, and 72 h. At each time point, cell viability was assessed using the MTT assay, and morphological structures were evaluated using an inverted microscope. Each condition was tested in triplicate. Results: LIPUS application significantly increased fibroblast proliferation, particularly at 24 and 48 h of incubation (p < 0.01, p < 0.001). Although an increase was also observed at 72 h, it was not statistically significant. Microscopic analysis revealed no degenerative or cytotoxic changes in cell morphology. The cells maintained their natural adhesion and division characteristics. Conclusion: The newly developed LIPUS device significantly enhanced fibroblast proliferation at 24 and 48 h without affecting cell morphology, supporting its potential as a safe and effective biophysical tool for tissue healing.