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Global Translational Medicine                                      Electrical stimulation in therapy and biology
























                                         Figure 2. Role of electrical signals in cell membrane function
                                                Abbreviation: ES: Electrical stimulation.
            for managing chronic inflammatory conditions and   that will be relevant to both scientists and clinicians in
            promoting post-surgical recovery.                  bioelectric medicine. Increasing the efficacy of accessible
                                                               techniques, such as BMT or developing new approaches
            1.3. Review scope                                  to address complex illnesses through ES can significantly
            This review highlights the role of ES in inducing cellular   impact the future of healthcare policy and practice.
            changes, with a primary focus on the cell membrane as the
            interface for bioelectric signals. Under the influence of ES,   2. Mechanisms of ES on the cell membrane
            the cell membrane plays a pivotal role in mediating ion   ES is a biophysical technique that utilizes applied electric
            dynamics, receptor modulation, and signaling pathways.  fields to activate several cellular responses. This interaction
              In addition to cellular-level effects, the review   involves the cell membrane, which is made of a non-
            incorporates insights into therapeutic applications   selectively  permeable  lipid  bilayer  divided  into  two  by
            that extend beyond the cell membrane. These include   a selectively  permeable  barrier. The embedded  proteins
            techniques such as BMT and deep brain stimulation,   regulate ion flow and facilitate cellular communication
            which leverage the broader electrical properties of tissues   and interaction. ES influences membrane structure and
            and organs for clinical benefits. The inclusion of such   function at several levels and regulates many processes,
            applications demonstrates the translational potential of ES   ranging from neuronal communication to cell remodeling.
            in areas, such as pain management, regenerative medicine,   2.1. Membrane potential and ion dynamics
            and neurological retraining. 18
                                                               The electrical potential across a membrane at rest
              In addition, this review also highlights emerging   determines cellular functions.  This potential arises  from
            technologies, such as functional ES and spinal cord stimulation,   differences in the intracellular and extracellular ion
            which further bridge the gap between fundamental biological   concentrations,  which  are regulated  by ion channels,
            insights and therapeutic innovations. These multidisciplinary   pumps, and exchangers. When ES is applied, it can
            approaches underscore the significance of integrating cell   initiate specific ion-related changes depending on the
            membrane dynamics with broader clinical applications.  characteristics of the stimulus.
              With the growth of the bioelectricity field, ES has
            increasingly been integrated into clinical practices, playing   2.1.1. Depolarization and hyperpolarization
            a crucial role in addressing current medical challenges.   ES affects the membrane potential by applying an external
            This study contributes to clarifying the role of the cell   electrical field. Depending on the nature and strength
            membrane in ES response, bringing  the concept of   of  the  stimulus,  the  cell  may  undergo  depolarization,
            bioelectric-based therapy closer to clinical reality. Such   where the membrane potential becomes less negative, or
            advancements suggest that treatments could eventually   hyperpolarization, where the membrane potential becomes
            be tailored to a patient’s natural electrochemical signaling   more negative. This alteration is significant in excitable
            patterns. Ongoing research on ES and its interaction with   cells, such as neurons and myocytes. They can also trigger
            the cell membrane holds great promise in discoveries   action potential or alter synaptic transmission. 19


            Volume 4 Issue 3 (2025)                         24                              doi: 10.36922/gtm.7774
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