Jia Ya-Li, Guo Zhou-Yi
Institute of Laser Life Science, South China Normal University, Guangzhou, GD 510631, China.
Lasers Surg Med. 2004;34(4):323-8. doi: 10.1002/lsm.20017.
In the orthopaedic field, the repair of articular cartilage is still a difficult problem, because of the physiological characters of cartilaginous tissues and chondrocytes. To find an effective method of stimulating their regeneration, this in vitro study focuses on the biostimulation of rabbit articular chondrocytes by low-power He-Ne laser.
STUDY DESIGN/MATERIALS AND METHODS: The articular chondrocytes isolated from the cartilage of the medial condyle of the femur of the rabbit were incubated in DMEM/HamF(12) medium. The second passage culture were spread on 24 petri dishes and were irradiated with laser at power output of 2-12 mW for 6.5 minutes, corresponding to the energy density of 1-6 J/cm(2). Laser treatment was performed three times at a 24-hour interval. After lasering, incubation was continued for 24 hours. Non-irradiated cells were kept under the same conditions as the irradiated ones. The cell proliferation activity was evaluated with a XTT colorimetric method and the cell secretion activity was analyzed by metachromasia and immunocytochemistry.
Irradiation of 4-6 J/cm(2) increased the cell numbers and revealed a considerably higher cell proliferation activity comparing to control cultures. Thereinto, the energy density of 4 and 5 J/cm(2) remarkably increased cell growth, with positive effect on synthesis and secretion of extracellular matrix.
The present study showed that a particular laser irradiation stimulates articular chondrocytes proliferation and secretion. These findings might be clinically relevant, indicating that low-power laser irradiation treatment is likely to achieve the repair of articular cartilage in clinic.
在骨科领域,由于软骨组织和软骨细胞的生理特性,关节软骨修复仍是一个难题。为找到刺激其再生的有效方法,本体外研究聚焦于低功率氦氖激光对兔关节软骨细胞的生物刺激作用。
研究设计/材料与方法:从兔股骨内侧髁软骨分离出的关节软骨细胞在DMEM/HamF(12)培养基中培养。将第二代培养物铺在24个培养皿上,用功率为2 - 12 mW的激光照射6.5分钟,对应能量密度为1 - 6 J/cm²。激光治疗每隔24小时进行3次。激光照射后,继续培养24小时。未照射的细胞与照射细胞保持相同条件。用XTT比色法评估细胞增殖活性,并用异染性和免疫细胞化学分析细胞分泌活性。
4 - 6 J/cm²的照射增加了细胞数量,与对照培养相比显示出显著更高的细胞增殖活性。其中,4和5 J/cm²的能量密度显著促进细胞生长,对细胞外基质的合成和分泌有积极作用。
本研究表明特定的激光照射可刺激关节软骨细胞增殖和分泌。这些发现可能具有临床相关性,表明低功率激光照射治疗在临床上可能实现关节软骨的修复。