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创伤性脑损伤后经颅对小鼠应用低强度激光疗法可显著减少长期神经功能缺损。

low-level laser therapy applied transcranially to mice following traumatic brain injury significantly reduces long-term neurological deficits.

作者信息

Oron Amir, Oron Uri, Streeter Jackson, de Taboada Luis, Alexandrovich Alexander, Trembovler Victoria, Shohami Esther

机构信息

Department of Orthopedics, Assaf Harofeh Medical Center, Zerifin, Israel.

出版信息

J Neurotrauma. 2007 Apr;24(4):651-6. doi: 10.1089/neu.2006.0198.

Abstract

Low-level laser therapy (LLLT) has been evaluated in this study as a potential therapy for traumatic brain injury (TBI). LLLT has been found to modulate various biological processes. Following TBI in mice, we assessed the hypothesis that LLLT might have a beneficial effect on their neurobehavioral and histological outcome. TBI was induced by a weight-drop device, and motor function was assessed 1 h post-trauma using a neurological severity score (NSS). Mice were then divided into three groups of eight mice each: one control group that received a sham LLLT procedure and was not irradiated; and two groups that received LLLT at two different doses (10 and 20 mW/cm(2) ) transcranially. An 808-nm Ga-As diode laser was employed transcranially 4 h post-trauma to illuminate the entire cortex of the brain. Motor function was assessed up to 4 weeks, and lesion volume was measured. There were no significant changes in NSS at 24 and 48 h between the laser-treated and non-treated mice. Yet, from 5 days and up to 28 days, the NSS of the laser-treated mice were significantly lower (p < 0.05) than the traumatized control mice that were not treated with the laser. The lesion volume of the laser treated mice was significantly lower (1.4%) than the non-treated group (12.1%). Our data suggest that a non-invasive transcranial application of LLLT given 4 h following TBI provides a significant long-term functional neurological benefit. Further confirmatory trials are warranted.

摘要

在本研究中,低强度激光疗法(LLLT)已被评估为创伤性脑损伤(TBI)的一种潜在治疗方法。已发现LLLT可调节各种生物学过程。在小鼠发生TBI后,我们评估了LLLT可能对其神经行为和组织学结果产生有益影响的假设。通过重物坠落装置诱导TBI,并在创伤后1小时使用神经严重程度评分(NSS)评估运动功能。然后将小鼠分成每组八只的三组:一组为接受假LLLT程序且未接受照射的对照组;另外两组在创伤后4小时经颅接受两种不同剂量(10和20 mW/cm²)的LLLT。使用808纳米的砷化镓二极管激光在创伤后4小时经颅照射大脑的整个皮质。评估长达4周的运动功能,并测量损伤体积。在激光治疗组和未治疗组之间,24小时和48小时时NSS没有显著变化。然而,从第5天到第28天,激光治疗小鼠的NSS显著低于未接受激光治疗的创伤对照组小鼠(p<0.05)。激光治疗小鼠的损伤体积显著低于未治疗组(1.4%对12.1%)。我们的数据表明,在TBI后4小时进行非侵入性经颅应用LLLT可提供显著的长期功能性神经益处。有必要进行进一步的验证试验。

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