Evans Denise Hawkins, Abrahamse Heidi
Laser Research Group, Faculty of Health Sciences, University of Johannesburg, Johannesburg, South Africa.
Photodermatol Photoimmunol Photomed. 2008 Aug;24(4):199-210. doi: 10.1111/j.1600-0781.2008.00362.x.
Despite contradictory reports on the effect of laser light on cell proliferation, studies have shown that appropriate doses and wavelengths of laser light are therapeutically beneficial in tissue repair and pain control. This study aimed to establish if the dose and/or wavelength influenced the biological responses of irradiated in vitro fibroblasts--1 h after laser irradiation.
This study aimed to establish cellular responses of normal and wounded human skin fibroblasts to helium-neon (632.8 nm), diode (830 nm) and Nd:YAG (1064 nm) laser irradiation using one exposure of 5 or 16 J/cm(2) on day 1 and again on day 4.
Wounded cells exposed to 5 J/cm(2) using 632.8 nm showed an increase in cell migration and haptotaxis, a stable increase in the release of interleukin-6 (IL-6), a decrease in caspase 3/7 activity, an increase in ATP viability and an increase in cell proliferation--1 h after the final exposure. The results confirm that changes in parameters such as ATP viability, cytokine expression (IL-6), cell proliferation (alkaline phosphatase enzyme activity) and DNA damage can be observed directly after the laser irradiation. The amount of DNA damage and cytotoxicity may be related to duration of the laser irradiation, which is dependent on the power density (mW/cm(2)) of each laser.
The results indicate that 5 J/cm(2) using 632.8 nm results in a stimulatory effect that is more effective than 830 and 1064 nm. The results suggest possible mechanisms by which the wavelength may potentially influence the cellular responses of wounded cells.
尽管关于激光对细胞增殖的影响存在相互矛盾的报道,但研究表明,适当的激光剂量和波长在组织修复和疼痛控制方面具有治疗益处。本研究旨在确定剂量和/或波长是否会影响体外照射的成纤维细胞在激光照射1小时后的生物学反应。
本研究旨在通过在第1天和第4天分别以5或16 J/cm²的剂量单次照射,确定正常和受伤的人皮肤成纤维细胞对氦氖(632.8 nm)、二极管(830 nm)和Nd:YAG(1064 nm)激光照射的细胞反应。
在最后一次照射1小时后,暴露于632.8 nm、5 J/cm²的受伤细胞显示出细胞迁移和趋触性增加、白细胞介素-6(IL-6)释放稳定增加、半胱天冬酶3/7活性降低、ATP活力增加以及细胞增殖增加。结果证实,在激光照射后可直接观察到ATP活力、细胞因子表达(IL-6)、细胞增殖(碱性磷酸酶活性)和DNA损伤等参数的变化。DNA损伤量和细胞毒性可能与激光照射持续时间有关,而激光照射持续时间取决于每种激光的功率密度(mW/cm²)。
结果表明,632.8 nm、5 J/cm²的激光产生的刺激作用比830和1064 nm的激光更有效。结果提示了波长可能影响受伤细胞的细胞反应的潜在机制。