Dias Fernando José, Issa João Paulo Mardegan, Vicentini Fabiana Testa Moura de Carvalho, Fonseca Maria José Vieira, Leão Juliane Carneiro, Siéssere Selma, Regalo Simone Cecílio Hallak, Iyomasa Mamie Mizusaki
Department of Morphology, Stomatology, and Physiology, Faculty of Dentistry of Ribeirao Preto, University of Sao Paulo, Avenida do Cafe s/n - Monte Alegre, Ribeirao Preto, Brazil.
Photomed Laser Surg. 2011 Oct;29(10):677-84. doi: 10.1089/pho.2010.2879. Epub 2011 Jul 11.
This study aims to analyze the effects of low-level laser therapy (LLLT) on the oxidative activity and the expression/activity of metalloproteinases of the masseter muscle.
Currently in dentistry LLLT has been used on patients with muscular disorders, such as the temporomandibular disorders (TMDs) but its effect at the cellular level has not been fully elucidated.
Thirty male Wistar rats divided into 6 groups (n=5) received 10 laser irradiations (780 nm, 5 mmW, CW laser, illuminated area 0.04 cm(2), power density 125 mW/cm(2)), with different energy densities (group I-0; group II-0.5; group III-1.0; group IV-2.5; group V-5.0; and group VI-20 J/cm(2)). Muscles were processed for nicotinamide adenine dinucleotide diaphorase (NADH) and sucinate dehydrogenase (SDH) activities and zymography. The photomicrographs were evaluated by the point counting method using a test system and ImageJ software; and by the ANOVA statistical test. The proteinases' secretion/activity was qualitatively analyzed by zymography.
LLLT significantly increased (p<0.05) masseter muscle oxidative metabolism shown by the increased area of intermediary fibers in the NADH (groups IV, V, and VI) and SDH (group V) reactions. The same metabolic pattern was observed among the groups in both reactions. Sodium dodecyl sulphate polyacrylamide gel electrophoresis (SDS-PAGE) zymography detected only the MMP-2 expression/activity for the untreated-control group (group I). The exposure to LLLT increased the activity of MPP-2 in group VI and the activity of MMP-9 in all groups exposed to different energy densities of laser irradiation (groups II, III, IV, V, and VI).
Thus, LLLT stimulated the oxidative metabolism and the expression of matrix metalloproteinase (MMPs) of the masseter muscle, which may indicate a matrix remodeling process. However, group VI did not show the best results for oxidative metabolism, probably indicating that the dosage they were given was high for this protocol.
本研究旨在分析低强度激光疗法(LLLT)对咬肌氧化活性以及金属蛋白酶表达/活性的影响。
目前在牙科领域,LLLT已用于患有肌肉疾病的患者,如颞下颌关节紊乱病(TMDs),但其在细胞水平的作用尚未完全阐明。
将30只雄性Wistar大鼠分为6组(每组n = 5),接受10次激光照射(780nm,5mW,连续波激光,照射面积0.04cm²,功率密度125mW/cm²),能量密度不同(I组 - 0;II组 - 0.5;III组 - 1.0;IV组 - 2.5;V组 - 5.0;VI组 - 20J/cm²)。对肌肉进行烟酰胺腺嘌呤二核苷酸黄递酶(NADH)和琥珀酸脱氢酶(SDH)活性检测及酶谱分析。使用测试系统和ImageJ软件通过点计数法对显微照片进行评估;并采用方差分析统计检验。通过酶谱法对蛋白酶的分泌/活性进行定性分析。
LLLT显著增加了(p < 0.05)咬肌的氧化代谢,这表现为NADH反应(IV组、V组和VI组)和SDH反应(V组)中中间纤维面积增加。在两个反应中各实验组间观察到相同的代谢模式。十二烷基硫酸钠聚丙烯酰胺凝胶电泳(SDS - PAGE)酶谱分析仅在未处理的对照组(I组)检测到MMP - 2的表达/活性。暴露于LLLT使VI组中MPP - 2的活性增加,并且在所有接受不同能量密度激光照射的组(II组、III组、IV组、V组和VI组)中MMP - 9的活性增加。
因此,LLLT刺激了咬肌的氧化代谢和基质金属蛋白酶(MMPs)的表达,这可能表明存在基质重塑过程。然而,VI组在氧化代谢方面未显示出最佳结果,可能表明该方案给予他们的剂量过高。