Cedars-Sinai Medical Center, Department of Neurology, Los Angeles, CA 90048, USA.
Expert Rev Med Devices. 2012 Jan;9(1):71-83. doi: 10.1586/erd.11.64.
One of the most promising methods to treat neurodegeneration is noninvasive transcranial near-infrared laser therapy (NILT), which appears to promote acute neuroprotection by stimulating mitochondrial function, thereby increasing cellular energy production. NILT may also promote chronic neuronal function restoration via trophic factor-mediated plasticity changes or possibly neurogenesis. Clearly, NILT is a treatment that confers neuroprotection or neurorestoration using pleiotropic mechanisms. The most advanced application of NILT is for acute ischemic stroke based upon extensive preclinical and clinical studies. In laboratory settings, NILT is also being developed to treat traumatic brain injury, Alzheimer's disease and Parkinson's disease. There is some intriguing data in the literature that suggests that NILT may be a method to promote clinical improvement in neurodegenerative diseases where there is a common mechanistic component, mitochondrial dysfunction and energy impairment. This article will analyze and review data supporting the continued development of NILT to treat neurodegenerative diseases.
一种有前途的治疗神经退行性疾病的方法是非侵入性的经颅近红外激光治疗(NILT),它似乎通过刺激线粒体功能来促进急性神经保护,从而增加细胞能量产生。NILT 还可能通过营养因子介导的可塑性变化或可能的神经发生来促进慢性神经元功能恢复。显然,NILT 是一种通过多效机制提供神经保护或神经修复的治疗方法。NILT 的最先进应用是基于广泛的临床前和临床研究的急性缺血性中风。在实验室环境中,NILT 也在开发中,用于治疗创伤性脑损伤、阿尔茨海默病和帕金森病。文献中有一些有趣的数据表明,NILT 可能是一种促进神经退行性疾病临床改善的方法,这些疾病有一个共同的机制成分,即线粒体功能障碍和能量损伤。本文将分析和综述支持继续开发 NILT 治疗神经退行性疾病的数据。