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低水平激光疗法治疗胶原酶诱导的大鼠跟腱炎:生化和生物力学分析。

Low-level laser therapy in collagenase-induced Achilles tendinitis in rats: analyses of biochemical and biomechanical aspects.

机构信息

Laboratory of Pharmacology and Experimental Therapeutics, Department of Pharmacology, Institute of Biomedical Sciences, University of Sao Paulo, Av. Prof. Lineu Prestes, 1524, Butantan, São Paulo 05508-900, SP, Brazil.

出版信息

J Orthop Res. 2012 Dec;30(12):1945-51. doi: 10.1002/jor.22156. Epub 2012 Jun 5.

Abstract

NSAIDs are widely prescribed and used over the years to treat tendon injuries despite its well-known long-term side effects. In the last years several animal and human trials have shown that low-level laser therapy (LLLT) presents modulatory effects on inflammatory markers, however the mechanisms involved are not fully understood. The aim of this study was to evaluate the short-term effects of LLLT or sodium diclofenac treatments on biochemical markers and biomechanical properties of inflamed Achilles tendons. Wistar rats Achilles tendons (n = 6/group) were injected with saline (control) or collagenase at peritendinous area of Achilles tendons. After 1 h animals were treated with two different doses of LLLT (810 nm, 1 and 3 J) at the sites of the injections, or with intramuscular sodium diclofenac. Regarding biochemical analyses, LLLT significantly decreased (p < 0.05) COX-2, TNF-α, MMP-3, MMP-9, and MMP-13 gene expression, as well as prostaglandin E(2) (PGE(2) ) production when compared to collagenase group. Interestingly, diclofenac treatment only decreased PGE(2) levels. Biomechanical properties were preserved in the laser-treated groups when compared to collagenase and diclofenac groups. We conclude that LLLT was able to reduce tendon inflammation and to preserve tendon resistance and elasticity.

摘要

非甾体抗炎药(NSAIDs)多年来被广泛开处方和使用,以治疗肌腱损伤,尽管其具有众所周知的长期副作用。在过去的几年中,几项动物和人体试验表明,低水平激光疗法(LLLT)对炎症标志物具有调节作用,但其涉及的机制尚不完全清楚。本研究旨在评估 LLLT 或双氯芬酸钠治疗对炎症性跟腱的生化标志物和生物力学特性的短期影响。Wistar 大鼠跟腱(每组 n = 6)在跟腱周围区域注射盐水(对照)或胶原蛋白酶。注射后 1 小时,动物接受两种不同剂量的 LLLT(810nm,1 和 3J)在注射部位,或肌肉内注射双氯芬酸钠。关于生化分析,与胶原蛋白酶组相比,LLLT 显著降低了 COX-2、TNF-α、MMP-3、MMP-9 和 MMP-13 基因表达以及前列腺素 E2(PGE2)的产生。有趣的是,双氯芬酸钠治疗仅降低了 PGE2 水平。与胶原蛋白酶和双氯芬酸钠组相比,激光治疗组的生物力学特性得到了保留。我们得出结论,LLLT 能够减轻肌腱炎症,保持肌腱的阻力和弹性。

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