Bublitz Caroline, Medalha Carla, Oliveira Poliani, Assis Lívia, Milares Luiz Paulo, Fernandes Kelly Rossetti, Tim Carla Roberta, Vasilceac Fernando Augusto, Mattiello Stela Marcia, Renno Ana Claudia Muniz
Department of Bioscience, Federal University of São Paulo, Av. Ana Costa, 95, Vila Mathias, Santos, SP, 11050-240, Brazil,
Lasers Med Sci. 2014 Sep;29(5):1669-78. doi: 10.1007/s10103-014-1546-z. Epub 2014 Apr 11.
The aim of this study was to analyze the effects of low-level laser therapy (LLLT) on the prevention of cartilage damage after the anterior cruciate ligament transection (ACLT) in knees of rats. Thirty male rats (Wistar) were distributed into three groups (n = 10 each): injured control group (CG); injured laser-treated group at 10 J/cm(2) (L10), and injured laser-treated group at 50 J/cm(2) (L50). Laser treatment started immediately after the surgery and it was performed for 15 sessions. An 808 nm laser, at 10 and 50 J/cm(2), was used. To evaluate the effects of LLLT, the qualitative and semi-quantitative histological, morphometric, and immunohistochemistry analysis were performed. Initial signs of tissue degradation were observed in CG. Interestingly, laser-treated animals presented a better tissue organization, especially at the fluence of 10 J/cm(2). Furthermore, laser phototherapy was able of modulating some of the aspects related to the degenerative process, such as the prevention of proteoglycans loss and the increase in cartilage area. However, LLLT was not able of modulating chondrocytes proliferation and the immunoexpression of markers related to inflammatory process (IL-1 and MMP-13). This study showed that 808 nm laser, at both fluences, prevented features related to the articular degenerative process in the knees of rats after ACLT.
本研究的目的是分析低强度激光疗法(LLLT)对预防大鼠膝关节前交叉韧带横断(ACLT)后软骨损伤的影响。将30只雄性大鼠(Wistar)分为三组(每组n = 10):损伤对照组(CG);10 J/cm²激光治疗损伤组(L10),以及50 J/cm²激光治疗损伤组(L50)。激光治疗在手术后立即开始,共进行15次。使用波长为808 nm、能量密度为10和50 J/cm²的激光。为了评估LLLT的效果,进行了定性和半定量的组织学、形态计量学和免疫组织化学分析。在CG组中观察到组织降解的初始迹象。有趣的是,激光治疗的动物表现出更好的组织结构,尤其是在能量密度为10 J/cm²时。此外,激光光疗能够调节与退变过程相关的一些方面,如防止蛋白聚糖丢失和增加软骨面积。然而,LLLT不能调节软骨细胞增殖以及与炎症过程相关标志物(IL-1和MMP-13)的免疫表达。本研究表明,两种能量密度的808 nm激光均可预防大鼠ACLT后膝关节与关节退变过程相关的特征。