Gonçalves Elaine D, Souza Priscila S, Lieberknecht Vicente, Fidelis Giulia S P, Barbosa Rafael I, Silveira Paulo C L, de Pinho Ricardo A, Dutra Rafael C
a Laboratory of Autoimmunity and Immunopharmacology , Campus Araranguá, Universidade Federal de Santa Catarina , Araranguá , SC , Brazil .
b Laboratory of Exercise Biochemistry and Physiology , Postgraduate Program in Health Sciences, Health Sciences Unit, Universidade do Extremo Sul Catarinense , Criciúma , SC , Brazil , and.
Autoimmunity. 2016;49(2):132-42. doi: 10.3109/08916934.2015.1124425. Epub 2015 Dec 24.
Multiple sclerosis (MS) is an autoimmune demyelinating inflammatory disease characterized by recurrent episodes of T cell-mediated immune attack on central nervous system (CNS) myelin, leading to axon damage and progressive disability. The existing therapies for MS are only partially effective and are associated with undesirable side effects. Low-level laser therapy (LLLT) has been clinically used to treat inflammation, and to induce tissue healing and repair processes. However, there are no reports about the effects and mechanisms of LLLT in experimental autoimmune encephalomyelitis (EAE), an established model of MS. Here, we report the effects and underlying mechanisms of action of LLLT (AlGaInP, 660 nm and GaAs, 904 nm) irradiated on the spinal cord during EAE development. EAE was induced in female C57BL/6 mice by immunization with MOG35-55 peptide emulsified in complete Freund's adjuvant. Our results showed that LLLT consistently reduced the clinical score of EAE and delayed the disease onset, and also prevented weight loss induced by immunization. Furthermore, these beneficial effects of LLLT seem to be associated with the down-regulation of NO levels in the CNS, although the treatment with LLLT failed to inhibit lipid peroxidation and restore antioxidant defense during EAE. Finally, histological analysis showed that LLLT blocked neuroinflammation through a reduction of inflammatory cells in the CNS, especially lymphocytes, as well as preventing demyelination in the spinal cord after EAE induction. Together, our results suggest the use of LLLT as a therapeutic application during autoimmune neuroinflammatory responses, such as MS.
多发性硬化症(MS)是一种自身免疫性脱髓鞘炎性疾病,其特征是T细胞介导的对中枢神经系统(CNS)髓鞘的免疫攻击反复发作,导致轴突损伤和进行性残疾。现有的MS治疗方法仅部分有效,且伴有不良副作用。低强度激光疗法(LLLT)已在临床上用于治疗炎症,并诱导组织愈合和修复过程。然而,关于LLLT在实验性自身免疫性脑脊髓炎(EAE,一种已确立的MS模型)中的作用效果和机制尚无报道。在此,我们报告了在EAE发展过程中,用LLLT(AlGaInP,660 nm和GaAs,904 nm)照射脊髓的作用效果及潜在作用机制。通过用完全弗氏佐剂乳化的MOG35 - 55肽免疫雌性C57BL/6小鼠来诱导EAE。我们的结果表明,LLLT持续降低EAE的临床评分并延迟疾病发作,还能防止免疫诱导的体重减轻。此外,LLLT的这些有益作用似乎与中枢神经系统中NO水平的下调有关,尽管在EAE期间用LLLT治疗未能抑制脂质过氧化和恢复抗氧化防御。最后,组织学分析表明,LLLT通过减少中枢神经系统中的炎性细胞,特别是淋巴细胞,来阻断神经炎症,并在EAE诱导后防止脊髓脱髓鞘。总之,我们的结果表明LLLT可作为自身免疫性神经炎症反应(如MS)期间的一种治疗应用。