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经颅低水平激光疗法(810nm)可暂时抑制外周痛觉:谷氨酸受体、前列腺酸性磷酸酶和三磷酸腺苷的光神经调节。

Transcranial low-level laser therapy (810 nm) temporarily inhibits peripheral nociception: photoneuromodulation of glutamate receptors, prostatic acid phophatase, and adenosine triphosphate.

机构信息

Massachusetts General Hospital, Wellman Center for Photomedicine, BAR414, 40 Blossom Street, Boston, Massachusetts 02114, United States; University of São Paulo, Institute of Physics, Laboratory of Radiation Dosimetry and Medical Physics, Rua do Matão, Travessa R, 187, Cidade Universitária, São Paulo, Brazil; Bright Photomedicine Ltd., CIETEC Building, 2242 Lineu Prestes, São Paulo 05508-000, Brazil.

Massachusetts General Hospital, Wellman Center for Photomedicine, BAR414, 40 Blossom Street, Boston, Massachusetts 02114, United States; Federal University of São Carlos, Department of Physical Therapy, Laboratory of Electro-Thermo-Phototherapy, Street Washington Luis, km 235. Monjolinho, São Carlos, São Paulo 13565-905, Brazil; Federal University of São Carlos, Post-Graduation Program in Biotechnology, Street Washington Luis, km 235. Monjolinho, São Carlos, São Paulo 13560-000, Brazil; University of São Paulo, Optics Group, Physics Institute of São Carlos, Street Miguel Petroni, 146-Jardim Bandeirantes, São Carlos, São Paulo 13560-970, Brazil.

出版信息

Neurophotonics. 2016 Jan;3(1):015003. doi: 10.1117/1.NPh.3.1.015003. Epub 2016 Jan 25.

Abstract

Photobiomodulation or low-level light therapy has been shown to attenuate both acute and chronic pain, but the mechanism of action is not well understood. In most cases, the light is applied to the painful area, but in the present study we applied light to the head. We found that transcranial laser therapy (TLT) applied to mouse head with specific parameters (810 nm laser, [Formula: see text], 7.2 or [Formula: see text]) decreased the reaction to pain in the foot evoked either by pressure (von Frey filaments), cold, or inflammation (formalin injection) or in the tail (evoked by heat). The pain threshold increasing is maximum around 2 h after TLT, remains up to 6 h, and is finished 24 h after TLT. The mechanisms were investigated by quantification of adenosine triphosphate (ATP), immunofluorescence, and hematoxylin and eosin (H&E) staining of brain tissues. TLT increased ATP and prostatic acid phosphatase (an endogenous analgesic) and reduced the amount of glutamate receptor (mediating a neurotransmitter responsible for conducting nociceptive information). There was no change in the concentration of tubulin, a constituent of the cytoskeleton, and the H&E staining revealed no tissue damage. This is the first study to show inhibition of peripheral pain due to photobiomodulation of the central nervous system.

摘要

光生物调节或低水平光疗已被证明可以减轻急性和慢性疼痛,但作用机制尚不清楚。在大多数情况下,光线被应用于疼痛区域,但在本研究中,我们将光应用于头部。我们发现,应用特定参数的经颅激光治疗(TLT)(810nm 激光,[公式:见正文],7.2 或[公式:见正文])可降低由压力(冯弗雷尔细丝)、冷或炎症(福尔马林注射)或尾巴(由热引起)引起的足部对疼痛的反应。TLT 后约 2 小时达到最大疼痛阈值增加,持续 6 小时,24 小时后结束。通过对脑组织中三磷酸腺苷(ATP)、免疫荧光和苏木精和伊红(H&E)染色的定量分析来研究机制。TLT 增加了 ATP 和前列腺酸性磷酸酶(一种内源性止痛药),减少了谷氨酸受体(介导负责传递伤害性信息的神经递质)的数量。细胞骨架组成成分微管蛋白的浓度没有变化,H&E 染色显示没有组织损伤。这是第一项表明中枢神经系统光生物调节抑制外周疼痛的研究。

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