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低强度激光疗法(904纳米)可对抗蛇咬伤模拟肌内毒液注射所致骨骼肌损伤后小鼠后肢的运动功能障碍。

Low-Level Laser Therapy (904 nm) Counteracts Motor Deficit of Mice Hind Limb following Skeletal Muscle Injury Caused by Snakebite-Mimicking Intramuscular Venom Injection.

作者信息

Vieira Willians Fernando, Kenzo-Kagawa Bruno, Cogo José Carlos, Baranauskas Vitor, Cruz-Höfling Maria Alice da

机构信息

Department of Semiconductors, Instruments and Photonics (DSIF)-Faculty of Electrical Engineering and Computation, State University of Campinas (UNICAMP), Campinas, São Paulo, Brazil.

Department of Biochemistry and Tissue Biology (DBBT)-Institute of Biology, State University of Campinas (UNICAMP), Campinas, São Paulo, Brazil.

出版信息

PLoS One. 2016 Jul 8;11(7):e0158980. doi: 10.1371/journal.pone.0158980. eCollection 2016.

Abstract

Myotoxins present in Bothrops venom disrupt the sarcolemma of muscle fibers leading to the release of sarcoplasmic proteins and loss of muscle homeostasis. Myonecrosis and tissue anoxia induced by vascularization impairment can lead to amputation or motor functional deficit. The objective of this study was to investigate the dynamic behavior of motor function in mice subjected to injection of Bothrops jararacussu venom (Bjssu) and exposed to low-level laser therapy (LLLT). Male Swiss mice received Bjssu injection (830 μg/kg) into the medial portion of the right gastrocnemius muscle. Three hours later the injected region was irradiated with diode semiconductor Gallium Arsenide (GaAs- 904 nm, 4 J/cm²) laser following by irradiation at 24, 48 and 72 hours. Saline injection (0.9% NaCl) was used as control. Gait analysis was performed 24 hours before Bjssu injection and at every period post-Bjssu using CatWalk method. Data from spatiotemporal parameters Stand, Maximum Intensity, Swing, Swing Speed, Stride Length and Step Cycle were considered. The period of 3 hours post venom-induced injury was considered critical for all parameters evaluated in the right hindlimb. Differences (p<0.05) were concentrated in venom and venom + placebo laser groups during the 3 hours post-injury period, in which the values of stand of most animals were null. After this period, the gait characteristics were re-established for all parameters. The venom + laser group kept the values at 3 hours post-Bjssu equal to that at 24 hours before Bjssu injection indicating that the GaAs laser therapy improved spatially and temporally gait parameters at the critical injury period caused by Bjssu. This is the first study to analyze with cutting edge technology the gait functional deficits caused by snake envenoming and gait gains produced by GaAs laser irradiation. In this sense, the study fills a gap on the field of motor function after laser treatment following snake envenoming.

摘要

存在于矛头蝮属蛇毒中的肌毒素会破坏肌纤维的肌膜,导致肌浆蛋白释放和肌肉内环境稳态丧失。血管化损伤引起的肌坏死和组织缺氧可导致截肢或运动功能障碍。本研究的目的是调查注射巴西矛头蝮蛇毒(Bjssu)并接受低强度激光疗法(LLLT)的小鼠运动功能的动态行为。雄性瑞士小鼠在右腓肠肌内侧注射Bjssu(830μg/kg)。三小时后,用二极管半导体砷化镓(GaAs - 904nm,4J/cm²)激光照射注射区域,随后在24、48和72小时进行照射。注射生理盐水(0.9%NaCl)作为对照。在注射Bjssu前24小时以及注射Bjssu后的每个时间段,使用CatWalk方法进行步态分析。考虑了时空参数站立、最大强度、摆动、摆动速度、步幅长度和步周期的数据。毒液诱导损伤后的3小时对右后肢评估的所有参数而言被认为是关键时期。在损伤后3小时内,差异(p<0.05)集中在毒液组和毒液+安慰剂激光组,其中大多数动物的站立值为零。在此时间段之后,所有参数的步态特征均重新建立。毒液+激光组在注射Bjssu后3小时的值与注射Bjssu前24小时的值相等,这表明GaAs激光疗法在Bjssu引起的关键损伤期在空间和时间上改善了步态参数。这是第一项使用前沿技术分析蛇咬伤引起的步态功能缺陷以及GaAs激光照射产生的步态改善的研究。从这个意义上说,该研究填补了蛇咬伤后激光治疗后运动功能领域的空白。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d05e/4938492/0e35ba44fbb9/pone.0158980.g001.jpg

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