Yildirimturk Senem, Sirin Yigit, Soluk Tekkesin Merva, Gurler Gokhan, Firat Deniz
a Faculty of Dentistry , Oral and Maxillofacial Surgery, Istanbul University , Istanbul , Turkey.
b Institute of Oncology, Istanbul University , Istanbul , Turkey.
J Cosmet Laser Ther. 2017 Nov;19(7):397-403. doi: 10.1080/14764172.2017.1341048. Epub 2017 Jun 16.
The aim of the present study was to evaluate the effects of low-level laser therapy (LLLT) on the healing of bone defects in rats with streptozotocin (STZ)-induced DM.
28 male Sprague-Dawley rats were used in this study. 14 animals received a single dose of STZ intraperitoneally (65 mg/kg) to induce Type I DM, whereas others were injected only with sterile saline solution. Four weeks later, standard bone defects were created in the tibiae of rats. Surgical wounds in one group from each of the diabetic and non-diabetic animals were irradiated with diode laser for every other day for 4 weeks and they were described as DM + LLLT and CONT + LLLT groups, respectively. Remaining two groups received no laser treatment. New bone formation, osteoblast and blood vessel counts were calculated in histologic sections.
DM group had significantly smaller bone area and lower blood vessel count when compared to DM + LLLT, CONT and CONT + LLLT groups (p < 0.05 for each). CONT and CONT + LLLT groups had significantly larger bone area than DM + LLLT group (p < 0.05 for both).
LLLT application promoted vascularization and new bone formation in animals with DM to a limited extent, since it was unable to support the healing process up to the level of non-diabetic animals.
本研究旨在评估低强度激光疗法(LLLT)对链脲佐菌素(STZ)诱导的糖尿病大鼠骨缺损愈合的影响。
本研究使用了28只雄性Sprague-Dawley大鼠。14只动物腹腔注射单剂量STZ(65mg/kg)以诱导I型糖尿病,而其他动物仅注射无菌盐溶液。四周后,在大鼠胫骨上制造标准骨缺损。来自糖尿病和非糖尿病动物每组中的一组手术伤口每隔一天用二极管激光照射4周,它们分别被描述为DM + LLLT组和CONT + LLLT组。其余两组未接受激光治疗。在组织学切片中计算新骨形成、成骨细胞和血管计数。
与DM + LLLT组、CONT组和CONT + LLLT组相比,DM组的骨面积明显更小,血管计数更低(每组p < 0.05)。CONT组和CONT + LLLT组的骨面积明显大于DM + LLLT组(两者p < 0.05)。
应用LLLT在一定程度上促进了糖尿病动物的血管生成和新骨形成,因为它无法将愈合过程支持到非糖尿病动物的水平。