Li Yanhong, Zhang Jigang, Xu Yanfeng, Han Yunlin, Jiang Binbin, Huang Lan, Zhu Hua, Xu Yuhuan, Yang Weiling, Qin Chuan
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2017 Jun 20;39(3):301-306. doi: 10.3881/j.issn.1000-503X.2017.03.001.
Objective To observe the effects of 630 nm red light and 460 nm blue light emitting diode irradiation on the healing of skin wounds in Japanese big-ear white rabbits. Methods The skin wound model was established with 8 Japanese big-ear white rabbits. Three parts of vulnus in each rabbit were used:two parts of vulnus were irradiated vertically by red and blue LED light,respectively(15 min/time),and the distance between lights and wounds was 15 cm;the 3 part of the wound was used as a control. On the 21 day of the wounds exposure to light,the number of healing wounds and the percentage of healing area were recorded and the treatment effect of these two light sources was compared. HE staining was used to analyze the newborn tissue structure. Masson staining was used to observe the proliferation of skin collagen fibers. Immuohistochemical staining was used to analyze fibroblast growth factor(FGF),epidermal growth factor(EGF),endothelial growth factor(CD31),proliferating cell nuclear antigen(Ki-67),and inflammatory cytokines(CD68)infiltration in the skin. Results The healing rate in the red light,blue light,and control groups was 50.0%(4/8),25.0%(2/8),and 12.5%(1/8),respectively. Since the 12 day after modeling,the healing area percentage in the red light group was significantly higher than those in the blue light and control groups(P<0.05,P<0.01). On the 21 day after modeling,the skin thickness of the red light group was(2.95±0.34)mm,which was significantly higher than that in control group [(2.52±0.42)mm;F=3.182,P=0.016)]. The average optical density of collagen fibers was 0.15±0.03 in red light group,which was significantly higher than that of the blue light group(0.09±0.01;F=7.316,P=0.012)and control(0.07±0.01;F=7.316,P=0.003). The results of immunohistochemistry showed the expression levels of EGF,FGF,CD31 antigen,and Ki-67 in the red light group were significantly higher than those in the blue light and control groups,whereas the CD68 expression was significantly lower(P<0.05 or P<0.01). Conclusion LED red light irradiation can promote the healing of skin wounds in Japanese big-ear white rabbits,which may be achieved by the effect of red light irradiation in stimulating the proliferation of skin epidermal cells,vascular endothelial cells,and fiberous tissue.
目的 观察630 nm红光和460 nm蓝光发光二极管照射对日本大耳白兔皮肤伤口愈合的影响。方法 选用8只日本大耳白兔建立皮肤伤口模型。每只兔子的伤口分为三部分:两部分伤口分别垂直照射红光和蓝光发光二极管(每次15分钟),灯与伤口的距离为15 cm;第三部分伤口作为对照。在伤口暴露于光的第21天,记录愈合伤口的数量和愈合面积百分比,并比较这两种光源的治疗效果。采用苏木精-伊红(HE)染色分析新生组织结构。采用Masson染色观察皮肤胶原纤维的增殖情况。采用免疫组织化学染色分析皮肤中成纤维细胞生长因子(FGF)、表皮生长因子(EGF)、内皮生长因子(CD31)、增殖细胞核抗原(Ki-67)以及炎性细胞因子(CD68)的浸润情况。结果 红光组、蓝光组和对照组的愈合率分别为50.0%(4/8)、25.0%(2/8)和12.5%(1/8)。建模后第12天起,红光组的愈合面积百分比显著高于蓝光组和对照组(P<0.05,P<0.01)。建模后第21天,红光组皮肤厚度为(2.95±0.34)mm,显著高于对照组[(2.52±0.42)mm;F=3.182,P=0.016]。红光组胶原纤维平均光密度为0.15±0.03,显著高于蓝光组(0.09±0.01;F=7.316,P=0.012)和对照组(0.07±0.01;F=7.316,P=0.003)。免疫组织化学结果显示,红光组中EGF、FGF、CD31抗原和Ki-67的表达水平显著高于蓝光组和对照组,而CD68表达显著降低(P<0.05或P<0.01)。结论 发光二极管红光照射可促进日本大耳白兔皮肤伤口的愈合,这可能是通过红光照射刺激皮肤表皮细胞、血管内皮细胞和纤维组织增殖实现的。