使用光生物调节的疼痛管理:通过小鼠的疼痛阈值和神经生物标志物量化的机制、部位及重复性

Pain management using photobiomodulation: Mechanisms, location, and repeatability quantified by pain threshold and neural biomarkers in mice.

作者信息

de Sousa Marcelo Victor Pires, Kawakubo Masayoshi, Ferraresi Cleber, Kaippert Beatriz, Yoshimura Elisabeth Mateus, Hamblin Michael R

机构信息

Wellman Center for Photomedicine, Massachusetts General Hospital, Boston, Massachusetts.

Bright Photomedicine Ltd, São Paulo, Brazil.

出版信息

J Biophotonics. 2018 Jul;11(7):e201700370. doi: 10.1002/jbio.201700370. Epub 2018 May 18.

Abstract

Photobiomodulation (PBM) is a simple, efficient and cost-effective treatment for both acute and chronic pain. We previously showed that PBM applied to the mouse head inhibited nociception in the foot. Nevertheless, the optimum parameters, location for irradiation, duration of the effect and the mechanisms of action remain unclear. In the present study, the pain threshold in the right hind paw of mice was studied, after PBM (810 nm CW laser, spot size 1 or 6 cm , 1.2-36 J/cm ) applied to various anatomical locations. The pain threshold, measured with von Frey filaments, was increased more than 3-fold by PBM to the lower back (dorsal root ganglion, DRG), as well as to other neural structures along the pathway such as the head, neck and ipsilateral (right) paw. On the other hand, application of PBM to the contralateral (left) paw, abdomen and tail had no effect. The optimal effect occurred 2 to 3 hours post-PBM and disappeared by 24 hours. Seven daily irradiations showed no development of tolerance. Type 1 metabotropic glutamate receptors decreased, and prostatic acid phosphatase and tubulin-positive varicosities were increased as shown by immunofluorescence of DRG samples. These findings elucidate the mechanisms of PBM for pain and provide insights for clinical practice.

摘要

光生物调节作用(PBM)是一种针对急性和慢性疼痛的简单、高效且经济有效的治疗方法。我们之前表明,将PBM应用于小鼠头部可抑制足部的痛觉。然而,最佳参数、照射位置、作用持续时间及作用机制仍不清楚。在本研究中,在将PBM(810纳米连续波激光,光斑大小1或6平方厘米,1.2 - 36焦耳/平方厘米)应用于小鼠不同解剖位置后,研究了其右后爪的疼痛阈值。用von Frey细丝测量的疼痛阈值,在将PBM应用于下背部(背根神经节,DRG)以及沿该路径的其他神经结构(如头部、颈部和同侧(右)爪)时,提高了3倍以上。另一方面,将PBM应用于对侧(左)爪、腹部和尾部则没有效果。最佳效果在PBM后2至3小时出现,并在24小时内消失。每日照射7次未显示出耐受性的发展。如DRG样本的免疫荧光所示,I型代谢型谷氨酸受体减少,前列腺酸性磷酸酶和微管蛋白阳性曲张增加。这些发现阐明了PBM治疗疼痛的机制,并为临床实践提供了见解。

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