Universidade Federal de São Paulo, Santos, SP, Brazil.
Universidade Brasil, São Paulo, SP, Brazil.
Lasers Med Sci. 2018 Dec;33(9):1875-1882. doi: 10.1007/s10103-018-2541-6. Epub 2018 May 24.
The aim of this study was to compare the effects of photobiomodulation (PBM) associated with an aerobic and an aquatic exercise training on the degenerative process related to osteoarthritis (OA) in the articular cartilage in rats. Fifty male Wistar rats were randomly divided into 5 groups: OA control group (CG), OA plus aerobic training group (AET), OA plus aquatic training group (AQT), OA plus aerobic training associated with PBM group (AETL), OA plus aquatic training associated with PBM group (AQTL). The aerobic training (treadmill; 16 m/min; 50 min/day) and the aquatic training (water jumping; 50-80% of their body mass) started 4 weeks after the surgery and they were performed 3 days/week for 8 weeks. Moreover, PBM was performed after the physical exercise trainings on the left joint. Morphological characteristics and immunoexpression of IL-10, TGF-β, and collagen type I (Col I) and II (Col II) of the articular cartilage were evaluated. The results showed that all the treated groups (exercise and PBM) presented less intense signs of degradation (measured by histopathological analysis and OARSI grade system). Additionally, aerobic and aquatic exercise training rats (associated or not with PBM) showed increased IL-10 (AET p = 0.0452; AETL p = 0.03; AQTL p = 0.0193) and Col II (AET p = 0.012; AQT p = 0.0437; AETL p = 0.0001; AQTL p = 0.0001) protein expression compared to CG. Furthermore, a statistically higher TGF-β expression was observed in AET (p = 0.0084) and AETL (p = 0.0076) compared to CG. These results suggest that PBM associated with aerobic and aquatic exercise training were effective in mediating chondroprotective effects and maintaining the integrity of the articular tissue in the knees of OA rats.
本研究旨在比较光生物调节(PBM)联合有氧和水上运动训练对大鼠关节软骨骨关节炎(OA)退行性过程的影响。将 50 只雄性 Wistar 大鼠随机分为 5 组:OA 对照组(CG)、OA 加有氧训练组(AET)、OA 加水上训练组(AQT)、OA 加有氧训练联合 PBM 组(AETL)、OA 加水上训练联合 PBM 组(AQTL)。有氧运动训练(跑步机;16 m/min;50 分钟/天)和水上训练(水跳;体重的 50-80%)在手术后 4 周开始,每周进行 3 天,共 8 周。此外,在左关节进行体力运动训练后进行 PBM。评估关节软骨的形态学特征和 IL-10、TGF-β 以及 I 型胶原(Col I)和 II 型胶原(Col II)的免疫表达。结果表明,所有治疗组(运动和 PBM)的退化迹象都较轻(通过组织病理学分析和 OARSI 分级系统测量)。此外,有氧和水上运动训练大鼠(无论是否与 PBM 联合)的 IL-10 表达增加(AET p=0.0452;AETL p=0.03;AQTL p=0.0193)和 Col II(AET p=0.012;AQT p=0.0437;AETL p=0.0001;AQTL p=0.0001)蛋白表达均高于 CG。此外,与 CG 相比,AET(p=0.0084)和 AETL(p=0.0076)中 TGF-β的表达更高。这些结果表明,PBM 联合有氧和水上运动训练可有效介导软骨保护作用并维持 OA 大鼠膝关节关节组织的完整性。