双波长低强度激光光生物调节对感染性压疮的作用。

Photobiomodulation by dual-wavelength low-power laser effects on infected pressure ulcers.

机构信息

Departamento de Biofísica e Biometria, Instituto de Biologia Roberto Alcantara Gomes, Universidade do Estado do Rio de Janeiro, Boulevard Vinte e Oito de Setembro, Avenida 28 de Setembro, 87, Vila Isabel, Rio de Janeiro, 20551030, Brazil.

Pró Reitoria de Pesquisa e Pós Graduação, Universidade de Vassouras, Av. Expedicionário Oswaldo de Almeida Ramos, 280, Centro, Vassouras, 277000000, Brazil.

出版信息

Lasers Med Sci. 2020 Apr;35(3):651-660. doi: 10.1007/s10103-019-02862-w. Epub 2019 Aug 31.

Abstract

The aim of this study was to evaluate the effects of photobiomodulation (PBM) by dual-wavelength low-power lasers on the healing and bacterial bioburden of pressure ulcer (PU) models. Twenty-five male Swiss mice were divided into five equal groups. Ischemia reperfusion cycles were employed to cause PU formation by the external application of magnetic plates. Immediately after wounding, a suspension of Pantoea agglomerans was applied at the base of all the wounds of the infected groups, using a calibrated pipette. PBM (simultaneous emission at 660 and 808 nm, 142.8 J/cm, in continuous wave emission mode) was applied to the PUs for 14 sessions. The animals were euthanized 14 days after PU induction, and their tissues were analyzed for wound contraction and reepithelialization, epidermis thickness, bacterial survival, and IL-1β and IL-10 mRNA level evaluations. The PU areas appeared larger in the mice from the infected groups than in those in the laser group 4 days after PU induction and presented incomplete reepithelialization 14 days after PU induction. However, the PBM accelerated the wound healing in the infected + laser group compared with the infected group 11 and 14 days following the PU induction. The infected and irradiated PUs exhibited a thinner neo-epidermis than those in the infected group, and the bacterial survival decreased in the laser group; the relative expression IL-1β mRNA levels demonstrated an increasing tendency while the relative expression IL-10 mRNA levels demonstrated a decreasing tendency in the infected + laser and laser groups. These results suggest that PBM improves healing by killing or inhibiting bacteria in PUs as well as by accelerating the wound healing, resulting in tissue repair.

摘要

本研究旨在评估双波长低强度激光的光生物调节(PBM)对压力性溃疡(PU)模型的愈合和细菌生物负荷的影响。25 只雄性瑞士小鼠被分为五组。通过外部应用磁板进行缺血再灌注循环,导致 PU 形成。在所有感染组的伤口底部,立即应用泛菌属(Pantoea agglomerans)悬浮液,使用校准的移液器。对 PUs 进行 14 次 PBM(660nm 和 808nm 同时发射,142.8J/cm2,连续波发射模式)。PU 诱导后 14 天,处死动物,分析其组织的伤口收缩和再上皮化、表皮厚度、细菌存活以及白细胞介素 1β(IL-1β)和白细胞介素 10(IL-10)mRNA 水平评估。PU 诱导后 4 天,感染组小鼠的 PU 面积大于激光组,14 天未完全再上皮化。然而,与感染组相比,PBM 加速了感染+激光组的伤口愈合。感染和辐照的 PU 表现出比感染组更薄的新生表皮,激光组细菌存活减少;与感染组相比,感染+激光组和激光组的 IL-1βmRNA 水平相对表达呈增加趋势,而 IL-10mRNA 水平相对表达呈下降趋势。这些结果表明,PBM 通过杀死或抑制 PU 中的细菌以及加速伤口愈合来改善愈合,从而促进组织修复。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索