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激光治疗实验性诱导的 Wistar 大鼠微晶关节炎滑膜炎症过程。

Laser treatment of synovial inflammatory process in experimentally induced microcrystalline arthritis in Wistar rats.

机构信息

Graduate Program in Biomedical Sciences, University Center of Herminio Ometto Foundation - FHO, Av. Dr. Maximiliano Baruto, 500, Jd. Universitário, Araras, SP, 13607-339, Brazil.

出版信息

Lasers Med Sci. 2021 Apr;36(3):529-540. doi: 10.1007/s10103-020-03055-6. Epub 2020 Jun 10.

Abstract

The presence of intra-articular crystals is detected in different articular pathologies of acute or chronic nature. The aim of this work was to analyze the action of the indium gallium aluminum and phosphorus (InGaAlP) (λ = 670 nm) laser on the synovial membrane present in the knee joint in experimentally induced microcrystalline arthritis in male adult Wistar rats. The animals were divided into three experimental groups (n = 24): control (A), experimentally induced arthritis (B), experimentally induced arthritis+InGaAlP laser therapy (C). The laser treatment was made daily in the patellar region of the right knee after 48 h of the experimental induction. After 7, 14, and 21 days of therapy, the rats were euthanized and the right knees were removed and processed for histomorphometric, immunohistochemical, ultrastructural, and biochemical investigation of the synovium. The number of granulocytes on the 14th and 21st days was higher in B and lower in C and, lastly, in A. The number of fibroblasts on the 14th and 21st days was similar between A and C and below B. The number of blood vessels on the 21st day was higher in B than in the other groups. The positive number of cells for the TUNEL test was higher on the 14th and 21st days in B compared to the others. The percentage of tissue area occupied by birefringent collagen fibers was higher in B on the 21st day than in the others. The ultrastructure of cells showed fibroblast-like morphology in all groups and periods evaluated. The quantification of glycosaminoglycans did not present significant differences between the groups in all the experimental periods. The amount of hydroxyproline was higher in B compared to the other groups on the 14th and 21st days. The content of non-collagen proteins was higher in B on the 21st day in relation to the other groups. Quantification of TNF-α on the 21st day was higher in A and B than in C. For TGF-β on the 21st day, groups B and C presented similar and higher values than A. For MMP-13, groups A and B presented data similar to and above C. In relation to ADAMT-S4, on the 21st day, groups B and C presented data similar to and lower than A. InGaAlP-670 nm therapy reduced the inflammatory process and tissue injuries of the synovial membrane in comparison to the untreated group, indicating its potential utilization in clinical studies aiming in the recovery of acute arthritis in patients.

摘要

关节内晶体的存在可在不同的急性或慢性关节病理中被检测到。本研究的目的是分析铟镓铝磷(InGaAlP)(λ = 670nm)激光对实验诱导的成年雄性 Wistar 大鼠膝关节微结晶性关节炎滑膜的作用。动物被分为三组(n=24):对照组(A)、实验性关节炎组(B)、实验性关节炎+InGaAlP 激光治疗组(C)。激光治疗在实验诱导后 48 小时在右膝髌区进行,每天一次。治疗 7、14 和 21 天后,处死大鼠,取出右膝进行滑膜的组织形态学、免疫组织化学、超微结构和生化研究。第 14 天和第 21 天,B 组粒细胞数量较多,C 组和 A 组较少。第 14 天和第 21 天,A 组和 C 组的成纤维细胞数量相似,而 B 组则较少。第 21 天,B 组的血管数量高于其他组。与其他组相比,B 组第 14 天和第 21 天 TUNEL 试验阳性细胞数较高。第 21 天,B 组组织面积中双折射胶原纤维的百分比高于其他组。所有组和评估期的细胞超微结构均显示成纤维细胞样形态。在所有实验期,各组间糖胺聚糖的定量均无显著差异。第 14 天和第 21 天,B 组羟脯氨酸含量高于其他组。第 21 天,B 组非胶原蛋白含量高于其他组。第 21 天,A 组和 B 组 TNF-α 含量高于 C 组。第 21 天,B 组和 C 组 TGF-β 含量高于 A 组。第 21 天,MMP-13 组 A 组和 B 组数据与 C 组相似且高于 C 组。第 21 天,ADAMT-S4 组 B 组和 C 组数据与 A 组相似且低于 A 组。与未治疗组相比,InGaAlP-670nm 治疗可减轻滑膜的炎症过程和组织损伤,表明其在临床研究中对恢复患者急性关节炎具有潜在的应用价值。

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