Departamento de Biofísica e Biometria, Instituto de Biologia Roberto Alcantara Gomes, Universidade do Estado do Rio de Janeiro, Boulevard Vinte e Oito de Setembro, 87, fundos, Vila Isabel, Rio de Janeiro, 20551030, Brazil.
Departamento de Ciências Fisiológicas, Instituto Biomédico, Universidade Federal do Estado do Rio de Janeiro, Rua Frei Caneca, 94, Rio de Janeiro, 20211040, Brazil.
Lasers Med Sci. 2021 Dec;36(9):1791-1805. doi: 10.1007/s10103-021-03258-5. Epub 2021 Jan 24.
Clinical protocols based on low-power lasers have been widely used for inflammation process resolution improvement, pain relief, wound healing, and nerve regeneration. However, there are concerns if exposure to such lasers could have negative effects on infected organs and tissues. There are experimental data suggesting exposure to radiations emitted by low-power lasers either induces stimulation, inhibition, or it is effectless on bacterial cultures. Thus, this review aimed to carry out a review of studies and to propose a hypothesis to explain why exposure to low-power lasers could stimulate, inhibit, or have no effect on bacteria. A literature search was carried out for assessment of published reports on effect of low-power lasers on bacteria. The experimental data suggest that keys for determining laser-induced effects on bacteria are specific physical laser and biological parameters. Final consequence on bacterial cells could depend on exposure to low-power laser which could either cause more stimulation of endogenous photoacceptors, more excitation of endogenous photosensitizers, or a balance between such effects.
基于低功率激光的临床方案已被广泛用于改善炎症过程、缓解疼痛、促进伤口愈合和神经再生。然而,人们担心接触此类激光是否会对感染的器官和组织产生负面影响。有实验数据表明,低功率激光发射的辐射要么对细菌培养物有刺激作用,要么有抑制作用,要么没有作用。因此,本综述旨在对研究进行综述,并提出一个假设来解释为什么接触低功率激光会对细菌有刺激、抑制或没有作用。对已发表的关于低功率激光对细菌影响的报告进行了文献检索。实验数据表明,决定激光对细菌影响的关键因素是特定的物理激光和生物参数。细菌细胞的最终后果可能取决于低功率激光的照射,这种照射可能会导致内源性光受体受到更多的刺激,内源性光敏剂受到更多的激发,或者这两种效应达到平衡。