Centro de Ciências Naturais e Exatas, Programa de Pós-Graduação em Ciências Biológicas e Bioquímica Toxicológica, Universidade Federal de Santa Maria, Santa Maria, RS, Brasil.
Centro de Ciências da Saúde, Departamento de Fisioterapia, Universidade Federal de Santa Maria, Santa Maria, RS, Brasil.
Braz J Med Biol Res. 2021 Apr 26;54(6):e10293. doi: 10.1590/1414-431X202010293. eCollection 2021.
The skin injury healing process involves the main phases of homoeostasis, inflammation, proliferation, and remodeling. The present study aimed to analyze the effects of low-level laser therapy (LLLT) on hematological dynamics, oxidative stress markers, and its relation with tissue healing following skin injury. Wistar rats were divided into control, sham, skin injury, and skin injury LLLT. The biochemical and morphological analyses were performed in the inflammatory (1 and 3 days) and regenerative phases (7, 14, and 21 days) following injury. The skin injury was performed in the dorsal region, between the intrascapular lines, using a surgical punch. LLLT (Al-Ga-In-P, λ=660 nm, energy density of 20 J/cm2, 30 mW power, and a time of 40 s) was applied at the area immediately after injury and on every following day according to the experimental subgroups. LLLT maintained hematocrit and hemoglobin levels until the 3rd day of treatment. Surprisingly, LLLT increased total leukocytes levels compared to control until the 3rd day. The effects of LLLT on mitochondrial activity were demonstrated by the significant increase in MTT levels in both inflammatory and regenerative phases (from the 1st to the 7th day), but only when associated with skin injury. The results indicated that LLLT modulated the inflammatory response intensity and accelerated skin tissue healing by a mechanism that involved oxidative damage reduction mostly at early stages of skin healing (inflammatory phase).
皮肤损伤愈合过程涉及内稳态、炎症、增殖和重塑的主要阶段。本研究旨在分析低水平激光疗法 (LLLT) 对血液动力学、氧化应激标志物的影响,以及其与皮肤损伤后组织愈合的关系。Wistar 大鼠分为对照组、假手术组、皮肤损伤组和皮肤损伤 LLLT 组。在损伤后第 1、3、7、14 和 21 天进行了炎症(1 和 3 天)和再生(7、14 和 21 天)阶段的生化和形态分析。在肩胛线之间的背部区域使用手术冲孔器进行皮肤损伤。LLLT(Al-Ga-In-P,λ=660nm,能量密度为 20J/cm2,30mW 功率,时间为 40s)在损伤后立即和根据实验亚组的每个后续天应用于该区域。LLLT 维持了红细胞压积和血红蛋白水平,直到治疗的第 3 天。令人惊讶的是,与对照组相比,LLLT 直到第 3 天一直增加总白细胞计数。MTT 水平在炎症和再生阶段(从第 1 天到第 7 天)均显著增加,表明 LLLT 对线粒体活性的影响,这仅在与皮肤损伤相关时发生。结果表明,LLLT 通过减少氧化损伤来调节炎症反应强度并加速皮肤组织愈合,主要在皮肤愈合的早期阶段(炎症期)。