Jahani Sherafat Somayeh, Mokmeli Soheila, Rostami-Nejad Mohammad, Razaghi Zahra, Rezaei Tavirani Mostafa, Razzaghi Mohammadreza
Laser Application in Medical Sciences Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Canadian Optic and Laser Center (Training Institute), Victoria, BC, Canada.
J Lasers Med Sci. 2020 Fall;11(Suppl 1):S23-S29. doi: 10.34172/jlms.2020.S4. Epub 2020 Dec 30.
Currently, the COVID-19 pandemic is an important health challenge worldwide. Due to the cytokine storm, the mortality rate in acute respiratory distress syndrome (ARDS) is high, but until now no therapy for these patients was approved. The aim of this review was to discuss the possible anti-inflammatory effect of photobiomodulation therapy (PBMT) on ARSD patients and present the potential role of low-level laser therapy (LLLT) in the improvement of respiratory symptoms associated with the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Studies about PBMT in inflammation and ARSD patients were examined. A primary search with reviewing English-language citations between 2005 and 2020 using the keywords COVID-19, ADRS, cytokine storm, low-level laser therapy, anti-inflammatory, and photobiomodulation was performed. The initial search yielded 818 articles; however, 60 articles were selected and discussed in the present study. The results of the selected studies showed the usefulness of PBMT in the treatment of inflammation and ARSD in patients with COVID-19 infection. This therapy is non-invasive and safe to modulate the immune responses in ARSD patients. PBMT can potentially reduce the viral load and bacterial super-infections in patients with COVID-19 infection and control the inflammatory response. Therefore, the use of PBMT could be an efficient strategy for preventing severe and critical illness in SARS-COV2 infection.
目前,新型冠状病毒肺炎大流行是全球一项重大的健康挑战。由于细胞因子风暴,急性呼吸窘迫综合征(ARDS)的死亡率很高,但迄今为止,尚无针对这些患者的获批疗法。本综述的目的是探讨光生物调节疗法(PBMT)对ARDS患者可能的抗炎作用,并阐述低强度激光疗法(LLLT)在改善与严重急性呼吸综合征冠状病毒2(SARS-CoV-2)相关的呼吸道症状方面的潜在作用。对关于PBMT在炎症和ARDS患者中的研究进行了审查。使用关键词新型冠状病毒肺炎、急性呼吸窘迫综合征、细胞因子风暴、低强度激光疗法、抗炎和光生物调节,对2005年至2020年期间的英文文献引用进行了初步检索。初步检索得到818篇文章;然而,本研究选择并讨论了60篇文章。所选研究的结果表明,PBMT在治疗新型冠状病毒肺炎感染患者的炎症和ARDS方面是有用的。这种疗法是非侵入性的,对调节ARDS患者的免疫反应是安全的。PBMT有可能降低新型冠状病毒肺炎感染患者的病毒载量和细菌二重感染,并控制炎症反应。因此,使用PBMT可能是预防SARS-CoV-2感染中重症和危重症的有效策略。