Mannaa Fathia Abd Elwahid, Abdel-Wahhab Khaled Gamal El-Deen, Daoud Eitedal Mahmoud, El Gendy Aliaa Abdel Rahman, Saber Maha Mohamed, Fadl Nevein Naim
Medical Physiology Department, National Research Centre, Dokki, Cairo, 12622, Egypt.
Complementary Medicine Department, National Research Centre, Dokki, Cairo, 12622, Egypt.
Biochem Biophys Rep. 2021 Jul 26;27:101085. doi: 10.1016/j.bbrep.2021.101085. eCollection 2021 Sep.
Peripheral neuropathy (PN) is the damage and dysfunction of neurons of the peripheral nervous system. The present study was conducted to estimate the effectiveness of low-power laser therapy (LPLT) in the management of PN in a rats' model.
PN was induced by giving dichloroacetate (DCA) (250 mg/kg/day) for up to 12 weeks. Four groups of rats were used: control group, PN group, PN group treated with gabapentin and PN group treated with LPLT. The study was conducted for 8 weeks. The management of PN was estimated by behavioral tests which included hot plate and Morris water maze tests. Blood biochemical analysis were carried out.
Using of hot plate test indicated thermal hypoalgesia and using Morris water maze test showed cognitive decline in PN rats. Treatment with LPLT or gabapentin improved both the pain sensations and deteriorated memory that occurred in the PN rats. Biochemical analysis showed that LPLT significantly decreased the elevated beta-endorphin level in PN rats, while gabapentin could not reduce it. Treatment PN rats with LPLT or gabapentin shifted the high levels of TNF-α, IL-1β and IL-10 cytokines back to their normal values. Serum nitric oxide and MDA significantly increased in the PN group together with significant reduction in the rGSH level, these values were significantly improved by LPLT application while this was not the case with gabapentin treatment. Furthermore, treatment with gabapentin or LPLT significantly reduced serum ALAT and ASAT activities which are otherwise increased in the PN group. S100B, PGE2, total cholesterol, triglycerides, LDL-cholesterol, HDL-cholesterol, urea and creatinine showed insignificant changes among all groups.
Our results showed that treatment with LPLT is more efficient than gabapentin in ameliorating the peripheral neuropathy induced by xenobiotics.
周围神经病变(PN)是指周围神经系统神经元的损伤和功能障碍。本研究旨在评估低功率激光疗法(LPLT)在大鼠模型中治疗PN的有效性。
通过给予二氯乙酸(DCA)(250mg/kg/天)长达12周来诱导PN。使用四组大鼠:对照组、PN组、加巴喷丁治疗的PN组和LPLT治疗的PN组。研究持续8周。通过行为测试评估PN的治疗效果,行为测试包括热板试验和莫里斯水迷宫试验。进行血液生化分析。
热板试验显示PN大鼠存在热痛觉减退,莫里斯水迷宫试验表明其认知能力下降。LPLT或加巴喷丁治疗改善了PN大鼠出现的疼痛感觉和记忆力减退。生化分析表明,LPLT显著降低了PN大鼠升高的β-内啡肽水平,而加巴喷丁则不能降低该水平。LPLT或加巴喷丁治疗使PN大鼠高水平的肿瘤坏死因子-α、白细胞介素-1β和白细胞介素-10细胞因子恢复到正常水平。PN组血清一氧化氮和丙二醛显著增加,同时还原型谷胱甘肽水平显著降低,LPLT治疗可显著改善这些指标,而加巴喷丁治疗则不然。此外,加巴喷丁或LPLT治疗显著降低了PN组中升高的血清谷丙转氨酶和谷草转氨酶活性。S100B、前列腺素E2、总胆固醇、甘油三酯、低密度脂蛋白胆固醇、高密度脂蛋白胆固醇、尿素和肌酐在所有组中变化不显著。
我们的结果表明,在改善外源性物质诱导的周围神经病变方面,LPLT治疗比加巴喷丁更有效。