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光生物调节疗法对肺部炎症性疾病治疗的影响及其对 COVID-19 的影响。

Influence of photobiomodulation therapy on the treatment of pulmonary inflammatory conditions and its impact on COVID-19.

机构信息

Scientific Institute and Technological Department, University Brazil (UB), Sao Paulo-Itaquera, SP, Brazil.

Department of Biosciences, Federal University of São Paulo (UNIFESP), Santos, SP, Brazil.

出版信息

Lasers Med Sci. 2022 Apr;37(3):1921-1929. doi: 10.1007/s10103-021-03452-5. Epub 2021 Oct 25.

Abstract

We are currently facing a pandemic that continuously causes high death rates and has negative economic and psychosocial impacts. Therefore, this period requires a quick search for viable procedures that can allow us to use safe and non-invasive clinical tools as prophylactic or even adjuvant methods in the treatment of COVID-19. Some evidence shows that photobiomodulation therapy (PBMT) can attenuate the inflammatory response and reduce respiratory disorders similar to acute lung injury (ALI), complications associated with infections, such as the one caused by the new Coronavirus (SARS-CoV-2). Hence, the aim of the present study was to evaluate the influence of PBMT (infrared low-level laser therapy) on the treatment of ALI, one of the main critical complications of COVID-19 infection, in an experimental model in rats. Twenty-four male Wistar rats were randomly allocated to three experimental groups (n = 8): control group (CG), controlled ALI (ALI), and acute lung injury and PBM (ALIP). For treatment, a laser equipment was used (808 nm; 30 mw; 1.68 J) applied at three sites (anterior region of the trachea and in the ventral regions of the thorax, bilaterally) in the period of 1 and 24 h after induction of ALI. For treatment evaluation, descriptive histopathological analysis, lung injury score, analysis of the number of inflammatory cells, and expression of interleukin 1 β (IL-1β) were performed. In the results, it was possible to observe that the treatment with PBMT reduced inflammatory infiltrates, thickening of the alveolar septum, and lung injury score when compared to the ALI group. In addition, PBMT showed lower immunoexpression of IL-1β. Therefore, based on the results observed in the present study, it can be concluded that treatment with PBMT (infrared low-level laser therapy) was able to induce an adequate tissue response capable of modulating the signs of inflammatory process in ALI, one of the main complications of COVID-19.

摘要

我们目前正面临着一场大流行,它不断导致高死亡率,并对经济和社会心理产生负面影响。因此,在这个时期,我们需要迅速寻找可行的方法,以便我们能够使用安全和非侵入性的临床工具作为 COVID-19 的预防甚至辅助治疗方法。有一些证据表明,光生物调节疗法(PBMT)可以减轻炎症反应,并减轻类似于急性肺损伤(ALI)的呼吸障碍,减轻与感染相关的并发症,例如由新型冠状病毒(SARS-CoV-2)引起的感染。因此,本研究旨在评估 PBMT(低水平近红外激光疗法)对 COVID-19 感染主要严重并发症之一的 ALI 的治疗作用,该研究采用了大鼠实验模型。24 只雄性 Wistar 大鼠被随机分配到三个实验组(n=8):对照组(CG)、对照性 ALI(ALI)和急性肺损伤和 PBM(ALIP)。治疗时,在 ALI 诱导后 1 和 24 小时,使用激光设备(808nm;30mw;1.68J)在三个部位(气管前区和胸部腹侧区,双侧)进行照射。为了评估治疗效果,进行了描述性组织病理学分析、肺损伤评分、炎症细胞数量分析以及白细胞介素 1β(IL-1β)的表达分析。结果表明,与 ALI 组相比,PBMT 治疗可减少炎症浸润、肺泡间隔增厚和肺损伤评分。此外,PBMT 还显示出较低的 IL-1β免疫表达。因此,基于本研究的结果,可以得出结论,PBMT(低水平近红外激光疗法)治疗能够诱导出一种适当的组织反应,从而调节 COVID-19 主要并发症之一的 ALI 中的炎症过程的迹象。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1933/8543774/6b1cbe17608c/10103_2021_3452_Fig1_HTML.jpg

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