Laser Aesthetic Center, Plastic Surgery Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, China.
J Cosmet Dermatol. 2022 Oct;21(10):4378-4382. doi: 10.1111/jocd.14841. Epub 2022 Apr 24.
To investigate the effects of intense pulsed light (IPL) and ablative 2.940 nm erbium-doped yttrium aluminum garnet (Er: YAG) laser on dynamic changes in collagen by quantitative analysis of type I collagen (Col I) and type III collagen (Col III), transforming growth factor (TGF), and matrix metalloproteinases (MMPs) in the dermis of rabbits.
Backs of ten rabbits were divided into four treatment areas: IPL normal energy group, IPL high-energy group, erbium laser normal energy group, and erbium laser high-energy group. HE staining was performed immediately after the first treatment and two weeks after the first treatment. Col I, Col III, TGF-β1, and MMP-1 were collected by real-time PCR at baseline, 2 weeks after each session, and three months after the entire treatment monthly.
HE staining showed that collagen fibers in the superficial layer of the dermis in the four treatment groups were increased and thickened to different degrees. Real-time PCR showed that statistically differences were noted in each checkpoint before and after treatments in the four groups, whereas no significant difference in the change in the four biomarkers was found among the four treatment groups.
Both the IPL and Er: YAG laser can effectively upregulate collagens, but in this experiment, there was no significant difference in the therapeutic effect among the four irradiation groups. Moreover, the high-energy level group tended to bring more serious epidermal injury.
通过定量分析真皮层中 I 型胶原(Col I)、III 型胶原(Col III)、转化生长因子(TGF)和基质金属蛋白酶(MMPs),研究强脉冲光(IPL)和剥脱性 2.940nm 掺铒钇铝石榴石(Er:YAG)激光对胶原蛋白动态变化的影响。
10 只兔子的背部被分为四个治疗区域:IPL 正常能量组、IPL 高能量组、铒激光正常能量组和铒激光高能量组。首次治疗后立即进行 HE 染色,首次治疗后两周再次进行 HE 染色。在基线、每次治疗后 2 周以及整个治疗后 3 个月每月一次,通过实时 PCR 收集 Col I、Col III、TGF-β1 和 MMP-1。
HE 染色显示,四组治疗区真皮浅层的胶原纤维均不同程度地增多和增粗。实时 PCR 显示,四组在治疗前后各时间点均有统计学差异,而四组四种生物标志物的变化无显著差异。
强脉冲光和铒激光均可有效上调胶原,但在本实验中,四组照射组的治疗效果无显著差异。而且,高能级组往往会带来更严重的表皮损伤。