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发光二极管激光疗法治疗高氧诱导的视网膜异常。

Light-Emitting Diode Laser Therapy for Hyperoxia-Induced Retinal Abnormalities.

作者信息

Abd Eldaiem Maha Sabry, Ahmed Salwa Abdelkawi, Elsaeid Aziza Abdelmonem, Hassan Aziza Ahmed, Ghoneim Dina Fouad, Ibrahim Ahlam Mohammed

机构信息

Physics Department, Faculty of Science, Al Azhar University (Girls), Cairo, Egypt.

Biophysics and Laser Science Unit, Vision Sciences Department, Research Institute of Ophthalmology, Giza, Egypt.

出版信息

J Lasers Med Sci. 2021 Oct 19;12:e64. doi: 10.34172/jlms.2021.64. eCollection 2021.

Abstract

Hyperoxygenation is linked to numerous effects in a variety of organ systems. It can cause tissue damage by generating reactive oxygen species (ROS), increasing oxidative stress, and inducing cell death by apoptosis. The present study aimed to evaluate the effects of low-level laser therapy on the retina in response to acute hyperoxia in animals. A total of 70 Wistar albino rats were evaluated in the present study: 10 rats were designated as a control group, and the rest were exposed to hyperoxia (O, 90%) for 3 days, 1 week, and 2 weeks (20 rats each). Each group was divided into two subgroups (n=10), one of which was designated as hyperoxia only. The other was treated with a 670 nm light-emitting diode laser (2 sessions/one week, ~ 9.0 J/cm) in each eye. The animals were euthanized, and their retinas were dissected for analysis of protein content, sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE), total antioxidant capacity (TAC), hydrogen peroxide (H O), malondialdehyde (MDA), and histological examination. We found that two weeks of hyperoxia induced an increase in retinal protein content (<0.001), an alteration in the intensities and molecular weights of protein fractions, a significant decrease in the TAC level (<0.01), and a noticeable increase in H O and MDA levels (<0.001). Histological examination revealed fragmentation of the photoreceptors and neovascularization in the outer and inner plexiform layers. Furthermore, the data showed remarkable improvement in the retinal protein contents, oxidative state, and retinal structure after light-emitting diode laser therapy. Light-emitting diode laser therapy was found to be a useful treatment paradigm for reducing hyperoxia-induced retinal damage.

摘要

高氧与多种器官系统的众多效应相关。它可通过产生活性氧(ROS)、增加氧化应激以及诱导细胞凋亡导致细胞死亡,进而造成组织损伤。本研究旨在评估低强度激光疗法对动物急性高氧状态下视网膜的影响。本研究共评估了70只Wistar白化大鼠:10只大鼠被指定为对照组,其余大鼠分别暴露于高氧环境(O₂,90%)3天、1周和2周(每组20只)。每组又分为两个亚组(n = 10),其中一个亚组仅为高氧组,另一个亚组则对每只眼睛用670纳米发光二极管激光进行治疗(每周2次,~9.0 J/cm²)。对动物实施安乐死后,解剖其视网膜以分析蛋白质含量、十二烷基硫酸钠 - 聚丙烯酰胺凝胶电泳(SDS - PAGE)、总抗氧化能力(TAC)、过氧化氢(H₂O₂)、丙二醛(MDA),并进行组织学检查。我们发现,高氧2周会导致视网膜蛋白质含量增加(<0.001)、蛋白质组分的强度和分子量发生改变、TAC水平显著降低(<0.01)以及H₂O₂和MDA水平显著升高(<0.001)。组织学检查显示光感受器碎片化以及外丛状层和内丛状层出现新生血管。此外,数据表明发光二极管激光治疗后视网膜蛋白质含量、氧化状态和视网膜结构有显著改善。发光二极管激光疗法被发现是一种减轻高氧诱导的视网膜损伤的有效治疗模式。

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