Center for Biomedical Optics and Photonics and College of Physics and Optoelectronic Engineering, Key Laboratory of Optoelectronic Devices and Systems of Ministry of Education and Guangdong Province, Shenzhen University, Shenzhen 518060, China.
Int J Mol Sci. 2023 Sep 19;24(18):14293. doi: 10.3390/ijms241814293.
Rheumatoid arthritis (RA) and osteoarthritis (OA) have a significant impact on the quality of life of patients around the world, causing significant pain and disability. Furthermore, the drugs used to treat these conditions frequently have side effects that add to the patient's burden. Photobiomodulation (PBM) has emerged as a promising treatment approach in recent years. PBM effectively reduces inflammation by utilizing near-infrared light emitted by lasers or LEDs. In contrast to photothermal effects, PBM causes a photobiological response in cells, which regulates their functional response to light and reduces inflammation. PBM's anti-inflammatory properties and beneficial effects in arthritis treatment have been reported in numerous studies, including animal experiments and clinical trials. PBM's effectiveness in arthritis treatment has been extensively researched in arthritis-specific cells. Despite the positive results of PBM treatment, questions about specific parameters such as wavelength, dose, power density, irradiation time, and treatment site remain. The goal of this comprehensive review is to systematically summarize the mechanisms of PBM in arthritis treatment, the development of animal arthritis models, and the anti-inflammatory and joint function recovery effects seen in these models. The review also goes over the evaluation methods used in clinical trials. Overall, this review provides valuable insights for researchers investigating PBM treatment for arthritis, providing important references for parameters, model techniques, and evaluation methods in future studies.
类风湿关节炎(RA)和骨关节炎(OA)对全球患者的生活质量有重大影响,导致严重的疼痛和残疾。此外,用于治疗这些疾病的药物经常有副作用,加重了患者的负担。光生物调节(PBM)近年来已成为一种有前途的治疗方法。PBM 通过利用激光或 LED 发出的近红外光有效地减轻炎症。与光热效应不同,PBM 会在细胞中引起光生物学反应,从而调节其对光的功能反应并减轻炎症。许多研究报告了 PBM 在关节炎治疗中的抗炎特性和有益效果,包括动物实验和临床试验。已经对关节炎特异性细胞中 PBM 治疗关节炎的效果进行了广泛研究。尽管 PBM 治疗有积极的结果,但仍存在一些问题,如波长、剂量、功率密度、辐照时间和治疗部位等具体参数。本综述的目的是系统总结 PBM 在关节炎治疗中的机制、动物关节炎模型的发展以及这些模型中观察到的抗炎和关节功能恢复效果,还介绍了临床试验中使用的评估方法。总的来说,这篇综述为研究 PBM 治疗关节炎的研究人员提供了有价值的见解,为未来研究中的参数、模型技术和评估方法提供了重要参考。