Kuppa Sree Samanvitha, Kang Ju Yeon, Kim Ja-Yeon, Sa Gidong, Park Ji-Hyun, Kim Jin-Hyeong, Ha Tae-Sung, Seon Jong Keun, Kim Hyung Keun, Lee Jee-Bum
Department of Orthopaedics Surgery, Center for Joint Disease of Chonnam National University Hwasun Hospital, 322 Seoyang-ro, Hwasun-eup, 519-763, Republic of Korea.
Department of Biomedical Sciences, Chonnam National University Medical School, Hwasun, 58128, Republic of Korea.
Lasers Med Sci. 2025 Apr 3;40(1):171. doi: 10.1007/s10103-025-04432-9.
This study examines the effects of 630 nm red-light laser therapy on wound healing, with a focus on VEGF-mediated angiogenesis and collagen production. The effectiveness of red-light therapy is influenced by critical parameters, including treatment duration and distance, which often lack standardization across protocols. To address this, we conducted cell viability and scratch wound assays using NIH/3T3 cells in-vitro to identify optimal treatment conditions. Treatment durations of 10 s, 30 s, 60 s, and 5 min, along with distances of 3 cm and 5 cm, were evaluated. Following parameter optimization, the wound-healing efficacy of red-light therapy was assessed in-vivo using nude mice. Standardized 4 mm wounds were created using a biopsy punch, and healing was evaluated at 7 and 21-days post-intervention. Histological analysis was performed, and gene and protein expression levels of COL1A1, COL2A1, VEGF, and IL-1β, which are implicated in wound healing, were assessed via RT-PCR, western blotting, and immunohistochemistry. Results demonstrated that red-light laser therapy significantly upregulated collagen and VEGF expression while reducing IL-1β levels at the three-week time point (p < 0.05). Notably, these effects were comparable to hydrogel treatment, which served as a positive control to assess the efficacy of light-emitting diode (LED)-based therapy. These findings indicate that red-light therapy effectively promotes wound healing by enhancing collagen synthesis and VEGF-mediated angiogenesis within the wound bed.
本研究考察了630nm红光激光疗法对伤口愈合的影响,重点关注血管内皮生长因子(VEGF)介导的血管生成和胶原蛋白生成。红光疗法的有效性受关键参数影响,包括治疗持续时间和距离,而这些参数在不同方案中往往缺乏标准化。为解决这一问题,我们在体外使用NIH/3T3细胞进行了细胞活力和划痕伤口试验,以确定最佳治疗条件。评估了10秒、30秒、60秒和5分钟的治疗持续时间以及3厘米和5厘米的距离。在参数优化后,使用裸鼠在体内评估红光疗法的伤口愈合效果。使用活检打孔器制造标准化的4毫米伤口,并在干预后7天和21天评估愈合情况。进行了组织学分析,并通过逆转录聚合酶链反应(RT-PCR)、蛋白质免疫印迹法和免疫组织化学评估了与伤口愈合相关的COL1A1、COL2A1、VEGF和IL-1β的基因和蛋白表达水平。结果表明,在三周时间点,红光激光疗法显著上调了胶原蛋白和VEGF的表达,同时降低了IL-1β水平(p<0.05)。值得注意的是,这些效果与水凝胶治疗相当,水凝胶治疗作为阳性对照来评估基于发光二极管(LED)疗法的疗效。这些发现表明,红光疗法通过增强伤口床内的胶原蛋白合成和VEGF介导的血管生成有效地促进了伤口愈合。