Pimenta Breno Luiz, Lage Daniela Pagliara, de Freitas Camila Simões, Vale Danniele Luciana, Falcão Karolina Oliveira de Melo, Dias Saulo Samuel Gonçalves, Câmara Raquel Soares Bandeira, Pereira Isabela Amorim Gonçalves, Silva Ana Luiza, Duarte Júnior Lauro de Assis, Chavez-Fumagalli Miguel Angel, Bianchi Rodrigo Fernando, Coelho Eduardo Antonio Ferraz, Talvani André
Programa de Pós-Graduação em Ciências da Saúde: Infectologia e Medicina Tropical, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Laboratório de Imunobiologia da Inflamação, Departamento de Ciências Biológicas, Instituto de Ciências Exatas e Biológicas (ICEB), Universidade Federal de Ouro Preto, Ouro Preto, Brazil.
Front Immunol. 2025 May 5;16:1554051. doi: 10.3389/fimmu.2025.1554051. eCollection 2025.
The treatment of tegumentary leishmaniasis (TL) faces significant challenges, including drug toxicity, high costs, and the emergence of resistant strains. These limitations highlight the urgent need for novel antileishmanial agents and therapeutic strategies. This study evaluated blue light-emitting diode (LED) phototherapy as an alternative approach to inhibit stationary promastigotes and treat infected mammalian models. assays using , , and demonstrated that blue LED significantly inhibited parasite growth during and after treatment, with inhibition levels comparable to those achieved with amphotericin B (AmpB). Treatment of infected macrophages with blue LED substantially reduced infection rates and amastigote recovery across all three parasite species. Ultrastructural analyses revealed the destruction of internal organelles and alterations to the surface membranes of all species following blue LED exposure. In experiments, -infected BALB/c mice were treated with AmpB, blue LED alone, combination of blue LED plus AmpB, or saline as a control. Animals treated with blue LED, particularly in combination with AmpB, exhibited significant reductions in parasite loads in infected tissues such as lesions, spleens, livers, and draining lymph nodes, as confirmed by limiting dilution assays and qPCR. Additionally, these treatments induced a robust antileishmanial Th1-type immune response, characterized by increased production of IFN-γ, IL-12, nitrite, and IgG2a antibodies. These findings suggest that blue LED phototherapy holds promise as a potential therapeutic strategy for TL and warrants further investigation in future studies.
皮肤利什曼病(TL)的治疗面临重大挑战,包括药物毒性、成本高昂以及耐药菌株的出现。这些局限性凸显了对新型抗利什曼原虫药物和治疗策略的迫切需求。本研究评估了蓝光发光二极管(LED)光疗作为一种抑制静止前鞭毛体和治疗受感染哺乳动物模型的替代方法。使用[具体实验方法或试剂1]、[具体实验方法或试剂2]和[具体实验方法或试剂3]的实验表明,蓝光LED在治疗期间和治疗后显著抑制了寄生虫生长,抑制水平与两性霉素B(AmpB)相当。用蓝光LED处理受感染的巨噬细胞,在所有三种寄生虫物种中均大幅降低了感染率和无鞭毛体回收率。超微结构分析显示,蓝光LED照射后,所有物种的内部细胞器均被破坏,表面膜也发生了改变。在体内实验中,用AmpB、单独的蓝光LED、蓝光LED加AmpB的组合或生理盐水作为对照处理感染了[寄生虫名称]的BALB/c小鼠。通过极限稀释分析和qPCR证实,用蓝光LED处理的动物,特别是与AmpB联合使用时,感染组织如病变部位、脾脏、肝脏和引流淋巴结中的寄生虫载量显著降低。此外,这些治疗诱导了强大的抗利什曼原虫Th1型免疫反应,其特征是IFN-γ、IL-12、亚硝酸盐和IgG2a抗体的产生增加。这些发现表明,蓝光LED光疗有望成为治疗TL的潜在治疗策略,值得在未来的研究中进一步探讨。