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针对神经炎症和神经血管再生的光生物调节疗法治疗糖尿病性勃起功能障碍

Photobiomodulation therapy for diabetic erectile dysfunction targeting neuroinflammation and neurovascular regeneration.

作者信息

Anita Limanjaya, Choi Min-Ji, Yin Guo Nan, Ock JiYeon, Kwon Mi-Hye, Hong Soon-Sun, Kang Ju-Hee, Suh Jun-Kyu, Ryu Ji-Kan

机构信息

National Research Center for Sexual Medicine and Department of Urology, Inha University College of Medicine, 7-206, 3Rd ST, Shinheung-Dong, Jung-Gu, Incheon, 400-711, Republic of Korea.

Department of Biomedical Sciences, College of Medicine, and Program in Biomedical Science & Engineering, Inha University, Incheon, 22332, Republic of Korea.

出版信息

Sci Rep. 2025 Jul 1;15(1):20513. doi: 10.1038/s41598-025-04873-w.


DOI:10.1038/s41598-025-04873-w
PMID:40593993
Abstract

Erectile dysfunction (ED) in diabetes often resists phosphodiesterase type 5 inhibitors due to neuropathy and vasculopathy, both worsened by neuroinflammation. This study evaluated light-emitting diode (LED) therapy's effects on diabetes-induced neurovascular damage using a diabetic mouse model. Diabetes was induced in C57BL/6 mice with streptozotocin, followed by treatment with RED (660 nm) and near-infrared (NIR; 830 nm) LED light, separately and combined, for ten days over two weeks. Functional and molecular analyses assessed neurovascular regeneration. LED therapy significantly improved intra-cavernous pressure (ICP), with combined RED and NIR wavelengths restoring ICP to 90% of normal levels, indicating enhanced nerve and vascular function. Histological analyses showed increased endothelial cell density, angiogenesis, pericyte recruitment, and neural regeneration. Molecular findings revealed upregulation of neurotrophic factors (NGF, NT-3, BDNF), angiogenic markers (VEGF, eNOS), and phosphorylated PI3K, alongside reduced apoptosis and increased cell proliferation. These results demonstrate that LED therapy mitigates diabetes-induced neuropathy and vasculopathy by enhancing neurovascular repair and modulating neuroinflammatory pathways. The study highlights the potential of combined RED and NIR LED therapy as a non-invasive treatment for diabetic ED and related neurovascular complications, offering a promising approach to improving patient outcomes.

摘要

糖尿病性勃起功能障碍(ED)常因神经病变和血管病变而对5型磷酸二酯酶抑制剂产生抵抗,而神经炎症会使这两种病变恶化。本研究使用糖尿病小鼠模型评估了发光二极管(LED)疗法对糖尿病诱导的神经血管损伤的影响。用链脲佐菌素诱导C57BL/6小鼠患糖尿病,随后分别或联合使用红色(660nm)和近红外(NIR;830nm)LED光进行治疗,在两周内持续十天。通过功能和分子分析评估神经血管再生情况。LED疗法显著改善了海绵体内压(ICP),红色和近红外波长联合使用可使ICP恢复至正常水平的90%,表明神经和血管功能得到增强。组织学分析显示内皮细胞密度增加、血管生成、周细胞募集和神经再生。分子研究结果显示神经营养因子(NGF、NT-3、BDNF)、血管生成标志物(VEGF、eNOS)和磷酸化PI3K上调,同时细胞凋亡减少,细胞增殖增加。这些结果表明,LED疗法通过增强神经血管修复和调节神经炎症途径减轻糖尿病诱导的神经病变和血管病变。该研究突出了红色和近红外LED联合疗法作为糖尿病性ED及相关神经血管并发症的非侵入性治疗方法的潜力,为改善患者预后提供了一种有前景的方法。

相似文献

[1]
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[2]
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本文引用的文献

[1]
Photobiomodulation as a Potential Therapy for Erectile Function: A Preclinical Study in a Cavernous Nerve Injury Model.

World J Mens Health. 2024-10

[2]
Photobiomodulation's potential as a non-invasive therapy for alzheimer's disease and minimal cognitive impairment: A 12-week investigation.

Photodiagnosis Photodyn Ther. 2024-4

[3]
Effect of near-infrared laser treatment on improving erectile function in rats with diabetes mellitus.

Andrology. 2023-10

[4]
Photobiomodulation for Alzheimer's disease: photoelectric coupling effect on attenuating Aβ neurotoxicity.

Lasers Med Sci. 2023-1-12

[5]
Pericyte-derived extracellular vesicle-mimetic nanovesicles ameliorate erectile dysfunction via lipocalin 2 in diabetic mice.

Int J Biol Sci. 2022

[6]
Mitochondrial cytochrome c oxidase is not the primary acceptor for near infrared light-it is mitochondrial bound water: the principles of low-level light therapy.

Ann Transl Med. 2019-3

[7]
Mechanisms and Mitochondrial Redox Signaling in Photobiomodulation.

Photochem Photobiol. 2018-1-19

[8]
Mechanisms and applications of the anti-inflammatory effects of photobiomodulation.

AIMS Biophys. 2017

[9]
Significant Improvement in Cognition in Mild to Moderately Severe Dementia Cases Treated with Transcranial Plus Intranasal Photobiomodulation: Case Series Report.

Photomed Laser Surg. 2017-8

[10]
Proposed Mechanisms of Photobiomodulation or Low-Level Light Therapy.

IEEE J Sel Top Quantum Electron. 2016

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