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Photobiomodulation therapy for the prevention and treatment of acute radiation dermatitis in head and neck cancer: A case series 预防和治疗头颈部癌症急性放射性皮炎的光生物调节疗法:病例系列
IF 3.261 Pub Date : 2023-12-13 DOI: 10.1016/j.jpap.2023.100220
Barbara Tamires Cruz Aires , Rayenne Augusta Mota Ferreira , Jean Carlos Serra Costa , Ceci Nunes Carvalho , Meire Coelho Ferreira , Cyrene Piazera Silva Costa

Objective

to evaluate the effects of photobiomodulation therapy (PBMT) in the prevention of radiodermatitis in patients with head and neck cancer and to describes a protocol for the use of low-power laser with different energy doses according to the grades of acute radiation dermatitis (ARD).

Methods and materials

This is a case series study and were evaluated the medical records of 15 patients with head and neck cancer who underwent photobiomodulation for prevention andor treatment of ARD during radiotherapy treatment at São Luiz Jabaquara Hospital in São Paulo, from January 2021 to February 2022. The data obtained were organized in a descriptive way.

Results

Of the medical records eligible for the study, three were discarded because the patients did not undergo PBMT. These three evolved to grade III radiodermatitis and radiotherapy treatment was interrupted. Among sample receiving photobiomodulation therapy during radiotherapy treatment, 50 % developed radiodermatitis. 25 % presented grade I radiodermatitis and 25 % developed grade III radiodermatitis. However, only 1 % of the sample had its radiotherapy treatment interrupted due to radiodermatitis.

Conclusion

Photobiomodulation is a safe and effective alternative in the management of radiodermatitis, but more studies are needed to establish a PBMT protocol.

目的评价光生物调节治疗(PBMT)对头颈癌患者放射性皮炎的预防作用,并根据急性放射性皮炎(ARD)的不同级别描述不同能量剂量的低功率激光治疗方案。方法和材料这是一项病例系列研究,对2021年1月至2022年2月期间在圣保罗o Luiz Jabaquara医院接受放射治疗期间进行光生物调节以预防和治疗ARD的15例头颈癌患者的医疗记录进行了评估。所获得的数据以描述性的方式组织起来。结果在符合研究条件的病历中,有3例因患者未接受PBMT而被丢弃。这三人发展为III级放射性皮炎,放疗治疗中断。在放射治疗期间接受光生物调节治疗的样本中,50%发生放射性皮炎。25%表现为I级放射性皮炎,25%表现为III级放射性皮炎。然而,只有1%的样本因放射性皮炎而中断放射治疗。结论光生物调节是一种安全有效的治疗放射性皮炎的方法,但需要更多的研究来建立一个PBMT方案。
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引用次数: 0
SuperDopa (SD), SuperDopa amide (SDA) and Thioredoxin-mimetic peptides protect ARPE-19 cells from photic- and non-photic stress 超级多巴(SD)、超级多巴酰胺(SDA)和硫氧还蛋白模拟肽保护 ARPE-19 细胞免受光应激和非光应激的影响
IF 3.261 Pub Date : 2023-12-12 DOI: 10.1016/j.jpap.2023.100225
Magdalena M Olchawa , Grzegorz Szewczyk , Marva Lachish , Tadeusz Sarna , Daphne Atlas

Oxidative stress and inflammation in the retinal pigment epithelium (RPE) cells have been identified as significant risk factors in the development and progression of retinal associated diseases including age-related macular degeneration (AMD). In addition, AMD and myopia have been associated with impaired dopamine activity. Treatment of RPE cells with antioxidants or high concentrations of l-DOPA (levodopa), which down-regulates vascular endothelial growth factor (VEGF) via a G-protein-coupled receptor GPR143, slow AMD progression. To develop a targeted and effective treatment aimed at improving the viability of RPE cells we examined small molecular weight thiol-based and levodopa containing molecules. These include the N-acetylcysteine amide (AD4/NACA), SuperDopa-Amide (SDA), and members of the thioredoxin mimetic (TXM) family of peptides, TXM-CB13, TXM-CB30, and SuperDopa (SD). We show that these antioxidant/anti-inflammatory reagents protect ARPE-19 cells from photic stress mediated by rose Bengal (rB) and rhodopsin-rich POS, and from non-photic stress induced by oxidation with sodium iodate. Protection is correlated with a reduction in DPPH radical and singlet-oxygen quenching. Compared to GSH the bimolecular rate-constants of singlet oxygen quenching in aqueous solution by the levodopa derivatives SD and SDA were two-fold higher. Inhibition of auranofin-induced activation of the mitogen-activation-kinases (MAPK's) JNK1/2 and ERK1/2 confirmed the antioxidant/anti-inflammatory activity of the thiol-levodopa derivatives. The antioxidant and radical scavenging activities of TXM-CB13 and TXM-CB30, or SD and SDA, which combine redox activity with elevating cellular levodopa, might offer an efficient protection of RPE cells. These retino-protective peptides are potential drug candidates destined for slowing the onset and/or progression of RPE-related disorders.

视网膜色素上皮(RPE)细胞的氧化应激和炎症已被确定为视网膜相关疾病(包括年龄相关性黄斑变性(AMD))发生和进展的重要危险因素。AMD和近视也与多巴胺活性受损有关。抗氧化剂处理的RPE细胞减缓AMD进展,高浓度的左旋多巴(左旋多巴)通过GPR143(一种g蛋白偶联受体)下调血管内皮生长因子(VEGF)。为了开发一种有针对性的有效治疗方法,旨在提高RPE细胞的生存能力,我们研究了小分子量的硫醇基分子和左旋多巴分子。这些包括n -乙酰半胱氨酸酰胺(AD4/NACA)、超级多巴酰胺(SDA)和拟硫氧还蛋白(TXM)肽家族的成员,TXM- cb13、TXM- cb30和超级多巴(SD)。我们发现这些抗氧化/抗炎试剂可以保护ARPE-19细胞免受玫瑰红蛋白(rB)和富含视紫红质POS介导的光应激,以及碘酸钠氧化诱导的非光应激。保护作用与DPPH自由基的减少和单线态氧猝灭有关。左旋多巴衍生物SD和SDA在水溶液中单线态氧猝灭的双分子速率常数比谷胱甘肽高2倍。抑制金烷酮诱导的丝裂原激活激酶(MAPK) JNK1/2和ERK1/2的激活证实了巯基左旋多巴衍生物的抗氧化/抗炎活性。TXM-CB13和TXM-CB30或SD和SDA的抗氧化和自由基清除活性,结合氧化还原活性和升高细胞左旋多巴,可能对RPE细胞有有效的保护作用。这些视网膜保护肽是减缓AMD和其他视网膜疾病进展的潜在候选药物。
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引用次数: 0
Investigating mass transport and recombination as a function of structural variation in dye-sensitized solar cells employing indole fused heterocyclic organic sensitizers and cobalt electrolytes 研究采用吲哚融合杂环有机敏化剂和钴电解质的染料敏化太阳能电池中质量传输和重组与结构变化的函数关系
IF 3.261 Pub Date : 2023-12-07 DOI: 10.1016/j.jpap.2023.100223
Jayadev V , Sourava C. Pradhan , P.R. Nitha , Jubi John , K.N. Narayanan Unni , Suraj Soman

Alternate cobalt redox mediator based dye-sensitized solar cells (DSCs) are getting widespread attention taking advantage of their one-electron transfer mechanism compared to the conventional iodide/triiodide electrolyte. In the present study, we used indole fused heterocyclic organic sensitizers having indolo[3,2-b]indole as donor with three different π-spacers [(benzene (IID-1), thiophene (IID-2) and furan (IID-3)] along with cobalt bipyridine derivatives as redox mediators having different peripheral substituents {[Co(bpy)3]3+/2+, [Co(Me2bpy)3]3+/2+, and [Co(t-Bu2bpy)3]3+/2+}. A detailed investigation was carried out to understand the fundamental charge transfer processes and loss mechanism happening at the various interfaces as a function of structural variations in the present dye-electrolyte combinations. Among the investigated systems, higher performance was obtained for the association of furan substituted dye (IID-3) with [Co(t-Bu2bpy)3]3+/2+ electrolyte. The importance of choosing the right combination of sensitizer and electrolyte is critical to realize higher performance in dye-sensitized solar cells particularly while employing organic dyes and alternate metal complex redox electrolytes which was systematically investigated in the present manuscript.

与传统的碘化物/三碘化物电解质相比,基于钴氧化还原介质的染料敏化太阳能电池(DSCs)具有单电子转移机制,因此受到广泛关注。在本研究中,我们使用了吲哚融合杂环有机敏化剂,以吲哚并[3,2-b]吲哚为供体,并加入了三种不同的 π-间隔物[(苯(IID-1)、苯(IID-1)、噻吩(IID-2)和呋喃(IID-3)]以及具有不同外围取代基{[Co(bpy)3]3+/2+、[Co(Me2bpy)3]3+/2+和[Co(t-Bu2bpy)3]3+/2+}的联吡啶钴衍生物作为氧化还原媒介。研究人员进行了详细调查,以了解不同界面上发生的基本电荷转移过程和损耗机制与现有染料-电解质组合结构变化的函数关系。在所研究的体系中,呋喃取代的染料(IID-3)与[Co(t-Bu2bpy)3]3+/2+电解质的结合具有更高的性能。选择正确的敏化剂和电解质组合对于提高染料敏化太阳能电池的性能至关重要,尤其是在采用有机染料和新一代替代金属复合物氧化还原电解质时,本手稿对这一点进行了系统研究。
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引用次数: 0
Rooting out ultraweak photon emission a-mung bean sprouts 根除绿豆芽中的超弱光子发射
IF 3.261 Pub Date : 2023-12-05 DOI: 10.1016/j.jpap.2023.100224
Alasdair M. Mackenzie , Holly E. Smith , Rhys R. Mould , Jimmy D. Bell , Alistair V.W. Nunn , Stanley W. Botchway

It is well known that life has evolved to use and generate light, for instance, photosynthesis, vision and bioluminescence. What is less well known is that during normal metabolism, it can generate 1–100 photons s−1 cm–2 known as ultra-weak photon emission (UPE), biophoton emission or biological autoluminescence. The highest generation of these metabolic photons seem to occur during oxidative stress due to the generation and decay of reactive oxygen species (ROS), and their interaction with other components of the cell. To study this further, we have configured a sensitive detection system to study photon emission in germinating mung beans.

Here we investigated growing mung beans over 7 days at a constant temperature of 21 ± 1 °C in a light tight box, using dual top and bottom opposing photomultiplier tubes. Over this time period we showed that in total, mung beans grown from seeds generated an average of 5 ± 1 counts s−1 above background. As the new bean stems grew, they showed a gradual linear increase in emission of up to 30 ± 1 counts s−1, in agreement with previous literature. In addition to this “steady-state” emission we also observe delayed luminescence and drought-stress response emission previously observed in other species. Finally, we also observe episodic increased emission events of between 2 and 15 counts s−1 for durations of around 3 h detected underneath the sample, and assign these to the growing of secondary roots.

We then induce secondary root formation using aqueous solutions of growth hormones hydrogen peroxide (H2O2, 167 µM) or 3-indole acetic acid (IAA, 0.5 µM) for watering. Both hormones show prolonged increase in emission above steady-state, over days 3–5 with at least 3 times the number of secondary roots formed compared with water alone. We also observed a significant peak increase in photon emission (474 and 1738 cps vs. 28 and 55 cps for water alone) for the H2O2 which we attribute to direct ROS reaction emission as confirmed by measurement on dead plants.

Altogether we have expanded upon and demonstrated an instrument and biological system for reliably producing and measuring intrinsic metabolic photons, first observed 100 years ago by Alexander Gurwitsch.

众所周知,生命已经进化到能够利用和产生光,例如光合作用、视觉和生物发光。鲜为人知的是,在正常代谢过程中,它可以产生1-100个光子s−1 cm-2,称为超弱光子发射(UPE),生物光子发射或生物自发光。这些代谢光子的最高产生似乎发生在氧化应激期间,由于活性氧(ROS)的产生和衰变,以及它们与细胞其他成分的相互作用。为了进一步研究这一点,我们配置了一个灵敏的检测系统来研究绿豆萌发过程中的光子发射。在这里,我们研究了在21±1°C的恒定温度下,在一个光密箱中生长绿豆7天,使用双顶和底对置光电倍增管。在这段时间内,我们发现从种子中生长出来的绿豆平均产生5±1个计数,比背景高5−1。随着新豆茎的生长,它们的排放量逐渐线性增加,最高可达30±1计数s−1,与先前的文献一致。除了这种“稳态”发光外,我们还观察到延迟发光和干旱胁迫响应发光,这是以前在其他物种中观察到的。最后,我们还观察到在样品下检测到的持续约3小时的2到15个计数s−1的偶发性增加的排放事件,并将其归因于次生根的生长。然后,我们用生长激素过氧化氢(H2O2, 167µM)或3-吲哚乙酸(IAA, 0.5µM)的水溶液浇水诱导次生根的形成。两种激素均在稳态以上表现出长时间的辐射增加,在3-5天内,与单独浇水相比,形成的次生根数至少增加了3倍。我们还观察到H2O2的光子发射峰值显著增加(474和1738 cps,而水单独为28和55 cps),我们将其归因于直接ROS反应发射,并通过对死亡植物的测量证实了这一点。总的来说,我们已经扩展并展示了一种仪器和生物系统,可以可靠地产生和测量内在代谢光子,这是亚历山大·古维奇在100年前首次观察到的。
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引用次数: 0
The phenomenon of phototoxicity and long-term risks of commonly prescribed and structurally diverse drugs 常见处方药和结构多样药物的光毒性现象和长期风险
IF 3.261 Pub Date : 2023-12-05 DOI: 10.1016/j.jpap.2023.100221
Anna E. Davis , Gabrielle E. Kennelley , Tatiana Amaye-Obu , Peter F. Jowdy , Sarah Ghadersohi , Mehr Nasir-Moin , Gyorgy Paragh , Harvey A. Berman , Wendy J. Huss

Photosensitivity to structurally diverse drugs is a common but under-reported adverse cutaneous reaction and can be classified as phototoxic or photoallergic. Phototoxic reactions occur when the skin is exposed to sunlight after administering topical or systemic medications that exhibit photosensitizing activity. These reactions depend on the dose of medication, degree of exposure to ultraviolet light, type of ultraviolet light, and sufficient skin distribution volume. Accurate prediction of the incidence and phototoxic response severity is challenging due to a paucity of literature, suggesting that phototoxicity may be more frequent than reported. This paper reports an extensive literature review on phototoxic drugs; the review employed pre-determined search criteria that included meta-analyses, systematic reviews, literature reviews, and case reports freely available in full text. Additional reports were identified from reference sections that contributed to the understanding of phototoxicity. The following drugs and/or drug classes are discussed: amiodarone, voriconazole, chlorpromazine, doxycycline, fluoroquinolones, hydrochlorothiazide, nonsteroidal anti-inflammatory drugs, and vemurafenib. In reviewing phototoxic skin reactions, this review highlights drug molecular structures, their reactive pathways, and, as there is a growing association between photosensitizing drugs and the increasing incidence of skin cancer, the consequential long-term implications of photocarcinogenesis.

对结构不同的药物产生光敏反应是一种常见的皮肤不良反应,但报告不足,可分为光毒性和光过敏性两种。光毒性反应发生在使用具有光敏活性的外用药或全身用药后,皮肤暴露在阳光下时。这些反应取决于药物剂量、紫外线照射程度、紫外线类型和足够的皮肤分布容积。由于文献资料匮乏,准确预测光毒性反应的发生率和严重程度具有挑战性。本文对光毒性药物进行了广泛的文献综述;综述采用了预先确定的检索标准,包括荟萃分析、系统综述、文献综述和全文免费提供的病例报告。此外,还从参考文献中找到了有助于了解光毒性的其他报告。本文讨论了以下药物和/或药物类别:胺碘酮、伏立康唑、氯丙嗪、强力霉素、氟喹诺酮类、氢氯噻嗪、非甾体抗炎药和维莫非尼。在回顾光毒性皮肤反应时,本综述重点介绍了药物的分子结构、反应途径,以及光敏药物与皮肤癌发病率不断上升之间日益密切的联系,即光致癌的长期影响。
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引用次数: 0
DNA lesions triggered by visible light in skin cells: In the search for comprehensive sun protection 皮肤细胞中可见光引发的DNA损伤:寻求全面的防晒
IF 3.261 Pub Date : 2023-12-01 DOI: 10.1016/j.jpap.2023.100217
Paulo Newton Tonolli , Orlando Chiarelli-Neto , Maurício S. Baptista

Skin cells present many endogenous photosensitizers (ePS) that interact with light, generating oxidizing species, causing molecular damage in proteins, lipids, and nucleic acids, and consequently triggering cellular and organelle malfunction. Several cell lines with terminal differentiation are susceptible to accumulating non-digestible pigments, such as lipofuscin or melanin-lipofuscin. Besides being hallmarks of aging, both pigments can work as photosensitizers, increasing and expanding the toxicity of sunlight to the range of visible light (VL, 400–700 nm). In here we review the literature to describe the mechanisms by which the photosensitized oxidation reactions induced by VL cause DNA damage. We aim to provide the mechanistic background needed to improve the current strategies of photoprotection.

皮肤细胞存在许多内源性光敏剂(ePS),它们与光相互作用,产生氧化物质,导致蛋白质、脂质和核酸的分子损伤,从而引发细胞和细胞器功能障碍。一些终末分化的细胞系容易积累不可消化的色素,如脂褐素或黑色素-脂褐素。除了作为老化的标志,这两种色素都可以作为光敏剂,增加和扩大可见光范围内的毒性(VL, 400-700 nm)。本文综述了VL诱导的光敏氧化反应引起DNA损伤的机制。我们的目标是提供改进当前光保护策略所需的机制背景。
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引用次数: 0
Synthesis of pyrenocycloalkenes by using [2 + 2] photocycloaddition to pyrene and Diels–Alder reaction [2+2]光环加成和Diels-Alder反应合成芘环烯烃
IF 3.261 Pub Date : 2023-11-29 DOI: 10.1016/j.jpap.2023.100218
Hajime Maeda, Masashi Maeda, Masahito Segi

Photoreaction of pyrene 1 with methyl cinnamate 15a gave a photocycloadduct 16a at 4,5-position of pyrene stereoselectively. Oxidation of 16a using DDQ yielded a pyrenocyclobutene derivative 18a. Functional group conversion of the ester moiety of 18a resulted in the synthesis of carboxylic acid 19, alcohols 20 and 21, sulfonate 23, and methylenecyclobutene 24. Diels–Alder reactions of 18a with electron-deficient alkenes or alkynes 25a–f afforded cycloadducts, pyrenocyclohexenes 26a–c and pyrenocyclohexadienes 26e, f stereoselectively in good yields. Thermal reactions of pyrenocyclobutene-linked electron-deficient alkenes 22a, b produced 4-benzyl-5-alkenylpyrenes 29a, b via ring cleavage followed by 1,5-hydrogen transfer.

芘1与肉桂酸甲酯15a发生光化学反应,立体选择性地在芘的4,5位上生成光环加合物16a。用DDQ氧化16a得到吡喃环丁烯衍生物18a。18a的酯部分发生官能团转换,合成羧酸19、醇20和醇21、磺酸23和亚甲基环丁烯24。18a与缺电子烯烃或炔烃25a-f的Diels-Alder反应产生了立体选择性的环加合物,吡啶环己烯26a-c和吡啶环己烯26e,收率高。芘环丁烯连接的缺电子烯烃22a, b的热反应通过环裂解和1,5-氢转移生成4-苄基-5-烯基芘29a, b。
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引用次数: 0
Cell and tissue-based models for evaluating the cutaneous impact of visible light 用于评估可见光对皮肤影响的细胞和组织模型
IF 3.261 Pub Date : 2023-11-28 DOI: 10.1016/j.jpap.2023.100216
Anthony Brown, Carles Trullas, Eric Jourdan

Owing to its low energy, visible light (VIS) was previously considered to have no photobiological effects and research was focused on the ultraviolet (UV) end of the solar spectrum. However, the discovery that exposure of skin to VIS leads to clinical changes in skin reminiscent of those of UV led to a reassessment of its effects. Driving our understanding have been cell and tissue-based models that permit a thorough dissection of the molecular events in skin cells following exposure to specific wavelengths and intensities of VIS. Here we explore how these models have been used to understand the cutaneous impact of VIS and identify substances that protect skin from its damaging effects.

由于其能量低,可见光(VIS)以前被认为没有光生物学效应,研究主要集中在太阳光谱的紫外(UV)端。然而,发现皮肤暴露于VIS会导致皮肤的临床变化,使人想起紫外线,从而重新评估其效果。推动我们理解的是基于细胞和组织的模型,这些模型允许对暴露于特定波长和强度的VIS后皮肤细胞中的分子事件进行彻底的解剖。在这里,我们探索如何使用这些模型来理解VIS对皮肤的影响,并识别保护皮肤免受其破坏性影响的物质。
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引用次数: 0
Light-emitting diode (LED) photobiomodulation exerts anti-inflammatory action in murine thioglycolate-elicited macrophages stimulated by Bothrops jararacussu venom and by isolated PLA2s 发光二极管(LED)光生物调节对鼠硫代乙酸盐诱导巨噬细胞的抗炎作用
IF 3.261 Pub Date : 2023-11-27 DOI: 10.1016/j.jpap.2023.100214
Valdison P. Reis , Alex A. Ferreira e Ferreira , Sulamita da S. Setúbal , Hallison M. Santana , Milena D.S. Silva , Carolina P. da Silva , Neriane M. Nery , Charles Nunes Boeno , Mauro V. Paloschi , Andreimar M. Soares , Stella R. Zamuner , Juliana P. Zuliani

Although the treatment currently recommended for snakebite accidents is serum therapy using antivenom, a need for adjunctive therapy associated with serum therapy for treating the local effects caused by snakebites is an effort of the WHO to reduce local signals and symptoms. Photobiomodulation with laser or LED therapy is one of the primary examples of adjuvant therapy to serum therapy to lessen these local effects caused by snakebite envenoming. For this purpose, the project aims to study the action of photobiomodulation with LED therapy in isolated thioglycolate-elicited macrophages stimulated with Bothrops jararacussu venom (BjV) and isolated bothropstoxins BthTX-I and BthTX-II focusing on cell dead mechanism such as necrosis and apoptosis, mitochondrial membrane potential, and cytokines [Interleukin (IL)-1β, IL-10, IL-6], and [tumor necrosis factor (TNF)-α] and lipid mediator [prostaglandin (PG)E2] liberation. Briefly, thioglycollate-elicited macrophages were harvested from Swiss male mice incubated with BjV or BthTXs irradiated or not with LED, and the following parameters were analyzed: necrosis and apoptosis, mitochondrial membrane potential, cytokines, and lipid mediator liberation. Herein, results showed that LED therapy was able to decrease necrosis cell death, caspase-3 activity, and TNF-α liberation. In addition, LED therapy induces mitochondrial membrane potential and modulates gene expression of lipid mediators. In conclusion, the data of this study support the use of phototherapy as an adjuvant therapeutical approach in combination with serum therapy to mitigate the local effects resulting from snakebite envenoming.

虽然目前推荐的蛇咬伤事故治疗方法是使用抗蛇毒血清进行血清治疗,但世卫组织正在努力减少局部信号和症状,需要与血清治疗相关的辅助治疗来治疗蛇咬伤引起的局部影响。光生物调节与激光或LED治疗是辅助治疗血清治疗的主要例子之一,以减轻这些局部效应引起的蛇咬伤。为此,本项目旨在研究LED光生物调节对分离的巯基乙酸盐诱导的巨噬细胞的作用,重点研究细胞死亡机制,如坏死和凋亡,线粒体膜电位,细胞因子[白细胞介素(IL)-1β, IL-10, IL-6],[肿瘤坏死因子(TNF)-α]和脂质介质[前列腺素(PG)E2]的释放。简单地说,从BjV或BthTXs孵育的瑞士雄性小鼠中收集巯基乙酸酯诱导的巨噬细胞,并分析以下参数:坏死和凋亡,线粒体膜电位,细胞因子和脂质介质释放。本研究结果显示,LED治疗能够降低坏死细胞死亡、caspase-3活性和TNF-α释放。此外,LED治疗诱导线粒体膜电位并调节脂质介质的基因表达。总之,本研究的数据支持使用光疗作为辅助治疗方法,与血清治疗相结合,以减轻蛇咬伤引起的局部影响。
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引用次数: 0
A review of photobiomodulation on PI3K/AKT/mTOR in wound healing 光生物调节PI3K/AKT/mTOR在伤口愈合中的研究进展
IF 3.261 Pub Date : 2023-11-25 DOI: 10.1016/j.jpap.2023.100215
Patricia Kasowanjete, Sathish Sundar Dhilip Kumar, Nicolette N. Houreld

Wound healing involves a series of cellular and molecular processes to heal injured tissue. Growth factors such as vascular endothelial growth factor (VEGF), and signalling pathways such as phosphatidylinositol 3-kinase, protein kinase B, and mammalian target of rapamycin (PI3K/AKT/mTOR) are essential in wound healing. VEGF is linked to intracellular signalling pathways including PI3K/AKT/mTOR, which controls cell growth, metabolism, proliferation, apoptosis, and protein synthesis. During photobiomodulation (PBM), low-level light in the visible red and near-infrared (NIR) spectrum is employed to promote healing, and reduce pain, inflammation, and oedema. Several studies demonstrate that PBM enhances cellular survival, proliferation, migration, and viability in vitro, however, the exact cellular and molecular mechanisms responsible for these benefits have not yet been identified. The aim of this review is to explore the effects of PBM on the PI3K/AKT/mTOR signalling pathway in wound healing.

伤口愈合包括一系列细胞和分子的过程来愈合受伤的组织。生长因子如血管内皮生长因子(VEGF)和信号通路如磷脂酰肌醇3-激酶、蛋白激酶B和哺乳动物雷帕霉素靶蛋白(PI3K/AKT/mTOR)在伤口愈合中至关重要。VEGF与细胞内信号通路相关,包括PI3K/AKT/mTOR,其控制细胞生长、代谢、增殖、凋亡和蛋白质合成。在光生物调节(PBM)过程中,使用可见红色和近红外(NIR)光谱中的低水平光来促进愈合,减轻疼痛,炎症和水肿。几项研究表明,PBM可提高体外细胞存活、增殖、迁移和活力,然而,这些益处的确切细胞和分子机制尚未确定。本文旨在探讨PBM对伤口愈合过程中PI3K/AKT/mTOR信号通路的影响。
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Journal of Photochemistry and Photobiology
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