Fotobiomodulação Laser na resposta inflamatória aguda em lesão do tendão calcâneo em ratos expostos a fumaça de cigarro
DOI:
https://doi.org/10.1590/1809-2950/18032726022019Palavras-chave:
Terapia a Laser de Baixa Intensidade, Tendão do Calcâneo, Tendinopatia, InflamaçãoResumo
A nicotina retarda o processo de cicatrização e eleva os níveis da enzima mieloperoxidase (MPO), a qual possui um papel fundamental na produção de espécies reativas de oxigênio durante o processo inflamatório. A fotobiomodulação laser (FBM) é um dos agentes eletrofísicos mais utilizados no tratamento do tendão calcâneo, no entanto, os seus efeitos sobre a atividade da MPO carecem de maior elucidação. Este estudo objetivou avaliar os efeitos da FBM sobre a atividade da MPO, após lesão do tendão calcâneo em ratos expostos à fumaça de cigarro. Foram utilizados 34 ratos Wistar, machos, com 90 dias de vida. Após 14 dias de exposição à fumaça de cigarro, os animais foram divididos em três grupos experimentais: grupo controle (GC, n=12), não submetido à lesão ou tratamento; grupo sham (GSh, n=10), submetido à lesão parcial do tendão calcâneo e a simulação da FBM laser; grupo FBM laser (GFBM, n=12), submetido à lesão parcial do tendão calcâneo e tratados com FBM laser, no primeiro minuto após a lesão. A FBM diminuiu os níveis de atividade da MPO no GFBM em comparação ao GSh (GC: 1,38±0,69 pg/ml; GSh: 3,78±1,09pg/ml; GFBM: 2,58±0,93pg/ml; p<0,005). Conclui-se que a FBM laser aplicada imediatamente após lesão do tendão calcâneo, atenua a atividade inflamatória aguda em ratos expostos à fumaça de cigarro.
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Referências
Almeida TF, Romana-Souza B, Machado S, Abreu-Villaca Y, MonteAlto-Costa A. Nicotine affects cutaneous wound healing in stressed
mice. Exp Dermatol. 2013;22(8):524-9. doi: 10.1111/exd.12186
Cheema N, Newton B, Boorman-Padgett F, Weiss N, Nuss
A, Gittings J, et al. Nicotine impairs intra-substance tendon
healing after full thickness injury in a rat model. J Ortho Res.
;37(1):94-103. doi:10.1002/jor.24167
Duygulu F, Karaoglu S, Zeybek ND, Kaymaz FF, Gunes T. The
effect of subcutaneously injected nicotine on achilles tendon
healing in rabbits. Knee Surg Sports Traumatol Arthrosc.
;14(8):756-61. doi: 10.1007/s00167-006-0046-5
Middlekauff H, Park J, Moheimani R. Adverse effects of cigarette
and noncigarette smoke exposure on the autonomic nervous
system: mechanisms and implications for cardiovascular risk. J
Am Coll Cardiol 2014;64:1740-50. doi: 10.1016/j.jacc.2014.06.1201
Nemmar A, Raza H, Subramaniyan D, Yasin J, John A, Ali B,
Kazzam E. Short-term systemic effects of nose-only cigarette
smoke exposure in mice: role of oxidative stress. Cell Physiol
Biochem. 2013;31(1):15-24. doi:10.1159/000343345
Ferreira R, Silva R, Folha RA, Polacow ML, Teodori RM, Pinfildi
CE. Achilles tendon vascularization of proximal, medial, and
distal portion before and after partial lesion in rats treated with
phototherapy. Photomed Laser Surg. 2015;33(12):579-84. doi:
1089/pho.2015.3974
McClinton S, Luedke L, Clewley D. Nonsurgical management
of midsubstance achilles tendinopathy. Clin Podiatr Med Surg.
;34(2):137-60. doi: 10.1016/j.cpm.2016.10.004
Pugliese LS, Medrado AP, Reis SR, Andrade ZA. The influence
of low-level laser therapy on biomodulation of collagen and
elastic fibers. Pesqui Odontol Bras. 2003;17(4):307-13. doi:
1590/S1517-74912003000400003
Guerra FD, Vieira CP, Almeida MS, Oliveira LP, Aro AA, Pimentel
ER. LLLT improves tendon healing through increase of MMP
activity and collagen synthesis. Lasers Med Sci. 2013;28(5):1281-8.
doi: 10.1007/s10103-012-1236-7
de Jesus JF, Spadacci-Morena DD, Dos Anjos Rabelo ND, Pinfildi
CE, Fukuda TY, Plapler H. Low-level laser therapy (780 nm) on
VEGF modulation at partially injured achilles tendon. Photomed
Laser Surg. 2016;34(8):331-5. doi: 10.1089/pho.2016.4092
Marques AC, Albertini R, Serra AJ, Silva EA, de Oliveira VL, Silva
LM, et al. Photobiomodulation therapy on collagen type I and
III, vascular endothelial growth factor, and metalloproteinase
in experimentally induced tendinopathy in aged rats. Lasers
Med Sci. 2016;31(9):1915-23. doi: 10.1007/s10103-016-2070-0
Tatmatsu-Rocha JC, Ferraresi C, Hamblin MR. Low-level laser
therapy (904nm) can increase collagen and reduce oxidative and
nitrosative stress in diabetic wounded mouse skin. J Photochem
Photobiol B. 2016;164:96-102. doi:10.1016/j.jphotobiol.2016.09.017
Chen AC, Arany PR, Huang YY, Tomkinson EM, Sharma SK, Kharkwal
GB, et al. Low-level laser therapy activates NF-kB via generation
of reactive oxygen species in mouse embryonic fibroblasts. PLoS
One. 2011;6:e22453. doi: 10.1371/journal.pone.0022453
Fillipin LI, Mauriz JL, Vedovelli K, Moreira AJ, Zettler CG, Lech O,
et al. Low-level laser therapy (LLLT) prevents oxidative stress
and reduces fibrosis in rat traumatized Achilles tendon. Lasers
Surg Med. 2005;37(4):293-300. doi: 10.1002/lsm.20225
Singer AJ, Clark RAF. Mechanisms of disease: cutaneous
wound healing. New Engl J Med. 1999;341(10):738-46. doi:
1056/NEJM199909023411006
Klebanoff SJ. Myeloperoxidase: friend and foe. J Leukoc Biol.
;77(5):598-625. doi: 10.1189/jlb.1204697
Ho E, Galougahi KK, Liu CC, Bhindi R, Figtree GA. Biological
markers of oxidative stress: Applications to cardiovascular
research and practice. Redox Biol. 2013;1(1):483-91. doi:
1016/j.redox.2013.07.006
Loke WM, Lam KMJ, Chong WL, Chew SE, Quek AML, Lim
ECH, et al. Products of 5-lipoxygenase and myeloperoxidase
activities are increased in young male cigarette smokers. Free
Radic Res. 2012;46(10):1230-7. doi: 10.3109/10715762.2012.701291
Andelid K, Bake B, Rak S, Linden A, Rosengren A, EkbergJansson A. Myeloperoxidase as a marker of increasing systemic
inflammation in smokers without severe airway symptoms. Respir
Med. 2007;101(5):888-95. doi: 10.1016/j.rmed.2006.09.023
Hauck M, Signori L, Teixeira M, Veloso C, Bauermann L, Silva A.
Trans-resveratrol reduces cardiac oxidative stress in rats exposed
to cigarette smoke. Acta Sci Health Sci. 2015;37(2):133-9.
doi: 10.4025/actascihealthsci.v37i2.25279
Carrinho PM, Renno ACM, Koeke P, Salate ACB, Parizotto NA,
Vidal BC. Comparative study using 685-nm and 830-nm lasers in
the tissue repair of tenotomized tendons in the mouse. Photomed
Laser Surg. 2006;24(6):754-8. doi: 10.1089/pho.2006.24.754
Rampazo EP, Liebano RE, Pinfildi CE, Folha RAC, Ferreira LM.
High voltage pulsed current in collagen realignment, synthesis,
and angiogenesis after Achilles tendon partial rupture. Braz J
Phys Ther. 2016;20(4):312-9. doi: 10.1590/bjpt-rbf.2014.0167
Wood VT, Pinfildi CE, Neves MAI, Parizoto NA, Hochman B,
Ferreira LM. Collagen changes and realignment induced by
low-level laser therapy and low-intensity ultrasound in the
calcaneal tendon. Lasers Surg Med. 2010;42(6):559-65. doi:
1002/lsm.20932
Sato H, Ogino Y, Takagi H, Hata J, Asano S, Ohta T, et al.
Pharmacological profiles of high-concentration (20mug/g)
tacalcitol ointment: effects on cutaneous inflammation,
epidermal proliferation, and differentiation in mice. J Dermatol.
;30(7):510-24. doi: 10.1111/j.1346-8138.2003.tb00425.x
Nie YC, Wu H, Li PB, Luo YL, Long K, Xie LM, et al. Antiinflammatory effects of naringin in chronic pulmonary
neutrophilic inflammation in cigarette smoke-exposed rats.
J Med Food. 2012;15(10):894-900. doi: 10.1089/jmf.2012.2251
Krivic A, Majerovic M, Jelic I, Seiwerth S, Sikiric P. Modulation
of early functional recovery of Achilles tendon to bone unit
after transection by BPC 157 and methylprednisolone. Inflamm
Res. 2008;57(5):205-10. doi: 10.1007/s00011-007-7056-8
Ribeiro BG, Alves AN, Santos LAD, Cantero TM, Fernandes KPS,
Dias DD, et al. Red and infrared low-level laser therapy prior
to injury with or without administration after injury modulate
oxidative stress during the muscle repair process. PLoS One.
;11(4):1-13. doi: 10.1371/journal.pone.0153618
Salate ACB, Barbosa G, Gaspar P, Koeke PU, Parizotto NA, Benze
BG, et al. Effect of In-Ga-Al-P diode laser irradiation on angiogenesis
in partial ruptures of Achilles tendon in rats. Photomed Laser Surg.
;23(5):470-5. doi: 10.1089/pho.2005.23.470
Casalechi HL, Leal ECP, Xavier M, Silva JA, Tarso P, Carvalho
C, et al. Low-level laser therapy in experimental model of
collagenase-induced tendinitis in rats: effects in acute and
chronic inflammatory phases. Lasers Med Sci. 2013;28(3):989-95.
doi: 10.1007/s10103-012-1189-x
de Jesus JF, Spadacci-Morena DD, dos Anjos Rabelo ND, Pinfildi
CE, Fukuda TY, Plapler H. Low-level laser therapy in IL-1beta,
COX-2, and PGE2 modulation in partially injured Achilles tendon.
Lasers Med Sci. 2015;30(1):153-8. doi: 10.1007/s10103-014-1636-y
Maffulli N, Ewen SWB, Waterston SW, Reaper J, Barrass V.
Tenocytes from ruptured and tendinopathic Achilles tendons
produce greater quantities of type III collagen than tenocytes
from normal Achilles tendons: an in vitro model of human
tendon heating. Am J Sport Med. 2000;28(4):499-505. doi:
1177/03635465000280040901
Laraia EM, Silva IS, Pereira DM, dos Reis FA, Albertini R, de
Almeida P, et al. Effect of low-level laser therapy (660 nm)
on acute inflammation induced by tenotomy of Achilles
tendon in rats. Photochem Photobiol. 2012;88(6):1546-50.
doi: 10.1111/j.1751-1097.2012.01179.x
Jesus JF, Spadacci-Morena DD, Rabelo ND, Pinfildi CE, Fukuda TY,
Plapler H. Low-level laser therapy on tissue repair of partially
injured achilles tendon in rats. Photomed Laser Surg.
;32(6):345-50. doi: 10.1089/pho.2013.3694
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Copyright (c) 2019 Naira Helena Bohrer Scherer, Antonio Marcos Vargas da Silva, Jessié Gutierres, Carolina Fantinel Veloso, Carlos Eduardo Pinfildi, Rafael Corrêa Gobbato
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