O uso da laserterapia em dose específica modula o processo inflamatório pulmonar em um modelo experimental de sepse em ratos

Autores

  • Caroline Bublitz Universidade Federal de São Paulo (Unifesp) – São Paulo (SP), Brasil
  • Livia Assis Universidade Federal de São Paulo (Unifesp) – São Paulo (SP), Brasil
  • Ana Cláudia M. Rennó Universidade Federal de São Paulo (Unifesp) – São Paulo (SP), Brasil
  • Vivian Cury Universidade de São Paulo. Faculdade de Medicina. São Paulo. SP. Brasil
  • Gabriela Harada Universidade Federal de São Paulo (Unifesp) – São Paulo (SP), Brasil
  • Aya H. Hirai Universidade Federal de São Paulo (Unifesp) – São Paulo (SP), Brasil
  • Liria Yuri Yamauchi Universidade Federal de São Paulo (Unifesp) – São Paulo (SP), Brasil

DOI:

https://doi.org/10.590/1809-2950/14589622042015

Resumo

O objetivo do estudo foi determinar a eficácia da LLLT na diminuição do processo inflamatório pulmonar em ratos sépticos. Foram utilizados 32 ratos machos Wistar divididos em quatro grupos (n=8): controle (CG); sepse 24h (S24); sepse e tratamento com LLLT 30 J/cm² (S24L30); sepse e tratamento com LLLT 65 J/cm² (S24L65). A irradiação foi realizada imediatamente após a cirurgia na região anterior de traqueia e nas regiões ventrais do tórax, bilateralmente, logo abaixo das costelas. Foi realizada análise histológica do tecido pulmonar e o número de células inflamatórias foi quantificado. O grupo S24 apresentou um aumento de células inflamatórias comparado ao CG (p <0,05); S24L30 aumentou o número de células inflamatórias, enquanto S24L65 diminuiu este numero em relação ao S24 (ambos p <0,05); S24L65 diminui o numero de células inflamatórias comparado ao S24L30 (p<0.01). Concluiu-se que LLLT em dose específica de energia (30J/cm²) foi capaz de diminuir o número de células inflamatórias no tecido pulmonar em fase aguda da sepse.

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Referências

Pierrakos C, Vincent JL. Sepsis biomarkers: a review. Crit

Care. 2010;14(1):R15.

Yin K, Wilmanski J, Wang C, Qiu G, Tahamont M. Lung

compartmentalization of inflammatory cells in sepsis.

Inflammation. 2000;24(6): 547-57.

Johnson ER, Matthay MA. Acute Lung Injury: Epidemiology,

Pathogenesis, and Treatment. J Aerosol Med Pulm Drug

Delivery. 2010;23(4):243-52.

Rubenfeld GD, Caldwell E, Peabody E, Weaver J, Martin DP,

Neff M, et al. Incidence and outcomes of acute lung injury. N

Engl J Med. 2005;353(16):1685-93.

Parsons PE, Matthay MA, Ware LB, Eisner MD. Elevated

plasma levels of soluble TNF receptors are associated with

morbidity and mortality in patients with acute lung injury.

Am J Physiol Lung Cell Mol Physiol. 2005; 288:L426 –L31.

Ware LB, Eisner MD, Thompson BT, Parsons PE, Matthay

MA. Significance of von Willebrand factor in septic and

nonseptic patients with acute lung injury. Am J Respir Crit

Care Med. 2004;170:766-72.

Oliveira P, Santos AA, Rodrigues T, Tim CR, Pinto KZ, Magri

AM et al. Effects of phototherapy on cartilage structure

and inflammatory markers in an experimental model of

osteoarthritis. J Biomed Opt. 2013; 18 (12):128004.

Aimbire F, Lopes-Martins RA, Albertini R, Pacheco

MT, Castro-Faria-Neto HC, Martins PS, Bjordal JM. Effect of

low-level laser therapy on hemorrhagic lesions induced by

immune complex in rat lungs. Photomed Laser Surg. 2007;

(2):112-7.

Barretto SR, Melo GC, Santos JC, Oliveira MGB, PereiraFilho RN, Alves AVF et al. Evaluation of anti-nociceptive

and anti-inflammatory activity of low-level laser therapy

on temporomandibular joint inflammation in rodents. J

Photochem Photobiol B. 2013; 129 (5):135-42.

Prianti-Júnior ACG, Silva-Júnior JA, Santos RF, Rosseti

IB, Costa MS. Low-level laser therapy (LLLT) reduces the

COX-2 mRNA expression in both subplantar and total

brain tissues in the model of peripheral inflammation

induced by administration of carrageenan. Lasers Med

Sci. 2014; 29(4):1397-403.

Aimbire F, Ligeiro de Oliveira AP, Albertini R, Correa JC,

Ladeira de Campos CB, Lyon JP, et al. Low level laser

therapy (LLLT) decreases pulmonary microvascular leakage,

neutrophil influx and IL-1beta levels in airway and lung from

rat subjected to LPS-induced inflammation. Inflammation.

; 31(3):189-97.

Aimbire F, Santos FV, Albertini R, Castro-Faria-Neto HC,

Mittmann J, Pacheco-Soares C. Low-level laser therapy

decreases levels of lung neutrophils anti-apoptotic

factors by a NF-kappaB dependent mechanism. Int

Immunopharmacol. 2008; 8(4):603-5.

Mafra de Lima F, Costa MS, Albertini R, Silva JA Jr, Aimbire

F.Low level laser therapy (LLLT): attenuation of cholinergic

hyper reactivity, beta(2)-adrenergic hyporesponsiveness

and TNF-alpha mRNA expression in rat bronchi segments in

E. coli lipopolysaccharide-induced airway inflammation by a

NF-kappaB dependent mechanism. Lasers Surg Med. 2009;

(1):68-74.

Mafra de Lima F, Naves KT, Machado AH, Albertini

R, Villaverde AB, Aimbire F. Lung inflammation and

endothelial cell damage are decreased after treatment with

phototherapy (PhT) in a model of acute lung injury induced

by Escherichia coli lipopolysaccharide in the rat. Cell Biology

Int. 2009; 33: 1212-21.

Silva VR, Marcondes P, Silva M, Villaverde AB, Castro-FariaNeto HC, Vieira RP, Aimbire F, de Oliveira AP.Low-level laser

therapy inhibits bronchoconstriction, Th2 inflammation

and airway remodeling in allergic asthma. Respir Physiol

Neurobiol. 2014; 1(194):37-48. doi: 10.1016/j.resp.2014.01.008.

Epub 2014 Jan 28.

Mafra de Lima F, Villaverde AB, Salgado MA, Castro-FariaNeto HC, Munin E, Albertini R, Aimbire F. Low intensity laser

therapy (LILT) in vivo acts on the neutrophils recruitment and

chemokines/cytokines levels in a model of acute pulmonary

inflammation induced by aerosol of lipopolysaccharide

from Escherichia coli in rat. J Photochem Photobiol Br Biol.

; 101(3):271-8. Epub 2010/08/24.

de Lima FM, Villaverde AB, Albertini R, Correa JC,

Carvalho RL, Munin E, et al. Dual Effect of low-level laser

therapy (LLLT) on the acute lung inflammation induced

by intestinal ischemia and reperfusion: Action on antiand pro-inflammatory cytokines. Lasers Surg Med. 2011;

(5):410-20.

Lang CH, Frost RA, Vary TC. Regulation of muscle protein

synthesis during sepsis and inflammation. Am J Physiol

Endocrinol Metab. 2007; 293:E453-E9.

Medalha CC, Di Gangi GC, Barbosa CB, Fernandes M, Aguiar

O, Faloppa F, Leite VM, Renno AC. Low-level laser therapy

improves repair following complete resection of the sciatic

nerve inrats. Lasers Med Sci. 2012; 27(3):629-35.

Li H; Han W; Polosukhin V, Yull FE.; Segal BH, Xie CM;

Blackwell TS. NF-B Inhibition after Cecal Ligation and

Puncture Reduces Sepsis-Associated Lung Injury without

Altering Bacterial Host Defense, Mediators Inflamm. 2013;

: Article ID 503213: 9 pages. doi:10.1155/2013/503213

Doi K, Leelahavanichkul A, Yuen PST, Star RA. Animal

models of sepsis and sepsis-induced kidney injury. J Clin

Invest. 2009; 119(10):2868-78.

Filgueiras LR, Capelozzi VL, Martins JO, Jancar S. Sepsisinduced lung inflammation is modulated by insulin. BMC

Pulm Med. 2014; 15 (14):177.

da Rosa AS, dos Santos AF, da Silva MM, Facco GG, Perreira

DM, Alves AC et al. Effects of lowlevel laser therapy at

wavelengths of 660 and 808 nmin experimental model of

osteoarthritis. Photochem Photobiol. 2012; 88:161-6.

Barbosa RI, Marcolino AM, Guirro RJ, Mazzer N, Barbieri CH,

Fonseca MR. Comparative effects of wavelengths of low

power laser in regeneration of sciatic nerve in rats following

crushing lesion. Lasers Med Sci. 2010; 25:423-30.

Assis L, Moretti AI, Abrahao TB, Cury V, Souza HP, Hamblin MR,

et al. Low-level laser therapy (808 nm) reduces inflammatory

response and oxidative stress in rat tibialis anterior muscle

after cryolesion. Lasers Surgery Med. 2012; 44(9):726-35.

Bublitz C, Medalha C, Oliveira P, Assis L, Milares LP, Fernades

KL et al. Low-level laser therapy prevents degenerative

morphological changes in an experimental model of

anterior cruciate ligament transection in rats. Lasers Med

Sci. 2014; 29(5):1669-78.

Aimbire F, Albertine R, de Magalhaes RG, Lopes-Martins RA,

Castro-Faria-Neto HC, Zangaro RA, et al. Effect of LLLT GaAl-As (685 nm) on LPS-induced inflammation of the airway

and lung in the rat. Lasers Med Sci. 2005; 20(1):11-20.

de Lima FM, Albertini R, Dantas Y, Maia-Filho AL, Santana C L,

Castro-Faria-Neto HC, et al. Low-level laser therapy restores the

oxidative stress balance in acute lung injury induced by gut ischemia

and reperfusion. Photochem Photobiol. 2013; 89(1):179-88.

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Publicado

2015-12-12

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O uso da laserterapia em dose específica modula o processo inflamatório pulmonar em um modelo experimental de sepse em ratos . (2015). Fisioterapia E Pesquisa, 22(4), 420-425. https://doi.org/10.590/1809-2950/14589622042015