Abstract
This study evaluated IL-1β, COX-2, and PGE2 modulation in partially injured Achilles tendons treated with low-level laser therapy (LLLT). Sixty-five male Wistar rats were used. Sixty were submitted to a direct injury on Achilles tendon and then distributed into six groups: LASER 1 (a single LLLT application), LASER 3 (three LLLT applications), and LASER 7 (seven LLLT applications) and Sham 1, 3, and 7 (the same injury but LLLT applications were simulated). The five remaining animals were allocated at control group (no procedure performed). LLLT (780 nm) was applied with 70 mW of mean power and 17.5 J/cm2 of fluency for 10 s, once a day. The tendons were surgically removed and assessed immunohistochemically for IL-1β, COX-2, and PGE2. In comparisons with control (IL-1β: 100.5 ± 92.5 / COX-2: 180.1 ± 97.1 / PGE2: 187.8 ± 128.8) IL-1β exhibited (mean ± SD) near-normal level (p > 0.05) at LASER 3 (142.0 ± 162.4). COX-2 and PGE2 exhibited near-normal levels (p > 0.05) at LASER 3 (COX-2: 176.9 ± 75.4 / PGE2: 297.2 ± 259.6) and LASER 7 (COX-2: 259.2 ± 190.4 / PGE2: 587.1 ± 409.7). LLLT decreased Achilles tendon’s inflammatory process.
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Oliveira FS, Pinfildi CE, Parizoto NA et al (2009) Effect of low level laser therapy (830 nm) with different therapy regimes on the process of tissue repair in partial lesion calcaneous tendon. Laser Surg Med 41:271–276
Johansson K, Adolfsson L, Foldevi M (1999) Attitudes toward management of patients with subacromial pain in Swedish primary care. Fam Pract 3:233–237
Marcos RL, Leal Junior EC, Messias FM et al (2011) Infrared (810 nm) low-level laser therapy in rat Achilles tendinitis: a consistent alternative to drugs. Photochem Photobiol 87:1447–1452
Tsuzaki M, Guyton G, Garrett W et al (2003) IL-1β induces COX2, MMP-1, −3 and −13, ADAMTS-4, IL-1β and IL-6 in human tendon cells. J Orthop Res 21:256–264
Suchak AA, Bostick G, Reid D et al (2005) The incidence of Achilles tendon ruptures in Edmonton, Canada. Foot Ankle Int 26:932–936
Qi J, Fox AM, Alexopoulos LG et al (2006) IL-1β decreases the elastic modulus of human tenocytes. J Appl Physiol 101:189–195
Koshima H, Kondo S, Mishima S et al (2007) Expression of interleukin-1β, cyclooxygenase-2, and prostaglandin E3 in a rotator cuff tear in rabbits. J Orthop Res 25:92–97
Albertini R, Aimbire FSC, Correa FI et al (2004) Effects of different protocol doses of low power gallium-aluminum-arsenate (Ga-Al-As) laser radiation (650 nm) on carrageenan induced rat paw ooedema. Photochem Photobiol 74:101–107
Albertini R, Villaverde AB, Aimbire F et al (2007) Anti-inflammatory effects of low-level laser therapy (LLLT) with two different red wavelengths (660 nm e 684 nm) in carrageenan-induced rat paw edema. Photochem Photobiol 89:50–55
Cohen DB, Kawamura S, Ehteshami JR, Rodeo SA (2006) Indomethacin and celecoxib impair rotator cuff tendon-to-bone healing. Am J Sports Med 34:362–369
Enwemeka CS, Rodriguez OO, Gall NG, Walsh NE (1990) Morphometrics of collagen fibril populations in He:Ne laser photostimulated tendons. J Clin Laser Med Surg 6:47–52
Ferreira DM, Zângaro RA, Villaverde AB et al (2005) Analgesic effect of He-Ne (632.8 nm) low-level laser therapy on acute inflammatory pain. Photomed Laser Surg 23:177–181
Ferry ST, Dahners LE, Afshari HM, Weinhold PS (2007) The effects of common anti-inflamatory drugs on the healing rat patellar tendon. Am J Sports Med 35:1326–1333
Fukuda TY, Tanji MM, Jesus JF et al (2010) Single session to infrared low level diode laser on TNF-α and IL-6 cytokines release by mononuclear spleen cells in mice: a pilot study. Laser Surg Med 42:584–588
Safavi SM, Kazemi B, Esmaeilli M et al (2008) Effects of low-level He-Ne laser irradiation on the gene expression of IL-1β, TNF-α, IFN-γ, TGF-β, bFGF, and PDGF in rat’s gingiva. Laser Med Sci 23:331–335
Tumilty S, Munn J, Abbott H et al (2008) Laser therapy in the treatment of Achilles tendinopathy: a pilot study. Photomed Laser Surg 26:25–30
Wood VT, Pinfildi CE, Neves MAI et al (2010) Collagen changes and realignment induced by low-level laser therapy and low-intensity ultrasound in the calcaneal tendon. Laser Surg Med 42:559–565
Fredberg U, Stengaard-Pedersen K (2008) Chronic tendinopathy tissue pathology, pain mechanisms, and etiology with special focus on inflammation. Scand J Med Sci Sports 18:3–15
Neves MAI, Pinfildi CE, Wood VT et al (2011) Different power settings of LLLT on the repair of calcaneal tendon. Photomed Laser Surg 29:663–668
Salate ACB, Barbosa G, Gaspar P et al (2005) Effect of In-Ga-Al-P diode laser irradiation on angiogenesis in partial ruptures of Achilles tendon in rats. Photomed Laser Surg 23:470–475
Pang L, Knox AJ (1997) Effect of interleukin-1β, tumour necrosis factor-α and interferon-γ on the induction of cyclo-oxygenase-2 in cultured human airway smooth muscle cells. Br J Pharmacol 121:579–587
Dourado DM, Fávero S, Matias R et al (2011) Low-level laser therapy promotes vascular endothelial growth factor receptor-1 expression in endothelial and nonendothelial cells of mice gastrocnemius exposed to snake venom. Photochem Photobiol 87:418–426
Silveira LB, Prates RA, Novelli MD et al (2008) Investigation of mast cells in human gingiva following low-intensity laser irradiation. Photomed Laser Surg 26:315–321
Hardy MM, Seibert K, Manning PT et al (2002) Cyclooxygenase 2-dependent prostaglandin E2 modulates cartilage proteoglycan degradation in human osteoarthritis explants. Arthritis Rheum 46:1789–1803
Marsolais D, Côté CH, Frenette J (2001) Neutrophils and macrophages accumulate sequentially following Achilles tendon injury. J Orthop Res 19:1203–1209
Fukuda TY, Tanji MM, de Jesus JF et al (2013) Infrared low-level diode laser on serum chemokine MCP-1 modulation in mice. Lasers Med Sci 28:451–456
Pires D, Xavier M, Araújo T et al (2011) Low-level laser therapy (LLLT; 780 nm) acts differently on mRNA expression of anti- and pro-inflammatory mediators in an experimental model of collagenase-induced tendinitis in rat. Laser Med Sci 26:85–94
Witte MB, Barbul A (1997) General principles of wound healing. Surg Clin N Am 77:509–528
Abate M, Silbernagel KG, Siljehom C et al (2009) Pathogenesis of tendinopathies: inflammation or degeneration? Arthritis Res Ther 11:235–249
Laraia EM, Silva IS, Pereira DM et al (2012) Effect of low-level laser therapy (660 nm) on acute inflammation induced by tenotomy of Achilles tendon in rats. Photochem Photobiol 88:1546–1550
Bjordal JM, Couppe C, Ljunggren AE (2001) Low level laser therapy for tendinopathy. Evidence of a dose–response pattern. Phys Ther Rev 6:91–99
Shimizu N, Yamaguchi M, Goseki T et al (1995) Inhibition of prostaglandin E2 and interleukin 1 production by low-power laser irradiation in stretched human periodontal ligament cells. J Dent Res 74:1382–1388
Acknowledgments
We thank the 2011/00979-1, São Paulo Research Foundation (FAPESP) for supporting this study and Magna Aparecida Maltauro Soares by the technical support.
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de Jesus, J.F., Spadacci-Morena, D.D., dos Anjos Rabelo, N.D. et al. Low-level laser therapy in IL-1β, COX-2, and PGE2 modulation in partially injured Achilles tendon. Lasers Med Sci 30, 153–158 (2015). https://doi.org/10.1007/s10103-014-1636-y
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DOI: https://doi.org/10.1007/s10103-014-1636-y