Differing energy densities with laser 670nm InGaP controls inflammation and collagen reorganization in burns

Burns. 2017 Nov;43(7):1524-1531. doi: 10.1016/j.burns.2017.04.008. Epub 2017 Aug 1.

Abstract

Purpose: This study compared different energy densities of laser on second degrees burns in rats aiming to determine the most effective dosimetry in stimulation of the healing process.

Methods: Burns were induced in the dorsal skin of 54 animals divided into three groups (n: 18): 1-without treatment; 2-irradiated lesions by the Indium Gallium Phosphide (InGaP) 670nm (4.93J/cm2) laser; 3-irradiated lesions by the InGaP-670nm (9.86J/cm2) laser. Samples were collected on the 2, 10 and 18 days after injury for structural, morphometry, biochemical analysis and Western blotting.

Results: The energy densities examined were effective in significantly increasing the total number of fibroblasts and blood vessels and reduce the number of inflammatory cells particularly in irradiated lesions with 9.86J/cm2. This same energy density significantly increased the amount of GAGs (Glycosaminoglycans), decreased the TGF-β1 (Transforming Growth Factor β1) and increased the VEGF (Vascular and Endothelial Growth Factor) during the experimental period. This energy density also significantly increased the Collagen type I and decreased Collagen type III and the active isoform of metalloproteinase 9 (MMP-9).

Conclusions: The energy density of 9.86J/cm2 was more effective in promoting cellular responses related to neoangiogenesis, decreasing inflammation and collagen fibers reorganization.

Keywords: Burns; Healing; Phototherapy; Rats.

MeSH terms

  • Animals
  • Blotting, Western
  • Burns / immunology
  • Burns / metabolism
  • Burns / pathology
  • Burns / radiotherapy*
  • Collagen Type I / metabolism
  • Collagen Type I / radiation effects
  • Collagen Type III / metabolism
  • Collagen Type III / radiation effects
  • Dose-Response Relationship, Radiation
  • Fibroblasts / radiation effects
  • Gallium
  • Glycosaminoglycans / metabolism
  • Glycosaminoglycans / radiation effects
  • Hydroxyproline / metabolism
  • Hydroxyproline / radiation effects
  • Indium
  • Inflammation
  • Low-Level Light Therapy / methods*
  • Male
  • Matrix Metalloproteinase 9 / metabolism
  • Matrix Metalloproteinase 9 / radiation effects
  • Phosphines
  • Rats
  • Rats, Wistar
  • Skin / immunology
  • Skin / metabolism
  • Skin / pathology
  • Skin / radiation effects*
  • Transforming Growth Factor beta1 / immunology
  • Transforming Growth Factor beta1 / radiation effects
  • Vascular Endothelial Growth Factor A / metabolism
  • Vascular Endothelial Growth Factor A / radiation effects
  • Wound Healing / radiation effects*

Substances

  • Collagen Type I
  • Collagen Type III
  • Glycosaminoglycans
  • Phosphines
  • Tgfb1 protein, rat
  • Transforming Growth Factor beta1
  • Vascular Endothelial Growth Factor A
  • vascular endothelial growth factor A, rat
  • Indium
  • gallium phosphide
  • Gallium
  • Matrix Metalloproteinase 9
  • Mmp9 protein, rat
  • Hydroxyproline