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Presidential Greeting - American Society for Laser Medicine and ...

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Study: The effects of RLED <strong>and</strong> resveratrol at 10 mmol/L (RES) on<br />

the cell numbers, ATP activity, cell cycle, reactive oxygen species<br />

level (ROS), mitochondrial membrane potential (MMP), the<br />

mRNA expression of sirtuin 1 <strong>and</strong> manganese superoxide<br />

dismutase (MnSOD) of DCMs were assessed in comparison with<br />

C2C12 myoblasts in glucose at 22.5 mmol/L (CON).<br />

Results: RLED promoted the mRNA expression of sirtuin 1<br />

(P < 0.05) <strong>and</strong> MnSOD (P < 0.05). RLED, RES <strong>and</strong> N-acetyl<br />

cysteine at 5 mmol/L (NAC) significantly reduced DCM ROS<br />

(P < 0.05) at 18 h, increased DCM ATP activity (P < 0.05) at 72 h<br />

<strong>and</strong> increased DCM MMP (P < 0.05) at 48 <strong>and</strong> 72 h, respectively,<br />

among which the effects of RLED <strong>and</strong> RES were inhibited<br />

(P < 0.05) by phosphatidylinositol 3-kinase (PI3K) inhibitor,<br />

LY294002, respectively, <strong>and</strong> there were no significant effect<br />

differences between RLED <strong>and</strong> RES.<br />

Conclusion: Being similar with RES, the improvement of RLED<br />

on DCMs might be mediated by sirtuin 1, MnSOD <strong>and</strong> PI3K.<br />

#156<br />

SIRTUIN1-MEDIATED PHOTOPROMOTION ON<br />

TNF-ALPHA INHIBITED EXPRESSION OF<br />

CIRCADIAN CLOCK GENES IN CULTURED<br />

NIH3T3 FIBROBLASTS<br />

Timon Cheng-Yi Liu, De-Feng Wu, Ling Zhu<br />

Laboratory of <strong>Laser</strong> Sports <strong>Medicine</strong>, South China Normal<br />

University, Guangzhou, China<br />

Background: Tumor necrosis factor-alpha (TNF-alpha)<br />

inhibited expression of the circadian clock genes has been found to<br />

be modulated with low intensity 810 nm laser irradiation (LIDL)<br />

in our laboratory. Its mechanism was further studied in this<br />

paper.<br />

Study: The expression of the circadian clock genes in NIH3T3<br />

fibroblasts was synchronized by 50% horse serum shock <strong>for</strong> 2 h,<br />

inhibited with TNF-alpha at 10 ng/ml, <strong>and</strong> then irradiated with<br />

LIDL at 10 mW/cm 2 <strong>for</strong> 20 min. The mRNA expression of the<br />

circadian clock genes <strong>and</strong> Sirtuin 1 (SIRT1), <strong>and</strong> the ratio of<br />

nicotinamide adenine dinucleotide (NAD þ ) <strong>and</strong> its reduced <strong>for</strong>m<br />

NADH, NAD þ /NADH, were assessed every 6 h <strong>for</strong> 36 h.<br />

Results: TNF-alpha inhibited the mRNA expression of Dbp<br />

(P < 0.005) <strong>and</strong> Bmall (P < 0.05) at 18th hour, Per2 (P < 0.05) at<br />

18th <strong>and</strong> 30th hours, Clock (P < 0.05) at 12th <strong>and</strong> 18th hours, <strong>and</strong><br />

SIRT1 (P < 0.05) at 18th <strong>and</strong> 24th hours, respectively, <strong>and</strong><br />

decreased NAD þ /NADH (P < 0.005) at 6th, 12th, 18th <strong>and</strong> 30th<br />

hours, respectively. LIDL inhibited the effects of TNF-alpha on<br />

Dbp (P < 0.05) <strong>and</strong> Per2 (P < 0.005) at 30th hours, Clock<br />

(P < 0.05), Bmall (P < 0.05) <strong>and</strong> SIRT1 (P < 0.005) at 18th<br />

hours, <strong>and</strong> NAD þ /NADH at 6th (P < 0.005), 12th (P < 0.05) <strong>and</strong><br />

18th (P < 0.05), respectively.<br />

Conclusion: The promotion of LIDL on TNF-alpha inhibited<br />

expression of the circadian clock genes may be mediated by<br />

NAD þ /SIRT1. *It was supported by NSFC.<br />

#158<br />

<strong>American</strong> <strong>Society</strong> <strong>for</strong> <strong>Laser</strong> <strong>Medicine</strong> <strong>and</strong> Surgery Abstracts 47<br />

A NEW POSSIBILITY TO TREAT SEVERE<br />

TRACHEAL STENOSIS APPLYING LOW LEVEL<br />

LASER THERAPY: PILOT STUDY<br />

Nathali Pinto, Tatiana Magacho, Mara Pereira,<br />

M. Cristina Chavantes<br />

University of São Paulo, São Paulo, Brazil; Pitagoras University,<br />

Vila Velha, Brazil<br />

Background: Tracheal stenosis (TS) is a serious complication<br />

that arises after endotracheal intubation’s problem,<br />

tracheostomy, gastroesofagic reflux, etc. The most common benign<br />

cause of upper airway stenosis, in all age groups, is postintubation<br />

tracheal injury, which occurs in less than 5% of patients<br />

submitted to long-term ventilation. Serious cases of severe<br />

stenosis are very tough condition to be treated. Although,<br />

untreated airway obstruction causes significant pulmonary<br />

morbidity <strong>and</strong> it can progress to life-threatening airway<br />

compromise. Several tracheal’s dilatations <strong>and</strong> surgery<br />

(tracheoplasty) is a conventional treatment <strong>for</strong> such cases. In this<br />

work, we aimed to investigate the Low Level <strong>Laser</strong> Therapy<br />

(LLLT) effect in severe tracheal stenosis process, when all<br />

previous treatment failure.<br />

Study: Five cases w/resilient TS that had more than 75% of<br />

tracheal obstruction, due to exaggerated granulation <strong>and</strong> scar<br />

tissue, had received a previous traditional treatment without<br />

success. They had complicated health conditions which <strong>for</strong>bidden<br />

to undergoing to a new conventional surgical procedure. At first,<br />

surgical laser was applied <strong>and</strong> afterwards LLLT w/? ¼ 685 nm,<br />

P ¼ 35 mW, Dose ¼ 8 J/cm 2 were applied into endotracheal mode.<br />

The time ranged according to tracheal lesion extent.<br />

Results: The results showed that LLLT was extremely efficient to<br />

control granulation tissue growth, even resilient scar tissue, due<br />

to tracheal stenosis, was prevented through a bioinhibition effect<br />

of LLLT. All patients were kept clear of tracheal stenosis, after 2<br />

years, using lasers procedures. The histopathological specimens of<br />

TS’ experimental study in vivo showed that LLLT was able to<br />

control the tracheal mucosa healing process, preventing<br />

inflammatory granulation tissue <strong>for</strong>mation.<br />

Conclusion: <strong>Laser</strong> accomplished to restore normal tracheal<br />

lumen, due its biomodulation effect, as a less invasive treatment.<br />

Thus, endoscopic laser management of tracheal stenosis, applying<br />

LLLT, signalize be an effective method to control patient<br />

predicament, successfully.<br />

#159<br />

LASER THERAPY FOR THE TREATMENT OF<br />

CERVICAL PATHOLOGIES: A CLINICAL STUDY<br />

Renato Jr. Liboro, Fred Kahn, Renato Liboro,<br />

Fern<strong>and</strong>a Saraga<br />

Meditech International, Inc., Toronto, Canada<br />

Background: Cervical spine problems affect over 10% of the<br />

adult population. They are generally characterized by pain which<br />

impacts activity levels resulting in loss of time from work <strong>and</strong><br />

negatively affecting quality of life. Conditions encountered<br />

include soft tissue <strong>and</strong> repetitive stress injuries, traumatic<br />

episodes including whiplash injuries <strong>and</strong> herniated discs. The<br />

wear <strong>and</strong> tear factors accompanying aging comprise a significant<br />

percentage of the problems that present. If acute conditions are<br />

not resolved in a timely manner, they become chronic,<br />

compromising resolution with conventional therapies, including<br />

pharmaceuticals <strong>and</strong> surgery. Recent, published literature<br />

indicates that laser therapy has become established as an effective<br />

therapeutic approach in the treatment of these problems,<br />

resulting in the elimination of pain along with the restoration of<br />

the quality of life <strong>and</strong> normal activity levels. In this study, we<br />

examine the efficacy of laser therapy utilizing red <strong>and</strong> infrared<br />

LED arrays along with laser probes as the choice of therapy.<br />

Study: In a follow-up clinical study subsequent to our previously<br />

published 2006 SPIE conference proceedings, we have analyzed a<br />

cross-section of patients treated <strong>for</strong> a variety of neck problems

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