Low-level laser therapy in periarticular morphological aspects of the knee of Wistar rats in rheumatoid arthritis model
Laser de baixa intensidade nos aspectos morfológicos periarticulares do joelho de ratos Wistar em modelo de artrite reumatoide
Morgana Neves; Alana Ludemila de Freitas Tavares; Ana Caroline Barbosa Retameiro; Taciane Stein da Silva Leal; Lucinéia de Fátima Chasko Ribeiro; Gladson Ricardo Flor Bertolini
Abstract
Keywords
Resumo
JUSTIFICATIVA E OBJETIVOS: Os efeitos deletérios da artrite reumatoide nos tecidos periarticulares ainda não estão totalmente elucidados, sendo pertinente a busca por tratamentos que possam modular o perfil inflamatório e a remodelação tecidual. O presente estudo avaliou os efeitos do laser de baixa intensidade (LBI) na morfologia dos tecidos periarticulares e membrana sinovial de ratos submetidos à um modelo de artrite reumatoide.
MÉTODOS: Para tanto, 64 ratos machos foram divididos em períodos inflamatórios agudo (7 dias) e crônico (28 dias), com 4 grupos (n=8) cada, sendo: GC (grupo controle), GL (grupo lesão), GCLa (grupo controle laser) e GLLa (grupo lesão laser). Os animais dos grupos lesão foram submetidos a duas inoculações de Adjuvante Completo de Freund na concentração de 50µL, sendo a primeira na base da cauda e a segunda no joelho direito. Os animais do grupo controle foram submetidos a injeções com solução isotônica de cloreto de sódio. Os grupos GCla e GLLa foram tratados com LBI 660nm, pontual no joelho direito, 5J/ cm2. Após o período experimental, os animais foram eutanasiados e os joelhos processados para análises em microscopia de luz.
RESULTADOS: Na análise morfológica, GC e GCLa apresentaram aspectos normais. O GL apresentou sinovite, fêmur e tíbia com alterações no periósteo, com células inflamatórias e modificações ósseas. A membrana sinovial mostrou sinais de melhora no GLLa. No período crônico, o tecido ósseo apresentou aspectos morfológicos, denotando remodelação tecidual.
CONCLUSÃO: O modelo experimental foi eficiente em simular os eventos inflamatórios teciduais, e o laser de baixa intensidade apresentou efeitos benéficos sobre a morfologia dos tecidos periarticulares.
Palavras-chave
References
Chen J, Wu W, Zhang M, Chen C. Taraxasterol suppresses inflammation in IL-1ß- -induced rheumatoid arthritis fibroblast-like synoviocytes and rheumatoid arthritis progression in mice. Int Immunopharmacol. 2019;70(333):274-83.
Macedo RB, Kakehasi AM, Melo de Andrade MV. IL33 in rheumatoid arthritis: potential contribution to pathogenesis. Rev Bras Reumatol. 2016;56(5):451-7.
Saxler G, Löer F, Skumavc M, Pförtner J, Hanesch U. Localization of SP- and CGRP-immunopositive nerve fibers in the hip joint of patients with painful osteoarthritis and of patients with painless failed total hip arthroplasties. Eur J Pain. 2007;11(1):67-74.
Sorkin LS, Eddinger KA, Woller SA, Yaksh TL. Origins of antidromic activity in sensory afferent fibers and neurogenic inflammation. Semin Immunopathol. 2018;40(3):237-47.
Smith KC. Molecular targets for low level light therapy. Laser Therapy. 2010;19(3):135-42.
White PF, Zafereo J, Elvir-Lazo OL, Hernandez H. Treatment of drug-resistant fibromyalgia symptoms using high-intensity laser therapy a case-based review. Rheumatol Int. 2018;38(3):517-23.
Gomes RP, Bressan E, Silva TM, Gevaerd Mda S, Tonussi CR, Domenech SC. Standardization of an experimental model suitable for studies on the effect of exercise on arthritis. Einstein. 2013;11(1):76-82.
Reginato A, Neves M, Tavares ALF, Kakihata CMM, Ribeiro LFC, Bertolini GRF. Effects of low-level laser on muscle tissue of wistar rats after. Varia Sci. 2018;4(2):171-5.
Stein T, Souza-Silva E, Mascarin L, Eto C, Fin FE, Tonussi CR. Histaminergic pharmacology modulates the analgesic and antiedematogenic effects of spinally injected morphine. Anesth Analg. 2016;123(1):238-43.
Groetzner P, Weidner C. The human vasodilator axon reflex - An exclusively peripheral phenomenon. Pain. 2010;149(1):71-5.
Sousa-Valente J, Brain SD. A historical perspective on the role of sensory nerves in neurogenic inflammation. Semin Immunopathol. 2018;40(3):229-36.
Kelly S, Dunham JP, Donaldson LF. Sensory nerves have altered function contralateral to a monoarthritis and may contribute to the symmetrical spread of inflammation. Eur J Neurosci. 2007;26(4):935-42.
Yan W, Chow R, Armati PJ. Inhibitory effects of visible 650-nm and infrared 808nm laser irradiation on somatosensory and compound muscle action potentials in rat sciatic nerve Implications for laser-induced analgesia. J Peripher Nerv Syst. 2011;16(2):130-5.
Carvalho CM, Lacerda JA. Evaluation of laser phototherapy in the inflammatory process of the rat's TMJ induced by carrageenan. Photomed Laser Surg. 2011;29(4):245-54.
Brosseau L, Robinson V, Wells G, Debie R, Gam A, Harman K. Low level laser therapy (Classes I, II and III) for treating rheumatoid arthritis. Cochrane Database Syst Rev. 2005;19(4):CD002039.
Shimizu T, Takahata M, Kimura-Suda H, Kameda Y, Endo K, Hamano H. Autoimmune arthritis deteriorates bone quantity and quality of periarticular bone in a mouse model of rheumatoid arthritis. Osteoporos Int. 2017;28(2):709-18.
Kanbe K, Oh K, Chiba J, Inoue Y, Taguchi M, Yabuki A. Analysis of mitogen-activated protein kinases in bone and cartilage of patients with rheumatoid arthritis treated with abatacept. Clin Med Insights Arthritis Musculoskelet Disord. 2016;9(Il):51-6.
Takahata M, Maher JR, Juneja SC, Inzana J, Xing L, Schwarz EM. Mechanisms of bone fragility in a mouse model of glucocorticoid-treated rheumatoid arthritis Implications for insufficiency fracture risk. Arthritis Rheum. 2012;64(11):3649-59.
Issa JPM, Trawitzki BF, Ervolino E, Macedo AP, Lilge L. Low-intensity laser therapy efficacy evaluation in FVB mice subjected to acute and chronic arthritis. Lasers Med Sci. 2017;32(6):1269-77.
das Neves LM, Leite GP, Marcolino AM, Pinfildi CE, Garcia SB, de Araújo JE. Laser photobiomodulation (830 and 660 nm) in mast cells, VEGF, FGF, and CD34 of the musculocutaneous flap in rats submitted to nicotine. Lasers Med Sci. 2017;32(2):335-41.
Huang Z, Chen J, Ma J, Shen B, Pei F, Kraus VB. Effectiveness of low-level laser therapy in patients with knee osteoarthritis a systematic review and meta-analysis. Osteoarthritis Cartilage. 2015;23(9):1437-44.
Hurkmans EJ, Jones A, Li LC, Vlieland TP. Quality appraisal of clinical practice guidelines on the use of physiotherapy in rheumatoid arthritis a systematic review. Rheumatology. 2011;50(10):1879-88.
da Silva MM, Albertini R. Randomized, blinded, controlled trial on effectiveness of photobiomodulation therapy and exercise training in the fibromyalgia treatment. Lasers Med Sci. 2018;33(2):343-51.
Rueda-Vergara R, Sánchez-Pérez E. Efectividad de la terapia láser de baja intensidad en pacientes con artritis reumatoide una revisión sistemática de ensayos clínicos. Fisioterapia. 2016;38(3):152-8.
Alves AC, de Carvalho PT, Parente M, Xavier M, Frigo L, Aimbire F. Low-level laser therapy in different stages of rheumatoid arthritis a histological study. Lasers Med Sci. 2013;28(2):529-36.
Takhtfooladi MA, Jahanbakhsh F, Takhtfooladi HA, Yousefi K, Allahverdi A. Effect of low-level laser therapy (685 nm, 3 J/cm2) on functional recovery of the sciatic nerve in rats following crushing lesion. Lasers Med Sci. 2015;30(3):1047-52.
Lemos GA, Rissi R. Low-level laser therapy stimulates tissue repair and reduces the extracellular matrix degradation in rats with induced arthritis in the temporomandibular joint. Lasers Med Sci. 2016;31(6):1051-9.
Submitted date:
09/24/2019
Accepted date:
12/11/2019