Light promotes regeneration and functional recovery and alters the immune response after spinal cord injury

被引:273
作者
Byrnes, KR
Waynant, RW
Ilev, IK
Wu, XJ
Barna, L
Smith, K
Heckert, R
Gerst, H
Anders, JJ
机构
[1] Uniformed Serv Univ Hlth Sci, Dept Anat Physiol & Genet, Bethesda, MD 20814 USA
[2] US FDA, Ctr Devices & Radiol Hlth, ElectroOpt Branch, Rockville, MD 20857 USA
关键词
astrocytes; corticospinal tract; footprint analysis; low power laser irradiation; macrophage; microglia; photobiomodulation; rat; retrograde and anterograde tract tracing;
D O I
10.1002/lsm.20143
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Background and Objectives: Photobiomodulation (PBM) has been proposed as a potential therapy for spinal cord injury (SCI). We aimed to demonstrate that 810 nm light can penetrate deep into the body and promote neuronal regeneration and functional recovery. Study Design/Materials and Methods: Adult rats underwent a T9 dorsal hemisection, followed by treatment with an 810 nm, 150 mW diode laser (dosage = 1,589 J/cm(2)). Axonal regeneration and functional recovery were assessed using single and double label tract tracing and various locomotor tasks. The immune response within the spinal cord was also assessed. Results: PBM, with 6% power penetration to the spinal cord depth, significantly increased axonal number and distance of regrowth (P < 0.001). PBM also returned aspects of function to baseline levels and significantly suppressed immune cell activation and cytokine/chemokine expression. Conclusion: Our results demonstrate that light, delivered transcutaneously, improves recovery after injury and suggests that light will be a useful treatment for human SCI.
引用
收藏
页码:171 / 185
页数:15
相关论文
共 110 条
[31]   Chemokine antagonist infusion promotes axonal sparing after spinal cord contusion injury in rat [J].
Ghirnikar, RS ;
Lee, YL ;
Eng, LF .
JOURNAL OF NEUROSCIENCE RESEARCH, 2001, 64 (06) :582-589
[32]  
Giehl KM, 1998, J NEUROSCI, V18, P7351
[33]  
Grill R, 1997, J NEUROSCI, V17, P5560
[34]   The ability of human Schwann cell grafts to promote regeneration in the transected nude rat spinal cord [J].
Guest, JD ;
Rao, A ;
Olson, L ;
Bunge, MB ;
Bunge, RP .
EXPERIMENTAL NEUROLOGY, 1997, 148 (02) :502-522
[35]   Sequential mRNA expression for immediate early genes, cytokines, and neurotrophins in spinal cord injury [J].
Hayashi, M ;
Ueyama, T ;
Nemoto, K ;
Tamaki, T ;
Senba, E .
JOURNAL OF NEUROTRAUMA, 2000, 17 (03) :203-218
[36]   LOCATING CORTICOSPINAL NEURONS BY RETROGRADE AXONAL-TRANSPORT OF HORSERADISH-PEROXIDASE [J].
HICKS, SP ;
DAMATO, CJ .
EXPERIMENTAL NEUROLOGY, 1977, 56 (02) :410-420
[37]   INFLAMMATION AFTER AXONAL INJURY HAS CONFLICTING CONSEQUENCES FOR RECOVERY OF FUNCTION - RESCUE OF SPARED AXONS IS IMPAIRED BUT REGENERATION IS SUPPORTED [J].
HIRSCHBERG, DL ;
YOLES, E ;
BELKIN, M ;
SCHWARTZ, M .
JOURNAL OF NEUROIMMUNOLOGY, 1994, 50 (01) :9-16
[38]   Local application of collagen containing brain-derived neurotrophic factor decreases the loss of function after spinal cord injury in the adult rat [J].
Houweling, DA ;
van Asseldonk, JTH ;
Lankhorst, AJ ;
Hamers, FPT ;
Martin, D ;
Bär, PR ;
Joosten, EAJ .
NEUROSCIENCE LETTERS, 1998, 251 (03) :193-196
[39]   Collagen containing neurotrophin-3 (NT-3) attracts regrowing injured corticospinal axons in the adult rat spinal cord and promotes partial functional recovery [J].
Houweling, DA ;
Lankhorst, AJ ;
Gispen, WH ;
Bär, PR ;
Joosten, EAJ .
EXPERIMENTAL NEUROLOGY, 1998, 153 (01) :49-59
[40]   A therapeutic vaccine approach to stimulate axon regeneration in the adult mammalian spinal cord [J].
Huang, DW ;
McKerracher, L ;
Braun, PE ;
David, S .
NEURON, 1999, 24 (03) :639-647