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1.
Acta Oncol ; 63: 755-762, 2024 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-39354810

RESUMO

BACKGROUND AND PURPOSE: Regional nodal irradiation (RNI) for breast cancer delivers radiation in proximity to the shoulder and torso, and radiation exposure may contribute to long-term upper extremity and postural morbidity. To date, no studies have assessed the differential dosimetric impact of proton versus photon radiation on shoulder and torso anatomy. This study examined clinically relevant musculoskeletal (MSK) structures and assessed the dose delivered with each modality. PATIENTS/MATERIAL AND METHODS: Ten MSK structures were contoured on IMPT (intensity-modulated proton therapy) and VMAT (volumetric modulated arc therapy) plans for 30 patients receiving RNI. Relevant dose metrics were compared for each of the structures. Intensity-modulated proton therapy dose was calculated using the relative biological effective value of 1.1. Hypo-fractionated plans were scaled to the equivalent dose in 2 Gy fractions (EQD2) using an alpha/beta ratio of four. Wilcoxon signed rank sum tests compared doses. Select three-dimensional and optimised VMAT plans were also informally compared. RESULTS AND INTERPRETATION: Each of the 10 structures received a statistically significantly lower dose with the use of IMPT compared with VMAT. Differences were greatest for posterior structures, including the trapezius, latissimus dorsi and glenohumeral joint. Mean absolute differences were as great as 23 Gy (supraspinatus D5cc) and up to 30-fold dose reductions were observed (deltoid D50cc). An average 3.7-fold relative dose reduction existed across all structures. Measures of low/intermediate dose (V15Gy and D50cc) showed the largest differences. Intensity-modulated proton therapy results in statistically lower radiation exposure to relevant shoulder and torso anatomy compared to photon radiation for patients requiring RNI. Prospective study is needed to correlate functional outcomes with radiation dose.


Assuntos
Neoplasias da Mama , Órgãos em Risco , Terapia com Prótons , Dosagem Radioterapêutica , Planejamento da Radioterapia Assistida por Computador , Radioterapia de Intensidade Modulada , Humanos , Radioterapia de Intensidade Modulada/métodos , Feminino , Neoplasias da Mama/radioterapia , Neoplasias da Mama/patologia , Terapia com Prótons/métodos , Planejamento da Radioterapia Assistida por Computador/métodos , Órgãos em Risco/efeitos da radiação , Irradiação Linfática/métodos , Sistema Musculoesquelético/efeitos da radiação , Ombro/efeitos da radiação , Pessoa de Meia-Idade
2.
Arch Ital Urol Androl ; 96(3): 12595, 2024 Oct 02.
Artigo em Inglês | MEDLINE | ID: mdl-39356024

RESUMO

PURPOSE: To determine the effect of electromagnetic waves of mobile phone stations on several sperm parameters and the male reproductive system. METHODS: This observational study was performed on 216 subjects, aged 18-60 years. Two equal groups of subjects were assigned to group A (study group) if they were living close to cell phone tower stations for at least 6 months and group B (control group) formed from individuals living 100 meters away from cell phone tower stations. Every subject underwent a comprehensive history taking, a clinical assessment, and laboratory testing. RESULTS: Regarding morphology index in the studied groups, the exposed group exhibited a trend of reduced percentage of normal morphology compared to the non-exposed group, with no statistical difference between the two groups. Regarding the total sperm motility (A+B+C) and progressive sperm motility (A+B) in the studied groups, the exposed group showed a trend of decreased total sperm motility and of progressive sperm motility in contrast to the non-exposed group, with no statistical difference between the two groups. CONCLUSIONS: Personal wrong lifestyles with exposure to electromagnetic waves have shown a trend towards a reduced percentage of normal morphology and reduced motility although nonstatistically significant compared with non-exposed populations.


Assuntos
Telefone Celular , Ondas de Rádio , Motilidade dos Espermatozoides , Humanos , Masculino , Adulto , Adolescente , Adulto Jovem , Motilidade dos Espermatozoides/efeitos da radiação , Ondas de Rádio/efeitos adversos , Pessoa de Meia-Idade , Radiação Eletromagnética , Fertilidade/efeitos da radiação , Espermatozoides/efeitos da radiação , Infertilidade Masculina/etiologia , Exposição Ambiental/efeitos adversos
3.
Commun Biol ; 7(1): 1284, 2024 Oct 08.
Artigo em Inglês | MEDLINE | ID: mdl-39379484

RESUMO

Skin macrophages play important roles in the response to external stimuli. Human skin equivalents (HSEs) incorporating the human monocytic cell line THP-1 were fabricated to generate immunocompetent human skin models. These HSEs were used to investigate the influence of the skin microenvironment and ultraviolet A (UVA) on macrophages. Transcriptomic analysis revealed that THP-1 cells in HSEs were enriched in extracellular matrix interaction hallmark but downregulated in DNA replication hallmark. Upon UVA exposure, immunocompetent HSEs presented epidermal distortion and increased DNA double-strand breaks (DSBs). The genes associated with oxidative stress and the inflammatory response were significantly upregulated in THP-1 cells. When the photoprotective agent mycosporine-2-glycine from cyanobacteria was applied to HSEs, the incidence of UVA-induced DSBs was significantly lower, and inflammatory and UV response hallmarks were downregulated in THP-1 cells. Taken together, these results suggest that immunocompetent HSEs can be used to investigate the responses of skin-resident macrophages to external stimuli.


Assuntos
Macrófagos , Pele , Raios Ultravioleta , Humanos , Raios Ultravioleta/efeitos adversos , Macrófagos/efeitos da radiação , Macrófagos/metabolismo , Pele/efeitos da radiação , Pele/metabolismo , Células THP-1 , Quebras de DNA de Cadeia Dupla/efeitos da radiação , Estresse Oxidativo/efeitos da radiação
4.
Sci Rep ; 14(1): 23379, 2024 10 08.
Artigo em Inglês | MEDLINE | ID: mdl-39379502

RESUMO

Exposure to ionizing radiation for oncological therapy increases the risk for late-onset fractures in survivors. However, the effects of total body irradiation (TBI) on adult bone are not well-characterized. The primary aim of this study was to quantify the long-term effects of TBI on bone microstructure, material composition, and mechanical behavior in skeletally mature rhesus macaque (Macaca mulatta) non-human primates. Femora were obtained post-mortem from animals exposed to an acute dose of TBI (6.0-6.75 Gy) nearly a decade earlier, age-matched non-irradiated controls, and non-irradiated young animals. The microstructure of femoral trabecular and cortical bone was assessed via micro-computed tomography. Material composition was evaluated by measuring total fluorescent advanced glycation end products (fAGEs). Cortical bone mechanical behavior was quantified via four-point bending and cyclic reference point indentation (cRPI). Animals exposed to TBI had slightly worse cortical microstructure, including lower cortical thickness (-11%, p = 0.037) and cortical area (-24%, p = 0.049), but similar fAGE content and mechanical properties as age-matched controls. Aging did not influence cortical microstructure, fAGE content, or cRPI measures but diminished femoral cortical post-yield properties, including toughness to fracture (-32%, p = 0.032). Because TBI was administered after the acquisition of peak bone mass, these results suggest that the skeletons of long-term survivors of adulthood TBI may be resilient, retaining or recovering their mechanical integrity during the post-treatment period, despite radiation-induced architectural deficits. Further investigation is necessary to better understand radiation-induced skeletal fragility in mature and immature bone to improve care for radiation patients of all ages.


Assuntos
Fêmur , Macaca mulatta , Irradiação Corporal Total , Animais , Irradiação Corporal Total/efeitos adversos , Masculino , Fêmur/efeitos da radiação , Fêmur/diagnóstico por imagem , Fêmur/patologia , Microtomografia por Raio-X , Fenômenos Biomecânicos , Osso Cortical/efeitos da radiação , Osso Cortical/diagnóstico por imagem , Osso Cortical/patologia , Densidade Óssea/efeitos da radiação
5.
Mikrochim Acta ; 191(11): 656, 2024 Oct 09.
Artigo em Inglês | MEDLINE | ID: mdl-39379735

RESUMO

Laser-induced breakdown spectroscopy (LIBS) is a promising technique for the readout of immunochemical assays utilizing indirect detection of labels (Tag-LIBS), typically based on nanoparticles. We have previously demonstrated that Tag-LIBS immunoassay employing yttrium-based photon-upconversion nanoparticles (UCNPs) can reach sensitivity similar to commonly used enzyme and fluorescence immunoassays. In this study, we report on further increasing the sensitivity of UCNP-based Tag-LIBS immunoassay by employing magnetic microbeads (MBs) as the solid phase in the determination of cancer biomarker prostate-specific antigen. Due to the possibility of analyte preconcentration, MBs enabled achieving a limit of detection (LOD) of 4.0 pg·mL-1, representing two orders of magnitude improvement compared with equivalent microtiter plate-based assay (LOD of 460 pg·mL-1). In addition, utilizing MBs opens up the possibility of an internal standardization of the LIBS readout by employing iron spectral lines, which improves the assay robustness by compensating for LIBS signal fluctuations and bead-bound immunocomplexes lost throughout the washing steps. Finally, the practical applicability of the technique was confirmed by the successful analysis of clinical samples, showing a strong correlation with the standard electrochemiluminescence immunoassay. Overall, MB-based Tag-LIBS was confirmed as a promising immunoassay approach, combining fast readout, multiplexing possibilities, and high sensitivity approaching upconversion luminescence scanning while avoiding the requirement of luminescence properties of labels.


Assuntos
Lasers , Limite de Detecção , Antígeno Prostático Específico , Antígeno Prostático Específico/análise , Antígeno Prostático Específico/imunologia , Antígeno Prostático Específico/sangue , Humanos , Imunoensaio/métodos , Análise Espectral/métodos , Ítrio/química , Ítrio/efeitos da radiação , Masculino , Microesferas
6.
BMC Cancer ; 24(1): 1238, 2024 Oct 08.
Artigo em Inglês | MEDLINE | ID: mdl-39379827

RESUMO

OBJECTIVES: The study aims to emphasize the clinical importance of the Deep Inspiration Breath Hold (DIBH) technique by quantifying its dosimetric advantages over Free Breathing (FB) in reducing radiation exposure to the heart, liver, and lungs for right-sided breast cancer patients. This evidence supports its potential for routine clinical use to mitigate radiation-induced toxicity. METHODS: A systematic retrieval of controlled trials comparing DIBH and FB techniques in postoperative radiotherapy for right-sided breast cancer was conducted utilizing the PubMed, Embase, Cochrane Library, and Web of Science databases. The primary outcomes assessed included the doses of adjacent normal tissues (heart, liver, and lungs). Summary standardized mean differences (SMD) along with 95% confidence intervals (CI) were computed, respectively. StataMP 17 software was selected to perform data analysis. RESULTS: The study encompassed an analysis of 313 patients derived from seven online studies, comprising 168 individuals in the DIBH group and 269 individuals in the FB group. The findings indicated that the DIBH group received significantly lower irradiation doses to the heart, liver, and lungs in comparison to the FB group, with statistical significance (heart dose: SMD = -0.63, 95% CI -0.85 to -0.41, P < 0.05; liver dose: SMD = -1.15, 95% CI -1.91 to -0.38, P < 0.05; lung dose: SMD = -0.79, 95% CI -1.23 to -0.35, P < 0.05). CONCLUSION: This meta-analysis indicated that the application of DIBH during postoperative radiotherapy for right-sided breast cancer markedly decreases radiation exposure to the heart, liver, and lungs, while maintaining consistent tumor dose coverage. CLINICAL TRIAL NUMBER: Not applicable.


Assuntos
Suspensão da Respiração , Neoplasias Unilaterais da Mama , Humanos , Feminino , Neoplasias Unilaterais da Mama/radioterapia , Neoplasias Unilaterais da Mama/cirurgia , Coração/efeitos da radiação , Pulmão/efeitos da radiação , Pulmão/cirurgia , Fígado/efeitos da radiação , Fígado/cirurgia , Radioterapia Adjuvante/métodos , Radioterapia Adjuvante/efeitos adversos , Órgãos em Risco/efeitos da radiação , Dosagem Radioterapêutica , Neoplasias da Mama/radioterapia , Neoplasias da Mama/cirurgia , Inalação
7.
BMC Plant Biol ; 24(1): 935, 2024 Oct 09.
Artigo em Inglês | MEDLINE | ID: mdl-39379825

RESUMO

Horticulture in controlled environments has been increasingly used to tackle limitations on crop production. As a crucial environmental factor, light regulate plant growth and metabolism. In the present study, basil plants were subjected to different light durations and intensities considering constant daily light integral (DLI). The lighting environment included 200, 300, and 400 µmol m- 2 s- 1 intensities for 18, 12, and 9 h, respectively. DLI amounted to 12.96 mol m- 2 d- 1 among all light treatments (LI200 for 18 h, LI300 for 12 h, and LI400 for 9 h). Half of the plants under each light treatment were exposed to 30 µmol m- 2 s- 1 of far-red light. The results indicated the general negative impact of LI400/9 on the growth of basils. Exposure to far-red light hurt the growth of the shoot, while it enhanced stem and petiole elongation. This effect was due to higher gibberellin accumulation, which resulted in shade avoidance responses. Exposure to far-red light also reduced anthocyanin and flavonoid contents, as two important nutritional components. Soluble carbohydrates increased, while storage carbohydrates decreased by increasing lighting duration/decreasing light intensity or by far-red light inclusion. The lowest antioxidant activity was detected in LI400/9. In the LI200/18, the highest level of auxin and the lowest level of cytokinin were detected, while the LI300/12 exhibited the highest level of gibberellin hormone. Low light intensity and long photoperiod enhanced plant biomass and phytochemical production and are recommended for basil production in controlled environments.


Assuntos
Luz , Ocimum basilicum , Compostos Fitoquímicos , Reguladores de Crescimento de Plantas , Ocimum basilicum/efeitos da radiação , Ocimum basilicum/crescimento & desenvolvimento , Ocimum basilicum/fisiologia , Ocimum basilicum/metabolismo , Reguladores de Crescimento de Plantas/metabolismo , Compostos Fitoquímicos/metabolismo , Antocianinas/metabolismo , Fotoperíodo , Antioxidantes/metabolismo
8.
Stem Cell Res Ther ; 15(1): 348, 2024 Oct 08.
Artigo em Inglês | MEDLINE | ID: mdl-39380035

RESUMO

BACKGROUND: Vasoactive intestinal peptide (VIP) is a neuronal peptide with prominent distribution along the enteric nervous system. While effects of VIP on intestinal motility, mucosal vasodilation, secretion, and mucosal immune cell function are well-studied, the direct impact of VIP on intestinal epithelial cell turnover and differentiation remains less understood. Intestinal stem and progenitor cells are essential for the maintenance of intestinal homeostasis and regeneration, and their functions can be modulated by factors of the stem cell niche, including neuronal mediators. Here, we investigated the role of VIP in regulating intestinal epithelial homeostasis and regeneration following irradiation-induced injury. METHODS: Jejunal organoids were derived from male and female C57Bl6/J, Lgr5-EGFP-IRES-CreERT2 or Lgr5-EGFP-IRES-CreERT2/R26R-LSL-TdTomato mice and treated with VIP prior to analysis. Injury conditions were induced by exposing organoids to 6 Gy of irradiation (IR). To investigate protective effects of VIP in vivo, mice received 12 Gy of abdominal IR followed by intraperitoneal injections of VIP. RESULTS: We observed that VIP promotes epithelial differentiation towards a secretory phenotype predominantly via the p38 MAPK pathway. Moreover, VIP prominently modulated epithelial proliferation as well as the number and proliferative activity of Lgr5-EGFP+ progenitor cells under homeostatic conditions. In the context of acute irradiation injury in vitro, we observed that IR injury renders Lgr5-EGFP+ progenitor cells more susceptible to VIP-induced modulations, which coincided with the strong promotion of epithelial regeneration by VIP. Finally, the observed effects translate into an in vivo model of abdominal irradiation, where VIP showed to prominently mitigate radiation-induced injury. CONCLUSIONS: VIP prominently governs intestinal homeostasis by regulating epithelial progenitor cell proliferation and differentiation and promotes intestinal regeneration following acute irradiation injury.


Assuntos
Diferenciação Celular , Camundongos Endogâmicos C57BL , Peptídeo Intestinal Vasoativo , Animais , Peptídeo Intestinal Vasoativo/metabolismo , Peptídeo Intestinal Vasoativo/farmacologia , Camundongos , Masculino , Feminino , Lesões por Radiação/metabolismo , Lesões por Radiação/patologia , Mucosa Intestinal/metabolismo , Mucosa Intestinal/efeitos da radiação , Mucosa Intestinal/patologia , Organoides/metabolismo , Células-Tronco/metabolismo , Células-Tronco/efeitos dos fármacos , Células-Tronco/efeitos da radiação
9.
Lasers Med Sci ; 39(1): 253, 2024 Oct 09.
Artigo em Inglês | MEDLINE | ID: mdl-39382587

RESUMO

Assessing the responses to the application of photobiomodulation using red and infrared spectrum light-emitting diodes (LED) on diabetic foot ulcers. Diabetic volunteers, of both genders, aged between 30 and 65 years, with grade I or II ulcers, were randomized into the groups: red LED, infrared LED, LED associated, and control. Home-based interventions took place on a daily basis for 12 weeks. Assessments of sample characterization were performed on day 1 and 90, and the variables wound healing index, mean skin temperature, sensitivity and pain in the wound area were measured at the pre-intervention time on days 1, 30, 60 and 90, with subsequent follow-up 30 days after the end of treatment. For statistical analysis, the software SPSS, version 17.0, intention-to-treat analysis, data normality was tested, and the linear mixed effects model, with a significance level of 5%. Magnitudes of clinical effect by Cohen's d. At the pre vs post intervention time of 90 days, we found a large clinical effect of G-LED V (d=1.7) and G -LED IV (d=1.6) in relation to G-C, where these intervention groups showed a tendency for faster wound healing compared to G-C. We also observed small clinical effect of G-LED IV, which showed greater reduction in the area in relation to G-LED V (d=0.4) and G-LED A (d=0.3). Conclusion: The use of individually applied red and infrared LED phototherapy clinically tended to be more effective for the reduction of diabetic foot ulcer areas, and infrared LED was the most effective. Trial registration: NCT03250533 (clinicaltrials.gov).


Assuntos
Pé Diabético , Raios Infravermelhos , Terapia com Luz de Baixa Intensidade , Cicatrização , Humanos , Pé Diabético/radioterapia , Pé Diabético/terapia , Pessoa de Meia-Idade , Feminino , Cicatrização/efeitos da radiação , Masculino , Terapia com Luz de Baixa Intensidade/métodos , Terapia com Luz de Baixa Intensidade/instrumentação , Raios Infravermelhos/uso terapêutico , Adulto , Idoso , Resultado do Tratamento , Temperatura Cutânea/efeitos da radiação
10.
Bull Exp Biol Med ; 177(5): 662-667, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-39352671

RESUMO

The structural organization of the extracellular matrix of rectal adenocarcinoma of different differentiation degrees without and after neoadjuvant radiation therapy was studied on postoperative material using immunohistochemistry and electron microscopy. The differences in the expression of types I and III collagens, as well as in the ultrastructural organization of the extracellular matrix of rectal adenocarcinoma of different differentiation degrees without and after neoadjuvant radiation therapy were revealed. We observed high expression of collagen I and wide channels in the collagen matrix in the central areas of the well differentiated adenocarcinomas without neoadjuvant radiation therapy and in poorly differentiated adenocarcinomas after neoadjuvant radiation therapy, which can be associated with metastasis and poor prognosis for the patients.


Assuntos
Adenocarcinoma , Colágeno Tipo III , Colágeno Tipo I , Matriz Extracelular , Terapia Neoadjuvante , Neoplasias Retais , Humanos , Neoplasias Retais/patologia , Neoplasias Retais/radioterapia , Neoplasias Retais/metabolismo , Adenocarcinoma/metabolismo , Adenocarcinoma/patologia , Adenocarcinoma/radioterapia , Adenocarcinoma/ultraestrutura , Matriz Extracelular/metabolismo , Matriz Extracelular/efeitos da radiação , Matriz Extracelular/ultraestrutura , Colágeno Tipo I/metabolismo , Colágeno Tipo III/metabolismo , Masculino , Feminino , Pessoa de Meia-Idade , Imuno-Histoquímica , Idoso
11.
Skin Res Technol ; 30(10): e70091, 2024 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-39362837

RESUMO

BACKGROUND AND OBJECTIVES: Facial photoaging is a type of facial skin aging induced mainly by exogenous factors (ultraviolet radiation) and often manifests itself in the form of hyperpigmentation, telangiectasia, roughness, increase in fine lines/wrinkles, and enlarged pores. Recently, picosecond lasers have become an emerging option for the treatment of facial photoaging, and long-pulse alexandrite lasers (LPAL) have demonstrated promising potential in the treatment of photoaging-related symptoms. This study aimed to evaluate the efficacy and safety of picosecond alexandrite laser (PSAL) with diffractive lens array (DLA) combined with LPAL for facial photoaging. METHODS: This is a retrospective study of 20 Chinese female patients with facial photoaging who received PSAL with DLA combined with LPAL during a 1-year period. All patients were treated every 4 weeks for a total of three treatments. Objective indicators of facial photoaging and patient satisfaction were evaluated before each treatment, and pain scores and adverse effects were recorded after each treatment. RESULTS: Compared with baseline, patients showed significant differences in all facial photoaging indices (p < 0.01). After receiving three treatments, there was a 20.1% decrease in the pigmentation index, a 23.9% decrease in the erythema index, a 34.5% decrease in the texture index, a 28.4% decrease in the fine lines index, a 56% decrease in the pore index, a 9.3% elevation and a 17.1% decrease in elasticity R2 and F4, respectively, and a 55% decrease in sebum content. The mean satisfaction score for the three treatments was 4.67 (3.33, 5.00), and the mean visual analogue scale (VAS) pain score was 7.00. No serious adverse effects such as post-inflammatory hyperpigmentation (PIH), hypopigmentation, or blistering were observed at the treatment site during the treatment period. CONCLUSION: PSAL with DLA combined with LPAL for the treatment of facial photoaging with significant efficacy, high patient satisfaction, and minimal adverse effects.


Assuntos
Face , Lasers de Estado Sólido , Satisfação do Paciente , Envelhecimento da Pele , Adulto , Feminino , Humanos , Pessoa de Meia-Idade , China , População do Leste Asiático , Lasers de Estado Sólido/uso terapêutico , Estudos Retrospectivos , Envelhecimento da Pele/efeitos da radiação , Resultado do Tratamento
12.
BMC Cancer ; 24(1): 1230, 2024 Oct 05.
Artigo em Inglês | MEDLINE | ID: mdl-39369231

RESUMO

BACKGROUND: Radiotherapy has both immunostimulant and immunosuppressive effects, particularly in radiation-induced lymphopenia. Proton therapy has demonstrated potential in mitigating this lymphopenia, yet the mechanisms by which different types of radiation affect the immune system function are not fully characterized. The Circulating Immunes Cells, Cytokines and Brain Radiotherapy (CYRAD) trial aims to compare the effects of postoperative X-ray and proton radiotherapy on circulating leukocyte subpopulations and cytokine levels in patients with head and neck (CNS and ear nose throat) cancer. METHODS: CYRAD is a prospective, non-randomized, single-center non interventional study assessing changes in the circulating leukocyte subpopulations and cytokine levels in head and neck cancer patients receiving X-ray or proton radiotherapy following tumor resection. Dosimetry parameters, including dose deposited to organs-at-risk such as the blood and cervical lymph nodes, are computed. Participants undergo 29 to 35 radiotherapy sessions over 40 to 50 days, followed by a 3-month follow-up. Blood samples are collected before starting radiotherapy (baseline), before the 11th (D15) and 30th sessions (D40), and three months after completing radiotherapy. The study will be conducted with 40 patients, in 2 groups of 20 patients per modality of radiotherapy (proton therapy and photon therapy). Statistical analyses will assess the absolute and relative relationship between variations (depletion, recovery) in immune cells, biomarkers, dosimetry parameters and early outcomes. DISCUSSION: Previous research has primarily focused on radiation-induced lymphopenia, paying less attention to the specific impacts of radiation on different lymphoid and myeloid cell types. Early studies indicate that X-ray and proton irradiation may lead to divergent outcomes in leukocyte subpopulations within the bloodstream. Based on these preliminary findings, this study aims to refine our understanding of how proton therapy can better preserve immune function in postoperative (macroscopic tumor-free) head and neck cancer patients, potentially improving treatment outcomes. PROTOCOL VERSION: Version 2.1 dated from January 18, 2023. TRIAL REGISTRATION: The CYRAD trial is registered from October 19, 2021, at the US National Library of Medicine, ClinicalTrials.gov ID NCT05082961.


Assuntos
Citocinas , Neoplasias de Cabeça e Pescoço , Leucócitos , Fótons , Terapia com Prótons , Humanos , Neoplasias de Cabeça e Pescoço/radioterapia , Neoplasias de Cabeça e Pescoço/imunologia , Neoplasias de Cabeça e Pescoço/sangue , Neoplasias de Cabeça e Pescoço/cirurgia , Terapia com Prótons/métodos , Citocinas/sangue , Citocinas/metabolismo , Estudos Prospectivos , Leucócitos/efeitos da radiação , Leucócitos/metabolismo , Leucócitos/imunologia , Fótons/uso terapêutico , Masculino , Feminino , Pessoa de Meia-Idade , Linfopenia/etiologia , Adulto , Idoso
13.
Lasers Med Sci ; 39(1): 251, 2024 Oct 08.
Artigo em Inglês | MEDLINE | ID: mdl-39377836

RESUMO

Hair loss is a prevalent issue worldwide, which, though not life-threatening, can result in psychological problems, low self-esteem, and social anxiety. Previous studies have shown that ultraviolet radiation can have negative effects on hair follicle cells, leading to hair loss, while the impact of blue light on hair and hair follicle has largely been overlooked. This study aimed to examine the effects of blue light on hair follicle stem cells (HFSCs) and primary dermal papilla cells (DPCs), which are essential components of hair follicles. Human HFSCs and primary DPCs were exposed to blue light (457 nm) at various intensities (1, 4, 8, and 16 mW/cm2) for 3 days. Subsequently, cell viability, cell proliferation, and intracellular reactive oxygen species (ROS) were assessed. The results showed that blue light (457 nm) significantly reduced the cell viability and proliferation of HFSCs and DPCs in vitro, with the inhibition being intensity-dependent. Additionally, blue light triggered the overproduction of ROS in the DPCs. While the exact mechanisms by which blue light affects hair follicle cells remain unclear, these findings suggest that blue light could impede the growth of these cells. This insight may offer a new approach to protecting hair by avoiding exposure to high-intensity blue light.


Assuntos
Proliferação de Células , Sobrevivência Celular , Folículo Piloso , Espécies Reativas de Oxigênio , Células-Tronco , Folículo Piloso/efeitos da radiação , Folículo Piloso/citologia , Folículo Piloso/fisiologia , Humanos , Proliferação de Células/efeitos da radiação , Sobrevivência Celular/efeitos da radiação , Espécies Reativas de Oxigênio/metabolismo , Células-Tronco/efeitos da radiação , Células-Tronco/fisiologia , Células Cultivadas , Luz , Derme/efeitos da radiação , Derme/citologia , Luz Azul
14.
Skin Res Technol ; 30(10): e70082, 2024 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-39366905

RESUMO

BACKGROUND: Extracorporeal shock wave therapy (ESWT) enhances extracellular matrix remodeling and tissue regeneration by promoting growth factor release, regulating blood and lymphatic flows, and reducing fat and fibrotic tissues. Focused shock wave therapy (F-SWT), radial shock wave therapy (R-SWT), and combined F-SWT and R-SWT have been used to deliver different patterns of shock energy depending on the characteristics of the target lesions. METHODS: We investigated the efficacy and safety of ESWT in patients with dermal and subdermal fibrosis. Fifty-two patients treated with F-SWT and/or R-SWT for dermal and subdermal fibrosis caused due to various reasons were retrospectively analyzed by reviewing their medical records, clinical images, and ultrasound study images. RESULTS: The mean number of pulses administered for F-SWT on the cheek, temple, and chin were 2600.0 ± 1040.8 shocks/session and for R-SWT were 5080.0 ± 2234.6 pulses/session, and the number of treatment sessions were 8.0 ± 4.4. In patients who were treated with ESWT on the abdomen, the mean number of pulses for F-SWT were 2600.0 ± 2408.3 shocks/session and for R-SWT were 8400.0 ± 894.4 pulses/session, and the number of treatment sessions were 3.2 ± 1.6. Most patients were satisfied with the results. Pain during ESWT was well tolerated and post-ESWT edema was more common in R-SWT than in F-SWT. CONCLUSION: Our data demonstrated that ESWT effectively and safely improved the clinical appearance and functional movement of patients with dermal and subdermal fibrosis caused due to various reasons.


Assuntos
Tratamento por Ondas de Choque Extracorpóreas , Fibrose , Humanos , Feminino , Masculino , Tratamento por Ondas de Choque Extracorpóreas/métodos , Pessoa de Meia-Idade , Adulto , Estudos Retrospectivos , Resultado do Tratamento , Idoso , Dermatopatias/terapia , Pele/diagnóstico por imagem , Pele/patologia , Pele/efeitos da radiação , Adulto Jovem , Idoso de 80 Anos ou mais
15.
Sci Rep ; 14(1): 23111, 2024 10 04.
Artigo em Inglês | MEDLINE | ID: mdl-39367102

RESUMO

Research into the efficacy of photobiomodulation therapy (PBMT) in reducing inflammation has been ongoing for years, but standards for irradiation methodology still need to be developed. This study aimed to test whether PBMT stimulates in vitro human peripheral blood mononuclear cells (PBMCs) to synthesize pro-inflammatory cytokines, including chemokines. PBMCs were irradiated with laser radiation at two wavelengths simultaneously (λ = 808 nm in continuous emission and λ = 905 nm in pulsed emission). The laser radiation energy was dosed in one dose as a whole (5 J, 15 J, 20 J) or in a fractionated way (5 J + 15 J and 15 J + 5 J) with a frequency of 500, 1,500 and 2,000 Hz. The surface power densities were 177, 214 and 230 mW/cm2, respectively. A pro-inflammatory effect was observed at both the transcript and protein levels for IL-1ß after PBMT at the energy doses 5 J and 20 J (ƒ=500 Hz) and only at the transcript level after application of PBMT at energy doses of 20 J (ƒ= 1,500; ƒ=2,000 Hz) and 5 + 15 J (ƒ=500 Hz). An increase in CCL2 and CCL3 mRNA expression was observed after PBMT at 5 + 15 J (ƒ=1,500 Hz) and 15 + 5 J (ƒ=2,000 Hz) and CCL3 concentration after application of an energy dose of 15 J (frequency of 500 Hz). Even though PBMT can induce mRNA synthesis and stimulate PBMCs to produce selected pro-inflammatory cytokines and chemokines, it is necessary to elucidate the impact of the simultaneous emission of two wavelengths on the inflammatory response mechanisms.


Assuntos
Inflamação , Leucócitos Mononucleares , Terapia com Luz de Baixa Intensidade , Humanos , Leucócitos Mononucleares/efeitos da radiação , Leucócitos Mononucleares/metabolismo , Leucócitos Mononucleares/imunologia , Terapia com Luz de Baixa Intensidade/métodos , Inflamação/radioterapia , Citocinas/metabolismo , Células Cultivadas , Interleucina-1beta/metabolismo , Quimiocinas/metabolismo , Quimiocina CCL2/metabolismo , Quimiocina CCL2/genética
16.
Commun Biol ; 7(1): 1266, 2024 Oct 05.
Artigo em Inglês | MEDLINE | ID: mdl-39367154

RESUMO

During the wound healing process, the activation of signal transducer and activator of transcription 3 (STAT3) is considered crucial for the migration and proliferation of epithelial cells, as well as for establishing the inflammatory environment. However, an excessive STAT3 activation aggravates scar formation. Here we show that 450 nm blue light and 630 nm red light can differentially regulate the phosphorylation of STAT3 (p-STAT3) and its downstream cytokines in keratinocytes. Further mechanistic studies reveal that red light promotes wound healing by activating the PI3 kinase p110 beta (PI3Kß)/STAT3 signaling axis, while blue light inhibits p-STAT3 at the wound site by modulating cytochrome c-P450 (CYT-P450) activity and reactive oxygen species (ROS) generation. In a mouse scar model, skin wound healing can be significantly accelerated with red light followed by blue light to reduce scar formation. In summary, our study presents a potential strategy for regulating epithelial cell p-STAT3 through visible light to address skin scarring issues and elucidates the underlying mechanisms.


Assuntos
Cicatriz , Luz , Fator de Transcrição STAT3 , Transdução de Sinais , Pele , Cicatrização , Animais , Fator de Transcrição STAT3/metabolismo , Fator de Transcrição STAT3/genética , Cicatriz/metabolismo , Cicatriz/patologia , Cicatriz/prevenção & controle , Camundongos , Luz/efeitos adversos , Pele/efeitos da radiação , Pele/metabolismo , Pele/patologia , Queratinócitos/metabolismo , Queratinócitos/efeitos da radiação , Humanos , Masculino , Camundongos Endogâmicos C57BL , Espécies Reativas de Oxigênio/metabolismo , Modelos Animais de Doenças
17.
Lasers Med Sci ; 39(1): 249, 2024 Oct 07.
Artigo em Inglês | MEDLINE | ID: mdl-39370461

RESUMO

This study aimed to evaluate the dose-dependent brain temperature effects of transcranial photobiomodulation (t-PBM). Thirty adult subjects with major depressive disorder were randomized to three t-PBM sessions with different doses (low: 50 mW/cm2, medium: 300 mW/cm2, high: 850 mW/cm2) and a sham treatment. The low and medium doses were administered in continuous wave mode, while the high dose was administered in pulsed wave mode. A 3T MRI scanner was used to perform proton magnetic resonance spectroscopy (1H-MRS). A voxel with a volume of 30 × 30 × 15 mm3 was placed on the left prefrontal region. Brain temperature (°C) was derived by analyzing 1H-MRS spectrum chemical shift differences between the water (~ 4.7 ppm) and N-acetyl aspartate (NAA) (~ 2.01 ppm) peaks. After quality control of the data, the following group numbers were available for both pre- and post-temperature estimations: sham (n = 10), low (n = 11), medium (n = 10), and high (n = 8). We did not detect significant temperature differences for any t-PBM-active or sham groups post-irradiation (p-value range = 0.105 and 0.781). We also tested for potential differences in the pre-post variability of brain temperature in each group. As for t-PBM active groups, the lowest fluctuation (variance) was observed for the medium dose (σ2 = 0.29), followed by the low dose (σ2 = 0.47), and the highest fluctuation was for the high dose (σ2 = 0.67). t-PBM sham condition showed the overall lowest fluctuation (σ2 = 0.11). Our 1H-MRS thermometry results showed no significant brain temperature elevations during t-PBM administration.


Assuntos
Encéfalo , Transtorno Depressivo Maior , Terapia com Luz de Baixa Intensidade , Humanos , Terapia com Luz de Baixa Intensidade/métodos , Transtorno Depressivo Maior/terapia , Adulto , Masculino , Feminino , Encéfalo/efeitos da radiação , Encéfalo/fisiopatologia , Encéfalo/diagnóstico por imagem , Pessoa de Meia-Idade , Temperatura Corporal/efeitos da radiação , Relação Dose-Resposta à Radiação , Imageamento por Ressonância Magnética , Espectroscopia de Prótons por Ressonância Magnética/métodos , Adulto Jovem , Espectroscopia de Ressonância Magnética/métodos
18.
Lasers Med Sci ; 39(1): 248, 2024 Oct 07.
Artigo em Inglês | MEDLINE | ID: mdl-39370492

RESUMO

Cancer cells have the ability to undergo an unlimited number of cell divisions, which gives them immortality. Thus, the cancer cell can extend the length of its telomeres, allowing these cells to divide unlimitedly and avoid entering the state of senescence or cellular apoptosis. One of the main effects of photobiomodulation (PBM) is the increase in the production of adenosine triphosphate (ATP) and free radicals, mainly reactive oxygen species (ROS). Existent data indicates that high levels of ROS can cause shortening and dysfunctional telomeres. Therefore, a better understanding of the effects induced by PBM on cancer cell telomere maintenance is needed. This work aimed to evaluate the effects of low-power red laser (658 nm) and blue LED (470 nm) on the TRF1 and TRF2 mRNA levels and telomere length in human breast cancer cells. MCF-7 and MDA-MB-231 cells were irradiated with a low-power red laser (69 J cm-2, 0.77 W/cm-2) and blue LED (482 J cm-2, 5.35 W/cm-2), alone or in combination, and the relative mRNA levels of the genes and telomere length were assessed by quantitative reverse transcription polymerase chain reaction. The results suggested that exposure to certain red laser and blue LED fluences decreased the TRF1 and TRF2 mRNA levels in both human breast cancer cells. Telomere length was increased in MCF-7 cells after exposure to red laser and blue LED. However, telomere length in MDA-MB-231 was shortened after exposure to red laser and blue LED at fluences evaluated. Our research suggests that photobiomodulation induced by red laser and low-power blue LED could alter telomere maintenance and length.


Assuntos
Neoplasias da Mama , Terapia com Luz de Baixa Intensidade , Telômero , Proteína 1 de Ligação a Repetições Teloméricas , Proteína 2 de Ligação a Repetições Teloméricas , Humanos , Neoplasias da Mama/radioterapia , Neoplasias da Mama/genética , Neoplasias da Mama/patologia , Feminino , Proteína 2 de Ligação a Repetições Teloméricas/metabolismo , Proteína 2 de Ligação a Repetições Teloméricas/genética , Telômero/efeitos da radiação , Terapia com Luz de Baixa Intensidade/métodos , Proteína 1 de Ligação a Repetições Teloméricas/metabolismo , Proteína 1 de Ligação a Repetições Teloméricas/genética , Linhagem Celular Tumoral , RNA Mensageiro/metabolismo , RNA Mensageiro/genética , Células MCF-7 , Homeostase do Telômero/efeitos da radiação , Complexo Shelterina , Proteínas de Ligação a Telômeros
19.
Photodermatol Photoimmunol Photomed ; 40(6): e13001, 2024 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-39368082

RESUMO

BACKGROUND: Butin is a naturally occurring compound with a wide range of medicinal properties, including anti-inflammatory, anti-arthritic, and antioxidant properties. Particulate matter 2.5 (PM2.5) and ultraviolet B (UVB) radiation contribute to skin cell damage via the induction of oxidative stress. METHODS: This study sought to assess the protective effects of butin against damage triggered by PM2.5 and UVB in human HaCaT keratinocytes. Assessments were performed to evaluate cell viability, apoptosis, and cellular component damage. RESULTS: Butin exhibited its protective ability via the inhibition of PM2.5-induced reactive oxygen species generation, lipid peroxidation, DNA damage, protein carbonylation, and mitochondrial damage. Butin reduced the PM2.5-induced c-Fos and phospho-c-Jun protein levels as well as mitogen-activated protein kinase. Furthermore, butin mitigated PM2.5- and UVB-induced apoptosis. CONCLUSION: Butin had the potential as a pharmaceutical candidate for treating skin damage caused by PM2.5 and UVB exposure.


Assuntos
Apoptose , Dano ao DNA , Queratinócitos , Material Particulado , Raios Ultravioleta , Humanos , Raios Ultravioleta/efeitos adversos , Material Particulado/efeitos adversos , Queratinócitos/metabolismo , Queratinócitos/efeitos dos fármacos , Queratinócitos/efeitos da radiação , Queratinócitos/patologia , Apoptose/efeitos dos fármacos , Apoptose/efeitos da radiação , Dano ao DNA/efeitos dos fármacos , Células HaCaT , Estresse Oxidativo/efeitos dos fármacos , Estresse Oxidativo/efeitos da radiação , Espécies Reativas de Oxigênio/metabolismo , Peroxidação de Lipídeos/efeitos dos fármacos , Peroxidação de Lipídeos/efeitos da radiação , Sobrevivência Celular/efeitos dos fármacos , Linhagem Celular
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