Rheumatoid arthritis is a chronic systemic autoimmune disease that affects the synovial joints. Low-level laser photobiomodulation (LLLT) has microcirculatory, analgesic, and anti-inflammatory effects. In this paper, the percentage of collagen fibrils and IL-6 protein expression in the synovia were measured to evaluate the effects of photobiomodulation (PBM) with LLLT (λ = 808 nm) on the morphology. Eighteen female Wistar rats were assigned into three groups: Control, Sham, and PBM. To induce arthritis, animals from the Sham and PBM groups received one intraarticular dose of zymosan (200 µg) under anesthesia. Twenty-four hours after induction, an LLLT treatment (λ = 808 nm, 25 mW nominal power, fluence of 20J/cm2, beam area of 0.02 mm2, time of 33 s, total energy of 0.825 J) was applied. Seven days after induction, samples from the animals' knees were subjected to histological and morphometric analyses, and the percentage of collagen fibers in the synovial area (% total area) with and without polarized light and IL-6 protein expression were measured by immunohistochemistry. Statistical analyses were performed an ANOVA and Tukey's post-test with p < 0.05 to compare the experimental groups using. Inflammation of the synovial region showed significant differences between Sham vs. Control, p < 0.0001, and PBM vs. Sham, p < 0.001. The areas of collagen fibers (total percentage) showed differences between Sham vs. Control, p < 0.0001, and Sham vs. PBM, p = 0.0149. IL-6 showed differences between Sham vs. Control and PBM vs. Sham, p < 0.001. Treatment with PBM using LLLT showed decreased synovial inflammation, collagen fiber formation, fibrosis, and IL-6 protein expression, and consequently decreased joint degradation.
Citation: Luiz Felipe Barreta, Danielly Mandato Oliveira, Bruna Silva Gomes, Sabrina Zanchetta Lanza, Marcelo Augusto Marretto Esquisatto, Gaspar de Jesus Lopes-Filho, Fernando Russo Costa do Bomfim. Photobiomodulation with low-level laser (λ = 808nm) to treat experimental rheumatoid arthritis: A morphological study, collagen fiber analysis and IL-6 protein expression[J]. AIMS Molecular Science, 2025, 12(2): 122-132. doi: 10.3934/molsci.2025008
Rheumatoid arthritis is a chronic systemic autoimmune disease that affects the synovial joints. Low-level laser photobiomodulation (LLLT) has microcirculatory, analgesic, and anti-inflammatory effects. In this paper, the percentage of collagen fibrils and IL-6 protein expression in the synovia were measured to evaluate the effects of photobiomodulation (PBM) with LLLT (λ = 808 nm) on the morphology. Eighteen female Wistar rats were assigned into three groups: Control, Sham, and PBM. To induce arthritis, animals from the Sham and PBM groups received one intraarticular dose of zymosan (200 µg) under anesthesia. Twenty-four hours after induction, an LLLT treatment (λ = 808 nm, 25 mW nominal power, fluence of 20J/cm2, beam area of 0.02 mm2, time of 33 s, total energy of 0.825 J) was applied. Seven days after induction, samples from the animals' knees were subjected to histological and morphometric analyses, and the percentage of collagen fibers in the synovial area (% total area) with and without polarized light and IL-6 protein expression were measured by immunohistochemistry. Statistical analyses were performed an ANOVA and Tukey's post-test with p < 0.05 to compare the experimental groups using. Inflammation of the synovial region showed significant differences between Sham vs. Control, p < 0.0001, and PBM vs. Sham, p < 0.001. The areas of collagen fibers (total percentage) showed differences between Sham vs. Control, p < 0.0001, and Sham vs. PBM, p = 0.0149. IL-6 showed differences between Sham vs. Control and PBM vs. Sham, p < 0.001. Treatment with PBM using LLLT showed decreased synovial inflammation, collagen fiber formation, fibrosis, and IL-6 protein expression, and consequently decreased joint degradation.
| [1] | Romão VC, Fonseca JE (2021) Etiology and risk factors for rheumatoid arthritis: A state-of-the-art review. Front Med 8: 689698. https://doi.org/10.3389/fmed.2021.689698 |
| [2] | Lora V, Cerroni L, Cota C (2018) Skin manifestations of rheumatoid arthritis. Ital J Dermatol Vene 153: 243-255. https://doi.org/10.23736/S0392-0488.18.05872-8 |
| [3] | Augusto MF, de Silva RVM, Miquelito JT, et al. (2022) Fisiopatologia e tratamento da artrite reumatoide: uma revisão narrativa. Revista Eletrônica Acervo Médico 9: e10106. https://doi.org/10.25248/reamed.e10106.2022 |
| [4] | Lin YJ, Anzaghe M, Schülke S (2020) Update on the Pathomechanism, diagnosis, and treatment options for rheumatoid arthritis. Cells 9: 880. https://doi.org/10.3390/cells9040880 |
| [5] | Castro MF, Barbosa LRP, Silva LL (2020) Action of low-level laser therapy on the healing of diabetic ulcerations. Res Soc Develop 9: e6239109109. https://doi.org/10.33448/rsd-v9i10.9109 |
| [6] | Mosca RC, Ong AA, Albasha O, et al. (2019) Photobiomodulation therapy for wound care: A potent, noninvasive, photoceutical approach. Adv Skin Wound Care 32: 157-167. https://10.1097/01.ASW.0000553600.97572.d2 |
| [7] | Hernández E, Khomchenko V, Sola A, et al. (2015) Tratamiento de las úlceras crónicas de las piernas con láser de Er: yag y tecnología recosma. Cirugía Plástica Ibero-Latinoamericana 41: 271-282. http://doi.org/10.4321/s0376-78922015000300007 |
| [8] | Bavaresco T, Lucena AF (2022) Low-laser light therapy in venous ulcer healing: a randomized clinical trial. Rev Bras Enferm 75: e20210396. http://doi.org/10.1590/0034-7167-2021-0396 |
| [9] | Macedo SPR, de de Almeida Mota MS, Fagundes CF, et al. (2021) Efeitos da fotobiomodulação no tratamento de úlceras por pressão: revisão integrativa. Res Soc Develop 10: e32810212597. http://doi.org/10.33448/rsd-v10i2.12597 |
| [10] | Gonçalves AB, Bovo JL, Gomes BS, et al. (2021) Photobiomodulation (λ = 808nm) and platelet-rich plasma (PRP) for the treatment of acute rheumatoid arthritis in Wistar rats. J Lasers Med Sci 12: e60. http://doi.org/10.34172/jlms.2021.60 |
| [11] | Bombo LA, Esquisatto MAM, Bomfim FRC (2019) Efeitos do laser de baixa intensidade na articulação de ratos Wistar submetidos À artrite gotosa experimental. Revista Ensaios Pioneiros 2: 1-12. |
| [12] | do Bomfim FRC, Gomes BS, Lanza SZ, et al. (2024) Photobiomodulation effects on synovial morphology, iNOS gene, and protein expression in a model of acute inflammation. Acta Cir Bras 39: e392024. http://doi.org/10.1590/acb392024 |
| [13] | Brandão PLKO, Filho STA, Santos JGC, et al. (2020) Comparative study of inflammatory joint diseases ankylosing spondylitis and rheumatoid arthritis. Braz Appl Sci Rev 4: 2258-2268. |
| [14] | Guazelli CFS, Staurengo-Ferrari L, Zarpelon AC, et al. (2018) Quercetin attenuates zymosan-induced arthritis in mice. Biomed Pharmacother 102: 175-184. https://doi.org/10.1016/j.biopha.2018.03.057 |
| [15] | Heiskanen V, Michael RH (2018) Photobiomodulation: Lasers vs. light emitting diodes?. Photochem Photobiol Sci 17: 1003-1017. https://doi.org/10.1039/C8PP00176F |
| [16] | Dompe C, Moncrieff L, Matys J, et al. (2020) Photobiomodulation-underlying mechanism and clinical applications. J Clin Med 9: 1724. https://doi.org/10.3390/jcm9061724 |
| [17] | Ailioaie LM, Litscher G (2020) Molecular and cellular mechanisms of arthritis in children and adults: New perspectives on applied photobiomodulation. Int J Mol Sci 18: 6565. https://doi.org/10.3390/ijms21186565 |
| [18] | Eezammuddeen NN, Vaithilingam RD, Hassan NHM, et al. (2020) Association between rheumatoid arthritis and periodontitis: Recent progress. Curr Oral Health Rep 7: 139-153. https://doi.org/10.1007/s40496-020-00264-4 |
| [19] | Sella VRG, do Bomfim FRC, Machado PCD, et al. (2015) Effect of low-level laser therapy on bone repair: a randomized controlled experimental study. Lasers Med Sci 30: 1061-1068. https://doi.org/10.1007/s10103-015-1710-0 |
| [20] | Mazulo-Neto JCR, Souza LG, dos Santos Mazulo FR, et al. (2021) Effects of photobiomodulation in pain and articular degeneration in mice arthritis model. Braz J Pain 4: 104-107. https://doi.org/10.5935/2595-0118.20210028 |
| [21] | Busanello-Costa M, Rennó ACM, Martignago CCS, et al. (2020) Benefícios do Fator de Crescimento Epidérmico (EGF) associado a terapia de fotobiomodulação a LED no reparo tecidual de feridas cutâneas. Res Soc Develop 10: e9909109369. https://doi.org/10.33448/rsd-v9i10.9369 |
| [22] | Marin E, de Freitas Tavares AL, Neves M, et al. (2021) Avaliação do músculo tibial anterior de ratos submetidos à um modelo de artrite reumatoide e tratados com laser de baixa potência. Revista Saúde (Santa Maria) 47: 1-10. https://doi.org/10.5902/2236583439971 |
| [23] | Oliveira NR, Da Silva IA, Pinto RR (2021) Colágeno: uma breve revisão Collagen: a brief review. Braz J Develop 7: 103346-103355. |
| [24] | Guerne PA, Zuraw BL, Vaughan JH, et al. (1989) Synovium as a source of interleukin 6 in vitro. Contribution to local and systemic manifestations of arthritis. J Clin Invest 83: 585-592. http://doi.org/10.1172/JCI113921 |
| [25] | van de Loo FA, Joosten LAB, van Lent PLEM, et al. (1995) Role of interleukin-1, tumor necrosis factor alpha, and interleukin-6 in cartilage proteoglycan metabolism and destruction. Effect of in situ blocking in murine antigen- and zymosan-induced arthritis. Arthritis Rheumatol 38: 164-172. http://doi.org/10.1002/art.1780380204 |
| [26] | Kremer JM, Rigby W, Singer NG, et al. (2018) Sustained response following discontinuation of methotrexate in patients with rheumatoid arthritis treated with subcutaneous tocilizumab. Arthritis Rheumatol 70: 1200-1208. http://doi.org/10.1002/art.40493 |
| [27] | Rubbert-Roth A, Furst DE, Nebesky JM, et al. (2018) A review of recent advances using tocilizumab in the treatment of rheumatic diseases. Rheumatol Ther 5: 21-42. http://doi.org/10.1007/s40744-018-0102-x |
| [28] | Finzel S, Kraus S, Figueiredo CP, et al. (2019) Comparison of the effects of tocilizumab monotherapy and adalimumab in combination with methotrexate on bone erosion repair in rheumatoid arthritis. Ann Rheum Dis 78: 1186-1191. http://doi.org/10.1136/annrheumdis-2018-214894 |
| [29] | Kim GW, Lee NR, Pi RH, et al. (2015) IL-6 inhibitors for treatment of rheumatoid arthritis: Past, present, and future. Arch Pharm Res 38: 575-584. http://doi.org/10.1007/s12272-015-0569-8 |
| [30] | Sella VRG, do Bomfim FRC, Machado PCD, et al. (2015) Effect of low-level laser therapy on bone repair: a randomized controlled experimental study. Lasers Med Sci 30: 1061-1068. http://doi.org/10.1007/s10103-015-1710-0 |
| [31] | Reis CHB, Buchaim RL, Pomini KT, et al. (2022) Effects of a biocomplex formed by two scaffold biomaterials, hydroxyapatite/tricalcium phosphate ceramic and fibrin biopolymer, with photobiomodulation, on bone repair. Polymers 14: 2075. http://doi.org/10.3390/polym14102075 |