A Role for Photobiomodulation in the Prevention of Myocardial Ischemic Reperfusion Injury: A Systematic Review and Potential Molecular Mechanisms
Identifieur interne : 000858 ( Main/Exploration ); précédent : 000857; suivant : 000859A Role for Photobiomodulation in the Prevention of Myocardial Ischemic Reperfusion Injury: A Systematic Review and Potential Molecular Mechanisms
Auteurs : Ann Liebert [Australie] ; Andrew Krause [Australie] ; Neil Goonetilleke [Australie] ; Brian Bicknell [Australie] ; Hosen Kiat [Australie]Source :
- Scientific Reports [ 2045-2322 ] ; 2017.
Abstract
Myocardial ischemia reperfusion injury is a negative pathophysiological event that may result in cardiac cell apoptosis and is a result of coronary revascularization and cardiac intervention procedures. The resulting loss of cardiomyocyte cells and the formation of scar tissue, leads to impaired heart function, a major prognostic determinant of long-term cardiac outcomes. Photobiomodulation is a novel cardiac intervention that has displayed therapeutic effects in reducing myocardial ischemia reperfusion related myocardial injury in animal models. A growing body of evidence supporting the use of photobiomodulation in myocardial infarct models has implicated multiple molecular interactions. A systematic review was conducted to identify the strength of the evidence for the therapeutic effect of photobiomodulation and to summarise the current evidence as to its mechanisms. Photobiomodulation in animal models showed consistently positive effects over a range of wavelengths and application parameters, with reductions in total infarct size (up to 76%), decreases in inflammation and scarring, and increases in tissue repair. Multiple molecular pathways were identified, including modulation of inflammatory cytokines, signalling molecules, transcription factors, enzymes and antioxidants. Current evidence regarding the use of photobiomodulation in acute and planned cardiac intervention is at an early stage but is sufficient to inform on clinical trials.
Url:
DOI: 10.1038/srep42386
PubMed: 28181487
PubMed Central: 5299427
Affiliations:
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<front><div type="abstract" xml:lang="en"><p>Myocardial ischemia reperfusion injury is a negative pathophysiological event that may result in cardiac cell apoptosis and is a result of coronary revascularization and cardiac intervention procedures. The resulting loss of cardiomyocyte cells and the formation of scar tissue, leads to impaired heart function, a major prognostic determinant of long-term cardiac outcomes. Photobiomodulation is a novel cardiac intervention that has displayed therapeutic effects in reducing myocardial ischemia reperfusion related myocardial injury in animal models. A growing body of evidence supporting the use of photobiomodulation in myocardial infarct models has implicated multiple molecular interactions. A systematic review was conducted to identify the strength of the evidence for the therapeutic effect of photobiomodulation and to summarise the current evidence as to its mechanisms. Photobiomodulation in animal models showed consistently positive effects over a range of wavelengths and application parameters, with reductions in total infarct size (up to 76%), decreases in inflammation and scarring, and increases in tissue repair. Multiple molecular pathways were identified, including modulation of inflammatory cytokines, signalling molecules, transcription factors, enzymes and antioxidants. Current evidence regarding the use of photobiomodulation in acute and planned cardiac intervention is at an early stage but is sufficient to inform on clinical trials.</p>
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<name sortKey="Bicknell, Brian" sort="Bicknell, Brian" uniqKey="Bicknell B" first="Brian" last="Bicknell">Brian Bicknell</name>
<name sortKey="Bicknell, Brian" sort="Bicknell, Brian" uniqKey="Bicknell B" first="Brian" last="Bicknell">Brian Bicknell</name>
<name sortKey="Goonetilleke, Neil" sort="Goonetilleke, Neil" uniqKey="Goonetilleke N" first="Neil" last="Goonetilleke">Neil Goonetilleke</name>
<name sortKey="Goonetilleke, Neil" sort="Goonetilleke, Neil" uniqKey="Goonetilleke N" first="Neil" last="Goonetilleke">Neil Goonetilleke</name>
<name sortKey="Kiat, Hosen" sort="Kiat, Hosen" uniqKey="Kiat H" first="Hosen" last="Kiat">Hosen Kiat</name>
<name sortKey="Kiat, Hosen" sort="Kiat, Hosen" uniqKey="Kiat H" first="Hosen" last="Kiat">Hosen Kiat</name>
<name sortKey="Krause, Andrew" sort="Krause, Andrew" uniqKey="Krause A" first="Andrew" last="Krause">Andrew Krause</name>
<name sortKey="Liebert, Ann" sort="Liebert, Ann" uniqKey="Liebert A" first="Ann" last="Liebert">Ann Liebert</name>
</country>
</tree>
</affiliations>
</record>
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