Unscheduled DNA synthesis in human skin after in vitro ultraviolet-excimer laser ablation

Investigation of comet assays under conditions mimicking ocular instillation administration in a three-dimensional reconstructed human corneal epithelial model

Purpose: A comet assay is one of the genotoxicity methods for evaluating the potential of chemicals to induce DNA strand breaks. To investigate the usefulness of comet assays for evaluating the genotoxic potential of ophthalmic solutions, a three-dimensional (3D) reconstructed human corneal epithelial model (3D corneal model) was exposed to conditions mimicking topical ocular instillation administration. Methods: The 3D corneal model was exposed to acridine orange, ethidium bromide, hydrogen peroxide, 1,1'-dimethyl-4,4'-bipyridinium dichloride (paraquat), 4-nitroquinoline 1-oxide (4-NQO), acrylamide and methyl methanesulfonate (MMS). To mimic the ocular surface condition to which ophthalmic solutions are administered, the exposure time was set to 1 minute. Likewise, human corneal epithelial (HCE-T) cells, as monolayer cultured cells, were exposed to the same chemicals, for comparison. Results: In the 3D corneal model, the amount of DNA fragments was statistically significantly increased in cells treated with each of the test chemicals except acrylamide. In HCE-T cells, the amount of DNA fragments was statistically significantly increased in acridine orange-, ethidium bromide-, hydrogen peroxide-, 4-NQO- and MMS-treated cells but not in paraquat- or acrylamide-treated cells. In the 3D corneal model, the lowest concentrations at which we observed DNA damage were about 100 times higher than the concentrations in HCE-T cells. Since the 3D corneal model is morphologically similar to human corneal tissue, form a multilayer and having tight junctions, it may be that the test chemicals only permeated about 1% into the 3D corneal model. Conclusion: These results suggest that the comet assay using 3D cell culture models may reflect in vivo conditions better than do monolayer cultured cells, and that the comet assay may be useful for the evaluation of genotoxic potential of topical ophthalmic solution.

Cytotoxic and Mutagenic Action of 193-nm and 213-nm Laser Radiation

PURPOSE

To compare the cytotoxic and mutagenic effect of 213-nm and 193-nm laser radiation on cultured mammalian cells.

METHODS

Chinese hamster lung (V79) cells were exposed to 193-nm radiation from an argon fluorine excimer laser or 213-nm radiation from a 5th harmonic Nd:YAG laser. The cytotoxic action of the lasers was compared by determining the number of V79 cell colonies that formed 1 week after irradiating cells with different doses of 193-nm or 213-nm laser radiation or with continuous wave 254-nm radiation. The cytotoxic action of the lasers on primary cultures of human corneal fibroblasts was also compared. The mutagenic potential of the lasers was compared by measuring the number of ouabain or 6-Thioguanine(6TG)-resistant V79 mutants that formed after exposing V79 cells to 193-nm or 213-nm radiation.

RESULTS

The dose of 193-nm laser radiation that resulted in 37% survival (D37) of V79 cells was estimated to be 11.3 mJ/cm2 compared to 3.2 mJ/cm2 for 213-nm laser radiation and 1.2 mJ/cm2 for 254-nm UV radiation. The mean number of ouabain-induced mutants induced at the D37 for 193-nm, 213-nm, and 254-nm laser radiation were 28, 166, and 279 mutants/10(7) cells, respectively. Continuous wave 254-nm radiation induced 6TG-resistant colonies, but there was no significant induction of 6TG-resistant mutants by either laser.

CONCLUSIONS

Although the in vitro data presented herein may or may not be meaningful to humans, the 213-nm Nd:YAG laser was more cytotoxic and mutagenic than the 193-nm excimer laser on cultured mammalian cells but was less cytotoxic and mutagenic than 254-nm radiation.

A study on the morphological changes of the rat mandibular bone with TEA CO2 laser

OBJECTIVE

The purpose of this study was to investigate the morphological changes of the bone structure induced by transversely excited, atmospheric TEA pressure CO2 laser irradiation. Moreover, the healing process at 3 weeks was also observed.

SUMMARY BACKGROUND DATA

It has been demonstrated that dental hard tissue can be removed by a long pulse of TEA CO2 laser irradiation with minimal thermal damage. However, there are few studies on the morphological changes of the TEA CO2 laser on bone tissue.

METHODS

The TEA CO2 laser was irradiated on the surface of the rat mandibular bone under the following irradiation conditions: wavelength, 10.6 microns; output, 95 mJ/pulse; pulse repetition rate, 1 Hz; irradiation time, 7.5 microseconds/shot; spot size, 0.8 x 1.5 mm; energy density, 7.9 J/cm2. Histological and scanning electron microscopic examinations were performed.

RESULTS

In the stereoscopic examination, a defect with clean-cut margins was produced. In the light microscopic examination, a basophilic line at the bottom of the defect was noted. Examining the defect with SEM, a smear-like appearance and cone structures were found. In the histological examination, a healing process by formation of new bones at the junction site was recognized.

CONCLUSIONS

These findings suggest that it is possible to remove bone tissues by TEA CO2 laser irradiation. However, a particle-like structure associated with a basophilic line and melted surface indicated that some thermal damage was produced during the laser irradiation.

A clinical study on the removal of gingival melanin pigmentation with the CO(2) laser

BACKGROUND AND OBJECTIVE

In a previous study, the possibility of removal of dog gingival melanin pigmentation with CO(2) laser therapy was reported. The present study was designed to investigate the effect of the CO(2) laser on human gingival pigmentation and evaluate the clinical outcome.

STUDY DESIGN/MATERIALS AND METHODS

A CO(2) laser (output: 6-8 W, pulse duration: 0.2 seconds) was irradiated on the melanin pigmented gingival surface of 10 patients, aged 20-49 years. Follow-up clinical and histopathological evaluations were performed.

RESULTS

The CO(2) laser was effective in removing melanin pigmentation in all patients. In the histopathological study, no pigmented-laden cells nor any inflammatory cell infiltration was observed following laser irradiation. No re-pigmentation was seen in any case in the first year. However, four of seven cases showed re-pigmentation at 24 months. The re-pigmentation was almost equal to the preoperative state.

CONCLUSIONS

The CO(2) laser has proved to be another effective, safe, and easily applicable therapy for the removal of gingival melanin pigmentation.

Mutagenic effects of the Excimer laser using a fibroblast transformation assay

For over 10 years fiber-guided laser systems have been used in arthroscopic surgery. The possibility of a mutagenic risk by the use of lasers has not been sufficiently repudiated, especially for the Excimer laser at a wavelength of 308 nm, which is close to the absorption spectrum of DNA. The aim of this study therefore was to approximate the mutagenic risk of UV-laser wavelengths using an in vitro transformation assay. BALB/3T3 fibroblasts were irradiated with Excimer laser wavelengths of 248 nm and 308 nm. The resulting transformation rates were compared to those of untreated cells and to cells that were subjected to an x-ray dose of 1 Gy. Pulse energy, frequency, and irradiation time were varied over a wide range, from sublethal fluences to total cell death. Furthermore, the effect of repeated irradiation (split-dose) was analyzed. The results for the 248 nm irradiation showed a highly significant transformation rate (P < 10(-9)). In contrast, results for the 308 nm irradiation were not at all significant (P < .18). The transformation rate of cells that were treated with x-rays was increased exponentially compared with the controls. Although an increased transformation rate was found after 248 nm irradiation, that of the wavelength 308 nm was not enhanced. The study therefore shows that the use of the Excimer wavelength 308 nm in arthroscopic procedures does not imply a specific mutagenic risk.

Laser-induced fluorescence during photorefractive keratectomy: a method for controlling epithelial removal

PURPOSE

Laser-induced fluorescence is generated during ablation of corneal tissue with the argon-fluoride 193-nm excimer laser. To investigate possible changes in laser-induced fluorescence spectra emitted during the transition between epithelium and stroma, we developed a system using an intensified charge-coupled device to achieve fast per-pulse temporal resolution of laser-induced fluorescence.

METHODS

Freshly enucleated human cadaver eyes were subjected to 193-nm excimer laser keratectomy. During the procedure, laser-induced fluorescence was measured using an intensified charge-coupled device. Changes in laser-induced fluorescence were detected and used to control epithelial removal. Depth of ablation was determined histologically.

RESULTS

The 193-nm excimer laser pulses induced both visible and ultraviolet fluorescence from corneal epithelium and stroma. In each layer two peaks predominated, one at 405 nm and the other at 346 nm. There was a rapid threefold reduction in the 346-nm ultraviolet peak at the transition from epithelium to stroma.

CONCLUSIONS

By monitoring changes in laser-induced fluorescence at the epithelial-stromal interface, the clinician may be able to control corneal epithelial removal more precisely and reproducibly before performing photorefractive ablation.

Interaction between human sperm cells and hamster oocytes after argon fluoride excimer laser drilling of the zona pellucida

OBJECTIVES

To provide conclusive evidence that sperm cells gain access to the perivitelline space exclusively through a laser-drilled opening. To assess the optimal size of the hole and to evaluate the efficacy of laser drilling in comparison with that of mechanical zona dissection.

DESIGN

An interspecies model of human sperm cell that interacts with a laser-drilled or partially zona-dissected hamster oocytes.

MAIN OUTCOME MEASURES

Penetration rate into the perivitelline space as related to the size of the opening (group A [5 microns], group B [10 microns], and group C [15 microns]) and to the sperm cell concentrations (1 x 10(6), 5 x 10(6), and 10 x 10(6) cells/mL) used for insemination.

RESULTS

For each sperm cell concentration, the penetration rate into the perivitelline space was lowest for group A followed by group C and highest for group B. When penetration was compared for each hole size, it was found that sperm concentration had no effect on the rate of penetration in groups A and C but significantly affected this rate in group B. The highest penetration rate of 73% was observed with a concentration of 10 x 10(6) cell/mL and declined to 58% and 23% at 5 x 10(6) cell/mL and 1 x 10(6) cell/mL, respectively. Oocytes drilled by laser (10-microns hole) demonstrated a significantly higher penetration rate when compared with those treated by partial zona dissection (73% versus 20% and 58% versus 21% for sperm densities of 10 x 10(6) cells/mL and 5 x 10(6) cells/mL, respectively).

CONCLUSION

Human sperm cells gain access into the perivitelline space of hamster oocytes exclusively through a hole drilled by an argon fluoride excimer laser. An opening of 10 microns was found to yield optimal results. Laser drilling of the zona pellucida seems to be superior to that of mechanical slitting in terms of sperm oolema interaction.

The efficacy and safety of zona pellucida drilling by a 193-nm excimer laser

OBJECTIVE

To examine the efficiency of argon fluoride excimer laser drilling of the zona pellucida of mouse oocytes in improving in vitro fertilization (IVF) at low sperm concentrations and to assess its safety.

DESIGN

Oocytes obtained from (Balb/c x C57BL6)CB6F1 female mice were drilled by laser and divided into two groups: group I (89 oocytes) were inseminated with 10(5) sperm cells/mL, and group II (94 oocytes) were inseminated with 10(6) sperm cells/mL. Both groups' fertilization rate and development in vitro was compared with control oocytes that underwent the same preparation steps but no drilling (94 and 88 oocytes for group I and group II, respectively).

MAIN OUTCOME MEASURES

The fertilization rate and the development in vitro of the laser-drilled groups is compared with that of the control. In addition, in vivo development of embryos generated from laser-drilled oocytes after transfer to pseudopregnant recipients is assessed.

RESULTS

For both sperm concentrations, laser drilling significantly enhanced fertilization over control (67% versus 31% at 10(5) sperm cells/mL and 90% versus 54% at 10(6) sperm cells/mL). The development into the blastocyst stage after 96 hours of incubation was similar for both the laser-drilled and control groups at any sperm cell concentration. However, complete hatching at this point was significantly enhanced by the drilling procedure. Normal litters were obtained from the transfer of embryos developed from zona-drilled oocytes into pseudopregnant recipients.

CONCLUSIONS

Excimer laser drilling enhanced IVF at low sperm cell concentration. The procedure is safe and did not interfere with embryo development in vitro or in vivo.

DNA damage in cultured human skin fibroblasts exposed to excimer laser radiation

Ultraviolet excimer lasers are being considered for use in a variety of refractive and therapeutic procedures, the long-term biologic consequences of which are unknown. The effect of sublethal doses of 193-nm laser radiation on cellular DNA was examined in cultured human skin fibroblasts. In contrast to 248 nm, treatments with the 193-nm laser radiation below 70 J/m2 did not cause significant pyrimidine dimer formation in the skin cells. This was indicated by the lack of excision repair activities (unscheduled DNA synthesis assay), and further demonstrated by direct analysis of pyrimidine dimers in DNA from irradiated cells. However, a low level of unscheduled DNA synthesis could be detected following irradiation at 193 nm with 70 J/m2. Both the 193-nm and 248-nm radiation were able to induce chromosomal aberrations, as indicated by a micronucleus assay. A dose-dependent increase in micronuclei frequency was observed 48 and 72 h after laser irradiation. These results indicate that exposure of actively replicating human skin fibroblasts to sublethal doses of either 193- or 248-nm laser radiation can result in genotoxicity.

Technique for cellular microsurgery using the 193-nm excimer laser

A new cell surgery technique has been developed to produce well-defined alterations in cells and tissue without detectable heating and/or other structural damage in the surroundings. The technique involves the use of an argon fluoride excimer laser, in the deep ultraviolet (UV) region of the spectrum at 193 nm, which is guided through a glass pipette filled with a positive air pressure. To demonstrate the method, holes were drilled in the zona pellucida of mouse oocytes. The diameter of the drilled hole was determined by the pipette tip size, and its depth by an energy emitted per pulse and number of pulses. Scanning electron microscopy of the drilled mouse oocytes showed uniform, round, well-circumscribed holes with sharp edges. Oocytes that had their zona pellucida drilled with this new method fertilized in vitro and developed to the blastocyst stage in a rate similar to that of control group. These results demonstrate the nonperturbing nature of this cold laser microsurgical procedure. In addition to the extension of our results for clinical in vitro fertilization purposes, such as enhancement of fertilization and embryo biopsy, there are wide-ranging possible uses of our method in fundamental and applied investigations that require submicron accuracy in cellular alteration.

Photochemistry of DNA using 193 nm excimer laser radiation

Photoproducts in double-stranded DNA induced by 193 nm radiation have been investigated. Double-stranded, supercoiled pBR322 DNA in buffered aqueous solution was exposed to varying fluences of 193 nm radiation from an ArF excimer laser. The quantum yields for formation of cyclobutylpyrimidine dimers, frank strand breaks and alkali labile sites were calculated from the conversion of supercoiled (Form I) DNA to relaxed (Form II) DNA after treatment with Micrococcus luteus dimer-specific endonuclease, no treatment, or treatment with alkali and heat, respectively. The quantum yields were 1.65 (+/- 0.03) X 10(-3) for pyrimidine dimers, 9.4 (+/- 3.2) X 10(-5) for frank strand breaks and 9.6 (+/- 3.6) X 10(-5) for alkali labile sites. The quantum yields for pyrimidine dimers and strand breaks and alkali labile sites were not affected by 10 nM mannitol. The relative quantum yields for these DNA photoproducts induced by 193 nm radiation differed markedly from those produced by 254 nm radiation.

Mutation and sister chromatid exchange induction in Chinese hamster ovary (CHO) cells by pulsed excimer laser radiation at 193 nm and 308 nm and continuous UV radiation at 254 nm

We compared mutagenesis and sister chromatid exchange (SCE) induction by 193 nm and 308 nm pulsed excimer laser radiation with 254 nm low intensity continuous wave UV light in Chinese hamster ovary (CHO) cells in culture. The 254 nm radiation was most mutagenic of the radiations, in accordance with expectation, and also was most effective in increasing the level of SCEs. The 193 nm radiation was mutagenic at the ouabain resistance locus, but not at the HGPRT locus. However, 193 nm radiation was also strongly cytotoxic at energies producing measurable mutations. This radiation also caused a dose-related increase in SCEs. Pulsed excimer radiation at 308 nm was mutagenic at both loci, and also increased the incidence of SCEs. Comparison of the ratio of mutants/surviving cells at the D37 after radiation showed similar values for 254 nm and 308 nm at the HGPRT locus, but at the ouabain resistance locus, the ratio for the 308 nm radiation was about 5 times that for 254 nm radiation. These results indicate that some risk for mutagenesis may accompany the use of excimer radiation in the UVA region in therapeutic applications.

Cytotoxicity and mutagenicity of excimer laser radiation

Excimer laser radiation at 193 nm, 248 nm and 308 nm cause DNA photochemistry. The photobiological effects resulting from exposure of cells to 308 nm and 248 nm radiation appear to be the same as those obtained using low irradiance CW sources at similar wavelengths. This indicates that the high irradiances available from the excimer laser cause the same DNA photochemistry as the lower-irradiance CW sources. Excimer laser radiation at 193 nm causes less cytotoxicity than predicted based on the DNA absorption spectrum. This may result from absorption of 193 nm radiation by protein present between the cell surface, and nuclear DNA, or from less efficient DNA photochemistry using 193 nm radiation. In vitro assays indicate that DNA-damaging effects resulting in cytotoxicity decrease in the order 248 nm greater than 308 nm greater than 193 nm.

Pulsed Er:YAG- and 308 nm UV-excimer laser: an in vitro and in vivo study of skin-ablative effects

Using a pulsed XeCl excimer laser (308 nm) and a pulsed Er:YAG laser (2,940 nm), we investigated skin ablation as a function of pulse number, radiant energy, and repetition rate. In vitro analysis of lesions performed in freshly excised human skin were consistent with in vivo results obtained from experiments on pig skin. Pulsed 308 nm laser radiation caused considerable nonspecific thermal tissue injury followed by an inflammatory reaction and impaired healing of lesions in vivo. These findings were especially pronounced with higher repetition rates, which would be required for efficient destruction of larger lesions. On the other hand, the 2.94 microns Er:YAG laser radiation produced clean and precise lesions with only minimal adjacent injury. In vivo skin ablation caused intraoperative bleeding with deeper penetration. The Er:YAG laser offers a promising surgical tool for careful removal of superficial epidermal lesions, if higher repetition rates, and an appropriate laser beam delivery system are available for clinical use.

193 nm excimer laser selective ablation of in vivo guinea pig epidermis

We have previously shown that 193 nm excimer laser irradiation cleanly and effectively ablates avascular tissue with minimal thermal damage to surrounding adjacent structures. In this study, the 193 nm excimer laser is used to remove guinea pig epidermis in vivo. The epidermis can be totally ablated with thermal damage extending only superficially into the dermis. Reepitheliazation of the ablated area takes place in 1 week or less. This technique may be applicable to the removal of benign epidermal lesions.