[Low level laser therapy: molecular mechanisms of anti-inflammatory and regenerative effects]

Laser therapy as a physiotherapeutic method has been successfully used for a long time in the treatment of various pathologies, but the action mechanisms of low level laser therapy (LLLT) remain understudied.

OBJECTIVE

To perform the analysis of published results of LLLT investigations, to describe the physical principles of photobiomodulation, its action mechanisms on various cells and tissues, therapeutic intervention and efficiency of the technique.

MATERIAL AND METHODS

The search of articles was done for the period from 2014 to 2022. The preference was given to the articles for the last 5 years in the PubMed database depending on keywords: low level laser therapy, photobiomodulation, exosomes, monocytes, macrophages.

RESULTS AND DISCUSSION

This article represents the current conceptions about the action mechanisms and reproduced effects of low level laser therapy, the photobiomodulation influence on the inflammation and reparative processes in human body by intervention on cells and their signal pathways. The discussion of research results and probable causes of conflicting data are performed, as well as the efficacy assessment of laser irradiation in different conditions and diseases is made.

CONCLUSION

Laser therapy has certain variety of advantages, among which: non-invasiveness and availability, long-term service of equipment, stable intensity of light radiation and the ability to use in various wavelength ranges. The technique efficacy was proven for a large number of diseases. However, for the successful application of photobiomodulation in clinical practice in current evidence-based medicine, additional investigations are necessary to determine the best dosimetric radiation parameters, as well as further study of action mechanisms on various human cells and tissues.

Tone, autoregulatory properties, and wall thickness-to-radius ratio in skeletal muscle arterioles

Internal diameter, wall thickness, wall thickness-to-radius ratio (W/r), and blood flow velocity in arterioles of different branching orders were measured in the rat cremaster muscle. The heterogeneity of W/r increased in more distal orders. During papaverine treatment, there was a direct correlation between vasodilation and W/r. When pressure was decreased by 20%, 42% of arterioles showed autoregulation; the remaining arterioles constricted in proportion to initial W/r. Similarly, the dilatation of arterioles with autoregulatory properties increased with initial W/r. It is concluded that W/r is an important parameter quantitatively related to tone, mechanical characteristics, and autoregulatory properties of arterioles.