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Martins MD, Silveira FM, Webber LP, Wagner VP, Martins MAT, Squarize CH, Castilho RM. The impact of photobiomodulation therapy on the biology and behavior of head and neck squamous cell carcinomas cell lines. JOURNAL OF PHOTOCHEMISTRY AND PHOTOBIOLOGY B-BIOLOGY 2020; 209:111924. [PMID: 32570058 DOI: 10.1016/j.jphotobiol.2020.111924] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/14/2019] [Revised: 10/30/2019] [Accepted: 06/01/2020] [Indexed: 01/01/2023]
Abstract
Photobiomodulation therapy (PBMT) is an emerging therapeutic modality designed to prevent and treat chemotherapy-driven oral mucositis (OM). However, the response of tumor cells to the effects of PBMT remains poorly understood. Our study explores the effects of PBMT in head and neck squamous cell carcinoma (HNSCC) based on cellular proliferation, migration, and survival of tumor cells and its population of cancer stem cells (CSC). We explored the behavior of two HNSCC cell lines (HN6 and HN13) under two distinct conditions, a physiological growing condition (10% FBS), and under stress growing condition (2% FBS) prior to irradiation using diode laser (InGaAlP; MM Optics, São Carlos, SP, Brazil). Diode laser (660 nm) was applied with a power of 100 mW delivering a total energy per point of 0.24 J. MTT and wound healing test (scratch assay) were performed to evaluate, respectively, proliferation and migration of tumor cells. Clonogenic and spheres formation assays were also performed to evaluate the survival and percentage of CSC upon irradiation. Overall, we observed that PBMT does not exacerbate the behavior of HNSCC. We could only observe a decrease in cellular proliferation of one cell line (HN6) when cultured under nutritional stress conditions (p < .05). There were no significant differences between the control and the PBMT groups regarding cell migration, survival and the percentage of CSC. Collectively, our results suggest that in vitro administration of PBMT to HNSCC does not modify the behavior of tumor cells.
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Affiliation(s)
- Manoela Domingues Martins
- Department of Oral Pathology, School of Dentistry, Federal University of Rio Grande do Sul, Rio Grande do Sul, Brazil; Department of Oral Diagnosis, Piracicaba Dental School, University of Campinas, Piracicaba, Brazil; Laboratory of Epithelial Biology, Department of Periodontics and Oral Medicine, University of Michigan, School of Dentistry, Ann Arbor, MI, USA
| | - Felipe Martins Silveira
- Department of Oral Diagnosis, Piracicaba Dental School, University of Campinas, Piracicaba, Brazil
| | - Liana Preto Webber
- Department of Oral Pathology, School of Dentistry, Federal University of Rio Grande do Sul, Rio Grande do Sul, Brazil; Laboratory of Epithelial Biology, Department of Periodontics and Oral Medicine, University of Michigan, School of Dentistry, Ann Arbor, MI, USA
| | - Vivian Petersen Wagner
- Department of Oral Pathology, School of Dentistry, Federal University of Rio Grande do Sul, Rio Grande do Sul, Brazil; Department of Oral Diagnosis, Piracicaba Dental School, University of Campinas, Piracicaba, Brazil; Laboratory of Epithelial Biology, Department of Periodontics and Oral Medicine, University of Michigan, School of Dentistry, Ann Arbor, MI, USA
| | - Marco Antonio Trevizani Martins
- Department of Oral Pathology, School of Dentistry, Federal University of Rio Grande do Sul, Rio Grande do Sul, Brazil; Laboratory of Epithelial Biology, Department of Periodontics and Oral Medicine, University of Michigan, School of Dentistry, Ann Arbor, MI, USA
| | - Cristiane Helena Squarize
- Laboratory of Epithelial Biology, Department of Periodontics and Oral Medicine, University of Michigan, School of Dentistry, Ann Arbor, MI, USA
| | - Rogerio Moraes Castilho
- Laboratory of Epithelial Biology, Department of Periodontics and Oral Medicine, University of Michigan, School of Dentistry, Ann Arbor, MI, USA.
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Bikmulina PY, Kosheleva NV, Shpichka AI, Efremov YM, Yusupov VI, Timashev PS, Rochev YA. Beyond 2D: effects of photobiomodulation in 3D tissue-like systems. JOURNAL OF BIOMEDICAL OPTICS 2020; 25:1-16. [PMID: 32351077 PMCID: PMC7189416 DOI: 10.1117/1.jbo.25.4.048001] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/12/2020] [Accepted: 04/09/2020] [Indexed: 05/02/2023]
Abstract
SIGNIFICANCE Currently, various scaffolds with immobilized cells are widely used in tissue engineering and regenerative medicine. However, the physiological activity and cell viability in such constructs might be impaired due to a lack of oxygen and nutrients. Photobiomodulation (PBM) is a promising method of preconditioning cells to increase their metabolic activity and to activate proliferation or differentiation. AIM Investigation of the potential of PBM for stimulation of cell activities in hydrogels. APPROACH Mesenchymal stromal cells (MSCs) isolated from human gingival mucosa were encapsulated in modified fibrin hydrogels with different thicknesses and concentrations. Constructs with cells were subjected to a single-time exposure to red (630 nm) and near-infrared (IR) (840 nm) low-intensity irradiation. After 3 days of cultivation, the viability and physiological activity of the cells were analyzed using confocal microscopy and a set of classical tests for cytotoxicity. RESULTS The cell viability in fibrin hydrogels depended both on the thickness of the hydrogels and the concentration of gel-forming proteins. The PBM was able to improve cell viability in hydrogels. The most pronounced effect was achieved with near-IR irradiation at the 840-nm wavelength. CONCLUSIONS PBM using near-IR light can be applied for stimulation of MSCs metabolism and proliferation in hydrogel-based constructs with thicknesses up to 3 mm.
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Affiliation(s)
- Polina Y. Bikmulina
- Sechenov First Moscow State Medical University, Institute for Regenerative Medicine, Moscow, Russia
| | - Nastasia V. Kosheleva
- Lomonosov Moscow State University, Faculty of Biology, Moscow, Russia
- FSBSI “Institute of General Pathology and Pathophysiology,” Moscow, Russia
- FSBEI FPE “Russian Medical Academy of Continuous Professional Education,” Ministry of Healthcare of Russia, Moscow, Russia
| | - Anastasia I. Shpichka
- Sechenov First Moscow State Medical University, Institute for Regenerative Medicine, Moscow, Russia
- Lomonosov Moscow State University, Chemistry Department, Moscow, Russia
| | - Yuri M. Efremov
- Sechenov First Moscow State Medical University, Institute for Regenerative Medicine, Moscow, Russia
| | - Vladimir I. Yusupov
- Institute of Photon Technologies of FSRC “Crystallography and Photonics” RAS, Troitsk, Moscow, Russia
| | - Peter S. Timashev
- Sechenov First Moscow State Medical University, Institute for Regenerative Medicine, Moscow, Russia
- Lomonosov Moscow State University, Chemistry Department, Moscow, Russia
- Institute of Photon Technologies of FSRC “Crystallography and Photonics” RAS, Troitsk, Moscow, Russia
- N.N. Semenov Institute of Chemical Physics, Department of Polymers and Composites, Moscow, Russia
| | - Yury A. Rochev
- Sechenov First Moscow State Medical University, Institute for Regenerative Medicine, Moscow, Russia
- National University of Ireland, National Centre for Biomedical Engineering Science, Galway, Ireland
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53
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Gavish L, Hoffer O, Rabin N, Halak M, Shkilevich S, Shayovitz Y, Weizman G, Haim O, Gavish B, Gertz SD, Ovadia‐Blechman Z. Microcirculatory Response to Photobiomodulation—Why Some Respond and Others Do Not: A Randomized Controlled Study. Lasers Surg Med 2020; 52:863-872. [DOI: 10.1002/lsm.23225] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/01/2020] [Indexed: 12/18/2022]
Affiliation(s)
- Lilach Gavish
- The Institute for Research in Military Medicine (IRMM) Faculty of Medicine of The Hebrew University of Jerusalem and Israel Defense Forces Medical Corps Ein Kerem, POB 12272 Jerusalem 9112001 Israel
- Institute for Medical Research‐Israel‐Canada (IMRIC) Faculty of Medicine of The Hebrew University of Jerusalem Ein Kerem, POB 12272 Jerusalem 9112001 Israel
| | - Oshrit Hoffer
- School of Electrical Engineering Afeka Tel‐Aviv Academic College of Engineering 38 Mivtza Kadesh St. Tel‐Aviv 6910717 Israel
| | - Neta Rabin
- Unit of Mathematics Afeka Tel‐Aviv Academic College of Engineering 38 Mivtza Kadesh St. Tel‐Aviv 6910717 Israel
- Department of Industrial Engineering, The Iby and Aladar Fleischman Faculty of Engineering Tel‐Aviv University P.O.B 39040, Ramat Aviv Tel‐Aviv 6997801 Israel
| | - Moshe Halak
- Department of Vascular Surgery Sheba Medical Center Ramat‐Gan 5265601 Israel
| | - Simon Shkilevich
- School of Medical Engineering Afeka Tel‐Aviv Academic College of Engineering 8 Mivtza Kadesh St. Tel‐Aviv 6910717 Israel
| | - Yuval Shayovitz
- School of Medical Engineering Afeka Tel‐Aviv Academic College of Engineering 8 Mivtza Kadesh St. Tel‐Aviv 6910717 Israel
| | - Gal Weizman
- School of Medical Engineering Afeka Tel‐Aviv Academic College of Engineering 8 Mivtza Kadesh St. Tel‐Aviv 6910717 Israel
| | - Ortal Haim
- School of Electrical Engineering Afeka Tel‐Aviv Academic College of Engineering 38 Mivtza Kadesh St. Tel‐Aviv 6910717 Israel
| | | | - S. David Gertz
- The Institute for Research in Military Medicine (IRMM) Faculty of Medicine of The Hebrew University of Jerusalem and Israel Defense Forces Medical Corps Ein Kerem, POB 12272 Jerusalem 9112001 Israel
- Institute for Medical Research‐Israel‐Canada (IMRIC) Faculty of Medicine of The Hebrew University of Jerusalem Ein Kerem, POB 12272 Jerusalem 9112001 Israel
| | - Zehava Ovadia‐Blechman
- School of Medical Engineering Afeka Tel‐Aviv Academic College of Engineering 8 Mivtza Kadesh St. Tel‐Aviv 6910717 Israel
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Angiogenic protein synthesis after photobiomodulation therapy on SHED: a preliminary study. Lasers Med Sci 2020; 35:1909-1918. [PMID: 32056077 DOI: 10.1007/s10103-020-02975-7] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2019] [Accepted: 01/31/2020] [Indexed: 10/25/2022]
Abstract
This study evaluated the viability, proliferation, and protein expression after photobiomodulation (PBM) of stem cell from human exfoliated deciduous teeth (SHED). The groups were the following: G1 (2.5 J/cm2), G2 (3.7 J/cm2), and control (not irradiated). According to the groups, cells were irradiated with InGaAlP diode laser at 660 nm wavelength, continuous mode, and single time application. After 6 h, 12 h, and 24 h from irradiation, the cell viability and proliferation, and the protein expression were analyzed by MTT, crystal violet, and ELISA multiplex assay, respectively. Twenty-four hours after PBM, SHED showed better proliferation. Over time in the supernatant, all groups had an increase at the levels of VEGF-C, VEGF-A, and PLGF. In the lysate, the control and G2 exhibited a decrease of the VEGF-A, PECAM-1, and PLGF expression, while control and G3 decreased VEGF-C, VEGF-A, and PDGF expression. The dosimetries of 2.5 J/cm2 and 3.7 J/cm2 maintained viability, improved proliferation, and synthesis of the angiogenic proteins in the supernatant in the studied periods on SHED.
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Chernov AS, Reshetnikov DA, Ristsov GK, Kovalitskaya YA, Ermakov AM, Manokhin AA, Simakin AV, Vasilov RG, Gudkov SV. Influence of electromagnetic waves, with maxima in the green or red range, on the morphofunctional properties of multipotent stem cells. J Biol Phys 2019; 45:317-334. [PMID: 31595390 PMCID: PMC6917679 DOI: 10.1007/s10867-019-09531-7] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2019] [Accepted: 08/27/2019] [Indexed: 12/16/2022] Open
Abstract
This paper examines the effect of electromagnetic waves, with maxima in the green or red regions of the spectrum, on the morphofunctional state of multipotent mesenchymal stromal cells. The illumination regimes used in our experiments did not lead to any substantial heating of the samples; the physical parameters of the lighting were carefully monitored. When the samples were illuminated with a green light, no significant photostimulatory effect was observed. Red light, on the other hand, had an evident photostimulatory effect. It is shown that photostimulation with a red light decreases the enzymatic activities of mitochondrial dehydrogenases and enhances the viability of cells, their proliferative activity, and their ability to form bone tissue. It is also established that red light stimulates cell proliferation, while not activating the genes that increase the risk of the subsequent malignant transformation of cells or their death. This paper discusses the possible role of hydrogen peroxide in the processes examined.
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Affiliation(s)
- A S Chernov
- National Research Center "Kurchatov Institute", Akademika Kurchatova pl. 1, Moscow, Russia, 123182.
| | - D A Reshetnikov
- Institute of Cell Biophysics, Federal Research Center "Pushchino Scientific Center for Biological Research of the Russian Academy of Sciences", Russian Academy of Sciences, Nauki Ave., 3, Pushchino, Moscow Region, Russia, 142290
| | - G K Ristsov
- Institute of Biochemistry and Physiology of Microorganisms, Federal Research Center "Pushchino Scientific Center for Biological Research of the Russian Academy of Sciences", Russian Academy of Sciences, Nauki Ave., 3, Pushchino, Moscow Region, Russia, 142290
| | - Yu A Kovalitskaya
- Branch of the Shemyakin-Ovchinnikov Institute of Bioorganic Chemistry, Russian Academy of Sciences, Institutskaya St. 6, Pushchino, Moscow Oblast, Russia, 142290
| | - A M Ermakov
- Institute of Theoretical and Experimental Biophysics of the Russian Academy of Sciences, Institutskaya St. 6, Pushchino, Moscow Region, Russia, 142290
| | - A A Manokhin
- Institute of Cell Biophysics, Federal Research Center "Pushchino Scientific Center for Biological Research of the Russian Academy of Sciences", Russian Academy of Sciences, Nauki Ave., 3, Pushchino, Moscow Region, Russia, 142290
| | - A V Simakin
- Prokhorov General Physics Institute of the Russian Academy of Sciences, Vavilova Ave., 38, Moscow, Russia, 119991
| | - R G Vasilov
- National Research Center "Kurchatov Institute", Akademika Kurchatova pl. 1, Moscow, Russia, 123182
| | - S V Gudkov
- Prokhorov General Physics Institute of the Russian Academy of Sciences, Vavilova Ave., 38, Moscow, Russia, 119991
- All-Russia Research Institute for Phytopathology, B. Vyazyomy, Moscow Region, Russia, 143050
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Zhang S, Zhang Y, Zhang W, Chen S, Liu C. Chronic exposure to green light aggravates high-fat diet-induced obesity and metabolic disorders in male mice. ECOTOXICOLOGY AND ENVIRONMENTAL SAFETY 2019; 178:94-104. [PMID: 30999185 DOI: 10.1016/j.ecoenv.2019.04.013] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/11/2019] [Revised: 04/02/2019] [Accepted: 04/03/2019] [Indexed: 06/09/2023]
Abstract
Light is involved in many critical physiological or biochemical processes of human beings, such as visual sensing and the production of vitamin D. Recent studies have showed that the lights of different wavelengths have a profound influence in life activities. For example, blue light promotes alertness, whereas green light (GL) induces sleep in mice. On the other hand, metabolic homeostasis is regulated by a variety of factors, including dietary habits and light exposure. Our study aims to study whether certain wavelength of light would affect metabolic status of mice. Mice were divided into normal diet-fed group and high-fat diet (HFD)-fed group, and then exposed to various colors of the light. Physiological parameters, such as body weight, food intake and water drinking were regularly measured. Glucose tolerance test and pyruvate tolerance test were simultaneously performed. After mice were humanely sacrificed, liver histology and serologic analysis were performed for detecting lipid levels. We found that GL group showed obvious glucose intolerance and increased levels of serum and liver lipid contents compared to white light group. Meanwhile, the expression levels of lipid metabolism-related genes were almost down-regulated in liver. Furthermore, melatonin receptor-1b and thyroid hormone receptor-β expression levels were significantly lowered in liver of GL-treated obese mice, suggesting that these hormone pathways may mediate the changes of lipid metabolism. Our data indicate that GL has a detrimental effect on the energy metabolism and aggravates HFD-induced obesity in mice. In addition to malnutrition, the colors of the lights also have a profound influence in the metabolic homeostasis and should be taken into consideration in the therapy of metabolic disorders.
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Affiliation(s)
- Shiyao Zhang
- State Key Laboratory of Natural Medicines, China Pharmaceutical University, Nanjing, 211198, PR China; School of Life Science and Technology, China Pharmaceutical University, Nanjing, 211198, PR China
| | - Yanchen Zhang
- State Key Laboratory of Natural Medicines, China Pharmaceutical University, Nanjing, 211198, PR China; School of Life Science and Technology, China Pharmaceutical University, Nanjing, 211198, PR China
| | - Wenxiang Zhang
- State Key Laboratory of Natural Medicines, China Pharmaceutical University, Nanjing, 211198, PR China; School of Life Science and Technology, China Pharmaceutical University, Nanjing, 211198, PR China
| | - Siyu Chen
- State Key Laboratory of Natural Medicines, China Pharmaceutical University, Nanjing, 211198, PR China; School of Life Science and Technology, China Pharmaceutical University, Nanjing, 211198, PR China
| | - Chang Liu
- State Key Laboratory of Natural Medicines, China Pharmaceutical University, Nanjing, 211198, PR China; School of Life Science and Technology, China Pharmaceutical University, Nanjing, 211198, PR China; State Key Laboratory of Pharmaceutical Biotechnology, Nanjing University, Nanjing, 210023, PR China.
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Photobiomodulation (660 nm) therapy reduces oxidative stress and induces BDNF expression in the hippocampus. Sci Rep 2019; 9:10114. [PMID: 31300736 PMCID: PMC6625994 DOI: 10.1038/s41598-019-46490-4] [Citation(s) in RCA: 52] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2019] [Accepted: 06/25/2019] [Indexed: 12/22/2022] Open
Abstract
Photobiomodulation therapy (PBMT) effects an important role in neural regeneration and function enhancement, such as expression of nerve growth factor and nerve regeneration, in neuronal tissues, and inhibition of cell death by amyloid beta in neurons is inhibited by PBMT. However, there no studies evaluated the effects of PBMT on oxidative stress in the hippocampus. The aim of this study is to evaluate the effects of PBMT on oxidative stress in the hippocampus. This study assessed the anti-oxidative effect, the expression of BDNF and antioxidant enzymes, as well as the activation of cAMP response element binding (CREB) and extracellular signal-regulated kinase (ERK) signal transduction pathways assess using a hippocampal cell line (HT-22) and mouse organotypic hippocampal tissues by PBMT (LED, 660 nm, 20 mW/cm2). PBMT inhibited HT-22 cell death by oxidative stress and increased BDNF expression via ERK and CREB signaling pathway activation. In addition, PBMT increased BDNF expression in hippocampal organotypic slices and the levels of phosphorylated ERK and CREB, which were reduced by oxidative stress, as well as the expression of the antioxidant enzyme superoxide dismutase. These data demonstrate that PBMT inhibits hippocampal damage induced by oxidative stress and increases the expression of BDNF, which can be used as an alternative to treat a variety of related disorders that lead to nerve damage. Activation and redox homeostasis in neuronal cells may be a notable mechanism of the 660-nm PBMT-mediated photobioreactivity.
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Comparison of photobiomodulation using either an intraoral or an extraoral laser on oral mucositis induced by chemotherapy in rats. Support Care Cancer 2019; 28:867-876. [PMID: 31165336 DOI: 10.1007/s00520-019-04889-9] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2019] [Accepted: 05/22/2019] [Indexed: 10/26/2022]
Abstract
PURPOSE The aim of the present study was to compare the effect of intraoral (IO) and extraoral (EO) diode laser irradiation on oral mucositis (OM) induced by 5-fluorouracil (5-FU) in rats. METHODS Animals (n = 78) were divided into the following groups: negative control (NC), positive control (PC), IO 6 J/cm2, EO with 6 J/cm2 (EO 6 J/cm2), and 12 J/cm2 (EO 12 J/cm2). OM was induced with an intraperitoneal injection of 5-FU and scarification of the buccal mucosa. Over the following 14 days, animals received photobiomodulation (PBM) daily. Clinical and histological evaluation was done by scores at days 8, 10, and 14. The redox state was evaluated by reactive species levels, antioxidant network, and immunohistochemistry analysis. RESULTS Clinically, on day 8, PBM groups showed lower scores of OM with EO 6 J/cm2 presenting a significantly lower degree compared to PC (p < 0.05). On days 10 and 14, all PBM groups exhibited improvement of OM compared to PC (p < 0.01). On day 8, all PBM groups exhibited an accelerated healing process compared to PC (p < 0.01) and reduction of reactive species (p < 0.001). Also, all PBM groups demonstrated higher levels of antioxidant GPx compared to PC (p < 0.001). Analysis of nitrotyrosine revealed that on day 14, this protein damage marker was significantly reduced in the EO 6 J/cm2 group (p > 0.05). CONCLUSIONS An EO diode laser protocol promoted positive effects in the clinical, histopathological, and redox state in OM induced by 5-FU in rats. Among the EO protocols, EO 6 J/cm2 showed the most encouraging results.
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de Abreu PTR, de Arruda JAA, Mesquita RA, Abreu LG, Diniz IMA, Silva TA. Photobiomodulation effects on keratinocytes cultured in vitro: a critical review. Lasers Med Sci 2019; 34:1725-1734. [PMID: 31154598 DOI: 10.1007/s10103-019-02813-5] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2019] [Accepted: 05/21/2019] [Indexed: 12/27/2022]
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Androsov NS, Matiakin GG, Melenchuk IP, Shumaeva OD, Sushchikhina MA. [Short-term results of radiotherapy of cancer of the tongue and mouth floor mucosa using 60Co and 252Cf]. Lasers Med Sci 1986; 31:3-7. [PMID: 3724383 DOI: 10.1007/s10103-023-03786-2] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2022] [Accepted: 05/12/2023] [Indexed: 05/29/2023]
Abstract
The authors presented the immediate and 3-year results of interstitial and combined therapy of 90 patients with cancer of the tongue and oral fundus mucosa. 60Co- and 252Cf-sources were employed in interstitial radiotherapy. There were no significant differences in therapeutic efficacy using different radiation sources. Some methodological aspects of administration of interstitial radiotherapy, radiation reactions and complications were covered.
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