Evaluation of the red & blue LED effects on cutaneous refractory wound healing in male Sprague-Dawley rat using 3 different multi-drug resistant bacteria

The effect of blue and green light on human umbilical cord mesenchymal stem cells for promoting proliferation and wound healing

Photobiomodulation (PBM) has been widely utilized in regenerative medicine, including dermatology, dentistry, and neurology. However, the optimal energy density of PBM for human umbilical cord mesenchymal stem cells (hUC-MSCs) remains underexplored, hindering its development and potential clinical application. This study aims to identify the optimal wavelength and irradiation fluence for promoting the proliferation of hUC-MSCs by comparing the effects of different wavelengths and irradiation fluences. Our results show that green light enhances the anti-inflammatory properties of hUC-MSCs, with the 76s being the most effective in inhibiting IL-6 and GM-CSF. Blue light with 38 s is more effective in promoting angiogenesis, significantly increasing the mRNA and protein secretion of VEGF, HGF, and FGF2 compared to the non-irradiated group. The peak secretion times varied, with VEGF and FGF2 peaking at 72 h and HGF at 24 h. RNA-Seq confirms the significant roles of blue and green light in inhibiting epithelial-mesenchymal transition and inflammation. In vitro co-culture models and conditioned media experiments validate these anti-inflammatory effects. These findings have important implications for accelerating the clinical application of stem cell therapies and provide new references for PBM use in hUC-MSCs.

Homogeneous synthesis of cationic celluloses with broad-spectrum antibacterial activities for the treatment of vaginitis in mice

Microbial infection is a significant health issue for humans. Despite the development of numerous antibiotics, the continuous rise of drug-resistant bacteria highlights the urgent need for new materials to combat these problems. In this study, four water-soluble quaternized cellulose (QC) derivatives with degrees of substitution (DS) ranging from 0.23 to 0.45 were synthesized homogeneously from cellulose carbamate (CC) in NaOH/ZnO aqueous solution. The QC derivatives exhibited broad-spectrum antibacterial activity against gram-negative/positive bacteria, fungi and drug-resistance bacteria. Models of bacterial vaginitis (BV) and vulvovaginal candidiasis (VVC) were used to evaluate the application of QC derivatives visually. Secretion smears and tissue section staining revealed that treatment with QC derivatives led to a reduction in mycelia and spores in the vagina and secretions in the VVC model, along with improved inflammation. In the BV model, vaginal secretions were reduced, clue cells in smears significantly decreased, and inflammation markedly improved. Additionally, cell experiments and staining of mouse organ tissue sections demonstrated that QC derivatives exhibited good biocompatibility. Therefore, using QC derivatives in flushing douches represents a novel approach for treating vaginitis and could serve as a benchmark for addressing other infectious diseases.

Red and blue LED light increases the survival rate of random skin flaps in rats after MRSA infection

Skin flap transplantation is a conventional wound repair method in plastic and reconstructive surgery, but infection and ischemia are common complications. Photobiomodulation (PBM) therapy has shown promise for various medical problems, including wound repair processes, due to its capability to accelerate angiogenesis and relieve inflammation. This study investigated the effect of red and blue light on the survival of random skin flaps in methicillin-resistant Staphylococcus aureus (MRSA)-infected Sprague Dawley (SD) rats. Forty male SD rats were divided into control and light-emitting diode-red and blue light-treated (LED-RBL) groups at a ratio of 1:1 and a McFarland flap procedure was performed, which was subsequently infected with MRSA strains. After 7 days, the appearance and survival of the flaps were evaluated. The microvascular density was determined by hematoxylin and eosin (HE) staining. The expression levels of vascular endothelial growth factor (VEGF), hypoxia inducible factor 1α (HIF-1α), phosphatidylinositol 3-kinase (PI3K), and protein kinase B (normally expressed as AKT) were detected by immunohistochemistry. The flap survival rate and microvascular density in the LED-RBL group were significantly higher than those in the control group (P < 0.05). In addition, the VEGF, HIF1-α, PI3K, and AKT levels were significantly higher in the LED-RBL group compared to the control group (P < 0.05). Red and blue light increased the survival area of the infected flap in rats by promoting angiogenesis, relieving oxidative stress, and reducing bacterial loads, indicating that PBM therapy is a convenient, simple, analgesic, and safe treatment intervention in promoting the survival rate of transplanted flaps after wound repair surgery.

Investigating the Relevance of Cyclic Adenosine Monophosphate Response Element-Binding Protein to the Wound Healing Process: An In Vivo Study Using Photobiomodulation Treatment

Monitoring inflammatory cytokines is crucial for assessing healing process and photobiomodulation (PBM) enhances wound healing. Meanwhile, cAMP response element-binding protein (CREB) is a regulator of cellular metabolism and proliferation. This study explored potential links between inflammatory cytokines and the activity of CREB in PBM-treated wounds. A total of 48 seven-week-old male SD rats were divided into four groups (wound location, skin or oral; treatment method, natural healing or PBM treatment). Wounds with a 6 mm diameter round shape were treated five times with an 808 nm laser every other day (total 60 J). The wound area was measured with a caliper and calculated using the elliptical formula. Histological analysis assessed the epidermal regeneration and collagen expression of skin and oral tissue with H&E and Masson's trichrome staining. Pro-inflammatory (TNF-α) and anti-inflammatory (TGF-β) cytokines were quantified by RT-PCR. The ratio of phosphorylated CREB (p-CREB) to unphosphorylated CREB was identified through Western blot. PBM treatment significantly reduced the size of the wounds on day 3 and day 7, particularly in the skin wound group (p < 0.05 on day 3, p < 0.001 on day 7). The density of collagen expression was significantly higher in the PBM treatment group (in skin wound, p < 0.05 on day 3, p < 0.001 on day 7, and p < 0.05 on day 14; in oral wound, p < 0.01 on day 7). The TGF-β/TNF-α ratio and the p-CREB/CREB ratio showed a parallel trend during wound healing. Our findings suggested that the CREB has potential as a meaningful marker to track the wound healing process.

Cutaneous Mycobacterium Abscessus Infection Following Plastic Surgery: Three Case Reports

Aim

Mycobacterium abscessus is ubiquitous in the environment and seldom causes infections in immunocompetent individuals. However, skin and soft tissue infections caused by M. abscessus have been reported in recent years. Additionally, the cutaneous infections or outbreaks post cosmetic surgery caused by M. abscessus have been increasing due to the popularity of plastic surgery. The main modes of transmission are through contaminated saline, disinfectants, or surgery equipment, as well as close contact between patients. This article describes three patients who were admitted to our hospital between November 2019 and October 2020. They presented with long-term non-healing wounds caused by M. abscessus infection after undergoing plastic surgery. Symptoms presented by the three patients included swelling, ulceration, secretion, and pain. After identification of M. abscessus with Ziehl-Neelsen staining and MALDI-TOF MS system, the patients were treated with surgical debridement and clarithromycin.

Conclusion

It is important to note that a long-term wound that does not heal, especially after plastic surgery, should raise suspicion for M. abscessus infection. The infection mechanism in these three patients may have been due to exposure to surgical equipment that was not properly sterilized or due to poor sterile technique by the plastic surgeon. To prevent such infections, it is important to ensure proper sterilization of surgical equipment and saline.

Anion-Exchange Blue Perovskite Quantum Dots for Efficient Light-Emitting Devices

In this study, blue perovskite quantum dots (PQDs) were prepared using didodecyldimethylammonium bromide (DDAB), which can passivate surface defects caused by the loss of surface ligands and reduce particle size distribution. After the passivation of DDAB, blue CsPbClxBr3-x PQDs dispersed in n-octane produced a more compact and uniform PQD thin film than the non-passivated ones. The resulting device showed a stabile lifetime, and an EL peak of 470 nm and a maximum EQE of 1.63% were obtained at an operating voltage of 2.6 V and a current density of 0.34 mA/cm2. This work aims to provide a simple method to prepare blue-emitting PQDs and high-performance PQD-based light-emitting devices.