Can photobiomodulation therapy be an alternative to pharmacological therapies in decreasing the progression of skeletal muscle impairments of mdx mice?

Objective To compare the effects of photobiomodulation therapy (PBMT) and pharmacological therapy (glucocorticoids and non-steroidal anti-inflammatory drugs) applied alone and in different combinations in mdx mice. Methods The animals were randomized and divided into seven experimental groups treate...

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Veröffentlicht in:PloS one 2020-08, Vol.15 (8), p.e0236689-e0236689
Hauptverfasser: Tomazoni, Shaiane Silva, Casalechi, Heliodora Leao, Ferreira, Cheila de Sousa Bacelar, Serra, Andrey Jorge, Dellê, Humberto, Brito, Rodrigo Barbosa de Oliveira, de Melo, Brunno Lemes, Vanin, Adriane Aver, Ribeiro, Neide Firmo, Pereira, Amanda Lima, Monteiro, Kadma Karenina Damasceno Soares, Marcos, Rodrigo Labat, de Carvalho, Paulo de Tarso Camillo, Frigo, Lucio, Leal-Junior, Ernesto Cesar Pinto
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container_start_page e0236689
container_title PloS one
container_volume 15
creator Tomazoni, Shaiane Silva
Casalechi, Heliodora Leao
Ferreira, Cheila de Sousa Bacelar
Serra, Andrey Jorge
Dellê, Humberto
Brito, Rodrigo Barbosa de Oliveira
de Melo, Brunno Lemes
Vanin, Adriane Aver
Ribeiro, Neide Firmo
Pereira, Amanda Lima
Monteiro, Kadma Karenina Damasceno Soares
Marcos, Rodrigo Labat
de Carvalho, Paulo de Tarso Camillo
Frigo, Lucio
Leal-Junior, Ernesto Cesar Pinto
description Objective To compare the effects of photobiomodulation therapy (PBMT) and pharmacological therapy (glucocorticoids and non-steroidal anti-inflammatory drugs) applied alone and in different combinations in mdx mice. Methods The animals were randomized and divided into seven experimental groups treated with placebo, PBMT, prednisone, non-steroidal anti-inflammatory drug (NSAIDs), PBMT plus prednisone and PBMT plus NSAID. Wild type animals were used as control. All treatments were performed during 14 consecutive weeks. Muscular morphology, protein expression of dystrophin and functional performance were assessed at the end of the last treatment. Results Both treatments with prednisone and PBMT applied alone or combined, were effective in preserving muscular morphology. In addition, the treatments with PBMT (p = 0.0005), PBMT plus prednisone (p = 0.0048) and PBMT plus NSAID (p = 0.0021) increased dystrophin gene expression compared to placebo-control group. However, in the functional performance the PBMT presented better results compared to glucocorticoids (p
doi_str_mv 10.1371/journal.pone.0236689
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Methods The animals were randomized and divided into seven experimental groups treated with placebo, PBMT, prednisone, non-steroidal anti-inflammatory drug (NSAIDs), PBMT plus prednisone and PBMT plus NSAID. Wild type animals were used as control. All treatments were performed during 14 consecutive weeks. Muscular morphology, protein expression of dystrophin and functional performance were assessed at the end of the last treatment. Results Both treatments with prednisone and PBMT applied alone or combined, were effective in preserving muscular morphology. In addition, the treatments with PBMT (p = 0.0005), PBMT plus prednisone (p = 0.0048) and PBMT plus NSAID (p = 0.0021) increased dystrophin gene expression compared to placebo-control group. However, in the functional performance the PBMT presented better results compared to glucocorticoids (p&lt;0.0001). In contrast, the use of NSAIDs did not appear to add benefits to skeletal muscle tissue in mdx mice. Conclusion We believe that the promising and optimistic results about the PBMT in skeletal muscle of mdx mice may in the future contribute to this therapy to be considered a safe alternative for patients with Duchenne Muscular Dystrophy (DMD) in a washout period (between treatment periods with glucocorticoids), allowing them to remain receiving effective and safe treatment in this period, avoiding at this way periods without administration of any treatment.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0236689</identifier><identifier>PMID: 32785240</identifier><language>eng</language><publisher>San Francisco: Public Library of Science</publisher><subject>Animal tissues ; Animals ; Anti-inflammatory agents ; Biology and Life Sciences ; Care and treatment ; Drug dosages ; Drug therapy ; Duchenne's muscular dystrophy ; Dystrophin ; Dystrophy ; Gene expression ; Glucocorticoids ; Inflammation ; Laboratories ; Light therapy ; Medical research ; Medicine ; Medicine and Health Sciences ; Methods ; Morphology ; Muscles ; Muscular diseases ; Muscular dystrophy ; Musculoskeletal system ; Nonsteroidal anti-inflammatory drugs ; Pharmacology ; Phototherapy ; Placebo effect ; Prednisone ; Primary care ; Protein expression ; Proteins ; Public health ; Rehabilitation ; Research and Analysis Methods ; Rodents ; Skeletal muscle ; Testing ; Therapy ; Washout</subject><ispartof>PloS one, 2020-08, Vol.15 (8), p.e0236689-e0236689</ispartof><rights>COPYRIGHT 2020 Public Library of Science</rights><rights>2020 Tomazoni et al. 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Methods The animals were randomized and divided into seven experimental groups treated with placebo, PBMT, prednisone, non-steroidal anti-inflammatory drug (NSAIDs), PBMT plus prednisone and PBMT plus NSAID. Wild type animals were used as control. All treatments were performed during 14 consecutive weeks. Muscular morphology, protein expression of dystrophin and functional performance were assessed at the end of the last treatment. Results Both treatments with prednisone and PBMT applied alone or combined, were effective in preserving muscular morphology. In addition, the treatments with PBMT (p = 0.0005), PBMT plus prednisone (p = 0.0048) and PBMT plus NSAID (p = 0.0021) increased dystrophin gene expression compared to placebo-control group. However, in the functional performance the PBMT presented better results compared to glucocorticoids (p&lt;0.0001). In contrast, the use of NSAIDs did not appear to add benefits to skeletal muscle tissue in mdx mice. Conclusion We believe that the promising and optimistic results about the PBMT in skeletal muscle of mdx mice may in the future contribute to this therapy to be considered a safe alternative for patients with Duchenne Muscular Dystrophy (DMD) in a washout period (between treatment periods with glucocorticoids), allowing them to remain receiving effective and safe treatment in this period, avoiding at this way periods without administration of any treatment.</description><subject>Animal tissues</subject><subject>Animals</subject><subject>Anti-inflammatory agents</subject><subject>Biology and Life Sciences</subject><subject>Care and treatment</subject><subject>Drug dosages</subject><subject>Drug therapy</subject><subject>Duchenne's muscular dystrophy</subject><subject>Dystrophin</subject><subject>Dystrophy</subject><subject>Gene expression</subject><subject>Glucocorticoids</subject><subject>Inflammation</subject><subject>Laboratories</subject><subject>Light therapy</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Methods</subject><subject>Morphology</subject><subject>Muscles</subject><subject>Muscular diseases</subject><subject>Muscular dystrophy</subject><subject>Musculoskeletal system</subject><subject>Nonsteroidal anti-inflammatory drugs</subject><subject>Pharmacology</subject><subject>Phototherapy</subject><subject>Placebo effect</subject><subject>Prednisone</subject><subject>Primary care</subject><subject>Protein expression</subject><subject>Proteins</subject><subject>Public health</subject><subject>Rehabilitation</subject><subject>Research and Analysis Methods</subject><subject>Rodents</subject><subject>Skeletal 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Soares</au><au>Marcos, Rodrigo Labat</au><au>de Carvalho, Paulo de Tarso Camillo</au><au>Frigo, Lucio</au><au>Leal-Junior, Ernesto Cesar Pinto</au><au>Mohan, Subburaman</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Can photobiomodulation therapy be an alternative to pharmacological therapies in decreasing the progression of skeletal muscle impairments of mdx mice?</atitle><jtitle>PloS one</jtitle><date>2020-08-12</date><risdate>2020</risdate><volume>15</volume><issue>8</issue><spage>e0236689</spage><epage>e0236689</epage><pages>e0236689-e0236689</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Objective To compare the effects of photobiomodulation therapy (PBMT) and pharmacological therapy (glucocorticoids and non-steroidal anti-inflammatory drugs) applied alone and in different combinations in mdx mice. Methods The animals were randomized and divided into seven experimental groups treated with placebo, PBMT, prednisone, non-steroidal anti-inflammatory drug (NSAIDs), PBMT plus prednisone and PBMT plus NSAID. Wild type animals were used as control. All treatments were performed during 14 consecutive weeks. Muscular morphology, protein expression of dystrophin and functional performance were assessed at the end of the last treatment. Results Both treatments with prednisone and PBMT applied alone or combined, were effective in preserving muscular morphology. In addition, the treatments with PBMT (p = 0.0005), PBMT plus prednisone (p = 0.0048) and PBMT plus NSAID (p = 0.0021) increased dystrophin gene expression compared to placebo-control group. However, in the functional performance the PBMT presented better results compared to glucocorticoids (p&lt;0.0001). In contrast, the use of NSAIDs did not appear to add benefits to skeletal muscle tissue in mdx mice. Conclusion We believe that the promising and optimistic results about the PBMT in skeletal muscle of mdx mice may in the future contribute to this therapy to be considered a safe alternative for patients with Duchenne Muscular Dystrophy (DMD) in a washout period (between treatment periods with glucocorticoids), allowing them to remain receiving effective and safe treatment in this period, avoiding at this way periods without administration of any treatment.</abstract><cop>San Francisco</cop><pub>Public Library of Science</pub><pmid>32785240</pmid><doi>10.1371/journal.pone.0236689</doi><tpages>e0236689</tpages><orcidid>https://orcid.org/0000-0001-6393-7616</orcidid><orcidid>https://orcid.org/0000-0001-6072-3671</orcidid><orcidid>https://orcid.org/0000-0003-1564-7280</orcidid><oa>free_for_read</oa></addata></record>
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subjects Animal tissues
Animals
Anti-inflammatory agents
Biology and Life Sciences
Care and treatment
Drug dosages
Drug therapy
Duchenne's muscular dystrophy
Dystrophin
Dystrophy
Gene expression
Glucocorticoids
Inflammation
Laboratories
Light therapy
Medical research
Medicine
Medicine and Health Sciences
Methods
Morphology
Muscles
Muscular diseases
Muscular dystrophy
Musculoskeletal system
Nonsteroidal anti-inflammatory drugs
Pharmacology
Phototherapy
Placebo effect
Prednisone
Primary care
Protein expression
Proteins
Public health
Rehabilitation
Research and Analysis Methods
Rodents
Skeletal muscle
Testing
Therapy
Washout
title Can photobiomodulation therapy be an alternative to pharmacological therapies in decreasing the progression of skeletal muscle impairments of mdx mice?
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