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A Near Infrared-Modulated Thermosensitive Hydrogel for Stabilization of Indocyanine Green and Combinatorial Anticancer Phototherapy
摘要： Indocyanine green (ICG), a multifunctional near-infrared (NIR) imaging agent approved by the FDA, has been extensively used in clinical cancer theranosis, but limited by its inherent instability, short plasma half-life and lack of targeting ability. Herein, an in situ formed photothermal network based thermosensitive hydrogel (PNT-gel) constructed by supramolecular cross-linking conjugated polymers was developed for stabilization of ICG and efficient combinatorial photothermal/photodynamic antitumor therapy. While the conjugated polymeric backbone in PNT-gel anchored the aromatic phototherapeutic agent ICG via π–π stacking interactions to avoid premature leakage, it also directly converted low-dose NIR light to induce localized hyperthermia to enhance the photothermal effect. The PNT-gel shows a reversible gel-to-sol upper critical solution temperature (UCST) that is slightly above the body temperature. Therefore, the controlled release of ICG was switched on or off by NIR via photothermal-induced gel-sol transition. In vitro and in vivo antitumor experiments demonstrated that ICG loaded PNT-gel not only efficiently induced the killing of 4T1 cancer cells, but also achieved almost complete eradication of 4T1 cells by one-dose in combinatorial photothermal/photodynamic therapy under irradiation of a low-dose 808 nm laser (0.14 W cm-2). Additionally, the combinational therapy proved to enhance the effectiveness of photodestruction without tumor recurrence compared with intratumoral injection photothermal therapy (PTT) or photodynamic therapy (PDT) treatment alone.
关键词： Near Infrared-Modulated Thermosensitive Hydrogel,Combinatorial Anticancer Phototherapy,Indocyanine Green,Photodynamic Therapy,Photothermal Therapy
更新于2025-11-21 11:08:12
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Photobiomodulation therapy as a tool to prevent hamstring strain injuries by reducing soccer-induced fatigue on hamstring muscles
摘要： Muscle fatigue is a potential risk factor for hamstring strain injuries in soccer players. The aim of this study was to verify the effect of photobiomodulation therapy (PBMT) on the hamstrings’ muscle fatigue of soccer players during a simulated match. Twelve male amateur soccer players (~ 25 years) participated in this randomized, crossover, double-blinded, placebo-controlled trial. The volunteers were evaluated in two sessions, with a minimum 7-day interval. At each session, volunteers received either PBMT (300 J per thigh) or placebo treatment on the hamstrings prior to the simulated soccer match. Muscle strength and functional capacity were evaluated through isokinetic dynamometry and countermovement jump (CMJ) tests, respectively, before and immediately after the simulated soccer match. Players had lower reductions on hamstring eccentric peak torque [4.85% (ES = 0.31) vs. 8.72% (ES = 0.50)], hamstring-to-quadriceps torque ratio [3.60% (ES = 0.24) vs. 7.75% (ES = 0.50)], and CMJ height [1.77% (ES = 0.09) vs. 5.47% (ES = 0.32)] when treated with PBMT compared to placebo. Magnitude-based inference supports that PBMT promoted 75%, 69%, and 53% chances for beneficial effects on hamstring eccentric peak torque, hamstring-to-quadriceps torque ratio, and CMJ height, respectively, compared to placebo treatment. In conclusion, PBMT applied before a simulated soccer match proved to be effective in attenuating the hamstrings’ muscle fatigue. These findings support PBMT as a promising tool to prevent hamstring strain injury in soccer players.
关键词： Phototherapy,Muscle injury,Football,Prevention
更新于2025-09-23 15:22:29
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Efficacy of phototherapy with different conventional surface treatments on adhesive quality of lithium disilicate ceramics
摘要： Aim: The aim of the present study was to evaluate shear bond strength (SBS) of LDC and resin composite in combination with phototherapy and different ceramic surface treatments. Materials and Method: Forty Lithium Disilicate Glass Ceramic (LDC) disks measuring (4x4x9mm) were fabricated. The specimens were randomly divided into four groups (n=10 each) according to the surface treatment. Group 1 HF+ Silane (Control); Group 2 HF+ Ultrasonic bath + Silane; Group 3 SECP (Self etch ceramic primer) and Group 4 phototherapy (Er, Cr: YSGG) + Silane. On each ceramic disk a resin build-up was done. For SBS the specimens were subjected to increasing load with a transversal velocity of 1ml/min on a universal testing machine on a ceramic resin interface. Failure mode was evaluated using digital microscope. The failure modes were divided into adhesive, cohesive and admixed interface. Data through bond strength testing was tabulated using statistical program for social science (SPSS). Means and standard deviations were compared using analysis of variance and Tukey's post hoc test (p<0.05) Results: The maximum and minimum bond strength was observed in group 2 [19.58(1.011)] and group 1 [17.14(1.122)] respectively. The bond strength among experimental group 1 [17.14 (1.122)] and group 4 [17.48(1.145)] were found to be comparable. Specimens in Group 2 displayed significantly higher bond strength among all experimental groups. Commonly adhesive failure mode was observed in the present study, with an incidence of 60%, 100% and 70% in groups 1,2 and 3 correspondingly Conclusion: Phototherapy using laser at frequency 30Hz and 4.5 W can be used as a surface conditioner for LDC alternate to HF acid. Conditioning of LDC using Self-etch ceramic primer showed better SBS outcomes as compared to phototherapy (Er, Cr: YSGG laser).
关键词： bond strength,microleakage,Phototherapy,lithium disilicate ceramics
更新于2025-09-23 15:22:29
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Carbon Nanomaterials for Bioimaging, Bioanalysis, and Therapy || Functionalized Carbon Nanomaterials for Drug Delivery
摘要： Chemical functionalization of nanomaterials is important to control their physical properties. Since their applications frequently require the homogeneity in the physical properties of the components, many precise functionalization methods for nanomaterials have been developed in view of their applications from electronics and optics to biomedicine. Nanomedicine has been attracting growing interest in terms of therapy and diagnosis, or so called theranostics. In the field, nanomaterials play a key role and hence they are chemically functionalized frequently to meet the requirements for the purpose. In the nanomaterial‐based drug delivery system (DDS), for example, the following functions are required: the nanodrug has to disperse well in the blood to avoid embolism; circulate throughout the body to avoid leaking from the pores in the blood vessel and trapping in the reticuloendothelial system; accumulate in the targeting organ or tissue; and finally, release the loaded drug. Among the nanomaterials in the DDS, carbon nanomaterials have the following characteristic properties: (i) basically inert, but functionizable at the functional groups such as carboxylic and hydroxyl ones on the surface, edge, and defect through organic transformation; (ii) variety of options in terms of shapes including zero‐dimensional (0D, fullerenes), one‐dimensional (1D, carbon nanotubes, CNTs), two‐dimensional (2D, graphene, G), and three‐dimensional (3D, nanodiamond, ND); (iii) commercially available; and (iv) fluorescence emission from semiconducting SWNTs, relatively small size graphenes and color center in ND. The carbon nanomaterials discussed in this chapter are graphene (Section 10.2) and ND (Sections 10.3 and 10.4). Graphene has a flat and hydrophobic surface consisting of sp2 carbons. It exhibits high affinity to the flat molecules, including π‐electrons such as triphenylene, as we reported quite recently. Therefore, it has been utilized as carrier for anti‐cancer drugs with flat and hydrophobic properties. In addition, it can work as photosensitizer in photothermal therapy, making it more fascinating as a bifunctional material in cancer therapy. However, the graphene‐based carriers that have been used so far are graphene oxide (GO), because the carrier is required to have sufficient dispersibility in a physiological environment. The direct use of pristine graphene as a drug carrier, which will be described below, is the first example, as far as we know. On the other hand, ND has been reported to be low toxicity or even nontoxic nanomaterial. It is composed of the curved surface and core, not the flat surface and edge for graphene. As in the case of edge and defect in graphene, the ND surface is covered with various functional groups such as carboxylic and hydroxyl groups. Although ND is categorized as an inorganic nanomaterial due to its robustness and chemical stability, the surface functionalities impart the organic characteristics to ND, enabling the control of the physical property by controlling the surface functionality. Recently, surface chemical functionalization of ND has been actively investigated in view of its applications. In this chapter (Sections 10.3 and 10.4), chemical functionalization on ND for drug carrier will be described; the requisite functions of aqueous dispersibility, targeting specificity, and cytotoxicity are imparted to ND through stepwise surface chemical functionalization. This chapter covers synthesis, characterization, and evaluation of the following three nanodrugs: chlorin e6 (Ce6)‐loaded graphene for cancer phototherapy; Pt drug‐loaded nanodiamond for cancer chemotherapy; and DNA‐loaded nanodiamond for gene therapy.
关键词： nanodiamond,functionalization,drug delivery,graphene,phototherapy,chemotherapy,carbon nanomaterials,gene therapy
更新于2025-09-23 15:22:29
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Influence of phototherapy on adhesive strength and microleakage of bleached enamel bonded to orthodontic brackets: An Invitro study
摘要： Aim: The aim of the present in-vitro study was to explore bleached enamel reversal with phototherapy (Er,Cr:YSGG) when using two dissimilar bonding system to bond brackets on microleakage and shear bond strength. Material and Methods: Amongst one twenty samples, ninety samples were bleached using 35% hydrogen peroxide. After the bleaching procedure, the teeth were randomly divided into three groups according to surface conditioning treatment (n=30 each). Group 1: treated with Er,Cr:YSGG (ECL) Group 2: 10% sodium ascorbate (SA) and Group 3: Bleached only (BO). Based on the type of adhesive, specimens were further classified into eight subgroups. In subgroup 1,2,3 and no treatment (NT) (n=15) adhesive Transbond XT was applied on already etched surface and these subgroups were named as NT-TEP, BO-TEP, ECL-TEP and SA-TEP. Similarly, in subgroup 5,6,7 and NT specimens (n=15) were conditioned with Transbond Plus self-etching primer and these subgroups were named as NT-SEP, BO-SEP, ECL-SEP and SA-SEP. Samples from each subgroup were exposed to increasing load for evaluation of shear bond strength. Microleakage among subgroups were tested by immersing samples in Methylene blue prior one day. Analysis of variance and Tukey multiple comparisons test was used to assess data. Results: The maximum and minimum bond strength was observed in group NT-TEP [17.14(2.54)] and BO-SEP [6.14(0.215)] respectively. Samples conditioned with phototherapy ECL-TEP [16.14(1.231)] exhibited comparable bond strength to specimens conditioned with sodium ascorbate (SA-TEP) [16.72(1.298)]. Similarly, bond strength values of ECL-SEP [13.43(0.921)] and SA-SEP were comparable. The highest microleakage score was demonstrated in BO-SEP [83.21(38.21)] whereas, the lowest microleakage scores were displayed in NT-TEP [23.73(13.45)]. Conclusion: Er,Cr:YSGG phototherapy reversal on bleached enamel with etch and rinse adhesives has a potential to be used in clinical settings alternate to conventional sodium ascorbate when bonding orthodontic brackets.
关键词： Microleakage,Bleached enamel,Sodium Ascorbate,Phototherapy,Bond strength
更新于2025-09-23 15:22:29
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Blue LED phototherapy in preterm infants: effects on an oxidative marker of DNA damage
摘要： background Phototherapy is used on the majority of preterm infants with unconjugated hyperbilirubinaemia. The use of fluorescent tube phototherapy is known to induce oxidative DNA damage in infants and has largely been replaced by blue light- emitting diode phototherapy (BLP). To date, it is unknown whether BLP also induces oxidative DNA damage in preterm infants. Objective To determine whether BLP in preterm infants induces oxidative DNA damage as indicated by 8- hydroxy-2′deoxyguanosine (8- OHdG). Design Observational cohort study. Methods Urine samples (n=481) were collected in a cohort of 40 preterm infants (24–32 weeks’ gestational age) during the first week after birth. Urine was analysed for the oxidative marker of DNA damage 8- OHdG and for creatinine, and the 8- OHdG/creatinine ratio was calculated. Durations of phototherapy and levels of irradiance were monitored as well as total serum bilirubin concentrations. results BLP did not alter urinary 8- OHdG/creatinine ratios (B=0.2, 95% CI ?6.2 to 6.6) at either low (10–30 μW/cm2/nm) or high (>30 μW/cm2/nm) irradiance: (B=2.3, 95% CI ?5.7 to 10.2 and B=?3.0, 95% CI ?11.7 to 5.6, respectively). Also, the 8- OHdG/creatinine ratios were independent on phototherapy duration (B=?0.1, 95% CI ?0.3 to 0.1). Conclusions BLP at irradiances up to 35 μW/cm2/nm given to preterm infants ≤32 weeks’ gestation does not affect 8- OHdG, an oxidative marker of DNA damage.
关键词： preterm infants,phototherapy,8-hydroxy-2′deoxyguanosine,blue light-emitting diode phototherapy,oxidative DNA damage
更新于2025-09-23 15:21:01
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A systematic review of light therapy on mood scores in major depressive disorder: light specification, dose, timing and delivery
摘要： Background: Depression is associated with prolonged disability, mortality, and morbidity. Ninety percent of patients with Major depressive disorder (MDD) have sleep problems. Light therapy has been shown to be effective in treating sleep disorders and MDD. This review aims to assess the characteristics (colour, intensity), exposure dose (duration and timing) and the mode of delivery (light boxes, visor etc) of light in reducing depression, measured by mood scores, in MDD. Method: a systematic literature search was performed on 6 major databases. The Physiotherapy Evidence Database (PEDro) Scale was applied to assess study quality. Result: Twenty-four articles satisfied the inclusion criteria. Effective light intensities varied from 176 -10,000 lux. Effective modes of delivery included light box, table lamp, visor and light emitting diode (LED) glasses. Effective light colours included white, green, and blue with the white colour being the most commonly used. The duration of light treatment ranged from 30 min to 2 h, and evening light generally improved mood. Conclusion: Light therapy, with exposure durations in the range of 30 min to 2 h per day, intensity range of 176 to 10,000 lux, in any of blue, green, or white light colour and exposure during morning mostly demonstrated a positive change in mood effects. Factors other than the light properties, such as anti-depressant medication use, depression episodes and severity, natural light exposure and sleep deprivation may confound the effects of light therapy.
关键词： Depression,Non-Seasonal Affective Disorder,Phototherapy,Bright Light,Natural Light
更新于2025-09-23 15:21:01
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Hypericin-glucamine antimicrobial photodynamic therapy in the progression of experimentally induced periodontal disease in rats
摘要： Objective: To evaluate the effect of antimicrobial photodynamic therapy (aPDT) using the photosensitizer hypericin-glucamine in the progression of experimentally induced periodontal disease (PD) in rats. Material and methods: Subgingival ligatures were inserted around the upper second molars of 30 rats. After 7 days (Baseline), the animals were randomly distributed into 3 experimental (n = 5) groups: Hypericin-glucamine; LED (amber LED, 700mA, 590nm, 90mW, 34.10 J/cm2); and aPDT (Hypericin-glucamine + LED). The treated hemimaxillae were randomly chosen. The periodontal disease progression was monitored without treatment interference in the opposite hemimaxillaes, which were used as the negative control of each animal. The euthanasia was programmed according to each experimental period, 7 or 15 days after the Baseline. Microtomographic, histometric and Tartrate Resistant Acid Phosphatase (TRAP) immunohistochemistry analyses were carried out. Results: Computerized microtomography analyses indicated that the aPDT group had a significantly higher percentage of bone tissue when compared to the other 7 days experimental groups. This result was corroborated by the histometric evaluations of the furcal area. The LED-treated group presented the highest percentages of bone volume for the 15 days experimental groups, which is remarkably higher than the groups treated with Hy-g and aPDT. The histometric analyses demonstrated the control groups had greater bone loss in the proximal regions when compared to the treated groups. The aPDT led to a lower osteoclast activity at both 7 and 15 days. Thus, we can conclude that aPDT exhibits positive effects in PD treatment by promoting favorable conditions for periodontal repair.
关键词： Periodontitis,Hypericum,Phototherapy
更新于2025-09-23 15:21:01
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Conjugated Polymer Nanoparticles for Imaging, Cell Activity Regulation, and Therapy
摘要： Conjugated polymer nanoparticles, considered as a class of promising nanomaterials for biomedical application, are extensively employed in bioimaging, anti-microorganism and antitumor, gene and drug delivery/release in the past decade. By virtue of unique photoelectric properties, such as strong light absorbing quality, high brightness, good photostability, tunable spectra property, and favorable compatibility, conjugated polymer nanoparticles attract increasing attention and are used in more emerging aspects in biological and biomedical fields. This review summarizes the recent (2014–2018) development of conjugated polymer nanoparticles, including design, synthesis, and biomedical applications. Especially, their abilities of bioimaging, cell activity regulation, anti-microorganism and antitumor therapy are discussed in detail. Finally, the challenges and outlooks in the field are highlighted.
关键词： cell activity regulation,phototherapy,Conjugated polymer nanoparticles,bioimaging
更新于2025-09-23 15:21:01
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Evaluation of fluorescence biomodulation in the real-life management of chronic wounds: the EUREKA trial
摘要： Objective: Fluorescence biomodulation (FB), a form of photobiomodulation (PBM) that is also known as low energy level light (LELL), has become an increasingly used clinical tool to induce wound healing in wounds that remain recalcitrant to treatment. In a real-life clinical setting, the aim of the EUREKA (EvalUation of Real-lifE use of Klox biophotonic system in chronic wound mAnagement) study was to confirm the efficacy and safety of LumiHeal, a system based on FB, in the treatment of chronic wounds such as venous leg ulcers (VLUs), diabetic foot ulcers (DFUs) and pressure ulcers (PUs). The effects of this FB system on the modulation of wound healing in chronic ulcers through FB induction were previously examined in an interim analysis of this study. Method: A multicenter, prospective, observational, uncontrolled trial in 12 clinical sites in Italy. The wound was cleansed with saline and a 2mm thick layer of a chromophore gel was applied to the affected area in a biweekly regimen. The area was then illuminated with the LED activator for five minutes at a distance of 5cm. Treatment was used in combination with standard of care specific to each type of chronic wound (VLU, DFU, PU). Wound area evaluation was assessed using the Silhouette Imaging System and quality of life (QoL) with the Cardiff Wound Impact Schedule (CWIS). A seven-point evaluation of the clinicans’ view was also examined. Results: We enrolled 100 subjects, with the final analysis including 99 patients/ulcers consisting of 52 VLUs, 32 DFUs and 15 PUs. Total wound closure at the end of the study was achieved in 47 patients by aetiology: 26 VLUs (50% of VLUs); 16 DFUs (50% of DFUs); and five PUs (33.3% of PUs). The mean wound area regression at last study assessment was significant for VLUs (41.0%; p<0.001) and DFUs (52.4%; p<0.001). After four weeks of treatment, it was possible to significantly predict if the ulcer would respond (defined as a decrease of wound size) to the study treatment. Adherence was high (95.2%) and no related serious adverse events were reported during the study. QoL significantly improved, with an increase of 15.4% of the total score, using the CWIS (p<0.001). Conclusion: The study confirmed a positive efficacy profile of the FB system in inducing the wound healing process in three different types of hard-to-heal chronic wounds. The treatment was shown to be safe and well tolerated by the patients, with a significant improvement in patient QoL. This approach offers an effective modality for the treatment of hard-to-heal chronic ulcers.
关键词： pressure ulcers,phototherapy,photobiomodulation,diabetic foot ulcers,biophotonics,fluorescence biomodulation,venous leg ulcers
更新于2025-09-23 15:21:01