This study evaluated the immunohistochemical expression of type I (COL I) and III (COL III) collagens during the healing process of skin treated with leukocyte-poor platelet-rich plasma (LP-PRP). Seven healthy gelding crossbred horses aged 16 to 17 years were used. Two rectangle-shaped wounds were created surgically in the right and left gluteal regions. Twelve hours after wound induction, 0.5 mL of the LP-PRP was administered in each edge of the wounds of one of the gluteal regions. The contralateral region was used as control (CG). Three samples were obtained: after wound induction (T0), 14 days (T1) of healing process, and after complete closure of the skin (T2). The normal skin (T0) showed strong staining for type III and I collagen in papillary and reticular dermis, respectively. In the scar of the treated group, COL III showed important (p < 0.05) increase in immunoreaction in T2 compared with T1. The administration of a single dose of LP-PRP 12 h after induction of wound in horses does not influence formation of collagens I and III. However, the intense labeling for COL III suggests that the tissue was still weak during the macroscopic closure of the wound, demonstrating that healing was not completely finished.
Low-level laser therapy is recommended for the treatment of tendinopathies despite the contradictory results related to the ideal dose of energy, wavelength and time of application. This study aimed to assess the effects of laser therapy and eccentric exercise on tendinopathy of the Achilles tendon of Wistar rats. Forty-eight adult male rats were randomly distributed into four groups (L= laser; E= eccentric exercise; LE = laser and eccentric exercise; and R= rest). Laser therapy (904nm/3J/cm²) and/or eccentric exercise (downhill walking; 15 o incline treadmill; 12m/min; 50min/day) was started 24h after induction of unilateral tendinopathy and remained for 20 days. At 3, 7, 14 and 21 days after lesion induction, three rats from each group were euthanized and the tendons were collected for histological and morphometric analyses. There was no difference among groups or among times for the characteristics hemorrhage (p=0.4154), fibrinous adhesion formation (p=0.0712), and organization of collagen fibers (p=0.2583) and of the connective tissue (p=0.1046). For these groups, regardless of the time, eccentric exercise led to epitenon thickening (p=0.0204), which was lower in the group treated with laser therapy. Histological analysis revealed differences (p=0.0032) in the number of inflammatory cells over time. They were more numerous in the group that only exercised. This result was confirmed by morphometric analysis, which showed a significant interaction (groups x time) for this characteristic. Eccentric exercise increased (p=0.0014) the inflammatory infiltrate over time (3 and 21 days). However, association with laser therapy reduced inflammatory reaction. On the other hand, the combination of the treatments increased angiogenesis in morphometric (p=0.0000) and histological (p=0.0006) analyses compared with the other groups, while the isolated application of low-level laser reduced this characteristic over time. Animals maintained at rest presented the lowest amount (p=0.0000) of fibroblasts, according to the morphometric analysis. However, histological evaluation showed a significant group x time interaction (p=0.0024). Greater amounts of fibroblasts were observed in groups E, L and LE on the 7 th , 14 th and 21 st days, respectively. The animals that received laser therapy and were exercised showed a greater (p=0.0000) amount of collagen fibers over time. LE=laser e exercício excêntrico, e R=repouso). Após 24h da indução de tendinopatia unilateral, foi iniciada laserterapia (904nm/3J/cm²) e/ou exercício excêntrico (caminhada em declive; esteira com 15 o de inclinação; 12m/min; 50min/ dia) que permaneceu por 20 dias. Aos 3, 7, 14 e 21 dias após indução da lesão, três ratos de cada grupo foram submetidos à eutanásia, e os tendões foram obtidos para análi-ses histológica e morfométrica. Não houve diferença entre grupos nem entre tempos nas características hemorragia (p=0,4154), formação de aderência fibrinosa (p=0,0712) e organização das fibras colágenas (p=0,2583) e do tecido conjuntivo (p=0,1046). Considerando os g...
O objetivo desse estudo foi avaliar os efeitos da laserterapia na lesão do tendão calcanearcomum de ratos Wistar. Foram utilizados 12 ratos machos adultos, distribuídosaleatoriamente em dois grupos (L=laser e C=controle). Todos foram submetidos àtendinopatia unilateral (escolha aleatória) mediante compressão transversal do tendão (10segundos) com pinça Halstead mosquito, assim como escarificações (com bisturi). Após 24horas da indução da lesão os animais do grupo L receberam laser (904 nm/3 J/cm²/9s) por 20dias. Os do grupo C foram manipulados como se fossem receber a radiação. Após 3, 7, 14 e21 dias da realização da lesão, três ratos de cada grupo foram submetidos à eutanásia, e ostendões obtidos para análise histomorfométrica. As amostras foram processadas como derotina e os fragmentos corados com hematoxilina-eosina, tricrômico de Masson e PicrosiriusRed. Os dados foram analisados por ANOVA, a 5% de probabilidade e análise de regressão.Não houve diferença entre grupos nem entre tempos para as características hemorragia,angiogênese, espessamento do epitendão. Independente do tratamento ocorreu diminuição(p=0,0129) da formação de aderência fibrinosa (do 3o ao 21o dias). Por outro lado, a avaliaçãomorfométrica revelou maiores (p=0,0120) quantidades de fibroblastos no grupo que recebeulaserterapia, não havendo efeito de tempo. Avaliação semiquantitativa, revelou maiores(p=0,0000) quantidades de fibroblastos no grupo tratado, porém nessa análise, a quantidadedessas células aumentou com o tempo (p=0,0001) em ambos os grupos. Diferentemente,ANOVA revelou redução do infiltrado inflamatório do 3o ao 21o dia em ambos os grupos(histologia: p=0,0003; morfometria: p=0,0000). Embora não tenha ocorrido diferença entregrupos na quantidade de fibras colágenas (I e III), a morfometria revelou que os ratos dogrupo L apresentaram maiores (p=0,0096) quantidades de fibras colágenas do que do grupoC. Para essa característica, não ocorreu efeito do tempo, ainda que tenha sido observada maior(p=0,0000) organização da deposição de colágeno (7o dia). A quantidade de fibras colágenasdeterminada por histologia revelou efeito apenas do tempo (p=0,0005), independente dotratamento, ocorrendo aumento dessa variável até o 14o dia, com posterior redução. Alaserterapia iniciada 24 horas após indução cirúrgica de lesão no tendão calcanear de ratosWistar apresenta a vantagem de aumentar em qualidade e quantidade as fibras colágenas,assim como os fibroblastos, células fundamentais na síntese dos colágenos.
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