Laser photobiomodulation (830 and 660 nm) in mast cells, VEGF, FGF, and CD34 of the musculocutaneous flap in rats submitted to nicotine.

Neves, Lais; Leite, Gabriella; Marcolino, Alexandre; Pinfildi, Carlos; Garcia, Sérgio; Araújo, João; Guirro, Elaine; das Neves, Lais Mara Siqueira; Leite, Gabriella de Paula Marcondes Ferreira; Marcolino, Alexandre Marcio; Pinfildi, Carlos Eduardo; Garcia, Sérgio Britto; de Araújo, João Eduardo; Guirro, Elaine Caldeira de Oliveira

The aim of this study was to investigate the effect of laser photobiomodulation (PBM) on the viability of the transverse rectus abdominis musculocutaneous (TRAM) flap in rats subjected to the action of nicotine. We evaluated 60 albino Wistar rats, divided into six groups of ten animals. Group 1 (saline) underwent the surgical technique to obtain a TRAM flap; group 2 (laser 830 nm) underwent the surgical technique and was irradiated with a laser 830 nm; group 3 (laser 660 nm) underwent the surgical technique and was irradiated with a laser 660 nm; group 4 was treated with nicotine subcutaneously (2 mg/kg/2×/day/4 weeks) and underwent surgery; group 5 (nicotine laser 830 nm) was exposed to nicotine, underwent the surgical technique, and was irradiated with a laser 830 nm; group 6 (nicotine laser 660 nm) was exposed to nicotine, underwent the surgical technique, and was irradiated with a laser 660 nm. The application of PBM occurred immediately after surgery and on the two following days. The percentage of necrosis was assessed using the AxioVision® software. The number of mast cells (toluidine blue staining) was evaluated, and immunohistochemistry was performed to detect vascular endothelial growth factor expression (anti-VEGF-A), fibroblasts (anti-basic FGF), and neoformed vessels (anti-CD34). PBM with a wavelength of 830 nm increased the viability of the TRAM flap, with a smaller area of necrosis, increased number of mast cells, and higher expression of VEGF and CD34. PBM increases the viability of musculocutaneous flaps treated with to nicotine.

IMMUNOMODULATORS; LASER therapy; MAST cells; VASCULAR endothelial growth factors; CD34 antigen; MUSCULOCUTANEOUS flaps; NICOTINE

Lasers in Medical Science, 2017, Vol 32, Issue 2, p335

0268-8921

Academic Journal

10.1007/s10103-016-2118-1