Evidence map›Paper›PMID 30716140›Full record

ArticlePloS one2019

Effect of photobiomodulation and exercise on early remodeling of the Achilles tendon in streptozotocin-induced diabetic rats.

Anderson Rodrigues de Oliveira, Flávio Santos da Silva, Raul Hernandes Bortolin, Dáfiny Emanuele da Silva Marques, Gracielle Vieira Ramos, Rita C Marqueti, Naisandra Bezerra da Silva, Karina Carla de Paula Medeiros, Márcio Assolin Corrêa, João Paulo Matos Santos Lima and 4 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
1.2field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 5 institutions in 2 countries.

Anderson Rodrigues de OliveiraDepartment of Physical Therapy, Federal University of Rio Grande do Norte, Natal, Brazil.
Flávio Santos da SilvaDepartment of Health Sciences, Federal University of the Semiarid Region, Mossoró, Brazil.
Raul Hernandes BortolinDepartment of Clinical and Toxicological Analysis, Federal University of Rio Grande do Norte, Natal, Brazil.
Dáfiny Emanuele da Silva MarquesDepartment of Morphology, Federal University of Rio Grande do Norte, Natal, Brazil.
Gracielle Vieira RamosUniversidade Paulista (UNIP), Brasília, Brazil.
Rita C MarquetiUniversity of Brasília (UnB), Brasília, Brazil.
Naisandra Bezerra da SilvaDepartment of Morphology, Federal University of Rio Grande do Norte, Natal, Brazil.
Karina Carla de Paula MedeirosDepartment of Morphology, Federal University of Rio Grande do Norte, Natal, Brazil.
Márcio Assolin CorrêaDepartment of Physics, Federal University of Rio Grande do Norte, Natal, Brazil.ORCID 0000-0002-8904-4151
João Paulo Matos Santos LimaDepartment of Biochemistry, Federal University of Rio Grande do Norte, Natal, Brazil.
Adriana Augusto de RezendeDepartment of Clinical and Toxicological Analysis, Federal University of Rio Grande do Norte, Natal, Brazil.
Paul W AckermannDepartment of Molecular Medicine and Surgery, Karolinska University Hospital, Karolinska Institutet, Stockholm, Sweden.
Bento J AbreuDepartment of Morphology, Federal University of Rio Grande do Norte, Natal, Brazil.ORCID 0000-0001-8010-806X
Wouber Hérickson de Brito VieiraDepartment of Physical Therapy, Federal University of Rio Grande do Norte, Natal, Brazil.ORCID 0000-0003-3588-5577
Universidade Federal do Rio Grande do Norte · BRKarolinska University Hospital · SEUniversidade de Brasília · BRUniversidade Federal Rural do Semi-Árido · BRUniversidade Paulista · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study was to compare the treatment effects of laser photobiomodulation (LPBM) therapy and aerobic exercise on the biomechanical properties, tissue morphology and the expression of tendon matrix molecules during early remodeling of Achilles tendon (AT) injury in diabetic rats. Animals were randomly assigned to five groups: injured non diabetic (I, n = 15), injured diabetic (ID, n = 15), injured diabetic plus LPBM (IDL, n = 16), injured diabetic plus aerobic exercise (IDE, n = 16) and injured diabetic plus aerobic exercise and LPBM (IDEAL, n = 17). Type 1 diabetes was induced via a single intravenous injection of Streptozotocin at a dose of 40 mg/kg. A partial tenotomy was performed in the right AT. LPBM was performed with an indium-gallium-aluminum-phosphide 660 nm 10 mW laser device (spot size 0.04 cm2, power density 250 mW/cm2, irradiation duration 16 s, energy 0.16 J, energy density 4 J/cm2) on alternate days for a total of 9 sessions over 3 weeks (total energy 1.44 J), using a stationary contact technique to a single point over the dorsal aspect of the AT. Moderate aerobic exercise was performed on a motorized treadmill (velocity 9 m/min for 60 minutes). At 3 weeks post-injury, biomechanical analyzes as well as assessment of fibroblast number and orientation were performed. Collagen 1 (Col1) and 3 (Col3) and matrix metalloproteinases (MMPs) -3 and 13 protein distributions were studied by immunohistochemistry; while Col1 and Col3 and MMP-2 and 9 gene expression were assessed by quantitative RT-PCR (qRT-PCR). IDEAL exhibited significant increases in several biomechanical parameters in comparison to the other groups. Moreover, IDEAL presented stronger Col1 immunoreactivity when compared to ID, and weaker Col3 immunoreactivity than IDE. Both IDL and IDEAL demonstrated weaker expression of MMP-3 in comparison to I, while IDL presented no expression of MMP-13 when compared to ID. ID, IDL and IDE showed an increased number of fibroblasts in comparison to I, while IDEAL decreased the number of these cells in comparison to ID and IDE. IDL and IDEAL groups exhibited decreased angular dispersion among the fibroblasts when compared to I. The gene expression results showed that IDE demonstrated a downregulation in Col1 mRNA expression in comparison to I and ID. IDEAL demonstrated upregulation of Col1 mRNA expression when compared to IDL or IDE alone and increased MMP-2 expression when compared to IDL and IDE. MMP-9 expression was upregulated in IDEAL when compared to I, IDL and IDE. Our results suggest a beneficial interaction of combining both treatment strategies i.e., aerobic exercise and LPBM, on the biomechanical properties, tissue morphology and the expression of matrix molecules in diabetic tendons.

Indexed as

Achilles TendonAnimalsCollagen Type ICollagen Type IIIDiabetes Mellitus, ExperimentalDiabetes Mellitus, Type 1FibroblastsLow-Level Light TherapyMaleMetalloendopeptidasesRatsRats, WistarRNA, MessengerStreptozocinTendon InjuriesUp-RegulationCollagen Type ICollagen Type IIIMetalloendopeptidasesRNA, MessengerStreptozocin

Identifiers

PMID30716140
PMCPMC6361457
OpenAlexW2913887788

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.