Evidence map›Paper›PMID 40916844›Full record

ArticleJournal of cosmetic dermatology2025

Efficacy of Intense Pulsed Light AOPT-LTL Technique in the Treatment of Melasma: An In Vivo and Clinical Study.

Jing Wang, Xinlan Wang, Li Gu, Zhinan Shi, Zhiyi Xu, Siqi Shen, Liqun Gu, Lin Chen, Linling Ju, Chenglong Jin and 2 more

Abstract read
In one paragraph

Article in Journal of cosmetic dermatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
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

12 authors.

Jing WangDepartment of Dermatology, Nantong Third People's Hospital, Affiliated Nantong Hospital 3 of Nantong University, Nantong, China.
Xinlan WangDepartment of Dermatology, Nantong Third People's Hospital, Affiliated Nantong Hospital 3 of Nantong University, Nantong, China.
Li GuDepartment of Dermatology, Nantong Third People's Hospital, Affiliated Nantong Hospital 3 of Nantong University, Nantong, China.
Zhinan ShiDepartment of Dermatology, Ren Ji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Zhiyi XuDepartment of Dermatology, Nantong Third People's Hospital, Affiliated Nantong Hospital 3 of Nantong University, Nantong, China.
Siqi ShenDepartment of Dermatology, Nantong Third People's Hospital, Affiliated Nantong Hospital 3 of Nantong University, Nantong, China.
Liqun GuDepartment of Dermatology, Nantong Third People's Hospital, Affiliated Nantong Hospital 3 of Nantong University, Nantong, China.
Lin ChenNantong Institute of Liver Diseases, Nantong Third People's Hospital, Affiliated Nantong Hospital 3 of Nantong University, Nantong, China.
Linling JuNantong Institute of Liver Diseases, Nantong Third People's Hospital, Affiliated Nantong Hospital 3 of Nantong University, Nantong, China.
Chenglong JinDepartment of Dermatology, Suzhou Mylike Cosmetic Hospital, Suzhou, China.
Bingrong ZhouDepartment of Dermatology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Hui HuaDepartment of Dermatology, Nantong Third People's Hospital, Affiliated Nantong Hospital 3 of Nantong University, Nantong, China.ORCID https://orcid.org/0000-0002-8229-5492

Funding

Nantong University Special Research Fund for Clinical Medicine 2024JZ021Nantong University Special Research Fund for Clinical Medicine 2024LQ041Nantong Young Medical Key Talent ProgramNational Natural Science Foundation of China 82073472Postgraduate Research & Practice Innovation Program of Jiangsu Province SJCX23_1804
6 · The paper itself

Abstract

purposeTo evaluate the efficacy and underlying mechanism of advanced optimal pulse technology intense pulsed light (AOPT) in low-energy triple-pulse long-width mode (AOPT-LTL) for melasma treatment.

methodsAn in vivo guinea pig model of melasma was established through progesterone injection and ultraviolet B radiation. Three sessions of AOPT-LTL treatment were performed weekly. The mRNA levels of key melanogenic enzymes, inflammatory factors, pro-angiogenic cytokines, and collagenolytic proteases were detected by qRT-PCR. Protein levels of stem cell factor (SCF) and mast cell growth factor receptor (c-KIT) were detected by immunofluorescence staining and Western blotting. Twenty melasma patients were treated with three sessions of AOPT-LTL treatment monthly, evaluated by the Modified Melasma Area and Severity Index (mMASI) and Erythema Index (EI).

resultsIn guinea pigs with melasma, AOPT-LTL treatment effectively mitigated pigmentation and suppressed the expression of key genes involved in melanin production. There was a reduction in mast cell infiltration, decreased expression of inflammatory factors and pro-angiogenic factors, inhibition of angiogenesis, and alleviation of skin photoaging. Furthermore, AOPT-LTL also diminished the expression level of the SCF/c-KIT ligand/receptor pathway, which is closely associated with mast cell proliferation and activation. Consistently, three sessions of AOPT-LTL treatment effectively reduced skin melanin content, erythema severity, as well as the mMASI and EI scores in melasma patients.

conclusionsAOPT-LTL treatment significantly enhances the improvement of melasma by diminishing melanogenesis, inflammation, angiogenesis, mast cell infiltration, and collagen degeneration, potentially through the inhibition of the SCF/c-KIT ligand/receptor pathway.

Indexed as

Intense Pulsed Light TherapyMelanosisAdultAnimalsDisease Models, AnimalFemaleGuinea PigsHumansMaleMast CellsMiddle AgedProto-Oncogene Proteins c-kitSeverity of Illness IndexSkinSkin AgingSkin PigmentationProto-Oncogene Proteins c-kitStem Cell FactorAOPT‐LTLIPLmast cellsmelasma

Identifiers

PMID40916844
PMCPMC12415836

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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.