INFLUENCIA DE LA OZONOTERAPIA SOBRE EL INFILTRADO MONONUCLEAR Y LOS MASTOCITOS EN LA REPARACIÓN DE TEJIDOS: ESTUDIO PILOTO IN VIVO
Resumen
Objetivo: Evaluar el efecto del gas ozono y el aceite ozonizado sobre el infiltrado mononuclear y el recuento de mastocitos en un modelo experimental estándar de cicatrización de heridas cutáneas. Métodos: Treinta ratas Wistar se sometieron a un tratamiento estandarizado de heridas cutáneas y se dividieron en tres grupos: control (GC), insuflación de gas ozono (GGO) y aplicación tópica de aceite de girasol ozonizado (GOO). La eutanasia se realizó los días 5 y 10. Las muestras se tiñeron con hematoxilina-eosina y azul de toluidina para análisis cuantitativos y semicuantitativos. Los datos se evaluaron mediante ANOVA seguido de la prueba t de Student (p < 0,05). Resultados: No se observaron diferencias significativas en el infiltrado mononuclear entre los grupos en ninguno de los períodos evaluados (p > 0,05). Sin embargo, los recuentos de mastocitos fueron significativamente mayores en los grupos tratados con ozono, especialmente los mastocitos degranulados en el día 5 (GGO p = 0,01; GOO p = 0,02) en comparación con el grupo control. Conclusión: La ozonoterapia no moduló significativamente el infiltrado mononuclear, pero aumentó el número de mastocitos en la fase temprana de la cicatrización de la herida, independientemente de la vía de administración.
Biografía del autor/a
Licenciatura en Ciencias de la Salud
Maestría en Procesos Interactivos de Órganos y Sistemas; Instituto de Ciencias de la Salud, Universidad Federal de Bahía (ICS, UFBA)
Cirujano Dentista; Facultad de Medicina y Salud Pública de Bahía
Maestría en Biotecnología del Programa de Posgrado en Biotecnología
Instituto de Ciencias de la Salud
Universidad Federal de Bahia
Maestría en Medicina y Salud Humana, Facultad de Medicina y Salud Pública de Bahía
Cirujano Oral y Maxilofacial
Doctorado en Laserterapia por la Universidad Federal de Bahía (UFBA)
Profesor Asociado IV, Departamento de Biointeracción, Instituto de Ciencias de la Salud
Doctorado en Patología Humana por la FIOCRUZ/UFBA
Referencias
ALVARENGA, M. O. P. et al. Safety and effectiveness of copaiba oleoresin (C. reticulata Ducke) on inflammation and tissue repair of oral wounds in rats. International Journal of Molecular Sciences, v. 21, n. 10, p. 3568, 2020. DOI: https://doi.org/10.3390/ijms21103568
ATIAKSHIN, D. et al. Mast cells in regeneration of the skin in burn wound with special emphasis on molecular hydrogen effect. Pharmaceuticals, v. 16, n. 3, p. 348, 2023. DOI: https://doi.org/10.3390/ph16030348
ATIAKSHIN, D.; BUCHWALOW, I.; TIEMANN, M. Mast cells and collagen fibrillogenesis. Histochemistry and Cell Biology, v. 154, p. 21–40, 2020. DOI: https://doi.org/10.1007/s00418-020-01875-9
BACCI, S. Fine regulation during wound healing by mast cells: a physiological role not yet clarified. International Journal of Molecular Sciences, v. 23, n. 3, p. 1820, 2022. DOI: https://doi.org/10.3390/ijms23031820
DA SILVA, A. C. et al. Ozonioterapia no tratamento de feridas em cães diabéticos. Brazilian Journal of Development, v. 8, n. 8, p. 56860–56871, 2022. DOI: https://doi.org/10.34117/bjdv8n8-133
DAMY, S. B. et al. Aspectos fundamentais da experimentação animal – aplicações em cirurgia experimental. Revista da Associação Médica Brasileira, v. 56, n. 1, p. 103–111, 2010. DOI: https://doi.org/10.1590/S0104-42302010000100024
DE SIRE, A. et al. Oxygen-ozone therapy for reducing pro-inflammatory cytokines serum levels in musculoskeletal and temporomandibular disorders: a comprehensive review. International Journal of Molecular Sciences, v. 23, n. 5, p. 2528, 2022. DOI: https://doi.org/10.3390/ijms23052528
DONG, J. et al. Mast cells in diabetes and diabetic wound healing. Advances in Therapy, v. 37, p. 4519–4537, 2020. DOI: https://doi.org/10.1007/s12325-020-01499-4
DUNNILL, C. et al. Reactive oxygen species (ROS) and wound healing: the functional role of ROS and emerging ROS-modulating technologies for augmentation of the healing process. International Wound Journal, v. 14, n. 1, p. 89–96, 2017.
EBRAHIMI, P. et al. Effect of photobiomodulation in secondary intention gingival wound healing: a systematic review and meta-analysis. BMC Oral Health, v. 21, p. 258, 2021. DOI: https://doi.org/10.1186/s12903-021-01611-2
EVALUATION of antibacterial activity of sunflower oil: support for nursing. Research, Society and Development, v. 10, n. 9, p. e8710917941, 2021. DOI: https://doi.org/10.33448/rsd-v10i9.17941 Disponível em: https://rsdjournal.org/rsd/article/view/17941
GONZALEZ, A. C. O. et al. Wound healing: a literature review. Anais Brasileiros de Dermatologia, v. 91, n. 5, p. 614–620, 2016. DOI: https://doi.org/10.1590/abd1806-4841.20164741
HUANG, H. J. et al. Effect of ozone water on the inflammation and repair in infected wounds. Nan Fang Yi Ke Da Xue Xue Bao, v. 30, n. 3, p. 515–518, 2010.
LIU, J. et al. Ozone therapy for treating foot ulcers in people with diabetes. Cochrane Database of Systematic Reviews, n. 10, 2015. Art. n. CD008474. DOI: https://doi.org/10.1002/14651858.CD008474.pub2
LIU, L. et al. Ozone therapy for skin diseases: cellular and molecular mechanisms. International Wound Journal, v. 20, n. 6, p. 2376–2385, 2022.
MEDRADO, A. R. et al. Influence of low level laser therapy on wound healing and its biological action upon myofibroblasts. Lasers in Surgery and Medicine, v. 32, n. 3, p. 239–244, 2003. DOI: https://doi.org/10.1002/lsm.10126
PIIPPONEN, M.; LI, D.; LANDÉN, N. X. The immune functions of keratinocytes in skin wound healing. International Journal of Molecular Sciences, v. 21, n. 22, p. 8790, 2020. DOI: https://doi.org/10.3390/ijms21228790
PIRES, J. R. et al. Effect of systemic ozone therapy as a biomodulator of tissue regeneration and inflammatory response in rats. Revista de Odontologia da UNESP, v. 50, p. e20210046, 2021. DOI: https://doi.org/10.1590/1807-2577.04621
RODRIGUES, M. et al. Wound healing: a cellular perspective. Physiological Reviews, v. 99, n. 1, p. 665–706, 2019. DOI: https://doi.org/10.1152/physrev.00067.2017
SAGLAM, E. et al. Evaluation of the effect of topical and systemic ozone application in periodontitis: an experimental study in rats. Journal of Applied Oral Science, v. 28, p. e20190140, 2019. DOI: https://doi.org/10.1590/1678-7757-2019-0140
SHIOTA, N. et al. Pathophysiological role of skin mast cells in wound healing after scald injury: study with mast cell-deficient W/Wv mice. International Archives of Allergy and Immunology, v. 151, p. 80–88, 2009.
SMITH, N. L. et al. Ozone therapy: an overview of pharmacodynamics, current research, and clinical utility. Medical Gas Research, v. 7, n. 3, p. 212–219, 2017.
VIEBAHN-HAENSLER, R.; LEÓN FERNÁNDEZ, O. S. Mitochondrial dysfunction, its oxidative stress-induced pathologies and redox bioregulation through low-dose medical ozone: a systematic review. Molecules, v. 29, n. 12, p. 2738, 2024. DOI: https://doi.org/10.3390/molecules29122738
VINNIK, Y. S. et al. Effectiveness of ozone therapy and ultrasound in regeneration of an infected wound in an experiment. Siberian Medical Review, 2022.
XAVIER, P. B. Application of ozonetherapy in the treatment of skin injuries in the elderly. Research, Society and Development, v. 10, n. 17, p. e229101724682, 2021. DOI: https://doi.org/10.33448/rsd-v10i17.24682 Disponível em: https://rsdjournal.org/rsd/article/view/24682
ZHANG, X. et al. Elastic fibre proteins in elastogenesis and wound healing. International Journal of Molecular Sciences, v. 23, p. 4087, 2022. DOI: https://doi.org/10.3390/ijms23084087
