The application of stem together with visible and infrared light in regenerative medicine (Part 2)

Abstract

The objective of the present study was to review the experimental studies concerned with in vitro and in vivo visible and infrared light irradiation of human and animal stem cells (SC) to assess the possibilities of using its photobiomodulatory effects for the purpose of regenerative medicine (RM). Despite the long history of photochromotherapy there is thus far no reliable theoretical basis for the choice of such irradiation parameters as power density, radiation dose and exposure time. Nor is there a generally accepted opinion on the light application for the purpose of regenerative medicine. Therefore, the clinical application of light irradiation remains a matter of controversy, in the first place due to the difficulty of the rational choice of irradiation parameters. In laboratory research, the theoretical basis for the choice of irradiation parameters remains a stumbling block too. A relationship between the increased radiation power density and the cell differentiation rate was documented. SC exposure to light in the absence of the factors causing their differentiation failed to induce it. On the contrary, it increased the features characteristic of undifferentiated cells. The maximum differentiation rate of the same cells was achieved by using irradiation parameters different from those needed to achieve the maxi- mum proliferation rate. The increase of SC differentiation rate upon a rise in radiation power density was induced by increasing ir- radiation energy density. The increase of power density and the reduction of either energy density or exposure time were needed to enhance the SC responsiveness to irradiation in the form of either proliferation or differentiation. The effectiveness of phototherapy at all stages of SC treatment was documented especially when it was applied to stimulate the reservoirs of bone marrow lying far from the site of the pathogenic process together with simultaneous light irradiation of the affected site and pre-treatment of stem cells prior to their administration. Based on the results of this analysis we have proposed "a plot showing the dependence of cell response on the generalized photostimulus" and coined two new terms "photostress" and "photoshock".