Cold Atmospheric Plasma Research Articles

Effects of Pressure, Hypoxia, and Hyperoxia on Neutrophil Granulocytes

Background: The application of normo- and hyperbaric O2 is a common therapy option in various disease patterns. Thereby, the applied O2 affects the whole body, including the blood and its components. This study investigates influences of pressure and oxygen fraction on human blood plasma, nutrient media, and the functions of neutrophil granulocytes (PMNs). Methods: Neutrophil migration, reactive oxygen species (ROS) production, and NETosis were examined by live cell imaging. The treatment of various matrices (Roswell Park Memorial Institute 1640 medium, Dulbecco’s Modified Eagle’s Medium, H2O, human plasma, and isolated PMNs) with hyperbaric oxygen (HBO) was performed. In addition, the expression of different neutrophil surface epitopes (CD11b, CD62L, CD66b) and the oxidative burst were investigated by flow cytometry (FACS). The application of cold atmospheric plasma (CAP) to normoxic and normobaric culture media served as a positive control. Soluble reaction products such as H2O2, reactive nitrogen species (RNS: NO2− and NO3−), and ROS-dependent dihydrorhodamine oxidation were quantified by fluoro- and colorimetric assay kits. Results: Under normobaric normoxia, PMNs migrate slower and shorter in comparison with normobaric hyper- or hypoxic conditions and hyperbaric hyperoxia. The pressure component has less effect on the migration behavior of PMNs than the O2 concentration. Individual PMN cells produce prolonged ROS at normoxic conditions. PMNs showed increased expression of CD11b in normobaric normoxia, lower expression of CD62L in normobaric normoxia, and lower expression of CD66b after HBO and CAP treatment. Treatment with CAP increased the amount of ROS and RNS in common culture media. Conclusions: Hyperbaric and normobaric O2 influences neutrophil functionality and surface epitopes in a measurable way, which may have an impact on disorders with neutrophil involvement. In the context of hyperbaric experiments, especially high amounts of H2O2 in RPMI after hyperbaric oxygen should be taken into account. Therefore, our data support a critical indication for the use of normobaric and hyperbaric oxygen and conscientious and careful handling of oxygen in everyday clinical practice.

Effect of atmospheric cold plasma treatment on the flavor of high-fat aquatic products: A case study of golden pomfret (Trachinotus ovatus, family Bramidae) oil using GC-MS, GC-IMS, and an E-nose

This study examines the effects of atmospheric cold plasma (AP) treatment on golden pomfret oil, particularly its physicochemical properties and flavor compounds. Volatile flavor compounds in the golden pomfret fish oil were investigated following AP treatment and cold storage for 30 d using gas chromatography-mass spectrometry, gas chromatography-ion mobility mass spectrometry, and an electronic nose. The relative odor activity values revealed that certain molecules, including pentane, tridecane, styrene, methyl palmitate, benzyl benzoate, 1-methyl-2-pyrrolidinone, and oleic acid, were potential markers for distinguishing between the aromas at fresh group, 30 d of storage, and 30 d of AP storage. The content of volatile compounds changed during low-temperature refrigeration. AP treatment was a protective measure against flavor changes during storage. This information can aid in exploring the formation mechanism of the characteristic odor of AP-treated golden pomfret oil and its related metabolic pathways.

Realtime RONS monitoring of cold plasma-activated aqueous media based on time-resolved phosphorescence spectroscopy

Besides many efforts on the detection and quantification of reactive oxygen and nitrogen species (RONSs) in the aqueous media activated by the cold atmospheric plasma, to get a better insight into the dominant mechanism and reactive species in medical applications, a challenge still remains in monitoring the real-time evaluation of them. To this end, in the present work, relying on the photonic technology based on the time-resolved phosphorescence spectroscopy, real-time tracking of RONSs concentration in treated aqueous media is achieved by following the dissolved oxygen (DO) production/consumption. Using a photonic-based dissolved oxygen sensor, the dependence of real-time RONS concentration evaluation of plasma activated medium on plasma nozzle distance, non-thermal plasma jet exposure time, various culture media, and presence of cells is investigated. Analyzing the results, the activation parameters including the time of reaching maximum RONS concentration after treatment and defined activation parameter \\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$\\epsilon\\:$$\\end{document} of the treated media for each case is measured and compared together. Moreover, employing the scavengers related to two involved ROSs, the dominant chemical reactions as well as ROS contributed in the DMEM medium is determined. As a promising result, the obtained correlation between the real-time DO level and viability and toxicity of the cancer cells, MCF-7 breast cancer cells, could enable us to exploit the present photonic setup as an alternative technique for the biological assessment.

Analysis of discharge parameters of an argon cold atmospheric pressure plasma jet and its impact on surface characteristics of White Grapes

An argon cold atmospheric-pressure plasma (CAP) jet operated using bipolar pulsed power supply has been characterised electro-optically and the discharge parameters are optimized. An analysis has been done on the impact of the argon CAP jet treatment on the surface properties of white grapes for different treatment time period. The developed argon CAP jet is a plasma source based on dielectric barrier discharge (DBD) that has been tuned at various input parameters including applied voltage, frequency, average power consumption, and argon flow rate. Optical Emission Spectroscopy (OES) is used to identify the generated species along with plasma parameters. The collisional–radiative (CR) model is employed to extract the electron density (ne) and electron temperature (Te) from the spectra at the optimised applied voltage of 4 kV, frequency 20 kHz and argon flow rate of 4 slpm. The OES results coupled with the CR model (ne ∼ 1014 cm−3 and Te ∼ 1 eV) and the plasma gas temperature measurement through OH (A-X) transitions (Tg ∼ 310.5 K) show the non-equilibrium nature of the argon CAP jet. A comparative analysis between untreated and treated white grapes reveals that the argon CAP jet treatment influences surface microstructure, increasing hydrophilicity (with a ∼49.3% decrease in water contact angle) along with slight changes in surface temperature (∼5 °C increase), colour (ΔE* < 1.5), and physiochemical properties such as chemical composition (no change) and Total Soluble Solid (TSS) content (∼8.3%). It is inferred that this type of CAP jet treatment of white grapes only affects the physical characteristics of the grape surface and does not alter any chemical compositions.

Cold atmospheric plasma activated media selectively affects human head and neck cancer cell lines.

Cold atmospheric plasma (CAP) is a novel approach for cancer treatment. It can be used to treat liquids-plasma-activated media (PAM)-which are then transferred to the target as an exogenous source of reactive oxygen and nitrogen species (RONS). The present study aimed at chemically characterizing different PAM and assessing their invitro selectivity against head and neck cancer cells (HNC). PAM were obtained by exposing 2 and 5 mL of cell culture medium to CAP for 5, 10 and 20 min at a 6 mm working distance. Anions kinetics was evaluated by ion chromatography. Cell proliferation inhibition, apoptosis occurrence, and cell cycle modifications were assessed by MTS and flow cytometry, on human epidermal keratinocyte (HaCaT) and HNC cell lines HSC3, HSC4 and A253. The 2 mL conditions showed a significant reduction in cell proliferation whereas for the 5 mL the effect was milder, but the time-dependence was more evident. HaCaT were unaffected by the 5 mL PAM, indicating a selectivity for cancer cells. The media chemical composition modified by CAP exposure influenced cell proliferation by modulating cell cycle and inducing apoptosis in cancer cells, without affecting normal cells.

Changes in the flavor formation and sensory attributes of Maillard reaction products by different oxidation degrees of beef tallow via cold plasma

It remains unclear how the oxidation degree of animal fat affects the flavor formation and sensory attributes of Maillard reaction products (MRPs). To oxidize beef tallow differentially under mild conditions, an atmospheric pressure cold plasma (APCP) was applied due to its easy, economical, and controllable manipulation and effectiveness. As the duration of APCP increased after 10 min, the oxidation degree of beef tallow increased significantly (p < 0.05). The beef tallow was incorporated into the cysteine-xylose model system and heated at 120 °C for 90 min. Volatiles from lipid oxidation products increased, whereas sulfur-containing compounds decreased significantly when the model included APCP-treated beef tallow (p < 0.05). MRPs with 10-min APCP-treated beef tallow showed reduced off-odor (p < 0.05). Thus, moderate APCP treatment to beef tallow may be beneficial for sensory attributes of MRPs. It suggests the potential of APCP to improve the flavor of heat-sensitive foods by controlling lipid oxidation.

Cold atmospheric plasma therapy as a novel treatment for Berlin Heart EXCOR pediatric cannula infections

Cold atmospheric plasma therapy as a novel treatment for Berlin Heart <scp>EXCOR</scp> pediatric cannula infections

Effect of atmospheric pressure cold plasma (ACP) treatment on technological characteristics of chia (Salvia hispanica L.) seeds

The highly nutritious nature of chia seeds drives its increased utilization by the consumer and industries. This study is done to investigate the impact of atmospheric pressure cold plasma (ACP) based on air gas and dielectric barrier discharge (DBD) design. ACP treatment as an emerging non-thermal processing at different time (3 and 8 min) and voltage (6.5 and 8.5 kV) on technological characteristics of chia seeds including physicochemical, rheological, thermal, textural and morphological characteristics which are generally induced by carbohydrate and protein fraction. Results indicated an increase in water absorption index (10.36 ± 0.10 g/g), swelling power (10.43 ± 0.94 g/g) and decrease in gelatinization enthalpy (313.7 ± 0.9 J/g) at samples treated for 8 min at 8.5 kV. The lowest hardness (1390.5 ± 50.4 g) and highest peak temperature (94.79 ± 0.5 °C) is also observed at samples treated for 3 min at 8.5 kV. Changes in technological properties observed through ACP treatment are generally determined by the interaction of plasma activated species with molecular components, their depolymerization and cross-link formation as verified by FTIR analysis. Regarding, ACP treatment influences the structure of protein and carbohydrate macromolecules on the basis of its intensity.

The ring-shaped spatial distribution of the argon excimer, Ar2∗\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$\\hbox {Ar}_2^{*}$$\\end{document}, in the effluent of the kINPen-sci

Spatially resolved measurements of the argon excimer, Ar2∗\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$\\hbox {Ar}_2^{*}$$\\end{document}, were performed in the effluent of a cold atmospheric plasma jet (CAPJ), the so called kINPen-sci, using cavity ringdown spectroscopy. The spatial distribution of the density of Ar2∗\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$\\hbox {Ar}_{2}^{*}$$\\end{document} could be distinguished into two distinct populations: a Gaussian and a toroidally shaped distribution. The production mechanisms of these populations seem to differ. On the one hand, a strong correlation was found between the Gaussian Ar2∗\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$\\hbox {Ar}_{2}^{*}$$\\end{document} population and the spatial distribution of the filaments produced in the effluent of the kINPen-sci. On the other hand, measurements performed while varying the experimental conditions under which the kINPen-sci was operated indicate that the gas flow velocity must play a major role in the formation of the toroidal Ar2∗\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$\\hbox {Ar}_2^{*}$$\\end{document} population. However, the mechanism of formation of the toroid Ar2∗\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$\\hbox {Ar}_{2}^{*}$$\\end{document} population remains unclear.

Effect of dielectric barrier discharge high voltage atmospheric cold plasma on Aspergillus flavus inactivation and aflatoxin B1 degradation on inoculated raw peanuts

High voltage atmospheric cold plasma (HVACP) is an emerging non-thermal technology with short treatment time, low energy consumption, and no chemical residues on foods. Peanut samples inoculated with Aspergillus flavus spores and spiked with Aflatoxin B1 (AFB1) toxin were treated with HVACP at 90 kV for 2, 5, and 10 min, and post-treatment storage times (0, 4, and 24 h) using air with different relative humidities (RH, 5, 40, and 80 %), respectively. A treatment of 5 min resulted in a 2.20 log spores reduction of A. flavus spores on peanuts. A. flavus was almost completely inactivated (99.9 %) by HVACP treatment for 10 min with 80 % RH in the air and 24 h post-treatment storage. A 71.3 % AFB1 reduction was achieved with a treatment of 2 min and 80 % RH without post-treatment. The reduction of AFB1 toxin also significantly increased with increasing treatment time, higher RH and post-treatment storage (p < 0.05). HVACP is a promising technology to effectively inactivate A. flavus and reduce AFB1 on raw peanut kernels without adversely affected peanut quality. Industrial relevanceTo improve the food safety and quality, it is crucial to develop an effective microbial decontamination approach while having minimal impact on the organoleptic characteristics and nutritional value of treated foods. Peanuts are an excellent source of plant-based protein, but they are highly susceptible to contamination with Aspergillus spp. mold, which may lead food safety issues. Cold plasma as an emerging non-thermal technology with short treatment time, low energy consumption, and no chemical residue on the food proves to be a promising tool to effectively inactivate A. flavus and reduce AFB1 on raw peanut kernels without adversely affected peanut quality.

A comparative study of Fibre Bragg Grating for spatially and temporally resolved gas temperature measurements in cold atmospheric pressure plasma jets

Abstract Cold atmospheric pressure plasma jets (CAP-Jet) are successfully used in medical ther-apy for healing of chronic wounds and are widely researched in inactivation of patho-gens and in assisting in cancer therapy. A crucial parameter for these plasma applica-tions is that CAP-Jets operate at temperatures that are tolerable for biological tissues. While tools characterizing the plasma's gas temperature are well developed, there are only a few methods that work with an agreeable limit of uncertainty, complexity and limited perturbation properties to accurately determine that the studied plasma jet operates at tissue tolerable temperatures at all times. In the current work, time resolved measurements of the gas temperature in the effluent of a CAP-Jet are performed using the innovative technique of a Fibre Bragg Grating (FBG), in which the temperature dynamics is measured by a shift of the FBGs resonant wavelength through its thermo-optic coefficient. Comparing with other temporal and spatial diagnostic tools such as thermocouple measurement, Schlieren imaging, and optical emission spectroscopy, we demonstrate reliable calorimetric measurements at different plasma duty cycles. The plasma source maintains tissue tolerable temperatures inside the plasma active zone with values below 35°C at 1 cm distance from the jet nozzle. The calorimetric measure-ments have revealed that the heat power dissipation in comparison to electric energy of our plasma source is at least 50%.

Synergistic effects of oxidative and acid stress on bacterial membranes of Escherichia coli and Staphylococcus simulans

Oxidative stress in combination with acid stress has been shown to inactivate a wide spectrum of microorganisms, including multi-resistant bacteria. This occurs e.g. in phagolysosomes or during treatment by cold atmospheric pressure plasmas (CAP) and possibly depends on the cell membrane. We therefore explored the effects of CAP-generated reactive oxygen and nitrogen species (RONS) on bacterial growth inhibition and membranes in neutral and acidic suspensions. We observed that growth inhibition was most efficient when bacteria were treated by a mix of short and long-lived RONS in an acidic environment. Membrane packing was affected mainly upon contact with short-lived RONS, while also acidity strongly modulated packing. Under these conditions, Gram-negative bacteria displayed large potassium release while SYTOX Green influx remained marginal. Growth inhibition of Gram-negative bacteria correlated well with outer membrane (OM) permeabilization that occurred upon contact with short and/or long-lived RONS in synergy with acidity. In Gram-positive bacteria, CAP impaired membrane potential possibly through pore formation upon contact with short-lived RONS while formation of membrane protein hydroperoxides was probably involved in these effects. In summary, our study provides a wide perspective on understanding inactivation mechanisms of bacteria by RONS in combination with acidity.

Enhanced Corrosion Protection of Printed Circuit Board Electronics using Cold Atmospheric Plasma-Assisted SiOx Coatings.

The miniaturization and widespread deployment of electronic devices across diverse environments have heightened their vulnerability to corrosion, particularly affecting copper traces within printed circuit boards (PCBs). Conventional protective methods, such as conformal coatings, face challenges including the necessity for a critical thickness to ensure effective barrier properties and the requirement for multiple steps of drying and curing to eliminate solvent entrapment within polymer coatings. This study investigates cold atmospheric plasma (CAP) as an innovative technique for directly depositing ultrathin silicon oxide (SiOx) coatings onto copper surfaces to enhance corrosion protection in PCBs. A systematic investigation was undertaken to examine how the scanning speed of the CAP deposition head impacts the film quality and corrosion resistance. The research aims to determine the optimal scanning speed of the CAP deposition head that achieves complete surface coverage while promoting effective cross-linking and minimizing unreacted precursor entrapment, resulting in superior electrical barrier and mechanical properties. The CAP coating process demonstrated the capability of depositing SiOx onto copper surfaces at various thicknesses ranging from 70 to 1110 nm through a single deposition process by simply adjusting the scanning speed of the plasma head (5-75 mm/s). Evaluation of material corrosion barrier characteristics revealed that scanning speeds of 45 mm/s of the plasma deposition head provided an effective coating thickness of 140 nm, exhibiting superior corrosion resistance (30-fold) compared to that of uncoated copper. As a proof of concept, the efficacy of CAP-deposited SiOx coatings was demonstrated by protecting an LED circuit in saltwater and by coating printed circuits for potential agricultural sensor applications. These CAP-deposited coatings offer performance comparable to or superior to traditional conformal polymeric coatings. This research presents CAP-deposited SiOx coatings as a promising approach for effective and scalable corrosion protection in miniaturized electronics.

Elucidating the bacterial inactivation mechanism by argon cold atmospheric pressure plasma jet through spectroscopic and imaging techniques.

This study aims to assess the potential bacterial inactivation pathway triggered by argon (Ar) cold atmospheric pressure plasma jet (CAPJ) discharge using spectroscopic and imaging techniques. Electrical and reactive species of the Ar CAPJ discharge was characterized. The chemical composition and morphology of bacteria pre- and post-CAPJ exposure were assessed using Fourier transform infrared (FTIR), Raman micro-spectroscopy, and transmission electron microscopy (TEM). A greater than 6 log reduction of E. coli and S. aureus was achieved within 60 and 120 s of CAPJ exposure, respectively. Extremely low D- values (< 20 s) were recorded for both the isolates. The alterations in the FTIR spectra and Raman micro-spectra signals of post-CAPJ exposed bacteria revealed the degree of destruction at the molecular level, such as lipid peroxidation, protein oxidation, bond breakages, etc. Further, TEM images of exposed bacteria indicated the incurred damages on cell morphology by CAPJ reactive species. Also, the inactivation process varied for both isolates, as evidenced by the correlation between the inactivation curve and FTIR spectra. It was observed that the identified gas-phase reactive species, such as Ar I, O I, OH•, NO+, OH+, NO2-, NO3-, etc. played a significant role in bacterial inactivation. This study clearly demonstrated the effect of CAPJ exposure on bacterial cell morphology and molecular composition, illuminating potential bacterial inactivation mechanisms.

Determination of the combined effect of grape seed extract and cold atmospheric plasma on foodborne pathogens and their environmental stress knockout mutants.

The study aimed to explore the antimicrobial efficacy of grape seed extract (GSE) and cold atmospheric plasma (CAP) individually or in combination against L. monocytogenes and E. coli wild type (WT) and their isogenic mutants in environmental stress genes. More specifically, we examined the effects of 1% (wt/vol) GSE, 4 min of CAP treatment, and their combined effect on L. monocytogenes 10403S WT and its isogenic mutants ΔsigB, ΔgadD1, ΔgadD2, ΔgadD3, as well as E. coli K12 and its isogenic mutants ΔrpoS, ΔoxyR, and ΔdnaK. In addition, the sequence of the combined treatments was tested. A synergistic effect was achieved for all L. monocytogenes strains when exposure to GSE was followed by CAP treatment. However, the same effect was observed against E. coli strains, only for the reversed treatment sequence. Additionally, L. monocytogenes ΔsigB was more sensitive to the individual GSE and the combined GSE/CAP treatment, whereas ΔgadD2 was more sensitive to CAP, as compared to the rest of the mutants under study. Individual GSE exposure was unable to inhibit E. coli strains, and individual CAP treatment resulted in higher inactivation of E. coli in comparison to L. monocytogenes with the strain ΔrpoS appearing the most sensitive among all studied strains. Our findings provide a step toward a better understanding of the mechanisms playing a role in the tolerance/sensitivity of our model Gram-positive and Gram-negative bacteria toward GSE, CAP, and their combination. Therefore, our results contribute to the development of more effective and targeted antimicrobial strategies for sustainable decontamination.IMPORTANCEAlternative approaches to conventional sterilization are gaining interest from the food industry, driven by (i) the consumer demand for minimally processed products and (ii) the need for sustainable, environmentally friendly processing interventions. However, as such alternative approaches are milder than conventional heat sterilization, bacterial pathogens might not be entirely killed by them, which means that they could survive and grow, causing food contamination and health hazards. In this manuscript, we performed a systematic study of the impact of antimicrobials derived from fruit industry waste (grape seed extract) and cold atmospheric plasma on the inactivation/killing as well as the damage of bacterial pathogens and their genetically modified counterparts, for genes linked to the response to environmental stress. Our work provides insights into genes that could be responsible for the bacterial capability to resist/survive those novel treatments, therefore, contributing to the development of more effective and targeted antimicrobial strategies for sustainable decontamination.

Studying the Physicochemical Properties of Water Activated by Cold Atmospheric Plasma Jet

Studying the Physicochemical Properties of Water Activated by Cold Atmospheric Plasma Jet

Inhibitory effect of helium cold atmospheric plasma on cariogenic biofilms

ABSTRACT This study aimed to determine the effects of low-temperature plasma jet produced in gas helium (LTP-helium) on cariogenic biofilms composedby Streptococcusmutans, Streptococcus sanguinis and Streptococcus gordonii, and also by the combination of Candida albicans, Lactobacillus acidophilus and S. mutans. Biofilms were treated for 1, 3, 5, and 7 minutes. A 0.12% chlorhexidine solution was used as the positive control and sterile physiologic solution was the negative control. Biofilm viability was analyzed by viable cell recovery, scanning electron microscopy, and confocal laser scanning microscopy. All assays were performed intriplicate in three independent experiments. Multispecies biofilms exposed to LTP-helium had a significant reduction in viability when compared to the negative control (p < 0.0001). For biofilm formedby S. mutans, S. sanguinis, and S. gordonii, LTP treatments for 5 and 7 minutes caused similar reduction of morethan 2 log10. Also, a significant reduction in the viability of biofilms formedby C. albicans, L. acidophilus, and S. mutans was detected (p < 0.0001). In conclusion, LTP-helium reduced theviability of cariogenic biofilms with different microbial compositions, which indicates that LTP-helium is a potential tool for developing new protocols for dental caries prevention and treatment.

Effectiveness of cold plasma application in oral wound healing process: A scoping review.

Cold atmospheric plasma (CAP) has shown an ability to promote wound healing by modulating biological processes without causing thermal damage. This scoping review aimed to evaluate the effectiveness of CAP application in the oral wound healing process. An electronic literature search was conducted using PubMed/Medline, Embase, Web of Science, Scopus, and grey literature (Google Scholar). The search included all articles published up to October 11, 2023. Only studies focusing on the different CAP types' effects on oral cavity wounds or cells were included in the review. This review analyzed 13 studies including seven cell culture studies, one animal study, and five human studies (three invivo and two exvivo). The findings from the reviewed articles suggest that CAP may have therapeutic potential. It can maintain cell viability and influence gene expression, accelerate wound healing, and modulate inflammation-related cytokines. DBD plasma exhibited time-sensitive effects on cellular behavior and microplasma irradiation positively impacted cell count, biochemical profiles, and cellular migration. The application of CAP has been shown to have a positive impact on the healing of oral wounds in cell culture, animal, and human studies.

In Vitro Drug Delivery through the Blood–Brain Barrier Using Cold Atmospheric Plasma

This study explores the potential of cold atmospheric plasma (CAP) to facilitate the delivery of large-molecule drugs to the brain. The blood–brain barrier (BBB) restricts the passage of most drugs, hindering treatment for neurological disorders. CAP generates reactive oxygen and nitrogen species (RONS) that may disrupt the BBB’s tight junctions, potentially increasing drug permeability. An in vitro BBB model and an immortalized cell line (bEND.3) were used in this experiment. Fluorescein isothiocyanate dextran (FD-4), a model drug, was added to the cells to determine drug permeability. Custom microplasma was used to produce reactive oxygen species (ROS). Trans-endothelial electrical resistance (TEER) measurements assessed the integrity of the BBB after the CAP treatment. A decrease in TEER was observed in the CAP-treated group compared to the controls, suggesting increased permeability. Additionally, fluorescence intensity measurements from the basal side of the trans-well plate indicated higher drug passage in the CAP-treated group. Moreover, the higher presence of ROS in the plasma-treated cells confirmed the potential of CAP in drug delivery. These findings suggest that CAP may be a promising approach for enhancing brain drug delivery.

Cold Atmospheric Plasma Induces Growth Arrest and Apoptosis in Neurofibromatosis Type 1-Associated Peripheral Nerve Sheath Tumor Cells.

Neurofibromatosis type 1 (NF1) is an autosomal dominant disorder resulting from mutations in the NF1 gene. Patients harboring these mutations are predisposed to a spectrum of peripheral nerve sheath tumors (PNSTs) originating from Schwann cells, of which malignant peripheral nerve sheath tumors (MPNSTs) are the deadliest, with limited treatment options. Therefore, an unmet need still exists for more effective therapies directed at these aggressive malignancies. Cold atmospheric plasma (CAP) is a reactive oxygen species (ROS) and reactive nitrogen species (RNS) generating ionized gas that has been proposed to be a potential therapeutic modality for cancer. In this study, we sought to determine the effects of CAP on NF1-associated PNSTs. Utilizing established mouse and human cell lines to interrogate the effects of CAP in both in vitro and in vivo settings, we found that NF1-associated PNSTs were highly sensitive to CAP exposure, resulting in cell death. To our knowledge, this is the first application of CAP to NF1-associated PNSTs and provides a unique opportunity to study the complex biology of NF1-associated tumors.