Revista de Odontologia da UNESP
https://revodontolunesp.com.br/article/doi/10.1590/1807-2577.04621
Revista de Odontologia da UNESP
Original Article

Effect of systemic ozone therapy as a biomodulator of tissue regeneration and inflammatory response in rats

Efeito da terapia sistêmica de ozônio como um biomodulador da regeneração tecidual e da resposta inflamatória em ratos

Juliana Rico PIRES; Alexandre Melo KARAM; Valdir Gouveia GARCIA; Fernando Salimon RIBEIRO; Ana Emilia Farias PONTES; Cleverton Roberto de ANDRADE; Elizangela Cruvinel ZUZA

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Abstract

Abstract: Introduction: Among the therapeutic effects of ozone therapy, improvement in cell metabolism and peripheral tissue oxygenation have been highlighted.

Objective: to evaluate the systemic effect of bio-oxidative therapy with ozone gas on wound healing.

Material and method: Tissue lesions with a circumference of 1.0 cm were induced in the skin on the back of 24 male Wistar rats. The animals were randomly divided into two groups: 1) Group C (control; n=12): with simulation of the application of ozone gas via the rectum and, 2) Group O3 (test; n=12): with application of ozone gas by means of rectal insufflation at a concentration of 50 µg/mL. The animals were euthanized at seven and 15 days, and samples were removed, fixed in formalin, and submitted to macroscopic, histological, and histometric analyses.

Result: The animals in the O3 group presented mixed inflammation at seven days, which translated into an absence of inflammation at 15 days. The C group exhibited acute inflammation on the 7th day, translating to chronic inflammation, which significantly increased from the 7th to the 15th day. The findings showed that the O3 group presented greater wound contraction (P<0.05) and a greater degree of neovascularization on the 7th day (P<0.05) when compared to group C. On the 15th day, both groups (O3 and C) showed complete re-epithelialization, however, the O3 group demonstrated complete muscle regeneration.

Conclusion: The systemic ozone therapy had a biomodulatory effect, reducing the characteristics of acute inflammation and increasing tissue repair and regeneration in rat skin.

Keywords

Ozone, wound healing, inflammation, rats

Resumo

Resumo: Introdução: Dentre os efeitos terapêuticos da ozonioterapia, destacam-se a melhora do metabolismo celular e da oxigenação dos tecidos periféricos.

Objetivo: avaliar o efeito sistêmico da terapia bio-oxidativa com gás ozônio na cicatrização de feridas.

Material e método: Lesões teciduais com circunferência de 1,0 cm foram induzidas na pele do dorso de 24 ratos Wistar machos. Os animais foram divididos aleatoriamente em dois grupos: 1) Grupo C (controle; n = 12): com simulação da aplicação de gás ozônio pelo reto e, 2) Grupo O3 (teste; n = 12): com aplicação de gás ozônio por meio de insuflação retal na concentração de 50 µg / mL. Os animais foram sacrificados com sete e 15 dias, e as amostras foram retiradas, fixadas em formalina e submetidas às análises macroscópica, histológica e histométrica.

Resultado: Os animais do grupo O3 apresentaram inflamação mista aos sete dias, que se traduziu em ausência de inflamação aos 15 dias. O grupo C apresentou inflamação aguda no 7º dia, traduzindo-se em inflamação crônica, que aumentou significativamente do 7º para o 15º dia. Os achados mostraram que o grupo O3 apresentou maior contração da ferida (P <0,05) e maior grau de neovascularização no 7º dia (P <0,05) quando comparado ao grupo C. No 15º dia, ambos os grupos (O3 e C) apresentaram completa reepitelização, entretanto, o grupo O3 demonstrou completa regeneração muscular.

Conclusão: A ozonioterapia sistêmica teve efeito biomodulador, reduzindo as características de inflamação aguda e aumentando a reparação e regeneração tecidual na pele de ratos.
 

Palavras-chave

Ozônio, cicatrização, inflamação, ratos

References

1 Bocci V, Aldinucci C. Biochemical modifications induced in human blood by oxygenation-ozonation. J Biochem Mol Toxicol. 2006;20(3):133-8. http://dx.doi.org/10.1002/jbt.20124. PMid:16788956.

2 Bocci V. Ozone as Janus: this controversial gas can be either toxic or medically useful. Mediators Inflamm. 2004 Feb;13(1):3-11. http://dx.doi.org/10.1080/0962935062000197083. PMid:15203558.

3 Emerson MA, Sproul OJ, Buck CE. Ozone inactivation of cell-associated viruses. Appl Environ Microbiol. 1982 Mar;43(3):603-8. http://dx.doi.org/10.1128/aem.43.3.603-608.1982. PMid:6280611.

4 López EG, Martínez AR, Ruiz AOB, García LOR. La ozonoterapia en el tratamiento de la estomatitis subprótesis. Rev Cubana Estomatol [Internet]. 2003 Ago [cited 2021 Sep 3];40(2). Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S003475072003000200004&lng=es

5 Estrela C, Estrela CRA, Decurcio DA, Silva JA, Bammann LL. Antimicrobial potential of ozone in an ultrasonic cleaning system against Staphylococcus aureus. Braz Dent J. 2006;17(2):134-8. http://dx.doi.org/10.1590/S0103-64402006000200010. PMid:16924341.

6 Khan SA, Suh Y, Patel S, Kaitlyn R, Gandhi J, Joshi G, et al. Clinical utility of ozone therapy in dental and oral medicine. Med Gas Res. 2019 Jul-Sep;9(3):163-7. http://dx.doi.org/10.4103/2045-9912.266997. PMid:31552882.

7 Agrillo A, Ungari C, Filiaci F, Priore P, Iannetti G. Ozone therapy in the treatment of avascular bisphosphonate-related jaw osteonecrosis. J Craniofac Surg. 2007 Sep;18(5):1071-5. http://dx.doi.org/10.1097/scs.0b013e31857261f. PMid:17912085.

8 Bocci V. Biological and clinical effects of ozone. Has ozone therapy a future in medicine? Br J Biomed Sci. 1999;56(4):270-9. PMid:10795372.

9 Kim HS, Noh SU, Han YW, Kim KM, Kang H, Kim HO, et al. Therapeutic effects of topical application of ozone on acute cutaneous wound healing. J Korean Med Sci. 2009 Jun;24(3):368-74. http://dx.doi.org/10.3346/jkms.2009.24.3.368. PMid:19543419.

10 Brink CB, Pretorius A, van Niekerk BPJ, Oliver DW, Venter DP. Studies on cellular resilience and adaptation following acute and repetitive exposure to ozone in cultured human epithelial (HeLa) cells. Redox Rep. 2008;13(2):87-100. http://dx.doi.org/10.1179/135100008X259187. PMid:18339251.

11 Dähnhardt JE, Jaeggi T, Lussi A. Treating open carious lesions in anxious children with ozone. A prospective controlled clinical study. Am J Dent. 2006 Oct;19(5):267-70. PMid:17073201.

12 Cruz Guerra O, Menéndez Cepero S, Martínez Jordan ME, Clavera Vázquez T. Aplicación de la ozonoterapia en el tratamiento de la alveolitis. Rev Cubana Estomatol [Internet]. 1997 Jun [cited 2021 Sep 3];34(1):21-4. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75071997000100004&lng=es

13 Fernández OSL, Ajamieh HH, Berlanga J, Menéndez S, Viebahn-Hánsler R, Re L, et al. Ozone oxidative preconditioning is mediated by A1 adenosine receptors in a rat model of liver ischemia/ reperfusion. Transpl Int. 2008 Feb;21(1):39-48. PMid:17927680.

14 Ryu S-W, Lee S-H, Yoon H-J. A comparative histological and immunohistochemical study of wound healing following incision with a scalpel, CO2 laser or Er,Cr:YSGG laser in the Guinea pig oral mucosa. Acta Odontol Scand. 2012 Dec;70(6):448-54. http://dx.doi.org/10.3109/00016357.2011.635598. PMid:22149727.

15 Innes ME, Umraw N, Fish JS, Gomez M, Cartotto RC. The use of silver coated dressings on donor site wounds: a prospective, controlled matched pair study. Burns. 2001 Sep;27(6):621-7. http://dx.doi.org/10.1016/S0305-4179(01)00015-8. PMid:11525858.

16 Rodrigues KL, Cardoso CC, Caputo LR, Carvalho JCT, Fiorini JE, Schneedorf JM. Cicatrizing and antimicrobial properties of an ozonised oil from sunflower seeds. Inflammopharmacology. 2004;12(3):261-70. http://dx.doi.org/10.1163/1568560042342275. PMid:15527550.

17 Valacchi G, Lim Y, Belmonte G, Miracco C, Zanardi I, Bocci V, et al. Ozonated sesame oil enhances cutaneous wound healing in SKH1 mice. Wound Repair Regen. 2011 Jan-Feb;19(1):107-15. http://dx.doi.org/10.1111/j.1524-475X.2010.00649.x. PMid:21134039.

18 Soares CD, Morais TML, Araújo RMFG, Meyer PF, Oliveira EAF, Silva RMV, et al. Effects of subcutaneous injection of ozone during wound healing in rats. Growth Factors. 2019 Apr;37(1-2):95-103. http://dx.doi.org/10.1080/08977194.2019.1643339. PMid:31339390.

19 Clavo B, Pérez JL, López L, Suárez G, Lloret M, Rodríguez V, et al. Effect of ozone therapy on muscle oxygenation. J Altern Complement Med. 2003 Apr;9(2):251-6. http://dx.doi.org/10.1089/10755530360623365. PMid:12804078.

20 Eroglu ZT, Kurtis B, Altug HA, Sahin S, Tuter G, Baris E. Effect of topical ozonetherapy on gingival wound healing in pigs: histological and immuno-histochemical analysis. J Appl Oral Sci. 2018 Dec;27:e20180015. http://dx.doi.org/10.1590/1678-7757-2018-0015. PMid:30540068.
 


Submitted date:
09/03/2021

Accepted date:
09/21/2021

61783626a9539572385487c2 rou Articles
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