Transcranial Near-Infrared Laser Transmission (NILT) Profiles (800 nm): Systematic Comparison in Four Common Research Species

Background and Purpose Transcranial near-infrared laser therapy (TLT) is a promising and novel method to promote neuroprotection and clinical improvement in both acute and chronic neurodegenerative diseases such as acute ischemic stroke (AIS), traumatic brain injury (TBI), and Alzheimer’s disease (AD) patients based upon efficacy in translational animal models. However, there is limited information in the peer-reviewed literature pertaining to transcranial near-infrared laser transmission (NILT) profiles in various species. Thus, in the present study we systematically evaluated NILT characteristics through the skull of 4 different species: mouse, rat, rabbit and human. Results Using dehydrated skulls from 3 animal species, using a wavelength of 800nm and a surface power density of 700 mW/cm2, NILT decreased from 40.10% (mouse) to 21.24% (rat) to 11.36% (rabbit) as skull thickness measured at bregma increased from 0.44 mm in mouse to 0.83 mm in rat and then 2.11 mm in rabbit. NILT also significantly increased (p<0.05) when animal skulls were hydrated (i.e. compared to dehydrated); but there was no measurable change in thickness due to hydration. In human calvaria, where mean thickness ranged from 7.19 mm at bregma to 5.91 mm in the parietal skull, only 4.18% and 4.24% of applied near-infrared light was transmitted through the skull. There was a slight (9.2-13.4%), but insignificant effect of hydration state on NILT transmission of human skulls, but there was a significant positive correlation between NILT and thickness at bregma and parietal skull, in both hydrated and dehydrated states. Conclusion This is the first systematic study to demonstrate differential NILT through the skulls of 4 different species; with an inverse relationship between NILT and skull thickness. With animal skulls, transmission profiles are dependent upon the hydration state of the skull, with significantly greater penetration through hydrated skulls compared to dehydrated skulls. Using human skulls, we demonstrate a significant correlation between thickness and penetration, but there was no correlation with skull density. The results suggest that TLT should be optimized in animals using novel approaches incorporating human skull characteristics, because of significant variance of NILT profiles directly related to skull thickness.

[1]  Liyi Huang,et al.  Transcranial low-level laser therapy enhances learning, memory, and neuroprogenitor cells after traumatic brain injury in mice , 2014, Journal of biomedical optics.

[2]  Rina Das,et al.  Clinical and experimental applications of NIR-LED photobiomodulation. , 2006, Photomedicine and laser surgery.

[3]  P. Lapchak Transcranial near-infrared laser therapy applied to promote clinical recovery in acute and chronic neurodegenerative diseases , 2012, Expert review of medical devices.

[4]  Jackson Streeter,et al.  Safety Profile of Transcranial Near-Infrared Laser Therapy Administered in Combination With Thrombolytic Therapy to Embolized Rabbits , 2008, Stroke.

[5]  Tianhong Dai,et al.  The Nuts and Bolts of Low-level Laser (Light) Therapy , 2011, Annals of Biomedical Engineering.

[6]  Jieli Chen,et al.  Low-Level Laser Therapy Applied Transcranially to Rats After Induction of Stroke Significantly Reduces Long-Term Neurological Deficits , 2006, Stroke.

[7]  U. Oron,et al.  Effects of power densities, continuous and pulse frequencies, and number of sessions of low-level laser therapy on intact rat brain. , 2006, Photomedicine and laser surgery.

[8]  S. Kasner,et al.  Transcranial Laser Therapy and Infarct Volume , 2013, Stroke.

[9]  Michael R Hamblin,et al.  Low‐level laser therapy for traumatic brain injury in mice increases brain derived neurotrophic factor (BDNF) and synaptogenesis , 2015, Journal of biophotonics.

[10]  Luis De Taboada,et al.  Transcranial laser therapy alters amyloid precursor protein processing and improves mitochondrial function in a mouse model of Alzheimer's disease , 2011, BiOS.

[11]  Amir Oron,et al.  Transcranial application of low‐energy laser irradiation improves neurological deficits in rats following acute stroke , 2006, Lasers in surgery and medicine.

[12]  Arne Voie,et al.  Parametric mapping and quantitative analysis of the human calvarium , 2014, Comput. Medical Imaging Graph..

[13]  Marc Fisher,et al.  Infrared Laser Therapy for Ischemic Stroke: A New Treatment Strategy: Results of the NeuroThera Effectiveness and Safety Trial–1 (NEST-1) , 2007, Stroke.

[14]  RIGOR Guidelines: Escalating STAIR and STEPS for Effective Translational Research , 2012, Translational Stroke Research.

[15]  Low-Level Laser Therapy Ameliorates Disease Progression in a Mouse Model of Alzheimer’s Disease , 2015, Journal of Molecular Neuroscience.

[16]  M. Köhrmann,et al.  Nah-Infrarot-Lasertherapie beim akuten Schlaganfall , 2012, Der Nervenarzt.

[17]  Stroke Therapy Academic Industry Roundtable Recommendations for standards regarding preclinical neuroprotective and restorative drug development. , 1999, Stroke.

[18]  Michael R. Hamblin,et al.  Biphasic Dose Response in Low Level Light Therapy , 2009, Dose-response : a publication of International Hormesis Society.

[19]  R. Shofti,et al.  Low-Energy Laser Irradiation Reduces Formation of Scar Tissue After Myocardial Infarction in Rats and Dogs , 2001, Circulation.

[20]  U. Oron,et al.  Reduced axonal transport in Parkinson's disease cybrid neurites is restored by light therapy , 2009, Molecular Neurodegeneration.

[21]  Parsons Fg,et al.  The Thickness of the Living Scalp. , 1929 .

[22]  P. Lapchak,et al.  Taking a light approach to treating acute ischemic stroke patients: Transcranial near-infrared laser therapy translational science , 2010, Annals of medicine.

[23]  Paul A. Lapchak,et al.  Transcranial near infrared laser treatment (NILT) increases cortical adenosine-5′-triphosphate (ATP) content following embolic strokes in rabbits , 2010, Brain Research.

[24]  Ross Zafonte,et al.  Significant improvements in cognitive performance post-transcranial, red/near-infrared light-emitting diode treatments in chronic, mild traumatic brain injury: open-protocol study. , 2014, Journal of neurotrauma.

[25]  Marc Fisher,et al.  Effectiveness and Safety of Transcranial Laser Therapy for Acute Ischemic Stroke , 2009, Stroke.

[26]  Daniela Vecchio,et al.  Transcranial low level laser (light) therapy for traumatic brain injury , 2012, Journal of biophotonics.

[27]  P. Lapchak,et al.  Transcranial near-infrared light therapy improves motor function following embolic strokes in rabbits: An extended therapeutic window study using continuous and pulse frequency delivery modes , 2007, Neuroscience.

[28]  Majaz Moonis,et al.  Transcranial Laser Therapy in Acute Stroke Treatment: Results of Neurothera Effectiveness and Safety Trial 3, a Phase III Clinical End Point Device Trial , 2014, Stroke.

[29]  Minoru Obara,et al.  Comparison of Therapeutic Effects between Pulsed and Continuous Wave 810-nm Wavelength Laser Irradiation for Traumatic Brain Injury in Mice , 2011, PloS one.

[30]  R. Waynant,et al.  Light promotes regeneration and functional recovery and alters the immune response after spinal cord injury , 2005, Lasers in surgery and medicine.

[31]  Valery V. Tuchin,et al.  Experimental study of NIR transmittance of the human skull , 2006, SPIE BiOS.

[32]  P. Lapchak,et al.  Transcranial Infrared Laser Therapy Improves Clinical Rating Scores After Embolic Strokes in Rabbits , 2004, Stroke.

[33]  Luis De Taboada,et al.  Near infrared transcranial laser therapy applied at various modes to mice following traumatic brain injury significantly reduces long-term neurological deficits. , 2012, Journal of neurotrauma.

[34]  A. Ehlis,et al.  Simulation of Near-Infrared Light Absorption Considering Individual Head and Prefrontal Cortex Anatomy: Implications for Optical Neuroimaging , 2011, PloS one.

[35]  A. Harvey,et al.  Red/near-infrared irradiation therapy for treatment of central nervous system injuries and disorders , 2013, Reviews in the neurosciences.

[36]  Anita Saltmarche,et al.  Improved cognitive function after transcranial, light-emitting diode treatments in chronic, traumatic brain injury: two case reports. , 2011, Photomedicine and laser surgery.

[37]  Michael R Hamblin,et al.  Potential for transcranial laser or LED therapy to treat stroke, traumatic brain injury, and neurodegenerative disease. , 2011, Photomedicine and laser surgery.

[38]  Michael R Hamblin,et al.  Low‐Level Laser Therapy for Closed‐Head Traumatic Brain Injury in Mice: Effect of Different Wavelengths , 2012, Lasers in surgery and medicine.

[39]  Luis De Taboada,et al.  Transcranial laser therapy attenuates amyloid-β peptide neuropathology in amyloid-β protein precursor transgenic mice. , 2011, Journal of Alzheimer's disease : JAD.

[40]  Kunio Awazu,et al.  Effects of near-infra-red laser irradiation on adenosine triphosphate and adenosine diphosphate contents of rat brain tissue , 2002, Neuroscience Letters.