Abstract
Tendinitis is a painful condition that occurs in tendons in response to repetitive use or direct trauma. The therapeutic approaches commonly employed to modulate inflammation have not achieved complete success in chronic cases of tendinitis. In this scenario, considering the anti-inflammatory properties of pulsed therapeutic ultrasound and gold nanoparticles (GNPs), this study assesses the possible therapeutic effects of phonophoresis in association with diclophenac diethylammonium and GNPs by measuring the inflammatory parameters interleukin 1β and tumor necrosis factor alpha in acute tendinous injury. Wistar rats were randomly divided into three groups and were treated with phonophoresis and diclophenac diethylammonium, GNP gel, and a combination thereof. A significant decrease in interleukin 1β and tumor necrosis factor alpha occurred in tendons treated with phonophoresis + diclophenac + GNPs. The content of both cytokines were similar after combined treatment with phonophoresis + diclophenac + GNPs. Apart from the anti-inflammatory effect, GNPs transported and enhanced drug action when used with phonophoresis.
Similar content being viewed by others
REFERENCES
Wang, J.H.C. 2006. Mechanobiology of tendon. Journal of biomechanics 39: 1563–1582.
Yinghua, X., and A.C.M. George. 2008. The basic science of tendinopathy. Clinical Orthopaedcs and Related Research 466: 1528–1538.
Kraychete, D.C., M.T.A. Calasans, and C.M.L. Valente. 2006. Citocinas pró-inflamatórias e dor. Revista Brasileira de Reumatologia 46: 199–206.
Bratt, M., M.D. Andres, A.C. George, et al. 2008. Treatment of tendinopathy. Clinical Orthopaedics and Related Research 466: 1542–1554.
Kitchen, S.S., and C.J. Patridge. 1990. A review of therapeutic ultrasound Part 1: Background and physiological effects. Physiotherapy 76: 593–599.
Merino, G., Y.N. Kalia, and R.H. Guy. 2003. Ultrasound-enhanced transdermal transport. Journal Pharmaceutical Science 92: 1125–1137.
Currier, D.P., D. Greathouse, and T. Swift. 1978. Sensory nerve conduction: Effect of ultrasound. Archives of Physical Medicine and Rehabilitation 59: 181–185.
Selvakannan, P.R., M.L. Saikat, P. Sumant, et al. 2003. Capping of gold nanoparticles by the amino acid lysine renders them water-dispersible. Langmuir 19: 3545–3549.
Bronaugh, R.L., and H.I. Maibach. 1991. In vitro percutaneous absorption: Principles, fundamentals, and applications, 1991. Annual Arbor: CRC Press.
Chien, Y.W. 1987. Advances in transdermal systemic medications. In Transdermal-controlled systemic medications: Volume 31, ed. Y.W. Chien, 1–24. New York: Marcel Dekker Inc.
Chien, Y.W. 1987. Developmental concepts and practice in transdermal therapeutic systems. In Transdermal-controlled systemic medications: Volume 31, ed. Y.W. Chien, 25–82. New York: Marcel Dekker Inc.
Dyson, M., J.B. Pond, J. Josefh, and R. Warwic. 1968. The stimulation of tissue regeneration by means of ultrasound. Clinical Science 35: 273–285.
Cunha, A., N.A. Parizotto, and B.C. Vidal. 2001. The effect of therapeutic ultrasound on repair of the Achilles tendon of the rat. Ultrasound Medicine & Biology 27: 1691–1696.
Koeke, P.U., N.A. Parizotto, P.M. Carrinho, et al. 2005. Comparative study of the efficacy of the topical application of hydrocortisone, therapeutic ultrasound and phonophoresis on the tissue repair process in rat tendons. Ultrasound Medicine & Biology 31: 345–350.
Nishihata, T., K. Kotera, Y. Nakano, et al. 1987. Rat percutaneous transport of diclofenac and influence of hydrogenated soya phospholipids. Chemical & Pharmaceutical Bulletin 35: 3807–3812.
Daniel, M.C., and D. Astruc. 2004. Gold nanoparticles: Assembly, supramolecular chemistry, quantum-size related properties, and applications toward biology, catalysis, and nanotechnology. Chemical Reviews 104: 293–346.
Ghosh, P., G. Han, M. De, et al. 2008. Gold nanoparticles in delivery applications. Advanced Drug Delivery Reviews 60: 1307–1315.
Turkevich, J., P. Stevenson, and J. Hillier. 1951. A study of the nucleation and growth processes in the synthesis of colloidal gold. Discussion Faraday Society 11: 55–60.
Aromal, S.A., and D. Philip. 2012. Green synthesis of gold nanoparticles using Trigonella Foenumgraecum and its size-dependent catalytic activity. Spectrochimica Acta Part A: Molecular and Biomolecular Spectroscopy 97: 1–5.
Rizzi, C.F., J.L. Mauriz, and D.S.F. Corrêa. 2006. Effects of low-level laser therapy (LLLT) on the nuclear factor (NF)-kB signaling pathway in traumatized muscle. Lasers in Surgery and Medicine 38: 704–713.
Bradford, M.M. 1976. A rapid and sensitive method for the quantitation of microgram quantities of protein utilizing the principle of protein-dye binding. Anal Biochemistry 72: 248–254.
Laemmli, U.K. 1970. Cleavage of structural proteins during the assembly of the head of bacteriophage T4. Nature 227: 680–685.
Ka-yun, N.G., and L. Yang. 2002. Therapeutic ultrasound: Its application in drug delivery. Medicine Research Reviews 22: 204–208.
Tsai, C.Y., A.L. Shiau, S.Y. Chen, et al. 2007. Amelioration of collagen-induced arthritis in rats by nanogold. Arthritis Rheumatic 56: 544–554.
Ter Haar, G. 1999. Therapeutic ultrasound. European Journal Ultrasound 1: 93–99.
Pedersen, M.O., A. Larsen, D.S. Pedersen, et al. 2009. Metallic gold reduces TNFα expression, oxidative DNA damage and pro-apoptotic signals after experimental brain injury. Brain Research 1271: 103–113.
Hsich, Y.L. 2006. Effects of ultrasound and diclophenac phonophoresis on inflammatory pain relief: Suppression of inducible nitric oxide synthase in arthritic rats. Physical Therapy 86: 39–49.
Pedersen, D.B., and S. Duncan. 2005. Substituent effects on the adsorption of dialkyl sulfides on gold nanoparticles. Journal Physical Chemistry Annual 15: 11172–11179.
ACKNOWLEDGMENTS
This work was supported by grants from Conselho Nacional de Pesquisa e Desenvolvimento (CNPq), Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), and Universidade do Extremo Sul Catarinense (UNESC). The authors would also like to thank CNPq and UNESC for fellowship support.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Dohnert, M.B., Ferreira, G.K., Silveira, P.C.L. et al. Inflammatory Cytokines Content in Achilles Tendinopathy after Phonophoresis Treatment Combined with Gold Nanoparticles and Diclophenac Diethylammonium in Rats. Inflammation 38, 1044–1049 (2015). https://doi.org/10.1007/s10753-014-0069-x
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10753-014-0069-x