Lasers in Medical Science

, Volume 29, Issue 4, pp 1339–1347 | Cite as

High-frequency low-level diode laser irradiation promotes proliferation and migration of primary cultured human gingival epithelial cells

  • Kenichiro Ejiri
  • Akira Aoki
  • Yoko Yamaguchi
  • Mitsuhiro Ohshima
  • Yuichi Izumi
Original Article


In periodontal therapy, the use of low-level diode lasers has recently been considered to improve wound healing of the gingival tissue. However, its effects on human gingival epithelial cells (HGECs) remain unknown. The aim of the present study was to examine whether high-frequency low-level diode laser irradiation stimulates key cell responses in wound healing, proliferation and migration, in primary cultured HGECs in vitro. HGECs were derived from seven independent gingival tissue specimens. Cultured HGECs were exposed to a single session of high-frequency (30 kHz) low-level diode laser irradiation with various irradiation time periods (fluence 5.7–56.7 J/cm2). After 20–24 h, cell proliferation was evaluated by WST-8 assay and [3H]thymidine incorporation assay, and cell migration was monitored by in vitro wound healing assay. Further, phosphorylation of the mitogen-activated protein kinase (MAPK) pathways after irradiation was investigated by Western blotting. The high-frequency low-level irradiation significantly increased cell proliferation and [3H]thymidine incorporation at various irradiation time periods. Migration of the irradiated cells was significantly accelerated compared with the nonirradiated control. Further, the low-level diode laser irradiation induced phosphorylation of MAPK/extracellular signal-regulated protein kinase (ERK) at 5, 15, 60, and 120 min after irradiation. Stress-activated protein kinases/c-Jun N-terminal kinase and p38 MAPK remained un-phosphorylated. The results show that high-frequency low-level diode laser irradiation promotes HGEC proliferation and migration in association with the activation of MAPK/ERK, suggesting that laser irradiation may accelerate gingival wound healing.


Cell migration Cell proliferation Lasers LLLT MAPK/ERK Wound healing 



This study was supported in part by a grant from the Global Center of Excellence Program for International Research Center for Molecular Science in Tooth and Bone Diseases at Tokyo Medical and Dental University from the Ministry of Education, Culture, Sports, Science and Technology of Japan; and by Grants-in-Aid for Scientific Research (C) (no. 22592308 for A.A., no. 21592637 for M.O.) from Japan Society for the Promotion of Science. We wish to thank Drs. Naoto Suzuki, Kunikazu Noguchi (Nihon University School of Dentistry, Tokyo, Japan), Dr. Yoichi Taniguchi (Tokyo Medical and Dental University, Tokyo, Japan), Dr. Kai Kappert (Charité-University Medicine Berlin, Germany) for their kind support. Also, appreciation is expressed to Dr. Nelson Marquina, USA Laser Biotech Inc., VA and Mr. Hiroshige Kusumoto, Wavelengths Inc., Tokyo, Japan for their kind technical advices.


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Copyright information

© Springer-Verlag London 2013

Authors and Affiliations

  1. 1.Department of Periodontology, Graduate School of Medical and Dental SciencesTokyo Medical and Dental UniversityTokyoJapan
  2. 2.Department of BiochemistryNihon University School of DentistryTokyoJapan
  3. 3.Department of BiochemistryOhu University School of Pharmaceutical SciencesKoriyamaJapan
  4. 4.Global Center of Excellence (GCOE) Program, International Research Center for Molecular Science in Tooth and Bone DiseasesTokyo Medical and Dental UniversityTokyoJapan

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