Abstract
Laser acupuncture is a modality of low-level light therapy used as an alternative to needling for the past three decades. Although it has proved effective for the treatment of various conditions, the mechanisms underlying its effects are not fully understood. To contribute to this understanding, this study was designed to (1) evaluate the antinociceptive effect of ST36 laser acupuncture (830 nm, 3 J/cm2) in rat models of acute nociception and (2) to investigate the opioidergic and serotonergic systems involvement in this effect. Our results demonstrate that ST36 laser acupuncture inhibited (36 ± 2 %) acetic acid-induced abdominal constrictions and both neurogenic (48 ± 7 %) and inflammatory (phase IIA 42 ± 8 % and phase IIB 83 ± 6 %) phases of formalin-induced nociceptive behavior. Moreover, the antinociceptive activity of laser irradiation in the acetic acid test was significantly reversed by preadministration of naloxone (1 mg/kg, nonselective opioid receptor antagonist), pindolol (1 mg/kg, subcutaneous; nonselective 5-HT 1A/B receptor antagonist), and ketanserin (1 mg/kg; selective 5-HT2A receptor antagonist) but not by ondansetron (1 mg/kg, selective 5-HT3 receptor antagonist). Taken together, our data demonstrate, for the first time, that (1) ST36 laser acupuncture elicited significant antinociceptive effect against acetic acid- and formalin-induced behavior in rats and that (2) this effect is mediated by activation of the opioidergic and serotonergic (5-HT1 and 5-HT2A receptors) systems.
This is a preview of subscription content, access via your institution.





References
Enwemeka CS (2009) Intricacies of dose in laser phototherapy for tissue repair and pain relief. Photomed Laser Surg 27(3):387–393
Litscher G (2010) Ten years evidence-based high-tech acupuncture part 3: a short review of animal experiments. Evid Based Complement Alternat Med 7(2):151–155
Lorenzini L et al (2009) Laser acupuncture for acute inflammatory, visceral and neuropathic pain relief: an experimental study in the laboratory rat. Res Vet Sci 88(1):159–165
Milojevic M, Kuruc V (2003) Laser biostimulation in the treatment of pleurisy. Med Pregl 56(11–12):516–520
Nakano J et al (2009) Low-level laser irradiation promotes the recovery of atrophied gastrocnemius skeletal muscle in rats. Exp Physiol 94(9):1005–1015
Chung TY, Peplow PV, Baxter GD (2010) Laser photobiomodulation of wound healing in diabetic and non-diabetic mice: effects in splinted and unsplinted wounds. Photomed Laser Surg 28(2):251–261
Barbosa RI et al (2010) Comparative effects of wavelengths of low-power laser in regeneration of sciatic nerve in rats following crushing lesion. Lasers Med Sci 25(3):423–430
Chow RT et al (2009) Efficacy of low-level laser therapy in the management of neck pain: a systematic review and meta-analysis of randomised placebo or active-treatment controlled trials. Lancet 374(9705):1897–1908
Baratto L et al (2010) Ultra-low-level laser therapy. Lasers Med Sci 26(1):103–112
Whittaker P (2004) Laser acupuncture: past, present, and future. Lasers Med Sci 19(2):69–80
Hsieh CW et al (2011) Different brain network activations induced by modulation and nonmodulation laser acupuncture. Evid Based Complement Alternat Med. doi:10.1155/2011/951258
Baxter GD, Bleakley C, McDonough S (2008) Clinical effectiveness of laser acupuncture: a systematic review. J Acupunct Meridian Stud 1(2):65–82
Heller G, Langen PH, Steffens J (2004) Laser acupuncture as third-line therapy for primary nocturnal enuresis. First results of a prospective study. Urologe A 43(7):803–806
Quah-Smith I et al (2010) The brain effects of laser acupuncture in healthy individuals: an FMRI investigation. PLoS One 5(9):e12619
Zhang J et al (2008) Effect of laser acupoint treatment on blood pressure and body weight—a pilot study. J Chiropr Med 7(4):134–139
Ilbuldu E et al (2004) Comparison of laser, dry needling, and placebo laser treatments in myofascial pain syndrome. Photomed Laser Surg 22(4):306–311
Wong TW, Fung K (1991) Acupuncture: from needle to laser. Fam Pract 8(2):168–170
Li C, Zhen H (2006) Design of the laser acupuncture therapeutic instrument. Conf Proc IEEE Eng Med Biol Soc 1:4107–4110
Relf I, Chow R, Pirotta M (2008) Blinding techniques in randomized controlled trials of laser therapy: an overview and possible solution. Evid Based Complement Alternat Med 5(4):383–389
Zimmermann M (1983) Ethical guidelines for investigations of experimental pain in conscious animals. Pain 16(2):109–110
Medeiros MA et al (2003) c-Fos expression induced by electroacupuncture at the Zusanli point in rats submitted to repeated immobilization. Braz J Med Biol Res 36(12):1673–1684
Jenkins PA, Carrol JD (2011) How to report low-level laser therapy (LLLT)/photomedicine dose and beam parameters in clinical and laboratory studies. Photomed Laser Surg 29(12):785–787
Koster RA, Beer M (1959) Acetic acid for analgesic screening. Fed Proc 18(412)
Lemberg K et al (2006) Morphine, oxycodone, methadone and its enantiomers in different models of nociception in the rat. Anesth Analg 102(6):1768–1774
Tjolsen A, Hole K (1997) Animal models of analgesia. In: Dickenson ABJ, Besson JM (eds) The pharmacology of pain. Springer, Berlin, pp 1–20
Rojas-Corrales MO et al (2000) Pindolol, a beta-adrenoceptor blocker/5-hydroxytryptamine(1A1B) antagonist, enhances the analgesic effect of tramadol. Pain 88(2):119–124
Yokogawa F et al (2002) An investigation of monoamine receptors involved in antinociceptive effects of antidepressants. Anesth Analg 95(1):163–168
Santos ARS et al (2005) Mechanisms involved in the antinociception caused by agmatine in mice. Neuropharmacology 48(7):1021–1034
Santos ARS et al (1999) Antinociceptive properties of the new alkaloid, cis-8,10-di-N-propyllobelidiol hydrochloride dihydrate isolated from Siphocampylus verticillatus: evidence for the mechanism of action. J Pharmacol Exp Ther 289(1):417–426
Tjolsen A et al (1992) The formalin test: an evaluation of the method. Pain 51(1):5–17
Duarte ID, Nakamura M, Ferreira SH (1988) Participation of the sympathetic system in acetic acid-induced writhing in mice. Braz J Med Biol Res 21(2):341–343
Chapman CR, Gavrin J (1999) Suffering: the contributions of persistent pain. Lancet 353(9171):2233–2237
Ribeiro RA et al (2000) Involvement of resident macrophages and mast cells in the writhing nociceptive response induced by zymosan and acetic acid in mice. Eur J Pharmacol 387(1):111–118
Hunskaar S, Hole K (1987) The formalin test in mice: dissociation between inflammatory and non-inflammatory pain. Pain 30(1):103–114
Puig S, Sorkin LS (1996) Formalin-evoked activity in identified primary afferent fibers: systemic lidocaine suppresses phase-2 activity. Pain 64(2):345–355
Katsoulis J et al (2010) Laser acupuncture for myofascial pain of the masticatory muscles. A controlled pilot study. Schweiz Monatsschr Zahnmed 120(3):213–225
Zhao L et al (2010) Validating a nonacupoint sham control for laser treatment of knee osteoarthritis. Photomed Laser Surg 28(3):351–356
Cheng K et al (2009) Relationship between laser acupuncture analgesia and the function of mast cells. Zhongguo Zhen Jiu 29(6):478–483
Yu W et al (1997) Effects of Photostimulation on wound healing in diabetic mice. Lasers Surg Med 20:56–63
Túner J, Hode L (2004) The laser therapy handbook. Prima Books, Tallinn
Honmura A et al (1993) Analgesic effect of Ga-Al-As diode laser irradiation on hyperalgesia in carrageenin-induced inflammation. Lasers Surg Med 13(4):463–469
Bian XP, Yu ZQ, Liu DM (1989) The experiment studies of semiconductor GaAs-laser points irradiation the analgesic effect. Zhen Ci Yan Jiu 14(3):379–382
Walker J (1983) Relief from chronic pain by low power laser irradiation. Neurosci Lett 43(2–3):339–344
Artés-Ribas M, Arnabat-Dominguez J, Puigdollers A (2012) Analgesic effect of a low-level therapy (830 nm) in early orthodontic treatment. Lasers Med Sci. doi:10.1007/s10103-012-1135-y
Hagiwara S et al (2007) GaAlAs (830 nm) low-level laser enhances peripheral endogenous opioid analgesia in rats. Lasers Surg Med 39:797–802
Acknowledgments
This study was supported by grants from Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES).
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Erthal, V., da Silva, M.D., Cidral-Filho, F.J. et al. ST36 laser acupuncture reduces pain-related behavior in rats: involvement of the opioidergic and serotonergic systems. Lasers Med Sci 28, 1345–1351 (2013). https://doi.org/10.1007/s10103-012-1260-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10103-012-1260-7
Keywords
- Nociception
- Low-level laser therapy
- Laser acupuncture
- Opioidergic system
- Serotonergic system