CAJ | 학술논문

目的：探讨活性氧簇（ROS）在长脉冲1064 nm 激光体外照射临床分离的红色毛癣菌 Y 和红色毛癣菌 N中的表达变化及其作用。方法应用长脉冲 Nd：YAG 1064 nm 激光分别以200 J/ cm2，400 J/ cm2、600 J/ cm2能量照射红色毛癣菌 Y 菌落（分离自临床激光治疗有效的病甲）和红色毛癣菌 N 菌落（分离自临床激光治疗无效的病甲），未行激光照射组为对照组，观察红色毛癣菌 Y 和 N 的菌落在激光照射第1、3、5、7天的生长曲线变化，同时应用比色法检测ROS（H2 O2、OH -、O2-）表达水平。结果红色毛癣菌 Y 随着激光照射能量的增加，生长曲线下移，在激光照射能量为600 J/ cm2时，菌落停止生长，其 ROS 表达水平随照射剂量的增加而升高；红色毛癣菌 N 随着激光照射能量的增加，各激光能量组生长曲线接近重合，菌落生长不受影响，其 ROS 表达水平随照射剂量的增加无明显变化。结论 ROS 可能在长脉冲1064 nm 激光治疗红色毛癣菌甲真菌病中发挥了作用。
목적：탐토활성양족（ROS）재장맥충1064 nm 격광체외조사림상분리적홍색모선균 Y 화홍색모선균 N중적표체변화급기작용。방법응용장맥충 Nd：YAG 1064 nm 격광분별이200 J/ cm2，400 J/ cm2、600 J/ cm2능량조사홍색모선균 Y 균락（분리자림상격광치료유효적병갑）화홍색모선균 N 균락（분리자림상격광치료무효적병갑），미행격광조사조위대조조，관찰홍색모선균 Y 화 N 적균락재격광조사제1、3、5、7천적생장곡선변화，동시응용비색법검측ROS（H2 O2、OH -、O2-）표체수평。결과홍색모선균 Y 수착격광조사능량적증가，생장곡선하이，재격광조사능량위600 J/ cm2시，균락정지생장，기 ROS 표체수평수조사제량적증가이승고；홍색모선균 N 수착격광조사능량적증가，각격광능량조생장곡선접근중합，균락생장불수영향，기 ROS 표체수평수조사제량적증가무명현변화。결론 ROS 가능재장맥충1064 nm 격광치료홍색모선균갑진균병중발휘료작용。
Objective To explore the expression and role of reactive oxygen species(ROS)in long pulse Nd:YAG 1 064 nm laser irradi-ation on isolates of Trichophyton rubrum Y(T. rubrum Y)and Trichophyton rubrum N(T. rubrum N). Methods T. rubrum Y was isolated from onychomycosis patient with effective reaction on laser treatment and T. rubrum N was isolated from onychomycosis patient with bad reaction on laser treatment,and they were selected for this study. Each isolate with equal confluent colonies was irradiated in vitro by long pulse Nd:YAG 1 064 nm laser with different energy(0 J/ cm2 ,200 J/ cm2 ,400 J/ cm2 ,600 J/ cm2 )and 0 J/ cm2 group as control. Then the growth curve of each isolate after laser irradiation in day 1,3,5 and 7 had been observed. Furthermore,the level of ROS including hydrogenperoxide(H2 O2 ),anti-hydroxyl radical(anti - OH - ),anti - superoxide anion radical(anti - O2 - )of each T. rubrum isolate were detected by colorimetric method, respectively. Results The growth curve of isolate T. rubrum Y was moved down following the increase of laser energy. The growth of isolate T. rubrum Y had been stopped when laser energy was added up to 600 J/ cm2 . The level of ROS was positively correlated to laser energy. However, the growth curve of isolate T. rubrum N did not vary with the change of laser energy. The level of ROS was almost stable and it was not correlated to laser energy. Conclusion These findings suggest a possible role for ROS involving the inhibition on growth of T. rubrum during long pulse 1 064 nm laser irradiation. ROS may play an important role on onychomycosis during laser treatment.