Laser surgical ablation is achieved by selecting laser parameters that remove confined volumes of target tissue and cause minimal collateral damage. Previous studies have measured the effects of wavelength on ablation, but neglected to measure the cellular impact of ablation on cells outside the lethal zone. In this study, we use optical imaging in addition to conventional assessment techniques to evaluate lethal and sublethal collateral damage after ablative surgery with a free-electron laser (FEL). Heat shock protein (HSP) expression is used as a sensitive quantitative marker of sublethal damage in a transgenic mouse strain, with the hsp70 promoter driving luciferase and green fluorescent protein (GFP) expression (hsp70A1-L2G). To examine the wavelength dependence in the mid-IR, laser surgery is conducted on the hsp70A1-L2G mouse using wavelengths targeting water (OH stretch mode, 2.94 µm), protein (amide-II band, 6.45 µm), and both water and protein (amide-I band, 6.10 µm). For all wavelengths tested, the magnitude of hsp70 expression is dose-dependent and maximal 5 to 12 h after surgery. Tissues treated at 6.45 µm have approximately 4× higher hsp70 expression than 6.10 µm. Histology shows that under comparable fluences, tissue injury at the 2.94-µm wavelength was 2× and 3× deeper than 6.45 and 6.10 µm, respectively. The 6.10-µm wavelength generates the least amount of epidermal hyperplasia. Taken together, this data suggests that the 6.10-µm wavelength is a superior wavelength for laser ablation of skin.
Many medical laser procedures require selecting laser operating parameters that minimize undesirable tissue damage. In
this study, heat shock protein 70(hsp70) gene expression was used as a sensitive marker for laser-induced thermal
damage. Wound repair and hsp70 expression were compared after surgery with the free electron laser(FEL) as a
function of wavelength(&lgr;) and radiant exposure(H). Damage was assessed at &lgr; = 6.45, 6.10, and 2.94 &mgr;m using 8-20
J/cm2. The FEL beam (&Vpgr;r=200 &mgr;m,30Hz,&tgr;p =5&mgr;s) was delivered to produce a 6.5 mm square wound. hsp70 expression
was assessed using a transgenic mouse strain with the hsp70 promoter driving luciferase and eGFP expression.
Bioluminescent imaging (BLI) was monitored non-invasively and in real time. Hsp70 protein was visualized with laser
confocal imaging, blood velocity was measured with 2D-laser doppler, and depth of tissue damage was measured using
histological methods. BLI verified the model's sensitivity and peak hsp70 expression was bi-phasic, with maxima
occurring 12 and 24 hours after FEL irradiation. hsp70 expression exhibited wavelength-dependence, and it increased
with radiant exposure. Histology indicated that tissue damage at 6.45 µm was ~2x deeper than 6.10 &mgr;m. Quantitative
BLI with the Hsp70-luc transgene can be used to non-invasively measure gene expression in laser-tissue interaction
studies.
Effective medical laser procedures are achieved by selecting laser parameters that minimize undesirable tissue damage. Traditionally, human subjects, animal models, and monolayer cell cultures have been used to study wound healing, tissue damage, and cellular effects of laser radiation. Each of these models has significant limitations, and consequently, a novel skin model is needed. To this end, a highly reproducible human skin model that enables noninvasive and longitudinal studies of gene expression was sought. In this study, we present an organotypic raft model (engineered skin) used in combination with bioluminescent imaging (BLI) techniques. The efficacy of the raft model was validated and characterized by investigating the role of heat shock protein 70 (hsp70) as a sensitive marker of thermal damage. The raft model consists of human cells incorporated into an extracellular matrix. The raft cultures were transfected with an adenovirus containing a murine hsp70 promoter driving transcription of luciferase. The model enables quantitative analysis of spatiotemporal expression of proteins using BLI. Thermal stress was induced on the raft cultures by means of a constant temperature water bath or with a carbon dioxide (CO2) laser (=10.6 µm, 0.679 to 2.262 W/cm2, cw, unfocused Gaussian beam, L=4.5 mm, 1 min exposure). The bioluminescence was monitored noninvasively with an IVIS 100 Bioluminescent Imaging System. BLI indicated that peak hsp70 expression occurs 4 to 12 h after exposure to thermal stress. A minimum irradiance of 0.679 W/cm2 activated the hsp70 response, and a higher irradiance of 2.262 W/cm2 was associated with a severe reduction in hsp70 response due to tissue ablation. Reverse transcription polymerase chain reaction demonstrated that hsp70 mRNA levels increased with prolonged heating exposures. Enzyme-linked immunosorbent protein assays confirmed that luciferase was an accurate surrogate for hsp70 intracellular protein levels. Hematoxylin and eosin stains verified the presence of the ...
Assessment of laser tissue damage is not complete without an investigation into the cellular effects that are induced. In the past, tissue damage was quantified by such macroscopically visual results as tissue mass removal, carbonization, and melting. In this research, we used heat shock protein (hsp70) transcription, to track cellular response to laser injury. A stable cell line was generated containing the luciferase reporter gene attached to the heat shock protein (Hsp70) promoter. After thermal injury with a Holmium:YAG pulsed laser (wavelength= 2.1 μm, pulsetime = 250 μs, 30 pulses, 3 Hz), luciferase is produced upon hsp70 activation and emits bioluminescence at 563 nm. The luminescence was quantified with a liquid nitrogen cooled CCD camera. A minimum pulse energy (65 mJ/pulse, 2.0 mJ/mm2) was needed to activate the hsp70 response and a higher energy (103 mJ/pulse, 3.2 mJ/mm2) was associated with a reduction in hsp70 response. Bioluminescence levels correlated well to actual hsp70 protein concentrations as determined by ELISA assay. Photon counts were normalized to the percentage of live cells by means of a flow cytometry cell viability assay. The hsp70 response followed an Arrhenius relationship in nature when constant temperature water bath and constant area laser experiments were carried out.
In the past the effects of laser irradiation upon tissue have been assessed based on structural and macroscopic characteristics such as temperature, pressure and tissue mass removal. However, the effects of laser irradiation on a cellular level are not well understood and it is postulated that cellular injury caused by laser treatment may affect the efficacy of the laser procedure. In this research we have used an alternative method of detecting injury by targeting the heat shock protein (Hsp70). A stable cell line was generated containing the luciferase reporter gene attached to the heat shock protein (Hsp70). After thermal injury luciferase is produced in tandem with the heat shock protein to emit bioluminescence at 563 nm. The luminescence was quantified with a photon counting ICCD camera system. The heat shock to bring about Hsp70 transcription was created by immersing the cells in a water bath or by irradiating the cells with a Holmium:YAG pulsed laser (λ= 2.1 μm, τ p = 250 μs). For the laser experiments, radiant exposures varied from 5 to 30 mJ/mm2 and the number of pulses varied at 15, 25 and 35. The peak expression of luciferase was found to be 3 to 4 hours post heat shock for lower exposures but increase to between 6 and 9 hours if higher radiant energies are used. An experiment was also done to assess to what extent the cellular response to heat followed the Arrhenius rate process.
Access to the requested content is limited to institutions that have purchased or subscribe to SPIE eBooks.
You are receiving this notice because your organization may not have SPIE eBooks access.*
*Shibboleth/Open Athens users─please
sign in
to access your institution's subscriptions.
To obtain this item, you may purchase the complete book in print or electronic format on
SPIE.org.
INSTITUTIONAL Select your institution to access the SPIE Digital Library.
PERSONAL Sign in with your SPIE account to access your personal subscriptions or to use specific features such as save to my library, sign up for alerts, save searches, etc.