Table 1.
Summary of studies investigating the effect of photobiomodulation in animal models of Parkinson’s disease.
Study | Animal Model | Design | PBM Parameters | Outcomes |
---|---|---|---|---|
TRANSCRANIAL PBM | ||||
Shaw et al., 2010 [131] | Mouse; BALB/c males; MPTP model. |
Saline (n = 20)/saline + PBM (n = 20)/MPTP (n = 20)/MPTP + PBM (n = 20). | 670 nm LED; Transcranial; 40 mW/cm2 for 90 s; Four treatments over 30 h (after MPTP). |
Reduced neuronal loss; Increased TH+ cell numbers in SNc. |
Shaw et al., 2012 [140] | Mouse; BALB/c males; MPTP model. |
Saline (n = 24)/saline + PBM (n = 24)/MPTP (n = 24)/MPTP + PBM (n = 24). | 670 nm LED; Transcranial; 40 mW/cm2 for 90 s; Four treatments over 30 h (after MPTP). |
Reduced c-FOS expression in both acute and chronic models. |
Peoples et al., 2012 [138] | Mouse; BALB/c males; MPTP model. |
Saline (n = 21)/saline + PBM (n = 19)/MPTP (n = 22)/MPTP + PBM (n = 18). | 670 nm LED; Transcranial; 40 mW/cm2 for 90 s; Ten treatments after each MPTP injection OR Ten treatments after 3 weeks. |
Increased TH+ cell numbers in SNc for both simultaneous PBM treatment and post-treatment. |
Peoples et al., 2012 [139] | Mouse; BALB/c males; MPTP model. |
Saline (n = 21)/saline + PBM (n = 19)/MPTP (n = 22)/MPTP + PBM (n = 18). | 670 nm LED; Transcranial; 40 mW/cm2 for 90 s; Four treatments 4 days after MPTP (simultaneous treatment model) OR Ten treatments over 3 weeks (post-treatment model). |
Increased TH+ cell numbers in the retina for both simultaneous PBM treatment and post-treatment. |
Moro et al., 2013 [137] | Mouse; BALB/c males + C57BL/6; MPTP model. |
Saline (n = 10 + 10)/saline + PBM (n = 10 + 10)/MPTP (n = 10 + 10)/MPTP + PBM (n = 10 + 10). | 670 nm LED; Transcranial; 40 mW/cm2 for 90 s; Two PBM treatments immediately after and 6 h after each MPTP injection over 30 h (total of four PBM treatments). |
ncreased TH+ cells in SNc and improved locomotion for albino (BALB) mice but not for black (C57BL) mice—due to reduced penetration of 670 nm. |
Purushothuman et al., 2013 [141] | Mouse; K3 transgenic (overexpression of tau protein). |
Wild type (n = 5)/K3 (n = 5)/K3 + PBM (n = 5). | 670 nm LED; Transcranial; 40 mW/cm2 for 90 s; One PBM treatment per day, 5 days per week for 4 weeks (total of 20 PBM treatments). |
Increased TH+ cells in SNc; decreased oxidative stress markers. |
Johnstone et al., 2014 [152] | Mouse; BALB/c males; MPTP model (50, 75 and 100 mg/kg). |
50 mg/kg MPTP (n = 36)/75 mg/kg MPTP (n = 8)/100 mg/kg MPTP (n = 9)/50 mg/kg MPTP + transcranial PBM (n = 12)/75 mg/kg MPTP + transcranial PBM (n = 8)/100 mg/kg MPTP + transcranial PBM (n = 19)/50 mg/kg MPTP + remote PBM (n = 11)/75 mg/kg MPTP + remote PBM (n = 8)/100 mg/kg MPTP + remote PBM (n = 9). | 670 nm LED; Transcranial OR remote; 40 mW/cm2 for 90 s; Two PBM treatments immediately after and 6 h after each MPTP injection (total of four PBM treatments for 50 mg/kg, six for 75 mg/kg and eight for 100 mg/kg MPTP). |
Increased TH+ cells in 50 mg/kg MPTP treatment (not 75 or 100 mg/kg); Transcranial treatment appeared superior to remote treatment. |
Oueslati et al., 2015 [27] | Rat; Transgenic overexpression of α-synuclein. |
Sham (n = 9)/low PBM (n = 7)/high PBM (n = 7). | 808 nm laser; Transcranial; (Two spots); 2.5 J and 5 J; Daily for 28 days. |
Reduced neuronal loss; Reduced motor impairment; Improvements lasted for 6 weeks after treatment was discontinued. |
Reinhart et al., 2015 [136] | Mouse; BALB/c males; MPTP model. |
Saline (n = 11)/saline + PBM (n = 11)/MPTP (n = 11)/MPTP + PBM (n = 11). | 810 nm LED; Transcranial; 1.6 mW for 90 s; Four treatments over 30 h (after MPTP). |
Increased TH+ cells in SNc; Improved locomotion after each PBM treatment. |
El Massri et al., 2016 [135] | Mouse; BALB/c males; MPTP model. |
Saline (n = 20)/saline + PBM (n = 30)/MPTP (n = 30)/MPTP + PBM (n = 40). | 670 nm LED; Transcranial; 40 mW/cm2 for 90 s; Immediately after and 6 h after two MPTP injections (four PBM treatments) OR Immediately after and 6 h after four MPTP injections, separated by 7 days (eight PBM treatments) OR Two PBM treatments per day for 8 or 12 days (sixteen PBM treatments). |
Increase in TH+ cells in 8 PBM treatment group and 16 PBM treatment group and after 7 days in the 4 PBM treatment group but not after 2 days; 2 J/cm2 was not effective, while 4 J/cm2 was effective for an increased MPTP dose (100 mg/kg). |
Ribeiro et al., 2016 [149] | Rat; Wistar; 6OHDA model. |
6OHDA (n = 20)/6OHDA + LED (n = 20)/6OHDA + laser (n = 20). | 672 nm LED; Right cervical region over carotid artery; 70 mW for 57 s; daily for 7 days; OR 630 nm laser; Right cervical region over carotid artery; 45 mW for 88 s; Daily for 7 days. |
Increased IL-2, IL-10 and interferon with a laser; Increased IFN-α with LEDs; Decreased TNF-α with LEDs and a laser; Motor condition improved significantly with a laser but not LEDs. |
Reinhart et al., 2016 [134] | Mouse; BALB/c males; MPTP model. |
Saline (n = 9)/saline + PBM (n = 11)/MPTP (n = 9)/MPTP + pre MPTP injection PBM (n = 9)/MPTP + simultaneous MPTP injection PBM (n = 9)/MPTP + post MPTP injection PBM (n = 9)/MPTP + pre + simultaneous MPTP injection PBM (n = 9)/MPTP + post + simultaneous MPTP injection PBM (n = 9)/MPTP + pre + post + simultaneous MPTP injection PBM (n = 9). | 670 nm LED; Transcranial; 40 mW/cm2 for 90 s; Two PBM treatments per day; Pre, post and simultaneous MPTP injection had four PBM treatments; pre + simultaneous and post + simultaneous MPTP injection had eight PBM treatments; pre + post + simultaneous MPTP injection had twelve PBM treatments. |
Increased TH+ cells in all groups; Locomotion improved in all groups. |
San Miguel 2019 [133] | Mouse; C56BL/6 (head shaved); MPTP model. |
Saline (n = 8)/MPTP (n = 6)/MPTP + PBM (n = 6). | 675 LED; Transcranial; 50 mW/cm2 for 3 min daily for 7 days. |
Reduced vascular leakage in SNc and the caudate putamen complex. |
O’Brien and Austin 2019 [150] | Rat; Sprague–Dawley male; Supranigral LPS injection. |
Vehicle sham/LPS sham/LPS + PBM. | 670 nm LED array; Transcranial; 4 J/cm2 twice daily for 6 days. |
|
INTRACRANIAL PBM | ||||
Moro et al., 2014 [183] | Mouse; BALB/c males; MPTP model. |
Saline (n = 5)/saline + continuous PBM (n = 5)/ saline + pulsed PBM (n = 5)/MPTP + continuous PBM (n = 5)/MPTP + pulsed PBM (n = 5). | 670 nm LED; Implanted intracranially; 1.5 mW/cm2 (pulsed) for 90 s per day for 4 days; 14.5 mW/cm2 (continuous) for 6 days continuously. |
Pulsed group showed increased TH+ cells in SNc; Continuous group showed non-significant increase in TH+ cells in SNc. |
Moro et al., 2016 [146] | Monkey (macaque); Adult male; MPTP model. |
Control (n = 3)/MPTP (n = 5)/MPTP + PBM (n = 7). | 670 nm laser; Implanted intracranially; 10 mW on for 5 s/off for 30 s; Continuous for 25 days. |
Increased TH+ cells but no increased effect of increased dose compared to Darlot et al. [147]. |
Reinhart et al., 2016 [142] | Rat; Wistar; 6OHDA model. |
Saline (n = 8)/6OHDA (n = 15)/6OHDA + PBM (pulsed) (n = 16)/6OHDA + PBM (continuous) (n = 13)/6OHDA + PBM (continuous low dose) (n = 9). | 670 nm LED Implanted intracranially; 1.6 mW for 90 s twice daily for 23 days OR 1.6 mW continuously for 23 days OR 0.333 mW continuously for 23 days. |
Increased TH+ cells for pulsed group but not continuous groups; Decreased rotational behaviour for pulsed and high-dose continuous groups but not for low-dose continuous group. |
Darlot et al., 2016 [147] | Monkey (macaque); Adult male; MPTP model. |
Control (n = 5)/1.5 mg/kg MPTP (n = 6)/2.1 mg/kg MPTP (n = 5)/1.5 mg/kg MPTP + PBM (n = 5)/21.1 mg/kg MPTP + PBM (n = 4). | 670 nm laser; Implanted intracranially; 10 mW on for 5 s/off for 30 s; Continuous for 5 days (1.5 mg/kg MPTP) OR Continuous for 7 days (2.1 mg/kg MPTP). |
Increased TH+ cells; Increased striatal TH+ terminals for lower MPTP group; Improved clinical scores; Improved locomotion. |
El Massri et al., 2016 [145] Further results of study from Darlot et al., 2016 [147] |
Monkey (macaque); Adult male; MPTP model. |
Control (n = 5)/1.5 mg/kg MPTP (n = 6)/2.1 mg/kg MPTP (n = 5)/1.5 mg/kg MPTP + PBM (n = 5)/21.1 mg/kg MPTP + PBM (n = 4). | 670 nm laser; Implanted intracranially; 10 mW on for 5 s/off for 30 s; Continuous for 5 days (1.5 mg/kg MPTP) OR Continuous for 7 days (2.1 mg/kg MPTP). |
Reduced MPTP-induced astrogliosis in the SNc and striatum. |
El Massri et al., 2017 [144] Further results from studies of Moro et al. [183], Reinhart et al., 2016 [142] and Darlot et al., 2016 [147] |
Mouse; BABL/c. + Rat; Wistar. + Monkey (macaque). All MPTP models. |
Mouse: Saline (n = 5)/saline + continuous PBM (n = 5)/saline + pulsed PBM (n = 5)/MPTP + continuous PBM (n = 5)/MPTP + pulsed PBM (n = 5). Rat: Saline (n = 8)/6OHDA (n = 15)/6OHDA + PBM (pulsed) (n = 16)/6OHDA + PBM (continuous) (n = 13)/6OHDA + PBM (continuous + low dose) (n = 9). Monkey: control (n = 5)/1.5 mg/kg MPTP (n = 6)/2.1 mg/kg MPTP (n = 5)/1.5 mg/kg MPTP + PBM (n = 5)/21.1 mg/kg MPTP + PBM (n = 4). |
670 nm LED; Implanted intracranially; Mouse: 1.5 mW/cm2 (pulsed) for 90 s per day for 4 days; 14.5 mW/cm2 (continuous) for 6 days continuously. Rat: 1.6 mW for 90 s twice daily for 23 days OR 1.6 mW continuously for 23 days OR 0.333 mW continuously for 23 days. Monkey: 10 mW on for 5 s/off for 30 s; Continuous for 5 days (1.5 mg/kg MPTP) OR continuous for 7 days (2.1 mg/kg MPTP). |
Increase in TH+ cells in the striatum of monkeys but not mice or rats; Increase in glial cell-derived neurotrophic factor (GDNF) in monkeys. |
El Massri et al., 2018 [184] | Monkey (macaque); Adult male; MPTP model. |
Control (n = 3)/control + PBM (n = 3)/MPTP (n = 3)/MPTP + PBM (n = 3). | 670 nm laser; Implanted intracranially; 10 mW on for 5 s/off for 60 s; Continuous for 5 days. |
No effect on encephalopsin expression in striatum. |
REMOTE PBM | ||||
Stone et al., 2013 [157] | Mouse; BALB/c males; MPTP model. |
Saline (n = 5)/saline + PBM (n = 5)/MPTP (n = 5)/MPTP + PBM (n = 5). | 670 nm LED; Remote (body with head shieled); 40 mW/cm2 for 90 s; Twp PBM treatments immediately after and 6 h after each MPTP injection over 30 h (total of four PBM treatments). |
Increased TH+ cells in SNc. |
Wattanathorn and Sutalangka 2014 [148] | Rat; Wistar; 6OHDA model. |
Control (n = 12)/6OHDA (n = 12)/6OHDA sham (n = 12)/6OHDA + PBM (n = 12). | 405 nm laser; Laser acupuncture point HT7; 100 mW for 10 min; Once daily for 14 days. |
Improved memory; increased cells at CA3 of the hippocampus; decreased markers of oxidative stress. |
Johnstone et al., 2014 [152] | Mouse; BALB/c males; MPTP model (50, 75 and 100 mg/kg). |
50 mg/kg MPTP (n = 36)/75 mg/kg MPTP (n = 8)/100 mg/kg MPTP (n = 9)/50 mg/kg MPTP + transcranial PBM (n = 12)/75 mg/kg MPTP + transcranial PBM (n = 8)/100 mg/kg MPTP + transcranial PBM (n = 19)/50 mg/kg MPTP + remote PBM (n = 11)/75 mg/kg MPTP + remote PBM (n = 8)/100 mg/kg MPTP + remote PBM (n = 9). | 670 nm LED; Transcranial OR remote; 40 mW/cm2 for 90 s; Two PBM treatments immediately after and 6 h after each MPTP injection (total of four PBM treatments for 50 mg/kg, six for 75 mg/kg and eight for 100 mg/kg MPTP). |
Increased TH+ cells in 50 mg/kg MPTP treatment (not 75 or 100 mg/kg); Transcranial treatment appeared superior to remote treatment. |
Kim et al., 2018 [158] | Mouse; C57BL/6 males; MPTP model. |
saline (n = 10)/MPTP sham (n = 10)/MPTP + remote ischemic conditioning (leg) (n = 10)/MPTP + PBM (n = 10)/MPTP + remote ischemic conditioning + PBM (n = 10). | 670 nm LED; Remote (dorsum); 50 mW/cm2 for 3 min; Pre-conditioned prior to MPTP injection. |
Increased TH+ cells with remote ischemic conditioning and remote PBM; no additional benefit from combining treatments. |
Ganeshan et al., 2019 [132] | Mouse; BABL/c males; MPTP model. |
Saline (n = 10)/MPTP (n = 10)/MPTP + PBM 2 days pretreatment (n = 10)/ MPTP + PBM 5 days pre-treatment (n = 10)/MPTP + PBM 10 days pre-treatment (n = 10). | 670 nm LED; Remote (dorsum + hind limbs); 50 mW/cm2 for 90 s for 2, 5 or 10 days prior to MTPT injection. |
Decreased Fos+ in the caudate putamen complex for all pre-treatment groups; Increased TH+ cells and upregulated cell signalling, cell migration, oxidative stress response and blood–brain barrier modulation in 10-day pre-treatment group only. |
Gordon et al., 2023 [143] | Mouse; C56BL/6 (head, abdomen and hind legs shaved). + Monkey (macaque); Adult male. All MPTP models. |
Mouse: Control (n = 10)/MPTP (n = 10)/MPTP + PBM (head) (n = 10)/MPTP + PBM (abdomen) (n = 10)/MPTP + PBM (legs) (n = 10). Monkey: head (n = 1)/abdomen (n = 1)/hind legs (n = 1). |
Mouse: 656 nm LED; Transcranial and remote (abdomen + hind legs); 50 mW/cm2 for 180 s; After MPTP injection, daily for 21 days. Monkey: 670 nm LED; Transcranial and remote (abdomen + lower legs); 50 mW/cm2 for 180 s; Immediately after and 4 h after MPTP injection over 5 days (10 treatments). |
Mouse: No difference in mobility; Increased TH+ cells in SNc in all groups. Monkey (single individual): Lower clinical score for abdomen and leg treatment. |
WHOLE ANIMAL PBM | ||||
Vos et al., 2013 [151] | Drosophila; pink1 null mutants; park null mutants; Rotenone toxin. |
Variable numbers of mutant pink1 flies/pink1 controls/mutant park flies/park controls. | 808 nm laser; Whole animal; 25 mW/cm2 for 100 s; Single dose. |
Increased flight times; reduced mitochondrial defects and function; increased mitochondrial (complex IV) respiration. |
PBM = photobiomodulation; LED = light emitting diode; MPTP = 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine.