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. 2025 Oct 16;13:1675619. doi: 10.3389/fbioe.2025.1675619

TABLE 4.

PBM and PI3K/AKT in fibroblasts.

Cells λ (nm) Fluence (J/cm2) Model Statistical analysis Outreads References
WS1 human skin fibroblast cells, namely, normal (N), wounded (W), diabetic (D) and diabetic wounded (DW) 660; 830 5 In vitro Experiments: n = 3, in duplicate
Data: Mean ± SEM
Software: SigmaPlot 13.0
Tests: Student’s t-test, One-Way ANOVA
Significance: *p ≤ 0.05, **p ≤ 0.01, ***p ≤ 0.001
- PBM reversed oxidative stress in diabetic fibroblasts: it reduced FOXO1 and increased SOD, CAT, and HMOX1 levels
- Effect linked to AKT pathway activation
- PBM enhanced diabetic wound healing via FOXO1 inhibition
−660 nm wavelength was slightly more effective than 830 nm in regulating the AKT/FOXO1 pathway improving viability by 8.5% compared to approximately 6% with 830 nm (p < 0.01)
Rajendran et al. (2021)
Human WS1 Fibroblast cells and adipose derived stem cell (ADSC) were co-cultured in a 1:1 ratio and were divided into four groups; normal (N), wounded (W), diabetic (D) and diabetic wounded (DW) 660; 830 5 In vitro Experiments: n = 3, in duplicate
Data: Mean ± SEM
Software: SigmaPlot 13.0
Tests: Student’s t-test, One-Way ANOVA
Significance: *p ≤ 0.05, **p ≤ 0.01, ***p ≤ 0.001
- Both 660 nm and 830 nm wavelengths effectively increased PI3K and AKT levels (p < 0.05)
- These effects improved wound healing in an in vitro scratch wound model with diabetic ADSC fibroblast co-cultures
Rajendran and Houreld (2022)
WS1 human fibroblasts, namely, wounded (W), diabetic wounded (DW) and hypoxic diabetic wounded (HDW) 660 5 In vitro Experiments: n = 2, 3 (average used)
Data: Mean ± SEM
Software: SigmaPlot 13.0
Tests: Student’s t-test, One-Way ANOVA
Significance: *p ≤ 0.05, **p ≤ 0.01, ***p ≤ 0.001
- PBM at 660 nm (5 J/cm2) enhances diabetic wound healing: increased activation of PI3K/AKT (16%) and downstream proteins (mTOR, GSK3β) observed
- Therapeutic effects of PBM are linked to activation of the PI3K/AKT signaling pathway
- The results suggest that activation of GSK3β and mTOR further supports the healing process in stressed cells
Jere et al. (2022)
African green monkey SV40-transformed kidney fibroblast cell line 632.8 0, 0.2, 0.4, 0.8, and 1.2 In vitro Experiments: n = 3
Data: Mean ± SEM
Test: Student’s paired t-test
Significance: p < 0.05
- PBM activated Akt in a PI3K-dependent manner (blocked by wortmannin)
- Src family involvement in Akt activation was shown by partial inhibition with PP1 (Src inhibitor)
- PBM promoted cell proliferation (p < 0.01) via PI3K/Akt; inhibited by PI3K inhibitor
-PI3K/Akt pathway regulates PBM-induced cell proliferation in a time- and dose-dependent manner
Zhang et al. (2009)
Primary culture of Human Gingival Fibroblasts (HGFs) 660 3 In vitro Experiments: n = 3
Software: GraphPad Prism 9.3.0
Normality test: Shapiro-Wilk
Tests: One-way ANOVA + Dunnett’s and Tukey’s post-tests; Fisher’s exact test
Data: Mean ± SD (bar graphs)
Significance: p < 0.05
- PBM increased activation of PI3K/AKT, mTOR, and GSK3β signaling proteins
- The results suggest PBM promotes therapeutic effects by activating PI3K/AKT and downstream proteins, aiding diabetic wound healing
Monteiro et al. (2024)