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      Perspective: Water-Filtered Infrared-A-Radiation (wIRA) – Novel Treatment Options for Chlamydial Infections?

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          Abstract

          Water-filtered infrared-A-radiation (wIRA) is a promising therapeutic method, which is particularly used as supportive treatment for wound closure, and wound infection treatment and prevention. High penetration properties of the heat field and beneficial effects on wound healing processes predispose wIRA irradiation to be a non-invasive treatment method for bacterial infections in superficial tissues. Since Chlamydia trachomatis still represents the leading cause of infectious blindness in third world countries (WHO http://www.who.int/topics/trachoma/en/) and wIRA displays beneficial effects on chlamydial infections in vitro without inducing cellular damage in ex vivo eye models and also shows beneficial effects on wound healing, this irradiation technique might represent a promising future treatment for trachoma patients. To this end, further studies investigating shorter irradiation times or irradiation of Chlamydia in chronic infections [the chlamydial stress response ( Bavoil, 2014)] as well as safety studies in animal models should clearly be performed.

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          Most cited references61

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          Primary and secondary mechanisms of action of visible to near-IR radiation on cells.

          T Karu (1999)
          Cytochrome c oxidase is discussed as a possible photoacceptor when cells are irradiated with monochromatic red to near-IR radiation. Four primary action mechanisms are reviewed: changes in the redox properties of the respiratory chain components following photoexcitation of their electronic states, generation of singlet oxygen, localized transient heating of absorbing chromophores, and increased superoxide anion production with subsequent increase in concentration of the product of its dismutation, H2O2. A cascade of reactions connected with alteration in cellular homeostasis parameters (pHi, [Cai], cAMP, Eh, [ATP] and some others) is considered as a photosignal transduction and amplification chain in a cell (secondary mechanisms).
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            Mitochondrial signaling in mammalian cells activated by red and near-IR radiation.

            Tiina Karu (2008)
            Mitochondrial signaling is an information channel between the mitochondrial respiratory chain and the nucleus for the transduction signals regarding the functional state of the mitochondria. The present review examines the question whether radiation of visible and near-IR (IR-A) radiation can activate this retrograde-type cellular signaling pathway. Experimental data about modulation of elements of mitochondrial retrograde signaling by the irradiation (mitochondrial membrane potential DeltaPsi(m), reactive oxygen species ROS, Ca(2+), NO, pH(i), fission-fusion homeostasis of mitochondria) are reviewed. The terminal enzyme of the mitochondrial respiratory chain cytochrome c oxidase is considered as the photoacceptor. Functions of cytochrome c oxidase as a signal generator as well as a signal transducer in irradiated cells are outlined.
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              Multiple roles of cytochrome c oxidase in mammalian cells under action of red and IR-A radiation.

              Tiina Karu (2010)
              This article reviews the current knowledge in photobiology and photomedicine about the influence of monochromatic, quasimonochromatic, and bread-band radiation of red-to-near infrared (IR-A) part on solar spectrum upon mammalian cells and human skin. The role of cytochrome c oxidase as the photoacceptor and photosignal transducer is underlined and its photosensitivity at certain circumstances is discussed. The role of ATP as a critical signaling molecule is discussed. (c) 2010 IUBMB
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                Author and article information

                Contributors
                Journal
                Front Microbiol
                Front Microbiol
                Front. Microbiol.
                Frontiers in Microbiology
                Frontiers Media S.A.
                1664-302X
                10 May 2019
                2019
                : 10
                : 1053
                Affiliations
                Institute of Veterinary Pathology, University of Zurich , Zurich, Switzerland
                Author notes

                Edited by: Fabian Cieplik, University Medical Center Regensburg, Germany

                Reviewed by: Andreas Pummer, University Medical Center Regensburg, Germany; Peter Vaupel, TU München, Germany

                *Correspondence: Nicole Borel, n.borel@ 123456access.uzh.ch

                This article was submitted to Infectious Diseases, a section of the journal Frontiers in Microbiology

                Article
                10.3389/fmicb.2019.01053
                6522854
                31134043
                284ec040-3aba-4ccf-8e72-6ab84aecdeab
                Copyright © 2019 Kuratli and Borel.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 08 February 2019
                : 26 April 2019
                Page count
                Figures: 1, Tables: 2, Equations: 0, References: 65, Pages: 9, Words: 0
                Categories
                Microbiology
                Perspective

                Microbiology & Virology
                chlamydia trachomatis,wira irradiation,wira/vis,wound healing,wound infection,alternative treatment strategies

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