Cold Plasma will Heal Non-Healing Wounds

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Low-temperature plasma generator. Left: (1) gas flow, (2) SHF electrode, (3) plasma jet, (4) power source, (5) ground electrode. Right: (6) metal tube, (7) power, (8) plasma jet. Credit: MIPT

Low-temperature plasma generator. Left: (1) gas flow, (2) SHF electrode, (3) plasma jet, (4) power source, (5) ground electrode. Right: (6) metal tube, (7) power, (8) plasma jet. Credit: MIPT

Scientists have found that treating cells with cold plasma leads to their regeneration, rejuvenation. This result can be used to develop a plasma therapy program for patients with non-healing wounds. Non-healing wounds make it more difficult to provide effective treatment to patients and are therefore a serious problem faced by doctors. These wounds can be caused by damage to blood vessels in the case of diabetes, failure of the immune system resulting from an HIV infection or cancers, or slow cell division in elderly people.

Cold atmospheric-pressure plasma refers to a partially ionized gas (the proportion of charged particles in the gas being close to 1?%) with a temperature below 100,000 K. Its application in biology and medicine has been made possible by the advent of plasma sources generating jets at 30-40°C. An earlier study established the bactericidal properties of low-temperature plasma, as well as the relatively high resistance of cells and tissues to its influence. The results of plasma treatment of patients with non-healing wounds varied from positive to neutral. The authors’ previous work prompted them to investigate the possibility that the effect of plasma treatment on wound healing could depend on application pattern (the interval between applications and total number of applications).

Two types of cells were used in this study, viz. fibroblasts and keratinocytes. Both play a central role in wound healing. The effect of plasma treatment on cells was measured. In fibroblast samples, the number of cells increased by 42.6% after one application (A) and by 32.0% after two applications (B), as compared to the untreated controls. While no signs of DNA breaks were detected following plasma application, an accumulation of cells in the active phases of the cell cycle was observed, alongside a prolonged growth phase (30 hours). This means that the effect of plasma could be characterized as regenerative, as opposed to harmful. The proliferation of cells that had been treated daily over a period of 3 days (group C) was reduced by 29.1% relative to the controls. Keratinocytes did not show noticeable changes in proliferation.

The researchers also performed an assay of the senescence-associated β-galactosidase, which is measured at pH 6.0. The concentration of this enzyme in a cell increases with age. Plasma treatment significantly reduced the content of this substance in the samples. This, together with a prolonged exponential growth phase of the culture, suggests a functional activation of cells — their rejuvenation.

‘The positive response to plasma treatment that we observed could be linked to the activation of a natural destructive mechanism called autophagy, which removes damaged organelles from the cell and reactivates cellular metabolic processes,’ says Elena Petersen, head of the Lab of Cellular and Molecular Technologies at MIPT.

The scientists are planning additional research into the molecular mechanisms underlying the effects of plasma on cells. They also aim to determine the influence of a patient’s age on the effectiveness of plasma therapy. https://mipt.ru/english/news/cold_plasma_will_heal_non_healing_wounds