Evidence map›Paper›PMID 40172371›Full record

SynthesisActa cirurgica brasileira2025

Mechanisms of photobiomodulation therapy in treating and preventing antineoplastic-induced oral mucositis: a systematic review.

Paulo Victor Alves de Sales, Isabella Piassi Dias Godói, Gerly Anne de Castro Brito, Renata Carvalho Leitão, Aurigena Antunes de Araújo, Caroline Addison Carvalho Xavier de Medeiros

Abstract readSystematic Review
In one paragraph

Synthesis in Acta cirurgica brasileira, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Efficacy of acupuncture in managing radiotherapy/chemotherapy-induced oral mucositis: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Paulo Victor Alves de SalesUniversidade Federal do Rio de Janeiro - Institute of Pharmaceutical Sciences - Multidisciplinary Center of Macaé - Macaé (RJ) - Brazil.ORCID http://orcid.org/0009-0001-8440-4285
Isabella Piassi Dias GodóiUniversidade Federal do Rio de Janeiro - Institute of Pharmaceutical Sciences - Multidisciplinary Center of Macaé - Macaé (RJ) - Brazil.ORCID http://orcid.org/0000-0002-0568-6625
Gerly Anne de Castro BritoUniversidade Federal do Ceará - Faculty of Medicine - Post Graduate Program of Morphofunctional Sciences - Fortaleza (CE) - Brazil.ORCID http://orcid.org/0000-0002-8214-4379
Renata Carvalho LeitãoUniversidade Federal do Ceará - Faculty of Medicine - Post Graduate Program of Morphofunctional Sciences - Fortaleza (CE) - Brazil.ORCID http://orcid.org/0000-0003-0202-771X
Aurigena Antunes de AraújoUniversidade Federal do Rio Grande do Norte - Department of Biophysics and Pharmacology - Post Graduate Program in Pharmaceutical Science - Natal (RN) - Brazil.ORCID http://orcid.org/0000-0001-9264-4695
Caroline Addison Carvalho Xavier de MedeirosUniversidade Federal do Rio de Janeiro - Institute of Pharmaceutical Sciences - Multidisciplinary Center of Macaé - Macaé (RJ) - Brazil.ORCID http://orcid.org/0000-0001-9224-2434

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo conduct a systematic review of the mechanisms of photobiomodulation therapy (PBMT) for treating or preventing oral mucositis (OM) caused by antineoplastic therapy.

methodsFollowing PRISMA 2020 guidelines, a search was conducted in Medline, Latin American and Caribbean Health Sciences Literature (LILACS), Scientific Electronic Library Online (SciELO), and Bibliografia Brasileira de Odontologia from August to September 2023 using descriptors related to OM and laser therapy. Studies on the mechanisms of photobiomodulation in OM were included. Randomized (RCTs) or non-randomized trials from the past 10 years were reviewed. Risk of bias was assessed using RoB 2.0 and ROBINS-I tools.

resultsA total of 355 studies was identified. After the screening, seven met the eligibility criteria. The RCTs showed a low risk of bias. PBMT reduced OM incidence in patients undergoing chemotherapy/radiotherapy. PBMT decreased pro-inflammatory cytokines (interleukin-6, tumor necrosis factor-α) and increased anti-inflammatory cytokines (interleukin-4, interleukin-10). It also modulated inflammatory mediators, enhancing the antioxidant enzyme superoxide dismutase and overexpressing genes for keratinocyte differentiation, aiding injury repair.

conclusionThe findings suggested that the mechanism of action of PBMT in OM involves modulation of the inflammatory response, balancing oxygen reactive species generation, and expression of factors related to healing or repair. Further studies are needed to elucidate these mechanisms and optimize treatment protocols.

Indexed as

Antineoplastic AgentsLow-Level Light TherapyStomatitisCytokinesHumansRandomized Controlled Trials as TopicAntineoplastic AgentsCytokines

Identifiers

PMID40172371
PMCPMC11960598

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.