MECHANISMS AND OUTCOMES OF 1470NM LASER THERAPY FOR VAGINAL REJUVENATION: A MULTI-OMICS OBSERVATIONAL STUDY

Downloads
Highlights:
- Multi-omics analysis revealed significant upregulation of genes and proteins linked to collagen remodeling and angiogenesis after 1470nm laser therapy.
- The study provides the first integrated clinical and molecular evidence demonstrating the mechanistic role of TGF-β signaling in vaginal tissue regeneration following laser treatment.
Abstract:
Introduction: Vaginal laxity and compromised vascularization significantly impact women’s quality of life, especially post-childbirth and during menopause. Non-invasive therapies, such as 1470nm laser technology, stimulate collagen production and enhance tissue regeneration. This study hypothesizes that 1470nm laser therapy improves vaginal health through collagen remodeling and neovascularization, supported by multi-omics data elucidating key biological pathways.
Methods: This prospective observational study enrolled 120 women aged 25–65 years with symptoms of vaginal laxity, dryness, or decreased elasticity. Participants underwent 3–5 sessions of 1470nm laser therapy. Clinical outcomes were assessed using high-resolution ultrasound, optical coherence tomography (OCT), histopathology, and patient-reported outcomes (FSFI, PGI-I). Multi-omics integration included RNA sequencing, proteomics, and metabolomics.
Results: Vaginal wall thickness increased by 35% (p<0.001), and collagen density improved by 42% (p<0.001). FSFI scores rose by 28% (p<0.001), with 92% of women reporting improved sexual satisfaction. Molecular analyses showed upregulation of collagen synthesis and angiogenesis-related genes (COL1A1, COL3A1, VEGF, FGF), with TGF-β signaling emerging as a key regulatory pathway.
Conclusion: 1470nm laser therapy significantly improves vaginal structure and function with a favorable safety profile. This study uniquely integrates clinical outcomes with multi-omics data, offering novel mechanistic insights and supporting its role in personalized regenerative gynecology.
Karcher C & Sadick N. Vaginal rejuvenation using energy-based devices. Int J Womens Dermatol. 2016; 2(3): 85-88. DOI:10.1016/j.ijwd.2016.05.003
Tadir Y, Gaspar A, Lev-Sagie A, Alexiades M, Alinsod R, Bader A, et al. Light and energy based therapeutics for genitourinary syndrome of menopause: consensus and controversies. Lasers Surg Med.2017;49(2): 137-159. DOI:10.1002/ lsm.22637
Bretas TLB, Issa MCA, Fialho SCAV, Villar EAG, Velarde LGC, Pérez-López FR. Vaginal collagen I and III changes after carbon dioxide laser application in postmenopausal women with the genitourinary syndrome: a pilot study. Climacteric. 2022; 25(2): 186-194. DOI: 10.1080/13697137.2021.1941850
Salvatore S, Pantaleo S & Candiani M. The use of pulsed CO2 lasers for the treatment of vulvovaginal atrophy. Curr Opin Obstet Gynecol.2015;27(6):504-508. DOI: 10.1097/GCO.0000000000000230
Phillips NA & Bachmann GA. The genitourinary syndrome of menopause. Menopause. 2021; 28(5): 579-588. DOI:10.1097/GME.0000000000001728
Da Silva AS, Baines G, Araklitis G, Robinson D, Cardozo L. Modern management of genitourinary syndrome of menopause. Fac Rev. 2021; 10: 25. DOI:10.12703/r/10-25
Moral E, Delgado JL, Carmona F, Caballero B, Guillán C & González PM. Genitourinary syndrome of menopause: prevalence and quality of life in Spanish postmenopausal women. The GENISSE study. Climacteric. 2018; 21(2): 167-173. DOI:10.1080/13697137.2017.1421921
Eberhart R, Chuong CJ & Zimmern P. Exploring biomechanical methods to study the human vaginal wall. Neurourol Urodyn.2017; 36(2): 499-506. DOI:10.10 02/nau.22968
Massagué J. TGFβ signalling in context. Nat Rev Mol Cell Biol. 2012; 13: 616-630. DOI:10.1038/nrm3434
Gilbert RW, Vickaryous MK & Viloria-Petit AM. Signalling by transforming growth factor beta isoforms in wound healing and tissue regeneration. J Dev Biol. 2016; 4(2): 21. DOI:10.3390/jdb 4020021
Shi S, Ou X, Long J, Lu X, Xu S & Li G. The role of multiomics in revealing the mechanism of skin repair and regeneration. Front Pharmacol. 2025; 16: 1497988. DOI:10.3389/fphar.2025.149 7988
Foster DS, Januszyk M, Yost KE, Chinta MS, Gulati GS, Nguyen AT, et al. Integrated spatial multiomics reveals fibroblast fate during tissue repair. Proc Natl Acad Sci USA. 2021; 118 (41): e2110025118. DOI:10.1073/pnas.2110 025118
Rajalekshmi R, Rai V & Agrawal DK. Deciphering collagen phenotype dynamics regulators: insights from in-silico analysis. J Bioinform Syst Biol Open Access. 2024; 7(3): 169. DOI:10.26502/ jbsb.5107089
Firmansyah Y, Sidharta VM, Wijaya L & Tan ST. Unraveling the significance of growth factors (TGF-β, PDGF, KGF, FGF, Pro Collagen, VEGF) in the dynamic of wound healing. Asian J Med Health. 2024; 22(3): 49-61. DOI:10.9734/ajmah/2024/v22i3992
Sarmento ACA, Costa APF, Vieira-Baptista P, Giraldo PC, Eleutério J Jr, & Gonçalves AK. Genitourinary syndrome of menopause: epidemiology, physiopathology, clinical manifestation and diagnostic. Front Reprod Health. 2021; 3: 779398. DOI:10.3389/frph.20 21.779398
Welk B & Kelly E. Laser devices for vaginal rejuvenation: effectiveness, regulation and marketing. CMAJ. 2023; 195(5): E195-E196. DOI:10.1503/cmaj. 221208
Zipper R & Lamvu G. Vaginal laser therapy for gynecologic conditions: re-examining the controversy and where do we go from here. J Comp Eff Res. 2022; 11(11): 843-851. DOI:10.2217/cer-2021-0281
Cruz VL, Steiner ML, Pompei LM, Strufaldi R, Fonseca FLA, Santiago LHS, et al. Randomized, double-blind, placebo-controlled clinical trial for evaluating the efficacy of fractional CO₂ laser compared with topical estriol in the treatment of vaginal atrophy in postmenopausal women. Menopause. 2018; 25(1): 21-28. DOI:10.1097/GME.0 000000000000955
Paraiso MFR, Ferrando CA, Sokol ER, Rardin CR, Matthews CA, Karram MM, et al. A randomized clinical trial comparing vaginal laser therapy to vaginal estrogen therapy in women with genitourinary syndrome of menopause: The VeLVET Trial. Menopause. 2020; 27(1): 50-56. DOI:10.1097/GME.0000000000001416
Dutra PFSP, Heinke T, Pinho SC, Focchi GRA, Tso FK, de Almeida BC, et al. Comparison of topical fractional CO₂ laser and vaginal estrogen for the treatment of genitourinary syndrome in postmenopausal women: a randomized controlled trial. Menopause. 2021; 28(7): 756-763. DOI:10.1097/GME.000000000 0001797
Samuels JB & Garcia MA. Treatment to external labia and vaginal canal with CO₂ laser for symptoms of vulvovaginal atrophy in postmenopausal women. Aesthet Surg J. 2019; 39(1): 83-93. DOI:10.1093/asj/sjy087
Gambacciani M, Palacios S. Laser therapy for the restoration of vaginal function. Maturitas. 2017; 99: 10-15. DOI:10.1016/j.maturitas.2017.01.012
Mensión E, Alonso I, Tortajada M, Matas I, Gómez S, Ribera L, et al. Vaginal laser therapy for genitourinary syndrome of menopause: systematic review. Maturitas. 2022; 156: 37-59. DOI:10.1016/j.maturitas.2021.06.005
Benini V, Ruffolo AF, Casiraghi A, Degliuomini RS, Frigerio M, Braga A, et al. New innovations for the treatment of vulvovaginal atrophy: an up-to-date review. Medicina. 2022; 58(6): 770. DOI:10.3390/medicina58060770
Mascharak S, Talbott HE, Januszyk M, Griffin M, Chen K, Davitt MF,et al. Multi-omic analysis reveals divergent molecular events in scarring and regenerative wound healing. Cell Stem Cell. 2022;29(2):315-327. DOI:10.1016/ j.stem.2021.12.011
Cheong S, Peng Y, Lu F & He Y. Structural extracellular matrix-mediated molecular signaling in wound repair and tissue regeneration. Biochimie. 2025; 229: 58-68. DOI: 10.1016/j.biochi.2024.10.003
Chang H, Shen Q, Tan Y, Tong J, Zhang Z, Ouyang W, et al. Red light promotes dermis-epidermis remodeling via TGF-β and AKT-mediated collagen dynamics in naturally aging mice. Zool Res. 2025; 46(5): 967-982. DOI: 10.24272/j.issn. 2095-8137.2024.405
Zhang YE. Non-Smad signaling pathways of the TGF-β family. Cold Spring Harb Perspect Biol. 2017; 9: a022129. DOI:10.1101/cshperspect.a022129
Smith MQ, Staley CA, Kooby DA, Styblo T, Wood WC & Yang L. Multiplexed fluorescence imaging of tumor biomarkers in gene expression and protein levels for personalized and predictive medicine. Curr Mol Med. 2009; 9(8): 1017-1023. DOI:10.2174/1566524 09789712765
Sellappan S, Blackler A, Liao WL, O'Day E, Xu P, Thyparambil S, et al. Therapeutically induced changes in HER2, HER3, and EGFR protein expression for treatment guidance. J Natl Compr Canc Netw. 2016; 14(5): 503-507. DOI:10.6004/JNCCN.2016.00 59
Dos Santos Maciel T, Corrêa Lima Chamy N & Dos Santos Maciel M, Pasqual Marques A. Effect of photobiomodulation (low-level laser therapy) in patients with knee osteoarthritis: a randomized controlled trial. Lasers Med Sci. 2025; 40(1): 293. DOI:10.1007/s10103-025-04542-4
Ramalho KM, de Souza LMP, Tortamano IP, Adde CA, Rocha RG, & de Paula Eduardo C. A randomized placebo-blind study of the effect of low power laser on pain caused by irreversible pulpitis. Lasers Med Sci. 2016; 31(9): 1899-1905. DOI:10.1007/s10103-016-2068-7
Neijenhuijs KI, Hooghiemstra N, Holtmaat K, Aaronson NK, Groenvold M, Holzner B, et al. The Female Sexual Function Index (FSFI)—a systematic review of measurement properties. J Sex Med. 2019; 16(5): 640-660. DOI:10.10 16/j.jsxm.2019.03.001
White ID, Sangha A, Lucas G & Wiseman T. Assessment of sexual difficulties associated with multi-modal treatment for cervical or endometrial cancer: a systematic review of measurement instruments. Gynecol Oncol. 2016; 143(3): 664-673. DOI:10.1016/j.ygyno. 2016.08.332
Peixoto MM. Insights from assessment type of sexual problems and sexual satisfaction in women: a pilot study. Preprints. 2021. DOI:10.20944/PRE PRINTS202105.0484.V1
Copyright (c) 2025 Smit Bharat Solanki, Deblina Dutta

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
JURNAL REKONSTRUKSI DAN ESTETIK by Unair is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
- The journal allows the author to hold copyright of the article without restriction
- The journal allows the author(s) to retain publishing rights without restrictions.
- The legal formal aspect of journal publication accessbility refers to Creative Commons Attribution Share-Alike (CC BY-SA)

















