“…In general, the effects of HBO are similar to those accomplished with immunosuppressant drugs, leading to a decrease in inflammatory response in the body [4,35], which is achieved by reducing the synthesis of inflammatory mediators such as nitric oxide (NO) [36,37], prostaglandin E2 (PGE2) [38,39], tumour necrosis factor α (TNF-α), interleukin 1β and 12 (IL-1β, IL-12) and interferon γ (IFN-γ) [9,16,18,23,38,40,41], as well as a reduced expression of cyclooxygenase-type 2 mRNA (COX-2), an enzyme involved in inflammation [42]. In addition to the inhibitory effect on the synthesis of proinflammatory cytokines, the consequence of hyperbaric oxygen therapy is an increased release of antiinflammatory cytokines such as interleukin 10 (IL-10) [9,43].…”