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Association of NF-κB and its downstream pathway with acute radiation-induced myocardial fibrosis in rats
Liu Lina, Wang Sheng, Wu Yajing, Gou Yin, Tian Yanming, Wang Qian, Huang Xin, Wang Yi, Wang Jun
Department of Radiotherapy in Oncology (Liu L,Wu YJ,Guo Y,Wang Q,Huang X,Wang Y,Wang J), Department of Physiology (Wang S,Tian YM),The 4th Hospital of Hebei Medical University,Shijiazhuang 050011,China
AbstractObjective To examine the pathological changes in the myocardial tissues such as inflammatory response and fibrosis in a rat model of acute radiation-induced heart damage (RIHD), and to explore whether NF-κB and its downstream pathway are associated with acute radiation-induced myocardial fibrosis. Methods Fourteen male adult Sprague-Dawley rats were randomly divided into control group and radiation group. Local heart irradiation was delivered to the precordial region of rats to establish an RIHD model in a single fraction with a dose of 20 Gy generated by a 6 MV linear accelerator. At 14 days after irradiation, the histopathological changes in myocardial and interstitial tissues were examined by HE staining;the distribution of collagen fibers was observed by Masson staining, and collagen volume fraction (CVF) was used as a semi-quantitative evaluation for myocardial collagen deposition, which was defined as the percentage of collagen area occupied in total area, and was compared using the independent-samples t test. The protein and mRNA expression levels of the NF-κB members p50 and p65 and the downstream pathway members hypoxia-inducible factor 1α(HIF-1α), connective tissue growth factor (CTGF), and type I (COL-1) were quantitatively analyzed by Western blot and qPCR, respectively. Results At 14 days after local heart irradiation, the radiation group showed significant myocardial edema and derangement, rupture of some myocardial cells, mild nuclear pyknosis, darkened nuclear staining, a small number of irregular nuclei, and myocardial interstitial inflammatory cell infiltration accompanied by increased fibroblast, as compared with the control group. The Masson staining showed that the collagen fibers in radiation group were widely distributed at the interstitial tissue and increased significantly compared with those in the control group;normal myocardial cells were in disordered array and had a tendency to be replaced by collagen fibers. The semi-quantitative analysis showed that radiation induced a significant increase in CVF (22.05% vs. 3.76%, P=0.003). Western blot and qPCR revealed that the protein and mRNA expression of p50, p65, HIF-1α, CTGF, and COL-1 was significantly higher in the radiation group than in the control group (all P <0.05). Conclusions The pathological features of acute RIHD include significant myocardial edema and myocardial interstitial inflammatory cell infiltration accompanied by increased fibroblasts and collagen fibers. Radiation exposure can activate NF-κB and cause the upregulation of HIF-1α and CTGF at both protein and mRNA levels, which may play an important role in the progression of radiation-induced myocardial inflammation to fibrosis.
Corresponding Authors:
Wang Jun,Email:wangjunzr@ 163.com
Cite this article:
Liu Lina,Wang Sheng,Wu Yajing et al. Association of NF-κB and its downstream pathway with acute radiation-induced myocardial fibrosis in rats[J]. Chinese Journal of Radiation Oncology, 2017, 26(4): 453-458.
Liu Lina,Wang Sheng,Wu Yajing et al. Association of NF-κB and its downstream pathway with acute radiation-induced myocardial fibrosis in rats[J]. Chinese Journal of Radiation Oncology, 2017, 26(4): 453-458.
[1] Gürsesi,?zeren M,Serin M,et al. Histopathological evaluation of melatonin as a protective agent in heart injury induced by radiation in a rat model[J].Pathol-Res Pract,2014,210(12):863-871.DOI:10.1016/j.prp.2014.08.006 [2] 武亚晶,王雪锋,王军,等.急性期放射性心肌损伤病理学表现及损伤机制研究[J].中华放射肿瘤学杂志,2016,25(10):1117-1122.DOI:10.3760/cma.j.issn.1004-4221.2016.10.021. Wu YJ,Wang XF,Wang J,et al. Pathological manifestations of acute-stage radioactive myocardial damage and related mechanisms[J].Chin J Radiat Oncol,2016,25(10):1117-1122.DOI:10.3760/cma.j.issn.1004-4221.2016.10.021 [3] Han W,Li H,Cai JY,et al. NADPH oxidase limits lipopolysaccharide-induced lung inflammation and injury in mice through reduction-oxidation regulation of NF-κB activity[J].J Immunol,2013,190(9):4786-4794.DOI:10.4049/jimmunol.1201809 [4] 潘波,杨成明,曾春雨,等.吡咯烷二硫代氨基甲酸盐对大鼠缺血性心肌损伤后心室扩张及心衰的干预效应[J].第三军医大学学报,2008,30(22):2128-2131.DOI:10.3321/j.issn:1000-5404.2008.22.019. Pan B,Yang CM,Zeng CY,et al. Protective effects of PDTC on ventricular dilatation and heart failure induced by experimental myocardial ischemic injury in rats[J].Acta Acad Med Milit Tert,2008,30(22):2128-2131.DOI:10.3321/j.issn:1000-5404.2008.22.019 [5] Meng A,Yu T,Chen G,et al. Cellular origin of ionizing radiation-induced NF-κB activation in vivo and role of NF-κB in ionizing radiation-induced lymphocyte apoptosis[J].Int J Radiat Biol,2003,79(11):849-861.DOI:10.1080/09553000310001622814 [6] Cataldi A,Rapino M,Centurione L,et al. NF-κB activation plays an antiapoptotic role in human leukemic K562 cells exposed to ionizing radiation[J].J Cell Biochem,2003,89(5):956-963.DOI:10.1002/jcb.10560 [7] Lam RKK,Han W,Yu KN.Unirradiated cells rescue cells exposed to ionizing radiation:activation of NF-κB pathway in irradiated cells[J].Mutat Res,2015,782:23-33.DOI:10.1016/j.mrfmmm.2015.10.004 [8] 蔺琳.缺氧诱导因子-1对纤维化的影响[J].临床口腔医学杂志,2014,(7):440-442.DOI:10.3969/j.issn.1003-1634.2014.07.021. Lian L.Effects of hypoxia inducible factor-1 on fibrosis[J].J Clin Stomatol,2014,(7):440-442.DOI:10.3969/j.issn.1003-1634.2014.07.021 [9] Zhou JJ,Wei Y,Zhang L,et al. Chronic intermittent hypobaric hypoxia prevents cardiac dysfunction through enhancing antioxidation in fructose-fed rats[J].Can J Physiol Pharmacol,2013,91(5):332-337.DOI:10.1139/cjpp-2012-0059. [10] Schultz-Hector S,Trott KR.Radiation-induced cardiovascular diseases:is the epidemiologic evidence compatible with the radiobiologic data[J].Int J Radiat Oncol Biol Phys,2007,67(1):10-18.DOI:10.1016/j.ijrobp.2006.08.071. [11] Weintraub NL,Jones WK,Manka D.Understanding radiation-induced vascular disease[J].J Am Coll Cardiol,2010,55(12):1237-1239.DOI:10.1016/j.jacc.2009.11.053. [12] Halle M,Gabrielsen A,Paulsson-Berne G,et al. Sustained inflammation due to nuclear factor-kappa B activation in irradiated human arteries[J].J Am Coll Cardiol,2010,55(12):1227-1236.DOI:10.1016/j.jacc.2009.10.047. [13] Brilla CG.Renin-angiotensin-aldosterone system and myocardial fibrosis[J].Cardiovasc Res,2000,47(1):1-3.DOI:10.1016/S0008-6363(00)00092-4. [14] Quarmby S,Kumar P,Kumar S.Radiation-induced normal tissue injury:role of adhesion molecules in leukocyte-endothelial cell interactions[J].Int J Cancer,1999,82(3):385-395.DOI:10.1002/(SICI)1097-0215(19990730)82:3<385::AID-IJC12>3.0.CO;2-5. [15] Corn BW,Trock BJ,Goodman RL.Irradiation-related ischemic heart disease[J].J Clin Oncol,1990,8(4):741-750.DOI:10.1200/JCO.1990.8.4.741. [16] Yarnold J,Brotons MCV.Pathogenetic mechanisms in radiation fibrosis[J].Radiother Oncol,2010,97(1):149-161.DOI:10.1016/j.radonc.2010.09.002. [17] van Uden P,Kenneth NS,Rocha S.Regulation of hypoxia-inducible factor-1α by NF-κB[J].Biochem J,2008,412(3):477-484.DOI:10.1042/BJ20080476. [18] Bonello S,Z?hringer C,BelAiba RS,et al. Reactive oxygen species activate the HIF-1α promoter via a functional NFκB site[J].Arterioscl Thromb Vasc Biol,2007,27(4):755-761.DOI:10.1161/01.ATV.0000258979.92828.bc. [19] Higgins DF,Biju MP,Akai Y,et al. Hypoxic induction of Ctgf is directly mediated by Hif-1[J].Am J Physiol-Renal Physiol,2004,287(6):F1223-F1232.DOI:10.1152/ajprenal.00245.2004. [20] Vozenin-Brotons MC,Milliat F,Sabourin JC,et al. Fibrogenic signals in patients with radiation enteritis are associated with increased connective tissue growth factor expression[J].Int J Radiat Oncol Biol Phys,2003,56(2):561-572.DOI:10.1016/S0360-3016(02)04601-1.