National Institute of Radiological Science, Chiba, Japan.
J Pineal Res. 2009 Jan;46(1):71-8. doi: 10.1111/j.1600-079X.2008.00632.x. Epub 2008 Sep 16.
Radiation is an important therapeutic tool in the treatment of cancer. The tremendous development in radiotherapeutic techniques and dosimetry has made it possible to augment the patient survival. Therefore, attention has focused on long-range treatment side effects especially in relation to the neurocognitive changes. As cognitive health of an organism is considered to be maintained by the capacity of hippocampal neurogenesis, this study designed to evaluate the delayed effect of cranial irradiation on hippocampal neurogenesis, possible implication of oxidative stress and prophylactic action of melatonin in mice. One month after cranial irradiation (6 Gy, X-ray), changes in the population of immature and proliferating neurons in dentate gyrus were localized through the expression of the microtubule binding protein doublecortin (Dcx) and proliferation marker Ki-67. We found a substantial reduction in the Dcx and Ki-67 positive cells after irradiation. Melatonin pretreatment significantly ameliorated the radiation-induced decline in the Dcx and Ki-67 positive cells. In addition, profound increase in the 4-hydroxynonenal (4-HNE) and 8-hydroxy-2'-deoxyguanosine positive cells were reported in subventricular zone, granular cell layer and hilus after day 30 postirradiation. Immunoreactivity of these oxidative stress markers were significantly inhibited by melatonin pretreatment. To confirm the magnitude of free-radical scavenging potential of melatonin, we measured the in-vitro OH radical scavenging power of melatonin by electron spin resonance. Interestingly, the melatonin was capable of scavenging the OH radicals at very low concentration (IC(50) = 214.46 nm). The findings indicate the possible benefit of melatonin treatment to combat the delayed side effects of cranial radiotherapy.
辐射是癌症治疗中的一种重要治疗手段。放射治疗技术和剂量学的巨大发展使得提高患者生存率成为可能。因此,人们关注的焦点是长期的治疗副作用,特别是与神经认知变化有关的副作用。由于机体的认知健康被认为是由海马神经发生的能力维持的,因此,本研究旨在评估颅照射对海马神经发生的延迟作用、氧化应激的可能影响以及褪黑素的预防作用。在颅照射(6 Gy,X 射线)后 1 个月,通过微管结合蛋白双皮质素(Dcx)和增殖标志物 Ki-67 的表达,定位齿状回中未成熟和增殖神经元的群体变化。我们发现照射后 Dcx 和 Ki-67 阳性细胞数量显著减少。褪黑素预处理可显著改善辐射诱导的 Dcx 和 Ki-67 阳性细胞减少。此外,在照射后 30 天,侧脑室下区、颗粒细胞层和门区报告了 4-羟基壬烯醛(4-HNE)和 8-羟基-2'-脱氧鸟苷阳性细胞的明显增加。这些氧化应激标志物的免疫反应性通过褪黑素预处理明显受到抑制。为了证实褪黑素清除自由基能力的大小,我们通过电子自旋共振测量了褪黑素在体外对 OH 自由基的清除能力。有趣的是,褪黑素在非常低的浓度(IC(50)=214.46nm)下就能清除 OH 自由基。这些发现表明褪黑素治疗可能有助于对抗颅放疗的延迟副作用。