Department of Radiation Oncology 1161 21st Avenue S MCN DD1218 Nashville, TN 37232 United States.
Department of Radiation Oncology 1161 21st Avenue S MCN DD1218 Nashville, TN 37232 United States; Cancer Biology, Vanderbilt University Medical Center, Nashville, TN 37232, USA.
Free Radic Biol Med. 2012 Dec 15;53(12):2298-307. doi: 10.1016/j.freeradbiomed.2012.10.536. Epub 2012 Oct 22.
Radiation therapy is an integral part of treatment for cancer patients; however, major side effects of this modality include aberrant bone remodeling and bone loss. Ionizing radiation (IR) is a major external factor that contributes to a significant increase in oxidative stress such as reactive oxygen species (ROS), has been implicated in osteoporotic phenotypes, and has been implicated in osteoporotic phenotypes, bone loss, and fracture risk. One of the major cellular defenses against heightened oxidative stress is mediated by nuclear factor (erythroid-derived 2)-like 2 (Nrf2), a master transcription factor that regulates induction of antioxidant gene expression and phase II antioxidant enzymes. Our objective was to test the hypothesis that loss of functional Nrf2 increases radiation-induced bone loss. We irradiated (single dose, 20Gy) the hindlegs of age- and sex-matched Nrf2(+/+) and Nrf2(-/-) mice. After 1 month, microCT analysis and histology revealed a drastic overall decrease in the bone volume after irradiation of mice lacking Nrf2. Although radiation exposure led to bone loss in mice with intact Nrf2, it was dramatically enhanced by loss of Nrf2. Furthermore, in the absence of Nrf2, a decrease in osteoblast mineralization was noted in calvarial osteoblasts compared with wild-type controls, and treatment with a common antioxidant, N-acetyl-l-cysteine (NAC), was able to rescue the mineralization. As expected, we observed a higher number of osteoclasts in Nrf2(-/-) mice compared to Nrf2(+/+) mice, and after irradiation, the trend remained the same. RT-PCR analysis of calvarial osteoblasts revealed that in the absence of Nrf2, the expression of RANKL was increased after irradiation. Interestingly, RANKL expression was suppressed when the calvarial osteoblasts were treated with NAC before IR exposure. Taken together, our data suggest that loss of Nrf2 leads to heightened oxidative stress and increased susceptibility to radiation-induced bone loss.
放射治疗是癌症患者治疗的一个组成部分;然而,这种治疗方式的主要副作用包括异常的骨骼重塑和骨质流失。电离辐射(IR)是导致氧化应激显著增加的主要外部因素之一,如活性氧(ROS),与骨质疏松表型有关,并与骨质疏松表型、骨质流失和骨折风险有关。核因子(红系衍生 2 样 2)(Nrf2)是一种主要的细胞防御机制,可调节抗氧化基因表达和 II 期抗氧化酶的诱导。我们的目的是验证 Nrf2 功能丧失会增加放射诱导的骨质流失这一假设。我们对年龄和性别匹配的 Nrf2(+/+)和 Nrf2(-/-)小鼠的后腿进行单次照射(20Gy)。1 个月后,微 CT 分析和组织学显示,Nrf2 缺失的小鼠在照射后整体骨量明显减少。尽管辐射暴露导致 Nrf2 完整的小鼠发生骨质流失,但 Nrf2 缺失会显著增强这种情况。此外,在缺乏 Nrf2 的情况下,与野生型对照相比,颅骨成骨细胞的矿化减少,而常用抗氧化剂 N-乙酰-L-半胱氨酸(NAC)的治疗能够挽救矿化。正如预期的那样,与 Nrf2(+/+)小鼠相比,我们观察到 Nrf2(-/-)小鼠中的破骨细胞数量更多,并且在照射后这种趋势仍然存在。颅骨成骨细胞的 RT-PCR 分析显示,在缺乏 Nrf2 的情况下,RANKL 的表达在照射后增加。有趣的是,当颅骨成骨细胞在 IR 暴露前用 NAC 处理时,RANKL 表达受到抑制。综上所述,我们的数据表明 Nrf2 的缺失会导致氧化应激加剧,并增加对放射诱导的骨质流失的易感性。