Yang Yunyi, Liu Zi, Wang Juan, Chai Yanlan, Su Jin, Shi Fan, Wang Jiquan, Che Shao Min
Department of Radiation Oncology, The First Affiliated Hospital of Medical College, Xi'an Jiaotong University, Xi'an, Shanxi, People's Republic of China.
Ther Clin Risk Manag. 2016 May 11;9:755-62. doi: 10.2147/TCRM.S101346. eCollection 2016.
We aim to investigate the effect of interferon gamma (IFN-γ) on conventional fractionated radiation-induced damage and fibrosis in ureter and colorectal mucosa. Fifty-two rabbits were randomly divided into three groups comprising a conventional radiation group, an IFN-γ group, and a control group. X-rays were used to irradiate the pelvic tissues of the rabbits in the IFN-γ and conventional radiation groups. Five days after radiation exposure, the rabbits in the IFN-γ group were administered 250,000 U/kg IFN-γ intramuscularly once a week for 5 weeks. The rabbits in the conventional radiation group received 5.0 mL/kg saline. The rabbits were sacrificed at 4, 8, 12, and 16 weeks postradiation, and the rectal and ureteral tissues within the radiation areas were collected. The results showed that the morphology of rectal and ureteral tissues was changed by X-ray radiation. The degree of damage at 4, 8, and 12 weeks, but not at 16 weeks, postradiation was significantly different between the IFN-γ and conventional radiation groups. The expression of transforming growth factor beta 1 mRNA in the ureter and colorectal mucosa of the IFN-γ group was significantly lower than that in the conventional radiation group at 4, 8, 12, and 16 weeks postradiation, but it was still higher than that in the control group. There were significant differences in the expression of collagen III among the three groups. IFN-γ can inhibit the radiation-induced upregulation of transforming growth factor beta 1 mRNA and collagen III protein in the ureter and colorectal mucosa and attenuate radiation-induced damage and fibrosis.
我们旨在研究干扰素γ(IFN-γ)对输尿管和结肠直肠黏膜常规分割放疗所致损伤及纤维化的影响。52只兔子被随机分为三组,包括常规放疗组、IFN-γ组和对照组。对IFN-γ组和常规放疗组的兔子使用X射线照射盆腔组织。放疗暴露5天后,IFN-γ组的兔子每周一次肌肉注射250,000 U/kg IFN-γ,共5周。常规放疗组的兔子接受5.0 mL/kg生理盐水。在放疗后4、8、12和16周处死兔子,并收集放疗区域内的直肠和输尿管组织。结果显示,X射线放疗改变了直肠和输尿管组织的形态。放疗后4、8和12周(而非16周),IFN-γ组和常规放疗组之间的损伤程度存在显著差异。放疗后4、8、12和16周,IFN-γ组输尿管和结肠直肠黏膜中转化生长因子β1 mRNA的表达显著低于常规放疗组,但仍高于对照组。三组之间Ⅲ型胶原的表达存在显著差异。IFN-γ可抑制放疗诱导的输尿管和结肠直肠黏膜中转化生长因子β1 mRNA和Ⅲ型胶原蛋白的上调,并减轻放疗诱导的损伤和纤维化。