Prager Isabell, Patties Ina, Himmelbach Katrin, Kendzia Eva, Merz Felicitas, Müller Klaus, Kortmann Rolf-Dieter, Glasow Annegret
Department of Radiation Therapy University of Leipzig Leipzig Germany.
Institute of Anatomy University of Leipzig Leipzig Germany.
Brain Behav. 2016 Aug 12;6(10):e00548. doi: 10.1002/brb3.548. eCollection 2016 Oct.
Radiation therapy plays an essential role in the treatment of brain tumors, but neurocognitive deficits remain a significant risk, especially in pediatric patients. In recent trials, hippocampal sparing techniques are applied to reduce these adverse effects. Here, we investigate dose-dependent effects of ionizing radiation (IR) on juvenile hippocampal neurogenesis. Additionally, we evaluate the radioprotective potential of resveratrol, a plant polyphenol recognized for its bifunctional tumor-preventive and anticancer effects.
Organotypic entorhinal-hippocampal slice cultures from transgenic nestin-CFPnuc C57BL/J6 mice, postnatal days 3-6, were irradiated on a X-ray machine (4.5, 8, 12, and 16 Gy, single doses) after about 2 weeks. Nestin-positive neural stem cells were counted at a confocal live imaging microscope 0, 2, 4, 14, 25, and 42 days after IR. Resveratrol (15 μmol/L) was added 2 hr before and 24 hr after IR. Proliferation and cell death were assessed by BrdU pulse label, 48 hr after and by propidium iodide staining 96 hr after IR. GFAP- and NeuN-positive cells were counted 42 days after IR in cryosectioned immunofluorescence-stained slices.
The observed age-related changes of nestin-positive stem cells in the organotypic slice culture model resembled the reduction of neural stem cells in vivo. IR (4.5-16 Gy) led to a dose-dependent damage of the neural stem cell pool in the dentate gyrus. No recovery was seen within 42 days after doses from 4.5 Gy onward. The decline of nestin-positive cells was paralleled by increased cell death and decreased proliferation. The number of GFAP-positive cells was significantly enhanced. No significant change was detected in the overall NeuN-positive cell population, whereas the number of newborn, NeuN/BrdU double-positive neurons was reduced. Resveratrol treatment reversed the irradiation-induced decline of neural stem cells.
The neuroprotective action of resveratrol on irradiated hippocampal tissue warrants further investigation as a possible supplement to hippocampal sparing procedures.
放射治疗在脑肿瘤治疗中起着至关重要的作用,但神经认知缺陷仍然是一个重大风险,尤其是在儿科患者中。在最近的试验中,海马保护技术被应用于减少这些不良反应。在此,我们研究电离辐射(IR)对幼年海马神经发生的剂量依赖性影响。此外,我们评估白藜芦醇的辐射防护潜力,白藜芦醇是一种因其具有双功能肿瘤预防和抗癌作用而闻名的植物多酚。
来自出生后3 - 6天的转基因巢蛋白-CFPnuc C57BL/J6小鼠的器官型内嗅-海马切片培养物,在约2周后在X射线机上接受照射(4.5、8、12和16 Gy,单次剂量)。在IR后0、2、4、14、25和42天,在共聚焦活细胞成像显微镜下对巢蛋白阳性神经干细胞进行计数。在IR前2小时和IR后24小时加入白藜芦醇(15 μmol/L)。通过BrdU脉冲标记在IR后48小时评估增殖情况,并通过碘化丙啶染色在IR后96小时评估细胞死亡情况。在IR后42天,对冷冻切片免疫荧光染色的切片中GFAP和NeuN阳性细胞进行计数。
在器官型切片培养模型中观察到的巢蛋白阳性干细胞与年龄相关的变化类似于体内神经干细胞的减少。IR(4.5 - 16 Gy)导致齿状回神经干细胞池的剂量依赖性损伤。从4.5 Gy及以上剂量后42天内未见恢复。巢蛋白阳性细胞的减少伴随着细胞死亡增加和增殖减少。GFAP阳性细胞数量显著增加。在总的NeuN阳性细胞群体中未检测到显著变化,而新生的NeuN/BrdU双阳性神经元数量减少。白藜芦醇处理逆转了辐射诱导的神经干细胞减少。
白藜芦醇对受照射海马组织的神经保护作用值得进一步研究,作为海马保护程序的一种可能补充。