一种用于研究图像引导、辐射诱导的肠道损伤和放射防护剂的临床前筛选的新型小鼠模型。

A Novel Mouse Model to Study Image-Guided, Radiation-Induced Intestinal Injury and Preclinical Screening of Radioprotectors.

机构信息

Department of Radiation Oncology, The Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.

Department of Biology, Drexel University, Philadelphia, Pennsylvania.

出版信息

Cancer Res. 2017 Feb 15;77(4):908-917. doi: 10.1158/0008-5472.CAN-16-2724. Epub 2016 Dec 23.

Abstract

Radiation is an important treatment modality for gastrointestinal tumors, but intestinal injury is a common side effect. Here we describe a physiologically relevant model for studying the molecular determinants of radiation-induced intestinal damage and testing novel radioprotectors. The model employs a radiopaque marker implanted into the surface of the mouse jejunum, serving as a fiducial marker for precise radiation targeting. Mice were imaged with Cone-Beam CT (CBCT) and irradiated (IR) to the marked area using the Small Animal Radiation Research Platform (SARRP). IR-induced damage was acute but reversible and largely restricted to the area of the marker, leaving the surrounding tissues intact. Although whole gut irradiation with these doses caused lethal GI syndrome, focal (5 mm) radiation of the intestine did not cause any weight loss or lethality. However, fibrosis and collagen deposition 4 months post-IR indicated chronic intestinal damage. A separate cohort of mice was treated daily with curcumin, a clinically tested radioprotector, prior to and post-IR. Curcumin-treated mice showed significant decreases in both local and systemic inflammatory cytokine levels and in fibrosis, suggesting it is an effective radioprotector of the intestine. Our results indicate that this model, which emulates clinically relevant intestinal radiation-induced injury, can be used to assess radioprotectors prior to testing in the clinic. .

摘要

辐射是胃肠道肿瘤的重要治疗方式,但肠道损伤是常见的副作用。在这里,我们描述了一种与生理相关的模型,用于研究辐射诱导肠道损伤的分子决定因素,并测试新型辐射防护剂。该模型将不透射线的标记物植入小鼠空肠表面,作为精确辐射靶向的基准标记物。使用小动物辐射研究平台 (SARRP) 对小鼠进行锥形束 CT (CBCT) 成像,并对标记区域进行照射 (IR)。IR 诱导的损伤是急性的,但可逆转,且主要局限于标记区域,周围组织完好无损。尽管这些剂量的全肠道照射会导致致命的胃肠道综合征,但对肠道的局灶性 (5 毫米) 照射不会导致体重减轻或死亡。然而,IR 后 4 个月的纤维化和胶原沉积表明存在慢性肠道损伤。另一批小鼠在 IR 前后每天用姜黄素(一种临床测试的辐射防护剂)治疗。姜黄素治疗的小鼠局部和全身炎症细胞因子水平以及纤维化均显著降低,表明其是一种有效的肠道辐射防护剂。我们的结果表明,这种模型可以模拟临床相关的肠道辐射损伤,可用于在临床前评估辐射防护剂。

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