* Graduate Institute of Medical Sciences, Tri-Service General Hospital, Taipei, Taiwan.
† Department of Radiation Oncology, Tri-Service General Hospital, Taipei, Taiwan.
Am J Chin Med. 2018;46(1):175-190. doi: 10.1142/S0192415X18500106. Epub 2018 Jan 3.
Skin injury is a major complication during radiation therapy and is associated with oxidative damage to skin cells. An effective and safe radioprotectant to prevent this skin damage is still unavailable. The Rhodiola crenulata root extract (RCE) has been reported to be a free radical scavenger and a potent anti-oxidant in both in vitro and in vivo models. In the current study, we investigated the effects of RCE on ionizing radiation-induced skin injury and its underlying mechanisms. HaCaT cells - a non-cancerous skin cell line together with HepG2, Caco2, A549, and OECM cancer cell lines - were pre-treated with RCE for 24[Formula: see text]h followed by exposure to 15 Gy using Caesium-137 as a γ-ray source. The cell viability was measured. In HaCaT cells, oxidative stress markers, cellular apoptosis pathways, matrix metalloproteinases (MMPs), and pro-inflammatory cytokine gene expression were studied. We found that RCE significantly protected HaCaT cells, but not cancer cells from the loss of viability induced by exposure to ionizing radiation. RCE attenuated radiation-induced oxidative stress markers, cell apoptosis, MMP levels, and expression of cytokine genes. RCE also limited the induction of p53 and p21 by radiation exposure. These findings indicate that RCE may selectively protect the skin cells from ionizing radiation without altering its ability to kill cancer cells. Therefore, we suggest that RCE or its derivatives could serve as a novel radioprotective therapy.
皮肤损伤是放射治疗中的一个主要并发症,与皮肤细胞的氧化损伤有关。目前仍缺乏一种有效且安全的放射防护剂来预防这种皮肤损伤。红景天根提取物(RCE)已被报道在体外和体内模型中具有自由基清除作用和强大的抗氧化作用。在本研究中,我们研究了 RCE 对电离辐射诱导的皮肤损伤及其潜在机制的影响。HaCaT 细胞——一种非癌细胞系,与 HepG2、Caco2、A549 和 OECM 癌细胞系一起——用 RCE 预处理 24[Formula: see text]h,然后用 137Cs 作为 γ 射线源暴露于 15 Gy。测量细胞活力。在 HaCaT 细胞中,研究了氧化应激标志物、细胞凋亡途径、基质金属蛋白酶(MMPs)和促炎细胞因子基因表达。我们发现 RCE 可显著保护 HaCaT 细胞,但不能保护癌细胞免受电离辐射诱导的活力丧失。RCE 减弱了辐射诱导的氧化应激标志物、细胞凋亡、MMP 水平和细胞因子基因的表达。RCE 还限制了 p53 和 p21 的诱导由辐射暴露。这些发现表明,RCE 可以选择性地保护皮肤细胞免受电离辐射,而不改变其杀死癌细胞的能力。因此,我们建议 RCE 或其衍生物可以作为一种新型的放射防护治疗方法。