Department of Gastroenterological Surgery, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Division of General Surgery, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Biomed Res Int. 2019 Mar 6;2019:3727635. doi: 10.1155/2019/3727635. eCollection 2019.
Radiation vasculitis is one of the most common detrimental effects of radiotherapy for malignant tumors. This is developed at the vasculature of adjacent organs. Animal experiments have showed that transplantation of mesenchymal stem cells (MSCs) restores vascular function after irradiation. But the population of MSCs being engrafted into irradiated vessels is too low in the conventional models to make assessment of therapeutic effect difficult. This is presumably because circulating MSCs are dispersed in adjacent tissues being irradiated simultaneously. Based on the assumption, a rat model, namely, RT (radiation) plus TX (transplantation), was established to promote MSC homing by sequestering irradiated vessels. In this model, a 1.5 cm long segment of rat abdominal aorta was irradiated by 160kV X-ray at a single dose of 35Gy before being procured and grafted to the healthy counterpart. F344 inbred rats served as both donors and recipients to exclude the possibility of immune rejection. A lead shield was used to confine X-ray delivery to a 3 cm×3 cm square-shaped field covering central abdominal region. The abdominal viscera especially small bowel and colon were protected from irradiation by being pushed off the central abdominal cavity. Typical radiation-induced vasculopathy was present on the 90 day after irradiation. The recruitment of intravenously injected MSCs to irradiated aorta was significantly improved by using the RT-plus-TX model as compared to the model with irradiation only. Generally, the RT-plus-Tx model promotes MSC recruitment to irradiated aorta by separating irradiated vascular segment from adjacent tissue. Thus, the model is preferred in the study of MSC-based therapy for radiation vasculitis when the evaluation of MSC homing is demanding.
放射性血管炎是恶性肿瘤放射治疗最常见的有害作用之一。它发生在相邻器官的脉管系统中。动物实验表明,间充质干细胞(MSCs)的移植可以恢复照射后的血管功能。但是,在常规模型中,移植到照射血管中的 MSC 群体数量太低,难以评估治疗效果。这大概是因为循环中的 MSC 同时分散在被照射的相邻组织中。基于这一假设,建立了一种大鼠模型,即 RT(放射治疗)加 TX(移植),通过隔离照射的血管来促进 MSC 归巢。在该模型中,大鼠腹主动脉的 1.5 厘米长段在被获取和移植到健康对侧之前,用 160kV X 射线单次照射 35Gy。F344 近交系大鼠既作为供体又作为受体,以排除免疫排斥的可能性。使用铅屏蔽将 X 射线传输限制在覆盖腹部中央区域的 3cm×3cm 方形场中。通过将腹部内脏(特别是小肠和结肠)推出中央腹腔,可以防止它们受到照射。照射后 90 天出现典型的放射性血管病。与仅照射模型相比,使用 RT 加 TX 模型可显著提高静脉注射 MSC 对照射主动脉的募集。一般来说,当需要评估 MSC 归巢时,RT 加 Tx 模型通过将照射的血管段与相邻组织分离,促进 MSC 募集到照射的主动脉。因此,该模型在基于 MSC 的放射性血管炎治疗研究中更受欢迎。