The First Afliated Hospital of University of South China, University of South China, Hengyang, China.
Leiyang People's Hospital, Leiyang, China.
Brain Behav. 2020 Apr;10(4):e01529. doi: 10.1002/brb3.1529. Epub 2020 Feb 27.
Radiation-induced brain injury (RBI) usually occurs six months to three years after irradiation, often shows cognitive dysfunction, epilepsy, and other neurological dysfunction. In severe cases, it can cause a wide range of cerebral edema, even herniation. It seriously threatens the survival of patients and their quality of life, and it becomes a key factor in limiting the radiation dose and lowering the therapeutic efficacy in recent years. Therefore, studying the pathogenesis of RBI and exploring new therapeutic targets are of great significance.
In our study, we observed the activation and secretory function in astrocytes as well as the intracellular signal transducer and activator of transcription 3 (STAT3) signal transduction pathway activation status after exposing different doses of X-ray irradiation by using MTT, Immunocytologic analysis, and Western blot analysis. Further, we used the same way to explore the role of vascular endothelial growth factor (VEGF) in signal transduction pathways playing in the activation of astrocytes after irradiating through the use of specificInhivascular endothelial growth factorbitors of STAT3.
Ast can be directly activated, reactive hyperplasia and hypertrophy, the expression of the activation marker glial fibrillary acidic protein is increased, and the expression of vascular endothelial growth factor (VEGF) in the cells is increased, which may lead to RBI. After the addition of STAT3 pathway inhibitor, most of the Ast radiation activation was suppressed, and the expression of high-level expression of VEGF decreased after irradiation.
Our findings demonstrated that X-ray irradiation directly induced the activation of astrocytes in a persistent manner and X-ray irradiation activated STAT3 signaling pathway. As the same time, we found that X-ray irradiation induced the activation of astrocytes and secretion cytokine. The STAT3 signaling pathway may participate in the pathogenesis of radiation-induced brain injury.
放射性脑损伤(RBI)通常发生在照射后 6 个月至 3 年内,常表现为认知功能障碍、癫痫和其他神经功能障碍。在严重的情况下,它会导致广泛的脑水肿,甚至脑疝。它严重威胁着患者的生存和生活质量,成为近年来限制辐射剂量和降低疗效的关键因素。因此,研究 RBI 的发病机制,探索新的治疗靶点具有重要意义。
在我们的研究中,我们通过 MTT、免疫细胞化学分析和 Western blot 分析观察了不同剂量 X 射线照射后星形胶质细胞的激活和分泌功能以及细胞内信号转导和转录激活因子 3(STAT3)信号转导通路的激活状态。进一步,我们使用相同的方法,通过使用特定的 STAT3 信号转导通路抑制剂血管内皮生长因子(VEGF),来研究信号转导通路在照射后星形胶质细胞激活中VEGF 作用。
星形胶质细胞可被直接激活,发生反应性增生和肥大,细胞中激活标志物胶质纤维酸性蛋白表达增加,细胞内血管内皮生长因子(VEGF)表达增加,可能导致 RBI。加入 STAT3 通路抑制剂后,大部分星形胶质细胞的辐射激活被抑制,照射后 VEGF 高水平表达减少。
我们的研究结果表明,X 射线照射可直接持续地诱导星形胶质细胞的激活,X 射线照射激活了 STAT3 信号通路。同时,我们发现 X 射线照射诱导星形胶质细胞的激活和细胞因子的分泌。STAT3 信号通路可能参与放射性脑损伤的发病机制。