Institute of Radiation Medicine, Shanghai Medical College, Fudan University, Shanghai 200032, China.
State Key Laboratory of Radiation Medicine and Protection, School of Radiation Medicine and Protection, Medical College of Soochow University, Suzhou 215123, China.
Theranostics. 2021 Mar 31;11(12):5742-5758. doi: 10.7150/thno.56853. eCollection 2021.
Radiotherapy has become a mainstay for tumor management, and more than 50% of patients with thoracic tumor need to be treated with radiotherapy. However, the potential adverse effects of thoracic radiotherapy on the reproductive system remain elusive. Western blot analysis, immunofluorescence assay and transmission electron microscopy (TEM) analysis were performed to investigate the integrity of blood-testis barrier (BTB) in male mice after hypofractionated irradiation (IR) on the right thorax. RNA sequencing, co-immunoprecipitation (IP), Duolink PLA and inhibitor experiments were carried out to demonstrate the molecular mechanisms of the BTB dynamics changes and the subsequent reproductive effect. It was found that the hypofractionated IR on right thorax evoked ultrastructural destruction in distant testes, and thus caused radiation-induced abscopal reproductive effect (RIARE) in male mice. Mechanistically, thoracic IR induced significant nuclear translocation of Rac Family Small GTPase 1 (Rac1) in abscopal Sertoli cells, which closely correlated with the activation of TNF-α/p38 mitogen activated protein kinase (MAPK) pathway. Of note, YWHAZ, a critical polarity protein, was found to be co-localized with Rac1 in Sertoli cells, and this interaction was indispensable for thoracic IR-induced Rac1 nuclear translocation and subsequent degradation of BTB-associated proteins. Our findings imply for the first time that YWHAZ-mediated Rac1 nuclear translocation plays central roles in RIARE, and TNF-α/p38 MAPK/Rac1 axis can be employed as a therapeutic target against RIARE for young male patients receiving hypofractionated radiotherapy.
放射治疗已成为肿瘤治疗的主要手段,超过 50%的胸部肿瘤患者需要接受放射治疗。然而,胸部放射治疗对生殖系统的潜在不良反应仍不清楚。采用蛋白质印迹分析、免疫荧光分析和透射电镜(TEM)分析方法,研究了右侧胸部分次照射(IR)后雄性小鼠血睾屏障(BTB)的完整性。采用 RNA 测序、共免疫沉淀(IP)、Duolink PLA 和抑制剂实验,证明了 BTB 动力学变化及其随后的生殖效应的分子机制。结果发现,右侧胸部的分次 IR 引起了远处睾丸的超微结构破坏,从而导致了雄性小鼠的放射远隔生殖效应(RIARE)。在机制上,胸部 IR 诱导了 Sertoli 细胞中 Rac 家族小 GTP 酶 1(Rac1)的显著核转位,这与 TNF-α/p38 丝裂原活化蛋白激酶(MAPK)途径的激活密切相关。值得注意的是,在 Sertoli 细胞中发现了关键的极性蛋白 YWHAZ 与 Rac1 共定位,这种相互作用对于胸部 IR 诱导的 Rac1 核转位和随后 BTB 相关蛋白的降解是必不可少的。我们的研究结果首次表明,YWHAZ 介导的 Rac1 核转位在 RIARE 中起核心作用,TNF-α/p38 MAPK/Rac1 轴可作为接受分次放射治疗的年轻男性患者 RIARE 的治疗靶点。
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