Department of Radiation Oncology, The Second Hospital of Jilin University, Jilin, China.
Department of Orthopedic Surgery, The Second Hospital of Jilin University, Jilin, China.
Int Wound J. 2023 Feb;20(2):516-528. doi: 10.1111/iwj.13899. Epub 2022 Aug 25.
Radiodermatitis is an inevitable side effect of radiotherapy in cancer treatment and there is currently no consensus on effective drugs for treating the condition. Vitamin B is known to be effective for repairing and regenerating damaged skin. However, there are few studies on the use of Vitamin B for treating radiodermatitis. This study explored the therapeutic efficacy and mechanism of action of Vitamin B ointment on radiodermatitis. A porcine model of grade IV radiodermatitis was established. The ointment was applied for 12 weeks after which histological staining, transmission electron microscopy, RT-qPCR, western blotting, and gene sequencing were performed for the evaluation of specific indicators in skin samples. After 12 weeks of observation, the Vitamin B treatment was found to have significantly alleviated radiodermatitis. The treatment also significantly reduced the expression levels of NF-κB, COX-2, IL-6, and TGF-β in the skin samples. The pathways involved in the effects of the treatment were identified by analysing gene expression. In conclusion, Vitamin B ointment was found to be highly effective for treating radiodermatitis, with strong anti-radiation, anti-inflammatory, and anti-fibrosis effects. It is thus a promising drug candidate for the treatment of severe radiodermatitis.
放射性皮炎是癌症治疗中放疗不可避免的副作用,目前对于治疗该疾病的有效药物尚无共识。维生素 B 已被证明可有效修复和再生受损皮肤。然而,关于维生素 B 治疗放射性皮炎的研究很少。本研究探讨了维生素 B 软膏治疗放射性皮炎的疗效和作用机制。建立了四级放射性皮炎的猪模型。在应用软膏 12 周后,对皮肤样本进行组织学染色、透射电子显微镜、RT-qPCR、western blot 和基因测序,以评估特定指标。经过 12 周的观察,发现维生素 B 治疗明显缓解了放射性皮炎。该治疗还显著降低了皮肤样本中 NF-κB、COX-2、IL-6 和 TGF-β 的表达水平。通过分析基因表达鉴定了治疗作用涉及的途径。总之,维生素 B 软膏被发现对治疗放射性皮炎非常有效,具有很强的抗辐射、抗炎和抗纤维化作用。因此,它是治疗严重放射性皮炎的有前途的候选药物。