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异常脉络丛形成驱动与治疗相关的脑毒性发展。

Aberrant choroid plexus formation drives the development of treatment-related brain toxicity.

作者信息

Bender Tamara, Schickel Esther, Schielke Celine, Debus Jürgen, Grosshans David R, Durante Marco, Schroeder Insa S

机构信息

GSI Helmholtzzentrum für Schwerionenforschung, Biophysics Department, Darmstadt, Germany.

Heidelberg University, Faculty of Medicine, and Heidelberg Ion-Beam Therapy Center (HIT), Heidelberg, Germany.

出版信息

Commun Biol. 2025 Feb 22;8(1):276. doi: 10.1038/s42003-025-07736-2.

DOI:10.1038/s42003-025-07736-2
PMID:39987290
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11846864/
Abstract

Brain tumors are commonly treated with radiotherapy, but the efficacy of the treatment is limited by its toxicity to the normal tissue including post-irradiation contrast enhanced lesions often linked to necrosis. The poorly understood mechanisms behind such brain lesions were studied using cerebral organoids. Here we show that irradiation of such organoids leads to dose-dependent growth retardation and formation of liquid-filled cavities but is not correlated with necrosis. Instead, the radiation-induced changes comprise of an enhancement of cortical hem markers, altered neuroepithelial stem cell differentiation, and an increase of ZO1/AQP1/CLDN3-choroid plexus (CP)-like structures accompanied by an upregulation of IGF2 mRNA, known to be expressed in CP and cerebrospinal fluid. The altered differentiation is attributed to changes in the WNT/BMP signaling pathways. We conclude that aberrant CP formation can be involved in radiation-induced brain lesions providing additional strategies for possible countermeasures.

摘要

脑肿瘤通常采用放射治疗,但该治疗的疗效受到其对正常组织毒性的限制,包括照射后常与坏死相关的对比增强病变。利用脑类器官研究了此类脑损伤背后尚未完全了解的机制。在这里,我们表明,对此类类器官进行照射会导致剂量依赖性生长迟缓并形成充满液体的腔,但与坏死无关。相反,辐射诱导的变化包括皮质下标志物增强、神经上皮干细胞分化改变,以及ZO1/AQP1/CLDN3-脉络丛(CP)样结构增加,同时伴有IGF2 mRNA上调,已知其在CP和脑脊液中表达。分化改变归因于WNT/BMP信号通路的变化。我们得出结论,异常的CP形成可能与辐射诱导的脑损伤有关,为可能的应对措施提供了额外的策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/104d/11846864/53cad3446310/42003_2025_7736_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/104d/11846864/17039cbdf3e0/42003_2025_7736_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/104d/11846864/8e11cb2e9103/42003_2025_7736_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/104d/11846864/bac46f607664/42003_2025_7736_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/104d/11846864/31903b260156/42003_2025_7736_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/104d/11846864/57d6e22957f1/42003_2025_7736_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/104d/11846864/53cad3446310/42003_2025_7736_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/104d/11846864/17039cbdf3e0/42003_2025_7736_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/104d/11846864/8e11cb2e9103/42003_2025_7736_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/104d/11846864/bac46f607664/42003_2025_7736_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/104d/11846864/31903b260156/42003_2025_7736_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/104d/11846864/57d6e22957f1/42003_2025_7736_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/104d/11846864/53cad3446310/42003_2025_7736_Fig6_HTML.jpg

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本文引用的文献

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A human-specific, concerted repression of microcephaly genes contributes to radiation-induced growth defects in cortical organoids.小头畸形基因的人类特异性协同抑制导致皮质类器官中辐射诱导的生长缺陷。
iScience. 2025 Jan 20;28(2):111853. doi: 10.1016/j.isci.2025.111853. eCollection 2025 Feb 21.
2
Choroid plexus defects in Down syndrome brain organoids enhance neurotropism of SARS-CoV-2.唐氏综合征类脑器官中的脉络丛缺陷增强了 SARS-CoV-2 的神经趋向性。
Sci Adv. 2024 Jun 7;10(23):eadj4735. doi: 10.1126/sciadv.adj4735. Epub 2024 Jun 5.
3
A large and diverse brain organoid dataset of 1,400 cross-laboratory images of 64 trackable brain organoids.
一个包含 1400 张跨实验室图像的大型多样化脑类器官数据集,其中包含 64 个可追踪的脑类器官。
Sci Data. 2024 May 20;11(1):514. doi: 10.1038/s41597-024-03330-z.
4
The dilemma of radiation necrosis from diagnosis to treatment in the management of brain metastases.脑转移瘤管理中从诊断到治疗的放射性坏死困境。
Neuro Oncol. 2024 Mar 4;26(12 Suppl 2):S56-S65. doi: 10.1093/neuonc/noad188.
5
Mitigating Radiotoxicity in the Central Nervous System: Role of Proton Therapy.减轻中枢神经系统的放射毒性:质子治疗的作用。
Curr Treat Options Oncol. 2023 Nov;24(11):1524-1549. doi: 10.1007/s11864-023-01131-x. Epub 2023 Sep 20.
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The role of radiation therapy and systemic treatments in meningioma: The present and the future.放疗和全身治疗在脑膜瘤中的作用:现状与未来。
Cancer Med. 2023 Aug;12(15):16041-16053. doi: 10.1002/cam4.6254. Epub 2023 Jun 27.
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A phase 2 study of thalidomide for the treatment of radiation-induced blood-brain barrier injury.沙利度胺治疗放射性脑血屏障损伤的2期研究。
Sci Transl Med. 2023 Feb 22;15(684):eabm6543. doi: 10.1126/scitranslmed.abm6543.
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The HOPX and BLBP landscape and gliogenic regions in developing human brain.人类大脑发育过程中的 HOPX 和 BLBP 景观及神经发生区。
J Anat. 2023 Jul;243(1):23-38. doi: 10.1111/joa.13844. Epub 2023 Feb 16.
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Radiotherapy Side Effects: Comprehensive Proteomic Study Unraveled Neural Stem Cell Degenerative Differentiation upon Ionizing Radiation.放射治疗副作用:全面蛋白质组学研究揭示电离辐射导致神经干细胞退行性分化。
Biomolecules. 2022 Nov 26;12(12):1759. doi: 10.3390/biom12121759.
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