Radiation-induced gastric injury during radiotherapy: molecular mechanisms and clinical treatment.

IF 1.9 4区 医学 Q2 BIOLOGY Journal of Radiation Research Pub Date : 2023-11-21 DOI:10.1093/jrr/rrad071
Guangxia Chen, Zuxiang Yu, Yuehua Zhang, Shiyu Liu, Chong Chen, Shuyu Zhang
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Abstract

Radiotherapy (RT) has been the standard of care for treating a multitude of cancer types. Radiation-induced gastric injury (RIGI) is a common complication of RT for thoracic and abdominal tumors. It manifests acutely as radiation gastritis or gastric ulcers, and chronically as chronic atrophic gastritis or intestinal metaplasia. In recent years, studies have shown that intracellular signals such as oxidative stress response, p38/MAPK pathway and transforming growth factor-β signaling pathway are involved in the progression of RIGI. This review also summarized the risk factors, diagnosis and treatment of this disease. However, the root of therapeutic challenges lies in the incomplete understanding of the mechanisms. Here, we also highlight the potential mechanistic, diagnostic and therapeutic directions of RIGI.

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放射治疗中放射性胃损伤的分子机制及临床治疗。
放射治疗(RT)已经成为治疗多种癌症类型的标准护理。放射性胃损伤(RIGI)是胸腹部肿瘤放疗的常见并发症。急性表现为放射性胃炎或胃溃疡,慢性表现为慢性萎缩性胃炎或肠化生。近年来,研究表明,氧化应激反应、p38/MAPK通路和转化生长因子-β信号通路等细胞内信号参与了RIGI的进展。本文还对本病的危险因素、诊断和治疗进行了综述。然而,治疗挑战的根源在于对机制的不完全理解。在这里,我们还强调了RIGI潜在的机制、诊断和治疗方向。
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来源期刊
CiteScore
3.60
自引率
5.00%
发文量
86
审稿时长
4-8 weeks
期刊介绍: The Journal of Radiation Research (JRR) is an official journal of The Japanese Radiation Research Society (JRRS), and the Japanese Society for Radiation Oncology (JASTRO). Since its launch in 1960 as the official journal of the JRRS, the journal has published scientific articles in radiation science in biology, chemistry, physics, epidemiology, and environmental sciences. JRR broadened its scope to include oncology in 2009, when JASTRO partnered with the JRRS to publish the journal. Articles considered fall into two broad categories: Oncology & Medicine - including all aspects of research with patients that impacts on the treatment of cancer using radiation. Papers which cover related radiation therapies, radiation dosimetry, and those describing the basis for treatment methods including techniques, are also welcomed. Clinical case reports are not acceptable. Radiation Research - basic science studies of radiation effects on livings in the area of physics, chemistry, biology, epidemiology and environmental sciences. Please be advised that JRR does not accept any papers of pure physics or chemistry. The journal is bimonthly, and is edited and published by the JRR Editorial Committee.
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