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Metformin Alleviates Fibrosis of Trabecular Meshwork Cells Induced by TGFβ2 Through the Activation of Autophagy. 二甲双胍通过激活自噬减轻tgf - β2诱导的小梁网细胞纤维化
IF 2.3 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-05-20 eCollection Date: 2025-04-01 DOI: 10.1177/15593258251341598
Jing Ren, Pengtao Wu, Mengli Liu, Xuan Zhang, Zilu Guo, Yihan Liu, Rumeng Zhao, Gang Wang, Shichao Duan, Haijun Li

Objective: In this study, we investigated the protective effect of Metformin on fibrosis of trabecular meshwork cells induced by TGFβ2.

Methods: Transformed and primary human trabecular meshwork cells (HTMCs) were treated with TGFβ2 or Metformin alone or combination, western blotting and immunofluorescence staining assays to detect autophagy activity and fibrotic proteins expression levels. TGFβ2 or Metformin alone or combination were injected into the anterior chamber of mouse eye. Mouse intraocular pressure (IOP) was measured every week, mouse eye sections were conducted immunofluorescence staining to analyze Col1 and Col3 expression. pSmad3 level and localization to evaluate TGFβ/Smad3 pathway activity. Chloroquine phosphate was used to block autophagy-lysosome pathway.

Results: Metformin activates autophagy of HTMCs in a dose dependent manner and efficiently ameliorates TMCs fibrosis induced by TGFβ2 in vitro and in mouse model, and decreased elevated IOP caused by TGFβ2. Metformin promotes fibrotic proteins degradation through the autophagy-lysosome pathway.

Conclusion: Our study found Metformin could alleviates fibrosis of HTMCs induced by TGFβ2 and decreased elevated IOP in mouse model.

目的:本研究探讨二甲双胍对tgf - β2诱导的小梁网细胞纤维化的保护作用。方法:用tgf - β2或二甲双胍单独或联合处理转化的人小梁网细胞(HTMCs),采用免疫印迹法和免疫荧光染色法检测细胞自噬活性和纤维化蛋白表达水平。将tgf - β2或二甲双胍单独或联合注入小鼠眼前房。每周测定小鼠眼压(IOP),对小鼠眼切片进行免疫荧光染色,分析Col1、Col3的表达。pSmad3水平和定位评估TGFβ/Smad3通路活性。磷酸氯喹阻断自噬-溶酶体途径。结果:二甲双胍以剂量依赖的方式激活htmc自噬,在体外和小鼠模型中有效改善tgf - β2诱导的tmc纤维化,降低tgf - β2引起的IOP升高。二甲双胍通过自噬-溶酶体途径促进纤维化蛋白降解。结论:本研究发现二甲双胍可减轻tgf - β2诱导的htmc纤维化,降低小鼠眼压升高。
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引用次数: 0
Comparative Transcriptomic Analysis Unveils Divergent Effects of FLASH Versus Conventional Irradiation on Skin Cells. 比较转录组学分析揭示了FLASH与传统照射对皮肤细胞的不同影响。
IF 2.3 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-05-20 eCollection Date: 2025-04-01 DOI: 10.1177/15593258251342837
Mengmeng Xu, Qiliang Peng, Jun Zhang, Zhiming Xu, Xinyang Cheng, Zhifei Cao, Yongsheng Zhang

Objectives: FLASH radiotherapy is garnering attention for its capacity to diminish skin toxicity without compromising tumoricidal efficacy, presenting a stark contrast to conventional (CONV) radiotherapy. Despite its promise, the underlying molecular mechanisms of FLASH irradiation (FLASH-IR) on skin are not yet fully elucidated.

Methods: This study investigated the transcriptomic responses of human foreskin fibroblast cells (HFF-1) via the FLASH-IR or CONV irradiation (CONV-IR), employing the next-generation RNA sequencing (RNA-seq) to capture the gene expression profiles. Our comparative analysis aimed to dissect the cellular and molecular pathways influenced by these two irradiation methods.

Results: We identified a spectrum of differentially expressed genes (DEGs), signaling pathways, and transcriptional networks that were either shared or divergent between FLASH-IR and CONV-IR. Particularly, transcription factor NR4A1 showed significant upregulation in response to FLASH-IR, while chromatin stability factor ELF3 was markedly downregulated following CONV-IR. The top 10 up-regulated DEGs were subjected to qPCR validation, confirming their differential expression in response to FLASH-IR and CONV-IR.

Conclusion: Collectively, our findings delineate unique regulatory landscapes of FLASH-IR and CONV-IR on skin cells, corroborating established effects and shedding new light on the molecular interplay within the context of ultra-high dose radiation.

目的:FLASH放疗因其在不影响杀瘤效果的情况下降低皮肤毒性的能力而受到关注,与传统(CONV)放疗形成鲜明对比。尽管FLASH辐照(FLASH- ir)对皮肤的潜在分子机制尚未完全阐明。方法:本研究通过FLASH-IR或CONV辐照(convr - ir)研究人包皮成纤维细胞(HFF-1)的转录组反应,采用下一代RNA测序(RNA-seq)技术捕获基因表达谱。我们的比较分析旨在剖析受这两种辐照方法影响的细胞和分子途径。结果:我们确定了FLASH-IR和convr - ir之间共享或不同的差异表达基因(DEGs)、信号通路和转录网络的谱。其中,转录因子NR4A1在FLASH-IR下显著上调,而染色质稳定因子ELF3在con - ir下显著下调。对前10个上调的deg进行qPCR验证,确认其在FLASH-IR和convr - ir下的差异表达。结论:总的来说,我们的研究结果描绘了FLASH-IR和convr - ir对皮肤细胞的独特调节景观,证实了既定的影响,并为超高剂量辐射背景下的分子相互作用提供了新的视角。
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引用次数: 0
Nrf2 Deficiency Brings About Increased Sensitive to IR and 7,12-dimethylbenz(a)anthracene and Leukemia Predisposition. Nrf2缺乏导致对IR和7,12-二甲基苯(a)蒽的敏感性增加和白血病易感性。
IF 2.3 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-05-19 eCollection Date: 2025-04-01 DOI: 10.1177/15593258251341593
Mingxin Dong, Ping Yang, Xinyu Zhang, Shasha Nie, Xiaohui Sun

Purpose: Nuclear factor erythroid 2-related factor 2 (Nrf2) is a crucial cytoprotective protein that shields cells from electrophilic and oxidative stress. Mice lacking Nrf2 exhibit heightened susceptibility to myelosuppression due to impaired hematopoietic reconstitution. In this study, we examined the altered sensitivity to ionizing radiation (IR) and 7,12-dimethylbenz(a)anthracene (DMBA) in Nrf2-/- mice separately.

Materials and methods: Irradiate Nrf2-/- or wild-type mice with a dose of 4 Gy to observe changes in body weight, survival rate, and blood routine at 12 months. DMBA was used to treat Nrf2-/- and wild-type mice, and the body weight and survival rate of the mice were measured. The changes of heme oxygenase-1(HO1) and NAD(P)H: quinone oxidoreductase 1(NQO1) in mice treated with IR or DMBA were detected by RT-qPCR and western blotting.

Results: Our results indicate that Nrf2 deficiency leads to more severe blood and immune system injury in mice exposed to IR or DMBA. Additionally, long-term monitoring revealed that Nrf2 deletion resulted in more severe myelosuppression, leukemia-like symptoms, and higher cancer rates. At the mRNA and protein levels, there was no significant increase in HO1 and NQO1 levels in the Nrf2-/- mice treated with IR or DMBA. These adverse effects might be attributed to the inhibited protein levels of HO1 and NQO1 and significant DNA damage in hematopoietic stem and progenitor cells (HSPCs).

Conclusions: We demonstrate that the genetic deficiency of Nrf2 in mice leads to reduced antioxidant capacity and suppression of hematopoietic and immune system function, resulting in increased sensitivity to IR or DMBA.

目的:核因子红细胞2相关因子2 (Nrf2)是一种重要的细胞保护蛋白,可保护细胞免受亲电应激和氧化应激的影响。由于造血重建受损,缺乏Nrf2的小鼠对骨髓抑制的易感性增加。在本研究中,我们分别检测了Nrf2-/-小鼠对电离辐射(IR)和7,12-二甲基苯(a)蒽(DMBA)敏感性的改变。材料与方法:以4 Gy的剂量照射Nrf2-/-或野生型小鼠,观察12个月时体重、存活率及血常规的变化。采用DMBA治疗Nrf2-/-和野生型小鼠,测定小鼠体重和存活率。采用RT-qPCR和western blotting检测IR和DMBA处理小鼠血红素加氧酶-1(HO1)和醌氧化还原酶-1(NQO1)的变化。结果:我们的研究结果表明,Nrf2缺乏导致暴露于IR或DMBA的小鼠更严重的血液和免疫系统损伤。此外,长期监测显示Nrf2缺失导致更严重的骨髓抑制、白血病样症状和更高的癌症发病率。在mRNA和蛋白水平上,IR和DMBA处理的Nrf2-/-小鼠的HO1和NQO1水平均无显著升高。这些不良反应可能归因于HO1和NQO1蛋白水平的抑制以及造血干细胞和祖细胞(HSPCs)中显著的DNA损伤。结论:我们证明Nrf2基因缺失导致小鼠抗氧化能力降低,造血和免疫系统功能受到抑制,导致对IR或DMBA的敏感性增加。
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引用次数: 0
Can Adaptive Response Be Considered in Radiation Risk Assessment? 辐射风险评估可以考虑适应性反应吗?
IF 2.3 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-05-12 eCollection Date: 2025-04-01 DOI: 10.1177/15593258251341601
Julianna Krasowska, Krzysztof W Fornalski
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引用次数: 0
Effect of Gamma Rays on Adropin as a Potential Hepatokine Marker for Liver Damage in Male Albino Rats. γ射线对雄性白化大鼠肝损伤潜在肝因子标志物Adropin的影响。
IF 2.3 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-05-10 eCollection Date: 2025-04-01 DOI: 10.1177/15593258251342304
Nadia Abdel-Magied, Amira Mk Abouelella, Hayam Mostafa, Hebatallah E Mohamed, Nehal I Hendy

Purpose: This work was the first study to show the impact of γ- radiation on adropin levels in the serum and liver tissue of male albino rats.

Methods: Liver tissue and blood samples of rats were collected at 1, 3, 7 and 14 days after whole-body exposure to 7.5 Gy of γ-radiation.

Results: Irradiated groups revealed a marked decrease in adropin associated with a significant increase in STAT3 in the serum and gene expression. Furthermore, lipid profile (cholesterol, T.G, HDL, LDL, VLDL), liver function (AST, ALT, albumin and total protein), complete blood count (RBCs, WBCs, PLT, Hb, Hct%, MCH, MCV, WBCs differential), glucose and insulin were exhibited more noticeable alterations at all time periods of the experiment. In addition, data exhibited an obvious elevation in some inflammatory markers (IL-6) and TOS accompanied by a decline in the TAC.

Conclusion and future scope of work: γ- radiation has adverse effects on adropin that related inversely with STAT3, leading to further damage to liver cells as well as disturbances in lipid and glucose metabolism. Therefore, adropin could be used in people exposed to radiation such radiotherapy to control the serious effects of radiation. Further study is needed to confirm these results.

目的:首次研究γ-辐射对雄性白化大鼠血清和肝组织中adropin水平的影响。方法:7.5 Gy γ-辐照后1、3、7、14 d采集大鼠肝脏组织和血液标本。结果:辐照组显示adropin显著降低,血清中STAT3和基因表达显著增加。此外,血脂(胆固醇、T.G、HDL、LDL、VLDL)、肝功能(AST、ALT、白蛋白和总蛋白)、全血细胞计数(红细胞、白细胞、PLT、Hb、Hct%、MCH、MCV、白细胞差异)、葡萄糖和胰岛素在实验的各个时期都表现出更明显的变化。此外,数据显示一些炎症标志物(IL-6)和TOS明显升高,同时TAC下降。结论及未来的工作范围:γ-辐射对与STAT3负相关的adropin有不良影响,导致肝细胞进一步损伤,脂糖代谢紊乱。因此,adropin可用于放疗等放射暴露人群,以控制辐射的严重影响。需要进一步的研究来证实这些结果。
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引用次数: 0
Multiple linear regression model was constructed based on the influencing factors of vancomycin trough concentration. 对万古霉素谷浓度的影响因素建立多元线性回归模型。
IF 2.3 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-04-23 eCollection Date: 2025-04-01 DOI: 10.1177/15593258251313646
Lin Wang, Yuhuang Wang, Chunyan Yang, Jia Jiang, Huifang Wang, Mingcai Wu

Objective: To evaluate the influencing factors of Vancomycin trough concentration in blood, construct an individualized Vancomycin administration model for rational use of Vancomycin. Methods: The clinical data of Vancomycin trough concentration in blood from June 2020 to December 2022 in our hospital were analyzed retrospectively. The effects of age, sex, Vancomycin administration and cumulative dose, albumin, total bilirubin, alanine aminotransferase, Creatinine (CR), urea (Bun), Creatinine clearance rate (Ccr), and time of blood sample collection on Vancomycin trough concentration were analyzed. A linear regression equation for the influencing factors of Vancomycin trough concentration in blood was constructed. Results: Sixty-six patients (82.5%) were treated with Vancomycin by intravenous drip. Significant differences existed in the influence of patients' age, Vancomycin administration, CR, Bun and Ccr on Vancomycin trough concentration (P < 0.05). Vancomycin trough concentration in blood showed negative correlated with Ccr (P < 0.05). The regression model of Vancomycin trough concentration in blood was y = 40.911 - 10.971 × method of administration - 1.715 × collection time + 1.018 × cumulative dose - 0.178 × Ccr, the model could predict 41.30% Vancomycin trough concentration in blood. Conclusion: The influencing factors of Vancomycin trough concentration in blood were complex. The constructed regression model of Vancomycin concentration in plasma may provide a scientific reference for individualized administration of Vancomycin in clinical practice.

目的:评价万古霉素血药谷浓度的影响因素,建立万古霉素个体化给药模型,为万古霉素的合理使用提供依据。方法:回顾性分析我院2020年6月至2022年12月万古霉素血槽浓度的临床资料。分析年龄、性别、万古霉素给药及累积剂量、白蛋白、总胆红素、丙氨酸转氨酶、肌酐(CR)、尿素(Bun)、肌酐清除率(Ccr)、采血时间等因素对万古霉素谷浓度的影响。建立了万古霉素血药谷浓度影响因素的线性回归方程。结果:66例(82.5%)患者采用静脉滴注万古霉素治疗。患者年龄、万古霉素给药量、CR、Bun、Ccr对万古霉素谷浓度的影响差异有统计学意义(P < 0.05)。血液万古霉素谷浓度与Ccr呈负相关(P < 0.05)。万古霉素血药谷浓度回归模型为y = 40.911 - 10.971 ×给药方式- 1.715 ×采集时间+ 1.018 ×累积剂量- 0.178 × Ccr,模型可预测41.30%的万古霉素血药谷浓度。结论:影响万古霉素血药谷浓度的因素是复杂的。建立的万古霉素血药浓度回归模型可为临床应用万古霉素个体化用药提供科学参考。
{"title":"Multiple linear regression model was constructed based on the influencing factors of vancomycin trough concentration.","authors":"Lin Wang, Yuhuang Wang, Chunyan Yang, Jia Jiang, Huifang Wang, Mingcai Wu","doi":"10.1177/15593258251313646","DOIUrl":"https://doi.org/10.1177/15593258251313646","url":null,"abstract":"<p><p><b>Objective:</b> To evaluate the influencing factors of Vancomycin trough concentration in blood, construct an individualized Vancomycin administration model for rational use of Vancomycin. <b>Methods:</b> The clinical data of Vancomycin trough concentration in blood from June 2020 to December 2022 in our hospital were analyzed retrospectively. The effects of age, sex, Vancomycin administration and cumulative dose, albumin, total bilirubin, alanine aminotransferase, Creatinine (CR), urea (Bun), Creatinine clearance rate (Ccr), and time of blood sample collection on Vancomycin trough concentration were analyzed. A linear regression equation for the influencing factors of Vancomycin trough concentration in blood was constructed. <b>Results:</b> Sixty-six patients (82.5%) were treated with Vancomycin by intravenous drip. Significant differences existed in the influence of patients' age, Vancomycin administration, CR, Bun and Ccr on Vancomycin trough concentration (<i>P</i> < 0.05). Vancomycin trough concentration in blood showed negative correlated with Ccr (<i>P</i> < 0.05). The regression model of Vancomycin trough concentration in blood was y = 40.911 - 10.971 × method of administration - 1.715 × collection time + 1.018 × cumulative dose - 0.178 × Ccr, the model could predict 41.30% Vancomycin trough concentration in blood. <b>Conclusion:</b> The influencing factors of Vancomycin trough concentration in blood were complex. The constructed regression model of Vancomycin concentration in plasma may provide a scientific reference for individualized administration of Vancomycin in clinical practice.</p>","PeriodicalId":11285,"journal":{"name":"Dose-Response","volume":"23 2","pages":"15593258251313646"},"PeriodicalIF":2.3,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12035239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143977543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Alterations of DNA Repair and Immune Infiltration in Radiation-Induced Intestinal Injury. 辐射诱导肠损伤中DNA修复和免疫浸润的改变。
IF 2.3 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-04-17 eCollection Date: 2025-04-01 DOI: 10.1177/15593258251336820
Jiale Li, Huanteng Zhang, Xiaoxiao Jia, Jiebing Guan, Xumin Zong, Shiqi Li, Xinran Lu, Ningning He, Huijuan Song, Kaihua Ji, Manman Zhang, Jianguo Li, Qiang Liu, Jinhan Wang, Chang Xu

Objectives: The intestine exhibits high radiosensitivity and is susceptible to damage during radiotherapy for abdominal or pelvic tumors, especially at radiation doses exceeding 5 Gy, which can lead to severe gastrointestinal complications. This study aims to elucidate the mechanisms of DNA repair and immune responses in radiation-induced intestinal injury, with the goal of enhancing radiotherapy efficacy.

Methods: We employed weighted correlation network analysis (WGCNA) to analyze RNA sequencing data from intestinal tissues collected at various time points following irradiation, as well as from mice with targeted disruption of the NFE2-like bZIP transcription factor 2 (Nrf2) gene and their wild-type counterparts.

Results: Our analysis revealed enhanced DNA repair capacity and attenuated immune response 3.5 days after irradiation. Histone variants and ribosomal proteins were identified as potential contributors to DNA repair processes. We also constructed a competing endogenous RNAs (ceRNA) network including genes from both the DNA repair and immune modules and identified Akr1b8, Gsta3, and Nqo1 as radiation-effect genes regulated by Nrf2.

Conclusions: These findings provide valuable insights into the molecular mechanisms of radiation-induced intestinal injury and suggest potential targets for protecting normal intestinal tissue during radiotherapy. This knowledge may contribute to improved treatment outcomes and enhanced patient well-being.

目的:肠道具有较高的放射敏感性,在腹部或盆腔肿瘤放疗中容易受到损伤,特别是辐射剂量超过5 Gy时,可导致严重的胃肠道并发症。本研究旨在阐明放射性肠损伤中DNA修复和免疫应答的机制,以提高放射治疗的疗效。方法:采用加权相关网络分析(WGCNA)分析辐照后不同时间点收集的肠道组织的RNA测序数据,以及靶向破坏nfe2样bZIP转录因子2 (Nrf2)基因及其野生型对应基因的小鼠的RNA测序数据。结果:我们的分析显示辐照后3.5天DNA修复能力增强,免疫反应减弱。组蛋白变异和核糖体蛋白被确定为DNA修复过程的潜在贡献者。我们还构建了一个竞争的内源性rna (ceRNA)网络,包括DNA修复和免疫模块的基因,并鉴定出Akr1b8、Gsta3和Nqo1是受Nrf2调控的辐射效应基因。结论:这些发现为辐射诱导肠道损伤的分子机制提供了有价值的见解,并为放射治疗期间保护正常肠道组织提供了潜在的靶点。这一知识可能有助于改善治疗结果和提高患者的幸福感。
{"title":"Alterations of DNA Repair and Immune Infiltration in Radiation-Induced Intestinal Injury.","authors":"Jiale Li, Huanteng Zhang, Xiaoxiao Jia, Jiebing Guan, Xumin Zong, Shiqi Li, Xinran Lu, Ningning He, Huijuan Song, Kaihua Ji, Manman Zhang, Jianguo Li, Qiang Liu, Jinhan Wang, Chang Xu","doi":"10.1177/15593258251336820","DOIUrl":"https://doi.org/10.1177/15593258251336820","url":null,"abstract":"<p><strong>Objectives: </strong>The intestine exhibits high radiosensitivity and is susceptible to damage during radiotherapy for abdominal or pelvic tumors, especially at radiation doses exceeding 5 Gy, which can lead to severe gastrointestinal complications. This study aims to elucidate the mechanisms of DNA repair and immune responses in radiation-induced intestinal injury, with the goal of enhancing radiotherapy efficacy.</p><p><strong>Methods: </strong>We employed weighted correlation network analysis (WGCNA) to analyze RNA sequencing data from intestinal tissues collected at various time points following irradiation, as well as from mice with targeted disruption of the NFE2-like bZIP transcription factor 2 (Nrf2) gene and their wild-type counterparts.</p><p><strong>Results: </strong>Our analysis revealed enhanced DNA repair capacity and attenuated immune response 3.5 days after irradiation. Histone variants and ribosomal proteins were identified as potential contributors to DNA repair processes. We also constructed a competing endogenous RNAs (ceRNA) network including genes from both the DNA repair and immune modules and identified Akr1b8, Gsta3, and Nqo1 as radiation-effect genes regulated by Nrf2.</p><p><strong>Conclusions: </strong>These findings provide valuable insights into the molecular mechanisms of radiation-induced intestinal injury and suggest potential targets for protecting normal intestinal tissue during radiotherapy. This knowledge may contribute to improved treatment outcomes and enhanced patient well-being.</p>","PeriodicalId":11285,"journal":{"name":"Dose-Response","volume":"23 2","pages":"15593258251336820"},"PeriodicalIF":2.3,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12035100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143995438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
NCRP Claims Six Studies Support LNT But They Show No-Effect to At Least 100 mGy. NCRP声称有六项研究支持LNT,但它们显示至少100毫戈瑞没有效果。
IF 2.3 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-04-15 eCollection Date: 2025-04-01 DOI: 10.1177/15593258251329682
K Chaplin

NCRP Commentary-27 reaffirmed Linear No Threshold (LNT) as the basis for radiation protection and listed six studies with "strong support" for LNT. This paper looks critically at these six studies and shows that they do not support LNT in the dose range of 0-100 mGy. These studies typically admit to no increase in cancer risk at significant dose levels. More importantly this paper shows that these studies assume LNT from the outset, underestimate uncertainty, ignore confounding factors, have biased control groups, and underestimate dose.

NCRP评论-27重申线性无阈值(LNT)是辐射防护的基础,并列出了6项对LNT“有力支持”的研究。本文对这六项研究进行了批判性的审视,并表明它们不支持0-100毫戈瑞剂量范围内的LNT。这些研究通常承认,在显著的剂量水平下,癌症风险没有增加。更重要的是,本文表明这些研究从一开始就假设了LNT,低估了不确定性,忽略了混杂因素,有偏见的对照组,并且低估了剂量。
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引用次数: 0
Assessment of the Validity of Carbon Ion Irradiation for C6 Gliomas in Rats. 碳离子辐照治疗大鼠C6胶质瘤的有效性评价。
IF 2.3 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-04-15 eCollection Date: 2025-04-01 DOI: 10.1177/15593258251327505
Yufeng Li, Lei Ta, QingFeng Wu, Hongyu Zhang, Yuan Xu, Lu Gan, Jianli Liu

Purpose: Application of energy-spectrum computed tomography (CT) to assess specific efficacy of and response to carbon ion radiotherapy (CIRT) of C6 gliomas in rats.

Methods: After establishing C6 glioma rat models, 3 tumor-bearing rats were randomly selected as controls. The remaining were divided into 0 Gy, 1 Gy, and 2 Gy groups for CIRT. Energy-spectrum CT scans were performed, and brain tissues were collected for histopathology and western blot Test. Survival rates in each group were compared.

Results: The results demonstrated that tumors in the 1 Gy and 2 Gy groups decreased at different rates up to 14 days post-CIRT (P < 0.05). Furthermore, compared to pre-CIRT measurements, the energy-spectrum parameters gradually increased in the 0 Gy group, while they decreased in the 2 Gy group. Post-CIRT, the Ki-67 proliferation index and the expression levels of vascu-larassociated proteins in tumor tissues were significantly reduced in the 1 and 2 Gy groups. Additionally, the survival times of tumor-bearing rats were prolonged after CIRT.

Conclusions: CIRT effectively restricts tumor cell growth and proliferation, leading to improved survival rates in rats with C6 gliomas. The use of energy-spectrum CT with immunohistochemistry for quantitative detection can actively support the effectiveness of carbon ion radiotherapy in inhibiting tumor proliferation.

目的:应用能谱计算机断层扫描(CT)评价碳离子放疗(CIRT)治疗大鼠C6胶质瘤的特异性疗效和反应。方法:建立C6胶质瘤大鼠模型后,随机选取3只荷瘤大鼠作为对照。其余分为0 Gy、1 Gy和2 Gy组进行CIRT。行能谱CT扫描,采集脑组织进行组织病理学和western blot检测。比较各组患者的生存率。结果:1 Gy组和2 Gy组的肿瘤在cirt后14天内均有不同程度的缩小(P < 0.05)。此外,与预cirt测量相比,能量谱参数在0 Gy组逐渐增加,而在2 Gy组则逐渐减少。cirt后,1、2 Gy组肿瘤组织Ki-67增殖指数及血管相关蛋白表达水平均显著降低。此外,CIRT可延长荷瘤大鼠的生存时间。结论:CIRT有效地抑制了肿瘤细胞的生长和增殖,提高了C6胶质瘤大鼠的存活率。利用能谱CT结合免疫组织化学进行定量检测,可以积极支持碳离子放疗抑制肿瘤增殖的有效性。
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引用次数: 0
Predicting Radiation Esophagitis in Patients Undergoing Synchronous Boost Radiotherapy Post-Breast-Conserving Surgery. 保乳手术后同步增强放疗患者放射性食管炎的预测。
IF 2.3 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-04-15 eCollection Date: 2025-04-01 DOI: 10.1177/15593258251335802
Huai-Wen Zhang, Yi-Ren Wang, Jingao Li, Wei Huang, Bin Xu, Hao-Wen Pang, Chun-Ling Jiang

This study constructed a predictive model for occurrence of radiation esophagitis during breast-cancer radiotherapy. 308 breast-cancer patients were analyzed. Lasso regression identified crucial variables that were further integrated into a radiation esophagitis risk score, which was used to segregate patients into high- and low-risk groups. A nomogram model was designed for clinical applicability. Training and validations were performed to assess robustness and generalizability of proposed models, employing C-index, AUCs, calibration curves, and decision curves. SHAP algorithm was used for model interpretation, offering insights into the major contributory factors. Seven significant variables were identified by Lasso regression. C-indexes of nomograms of individual clinical variables and risk score were 0.795 and 0.784, respectively, exhibiting strong predictive ability. In internal validation, AUCs for risk score, nomogram, and logistic models were 0.784, 0.795, and 0.812, respectively. Calibration curves showed a close fit between predicted and observed outcomes across models. Decision curve analysis indicated logistic model's superior clinical utility when the risk threshold was above 0.2. SHAP interpretation emphasized radiation dose, pruritus, molecular type, and hepatic dysfunction as top contributory factors for radiation esophagitis. Models based on interpretable machine learning offer an intuitive tool to assess risk of radiation esophagitis in breast-cancer radiotherapy.

本研究建立了乳腺癌放疗期间放射性食管炎发生的预测模型。对308例乳腺癌患者进行了分析。Lasso回归确定了进一步整合到放射性食管炎风险评分中的关键变量,该评分用于将患者分为高风险组和低风险组。设计了临床适用性的nomogram模型。采用c指数、auc、校准曲线和决策曲线,进行训练和验证以评估所提出模型的稳健性和泛化性。SHAP算法用于模型解释,提供对主要影响因素的见解。通过Lasso回归识别出7个显著变量。个体临床变量形态图c指数为0.795,风险评分为0.784,具有较强的预测能力。在内部验证中,风险评分、nomogram和logistic模型的auc分别为0.784、0.795和0.812。校正曲线显示各模型的预测结果和观测结果非常接近。决策曲线分析表明,logistic模型在风险阈值大于0.2时具有较好的临床应用价值。SHAP解释强调辐射剂量、瘙痒、分子类型和肝功能障碍是导致放射性食管炎的主要因素。基于可解释机器学习的模型提供了一种直观的工具来评估乳腺癌放疗中放射性食管炎的风险。
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引用次数: 0
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