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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。
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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。
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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
Radiophobia Harm, Its Main Cause, and a Proposed Solution. 放射恐惧症的危害、主要原因及建议的解决办法。
IF 2.3 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-03-27 eCollection Date: 2025-01-01 DOI: 10.1177/15593258251318305
Bobby R Scott

Background: We are exposed to natural ionizing radiation and other genomic stressors throughout life and radiophobia has caused much harm to society. The main basis for radiophobia is the invalid linear no-threshold (LNT) hypothesis for cancer induction, which the System of Radiological Protection (SRP) is linked to. Largely unknown to the public, evolution-associated genomic stress adaptation (gensadaptation) over many previous generations now provides protection to all lifeforms from low radiation doses. Objective: To help bring about an improved SRP not linked to the invalid LNT hypothesis for radiation-caused health detriment and to promote low-dose radiation therapy for different diseases. Methods: All-solid-cancer mortality risk dose-response relationships for A-bomb survivors were generated based on published LNT-modeling-related results. Dose-response relationships for lung cancer prevention by low-dose radiation were generated by linear interpolation based on published data from a study using > 15,000 mice. Uncertainty characterization was based on Monte Carlo calculations for binomial and Poisson distributions. New dose characterization tools were used for threshold dose-response relationships for radiation-caused cancer mortality. Results: The all-solid-cancer mortality risk for A-bomb survivors transitioned from LNT to threshold-linear when adjusted for key missing uncertainty at low doses. The prevention of lung cancer in mice by low radiation doses depends on the radiation absorbed dose and type. Conclusions: The SRP should be linked to population dose thresholds rather than the invalid LNT hypothesis and small likely harmless radiation doses could possibly be used in treating different diseases.

背景:我们终生暴露于天然电离辐射和其他基因组压力源中,而辐射恐惧症给社会造成了巨大危害。辐射恐惧症的主要依据是无效的线性无阈值(LNT)癌症诱导假说,辐射防护系统(SRP)与此假说有关。公众大多不知道,与进化相关的基因组应激适应(基因适应)经过许多代人的进化,现已为所有生命形式提供了低剂量辐射防护。目标:帮助改进 SRP,使其与无效的辐射导致健康损害的 LNT 假说无关,并促进针对不同疾病的低剂量放射治疗。方法:根据已发表的 LNT 模型相关结果,生成原子弹爆炸幸存者的全固态癌症死亡风险剂量-反应关系。低剂量辐射预防肺癌的剂量-反应关系是根据一项使用超过 15,000 只小鼠进行研究的已发表数据,通过线性插值生成的。不确定性表征基于二项分布和泊松分布的蒙特卡罗计算。新的剂量表征工具被用于辐射致癌死亡率的阈值剂量-反应关系。结果:根据低剂量时缺失的关键不确定性进行调整后,原子弹爆炸幸存者的全固态癌症死亡风险从 LNT 过渡到阈值线性。低辐射剂量对小鼠肺癌的预防作用取决于辐射吸收剂量和类型。结论:SRP应与人群剂量阈值相联系,而不是无效的LNT假说。
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引用次数: 0
Unprecedented Approach for Using Misoprostol Alongside Low-Dose Gamma Radiation to Alleviate Paraquat-Induced Pulmonary Injury in Rats. 米索前列醇联合低剂量伽马辐射减轻百草枯致大鼠肺损伤的前所未有的方法。
IF 2.3 4区 医学 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2025-03-25 eCollection Date: 2025-01-01 DOI: 10.1177/15593258251326707
Ahmed H Youssef, Heba H Mansour, Wafaa Gh Shousha, Shereen M Galal, Sara M Abdo

Background: Abrupt inflammation and alveolar epithelial membrane damage, which may cause the alveolar membrane's malfunction, are related to acute lung injury (ALI). This could eventually lead to pulmonary fibrosis. While lung injury can happen in many ways, the current study will concentrate on the changes in lung pathology mediated by paraquat (PQ). Paraquat, a widely used herbicide, targets lung toxicity through inflammation and oxidative stress, which significantly contribute to lung damage.

Objective: The current research was to ascertain whether low-dose gamma radiation (R) and misoprostol (MP) could lessen the lung inflammatory cascade started by PQ injection in rats.

Methods: The ALI model was induced by I.P. injection of PQ (20 mg/kg once), and then treatment was done by MP and/or R for 14 days, and finally, the biochemical and histological parameters were measured in the lung tissues.

Results: Our data suggest that PQ can promote ALI through TGF-β/smad, Notch, NF-κB, and ET-1 signaling pathways, resulting in EMT. These suggestions were supported by increased levels of TGF-β, inflammatory cytokines, α-SMA, NF-κB, ET-1, CTGF protein, and LPA, whereas PPAR-γ decreased. The aforementioned results have been confirmed by lung histopathology.

Conclusion: We suggest that the pulmonary inflammatory cascade was hindered and all the previously described gauges improved with R and/or MP therapy.

背景:急性肺损伤(acute lung injury, ALI)与突发性炎症和肺泡上皮膜损伤有关,可引起肺泡膜功能障碍。这可能最终导致肺纤维化。肺损伤可通过多种方式发生,目前的研究将集中在百草枯(PQ)介导的肺病理变化上。百草枯是一种广泛使用的除草剂,它通过炎症和氧化应激来靶向肺毒性,这是肺损伤的重要原因。目的:研究低剂量γ辐射(R)和米索前列醇(MP)是否能减轻PQ注射引起的大鼠肺部炎症级联反应。方法:采用PQ (20 mg/kg 1次)腹腔注射诱导ALI模型,再用MP和/或R治疗14 d,测定肺组织生化和组织学指标。结果:PQ可通过TGF-β/smad、Notch、NF-κB、ET-1等信号通路促进ALI,导致EMT发生。TGF-β、炎性细胞因子、α-SMA、NF-κB、ET-1、CTGF蛋白和LPA水平升高,而PPAR-γ水平下降,支持了这些观点。上述结果经肺组织病理学证实。结论:我们认为通过R和/或MP治疗,肺部炎症级联受到阻碍,所有先前描述的指标都得到改善。
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引用次数: 0
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