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Zhou Y, Li K, Adelson DL. An unmet need for pharmacology: Treatments for radiation-induced gastrointestinal mucositis. Biomed Pharmacother 2024; 175:116767. [PMID: 38781863 DOI: 10.1016/j.biopha.2024.116767] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2024] [Revised: 05/07/2024] [Accepted: 05/17/2024] [Indexed: 05/25/2024] Open
Abstract
Gastrointestinal mucositis (GIM) continues to be a significant issue in the management of abdominal cancer radiation treatments and chemotherapy, causing significant patient discomfort and therapy interruption or even cessation. This review will first focus on radiotherapy induced GIM, providing an understanding of its clinical landscape. Subsequently, the aetiology of GIM will be reviewed, highlighting diverse contributing factors. The cellular and tissue damage and associated molecular responses in GIM will be summarised in the context of the underlying complex biological processes. Finally, available drugs and pharmaceutical therapies will be evaluated, underscoring their insufficiency, and highlighting the need for further research and innovation. This review will emphasize the urgent need for improved pharmacologic therapeutics for GIM, which is a key research priority in oncology.
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Affiliation(s)
- Yan Zhou
- Department of Molecular and Biomedical Science, School of Biological Sciences, The University of Adelaide, Adelaide, South Australia 5005, Australia; Zhendong Australia China Centre for Molecular Chinese Medicine, The University of Adelaide, Adelaide, South Australia 5005, Australia.
| | - Kun Li
- Beijing Zhendong Guangming Pharmaceutical Research Institute, Beijing 100120, China.
| | - David L Adelson
- Department of Molecular and Biomedical Science, School of Biological Sciences, The University of Adelaide, Adelaide, South Australia 5005, Australia; Zhendong Australia China Centre for Molecular Chinese Medicine, The University of Adelaide, Adelaide, South Australia 5005, Australia.
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2
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Begum N, Rajendra Prasad N, Kanimozhi G, Agilan B. Apigenin prevents gamma radiation-induced gastrointestinal damages by modulating inflammatory and apoptotic signalling mediators. Nat Prod Res 2021; 36:1631-1635. [PMID: 33673794 DOI: 10.1080/14786419.2021.1893316] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
The objective of this study was to evaluate the protective effect of apigenin against radiation-induced gastrointestinal (GI) damages in whole-body irradiated (WBI) Swiss albino mice. Swiss albino mice were pre-treated with apigenin (15 mg/kg body wt.) intraperitoneally for six consecutive days, and on the seventh day, the mice were exposed to 7 Gy WBI. Histological findings revealed a deterioration of the crypt-villus architecture in the 7 Gy irradiated mice intestine. Conversely, apigenin pre-treatment ameliorated radiation-induced intestinal damages and restored intestinal crypt-villus architecture. Besides, apigenin modulates 7 Gy radiation-induced apoptotic markers (p53, p21, Bax, caspase-3, -9) expression in the GI tissue of WBI mice. Furthermore, apigenin prevented radiation-induced activation of NF-kB expression in the GI tissue. Therefore, the present results indicate apigenin's radioprotective effect through modulating NF-kB mediated apoptotic signalling in the WBI intestinal tissue.
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Affiliation(s)
- Naziya Begum
- Department of Biochemistry and Biotechnology, Annamalai University, Annamalainagar, Tamil Nadu, India.,Department of Chemistry, College of Natural and Computational Sciences, Debre Berhan University, Debre Berhan, Ethiopia
| | - N Rajendra Prasad
- Department of Biochemistry and Biotechnology, Annamalai University, Annamalainagar, Tamil Nadu, India
| | - G Kanimozhi
- Department of Biochemistry, Dharumapuram Gnanambikai Government Arts College for Women, Mayiladuthurai, Tamil Nadu, India
| | - B Agilan
- Department of Biotechnology, Thiruvalluvar University, Vellore, Tamil Nadu, India
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3
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Mohan S, Gupta D. Role of Nrf2-antioxidant in radioprotection by root extract of Inula racemosa. Int J Radiat Biol 2019; 95:1122-1134. [DOI: 10.1080/09553002.2019.1607607] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Affiliation(s)
- Shikha Mohan
- Division of Capacity Enhancement and Product Induction, Institute of Nuclear Medicine and Allied Sciences, Defence Research and Development Organization, Delhi, India
| | - Damodar Gupta
- Division of Capacity Enhancement and Product Induction, Institute of Nuclear Medicine and Allied Sciences, Defence Research and Development Organization, Delhi, India
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Gajski G, Žegura B, Ladeira C, Novak M, Sramkova M, Pourrut B, Del Bo' C, Milić M, Gutzkow KB, Costa S, Dusinska M, Brunborg G, Collins A. The comet assay in animal models: From bugs to whales - (Part 2 Vertebrates). MUTATION RESEARCH-REVIEWS IN MUTATION RESEARCH 2019; 781:130-164. [PMID: 31416573 DOI: 10.1016/j.mrrev.2019.04.002] [Citation(s) in RCA: 42] [Impact Index Per Article: 8.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/19/2018] [Revised: 03/26/2019] [Accepted: 04/10/2019] [Indexed: 12/20/2022]
Abstract
The comet assay has become one of the methods of choice for the evaluation and measurement of DNA damage. It is sensitive, quick to perform and relatively affordable for the evaluation of DNA damage and repair at the level of individual cells. The comet assay can be applied to virtually any cell type derived from different organs and tissues. Even though the comet assay is predominantly used on human cells, the application of the assay for the evaluation of DNA damage in yeast, plant and animal cells is also quite high, especially in terms of biomonitoring. The present extensive overview on the usage of the comet assay in animal models will cover both terrestrial and water environments. The first part of the review was focused on studies describing the comet assay applied in invertebrates. The second part of the review, (Part 2) will discuss the application of the comet assay in vertebrates covering cyclostomata, fishes, amphibians, reptiles, birds and mammals, in addition to chordates that are regarded as a transitional form towards vertebrates. Besides numerous vertebrate species, the assay is also performed on a range of cells, which includes blood, liver, kidney, brain, gill, bone marrow and sperm cells. These cells are readily used for the evaluation of a wide spectrum of genotoxic agents both in vitro and in vivo. Moreover, the use of vertebrate models and their role in environmental biomonitoring will also be discussed as well as the comparison of the use of the comet assay in vertebrate and human models in line with ethical principles. Although the comet assay in vertebrates is most commonly used in laboratory animals such as mice, rats and lately zebrafish, this paper will only briefly review its use regarding laboratory animal models and rather give special emphasis to the increasing usage of the assay in domestic and wildlife animals as well as in various ecotoxicological studies.
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Affiliation(s)
- Goran Gajski
- Mutagenesis Unit, Institute for Medical Research and Occupational Health, Zagreb, Croatia.
| | - Bojana Žegura
- Department of Genetic Toxicology and Cancer Biology, National Institute of Biology, Ljubljana, Slovenia
| | - Carina Ladeira
- H&TRC - Health & Technology Research Center, Escola Superior de Tecnologia da Saúde, Instituto Politécnico de Lisboa, Lisbon, Portugal; Centro de Investigação e Estudos em Saúde de Publica, Universidade Nova de Lisboa, Lisbon, Portugal
| | - Matjaž Novak
- Department of Genetic Toxicology and Cancer Biology, National Institute of Biology, Ljubljana, Slovenia
| | - Monika Sramkova
- Biomedical Research Center, Cancer Research Institute, Slovak Academy of Sciences, Bratislava, Slovakia
| | - Bertrand Pourrut
- EcoLab, Université de Toulouse, CNRS, INPT, UPS, Toulouse, France
| | - Cristian Del Bo'
- DeFENS-Division of Human Nutrition, University of Milan, Milan, Italy
| | - Mirta Milić
- Mutagenesis Unit, Institute for Medical Research and Occupational Health, Zagreb, Croatia
| | | | - Solange Costa
- Environmental Health Department, National Health Institute Dr. Ricardo Jorge, Porto, Portugal; EPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal
| | - Maria Dusinska
- Health Effects Laboratory, Department of Environmental Chemistry-MILK, NILU - Norwegian Institute for Air Research, Kjeller, Norway
| | - Gunnar Brunborg
- Department of Molecular Biology, Norwegian Institute of Public Health, Oslo, Norway
| | - Andrew Collins
- Department of Nutrition, University of Oslo, Oslo, Norway
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Zhang QY, Wang FX, Jia KK, Kong LD. Natural Product Interventions for Chemotherapy and Radiotherapy-Induced Side Effects. Front Pharmacol 2018; 9:1253. [PMID: 30459615 PMCID: PMC6232953 DOI: 10.3389/fphar.2018.01253] [Citation(s) in RCA: 170] [Impact Index Per Article: 28.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2018] [Accepted: 10/15/2018] [Indexed: 12/24/2022] Open
Abstract
Cancer is the second leading cause of death in the world. Chemotherapy and radiotherapy are the common cancer treatments. However, the development of adverse effects resulting from chemotherapy and radiotherapy hinders the clinical use, and negatively reduces the quality of life in cancer patients. Natural products including crude extracts, bioactive components-enriched fractions and pure compounds prepared from herbs as well as herbal formulas have been proved to prevent and treat cancer. Of significant interest, some natural products can reduce chemotherapy and radiotherapy-induced oral mucositis, gastrointestinal toxicity, hepatotoxicity, nephrotoxicity, hematopoietic system injury, cardiotoxicity, and neurotoxicity. This review focuses in detail on the effectiveness of these natural products, and describes the possible mechanisms of the actions in reducing chemotherapy and radiotherapy-induced side effects. Recent advances in the efficacy of natural dietary supplements to counteract these side effects are highlighted. In addition, we draw particular attention to gut microbiotan in the context of prebiotic potential of natural products for the protection against cancer therapy-induced toxicities. We conclude that some natural products are potential therapeutic perspective for the prevention and treatment of chemotherapy and radiotherapy-induced side effects. Further studies are required to validate the efficacy of natural products in cancer patients, and elucidate potential underlying mechanisms.
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Affiliation(s)
- Qing-Yu Zhang
- School of Medicine and Life Sciences, Nanjing University of Chinese Medicine, Nanjing, China
| | - Fei-Xuan Wang
- Department of Pathology, Sir Run Run Hospital, Nanjing Medical University, Nanjing, China
| | - Ke-Ke Jia
- State Key Laboratory of Pharmaceutical Biotechnology, School of Life Sciences, Nanjing University, Nanjing, China
| | - Ling-Dong Kong
- State Key Laboratory of Pharmaceutical Biotechnology, School of Life Sciences, Nanjing University, Nanjing, China
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Guo DB, Zhu XQ, Li QQ, Liu GMY, Ruan GP, Pang RQ, Chen YH, Wang Q, Wang JX, Liu JF, Chen Q, Pan XH. Efficacy and mechanisms underlying the effects of allogeneic umbilical cord mesenchymal stem cell transplantation on acute radiation injury in tree shrews. Cytotechnology 2018; 70:1447-1468. [PMID: 30066056 PMCID: PMC6214845 DOI: 10.1007/s10616-018-0239-z] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2018] [Accepted: 07/21/2018] [Indexed: 12/30/2022] Open
Abstract
Umbilical cord mesenchymal stem cells (UC-MSCs) exert strong immunomodulatory effects and can repair organs. However, their roles in radiation injury remain unclear. We show that in tree shrews with acute radiation injury, injected UC-MSCs significantly improved survival rates, reduced lung inflammation and apoptosis, prevented pulmonary fibrotic processes, recovered hematopoiesis, and increased blood counts. A protein microarray analysis showed that serum levels of the anti-inflammatory cytokines IL-10 and IL-13 and the growth factors BMP-5, BMP-7, HGF, insulin, NT-4, VEGFR3, and SCF were significantly higher, while those of the inflammatory cytokines IL-2, TIMP-2, TNF-α, IFN-γ, IL-1ra, and IL-8 and the fibrosis-related factors PDGF-BB, PDGF-AA, TGF-β1, IGFBP-2, and IGFBP-4 were significantly lower in UC-MSC-injected animals. A transcriptome analysis of PBMCs showed that the mRNA expression of C1q was upregulated, while that of HLA-DP was downregulated after UC-MSC injection. These results confirm the immunohistochemistry results. eGFP-labeled UC-MSCs were traced in vivo and found in the heart, liver, spleen, lungs, kidneys, thymus, small intestine and bone marrow. Our findings suggest that UC-MSC transplantation may be a novel therapeutic approach for treating acute radiation injury.
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Affiliation(s)
- De-Bin Guo
- Department of Clinical Laboratory, Kunming General Hospital, Army Medical University, Kunming, 650032, Yunnan Province, China
| | - Xiang-Qing Zhu
- Department of Clinical Laboratory, Kunming General Hospital, Army Medical University, Kunming, 650032, Yunnan Province, China
- Cell Biological Therapy Center of Kunming General Hospital of Chengdu Military Command, Kunming, Yunnan Province, China
| | - Qing-Qing Li
- Kunming Medical University, Kunming, Yunnan Province, China
| | - Gao-Mi-Yang Liu
- Department of Clinical Laboratory, Kunming General Hospital, Army Medical University, Kunming, 650032, Yunnan Province, China
- Cell Biological Therapy Center of Kunming General Hospital of Chengdu Military Command, Kunming, Yunnan Province, China
| | - Guang-Ping Ruan
- Department of Clinical Laboratory, Kunming General Hospital, Army Medical University, Kunming, 650032, Yunnan Province, China
- Cell Biological Therapy Center of Kunming General Hospital of Chengdu Military Command, Kunming, Yunnan Province, China
| | - Rong-Qing Pang
- Department of Clinical Laboratory, Kunming General Hospital, Army Medical University, Kunming, 650032, Yunnan Province, China
- Cell Biological Therapy Center of Kunming General Hospital of Chengdu Military Command, Kunming, Yunnan Province, China
| | - Yu-Hao Chen
- Guizhou Medical University, Guiyang, Guizhou Province, China
| | - Qiang Wang
- Department of Clinical Laboratory, Kunming General Hospital, Army Medical University, Kunming, 650032, Yunnan Province, China
- Cell Biological Therapy Center of Kunming General Hospital of Chengdu Military Command, Kunming, Yunnan Province, China
| | - Jin-Xiang Wang
- Department of Clinical Laboratory, Kunming General Hospital, Army Medical University, Kunming, 650032, Yunnan Province, China
- Cell Biological Therapy Center of Kunming General Hospital of Chengdu Military Command, Kunming, Yunnan Province, China
| | - Ju-Fen Liu
- Cell Biological Therapy Center of Kunming General Hospital of Chengdu Military Command, Kunming, Yunnan Province, China
| | - Qiang Chen
- Faculty of Life Science and Technology, Kunming University of Science and Technology, Kunming, 650093, Yunnan Province, China
| | - Xing-Hua Pan
- Department of Clinical Laboratory, Kunming General Hospital, Army Medical University, Kunming, 650032, Yunnan Province, China.
- Cell Biological Therapy Center of Kunming General Hospital of Chengdu Military Command, Kunming, Yunnan Province, China.
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Yang X, Liu H, Jiang X, Jin C, Xu Z, Li T, Wang Z, Wang J. Cyclooxygenase‑2‑mediated upregulation of heme oxygenase 1 mitigates the toxicity of deuterium‑tritium fusion radiation. Int J Mol Med 2018; 42:1945-1954. [PMID: 30085341 PMCID: PMC6108879 DOI: 10.3892/ijmm.2018.3799] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2018] [Accepted: 07/30/2018] [Indexed: 12/11/2022] Open
Abstract
Utilizing the energy released from the nuclear fusion of deuterium with tritium (D-T) may be an important method of supplying energy in the future. The ionizing radiation emitted from nuclear fusion is a potential health risk to humans, including scientists who are currently performing nuclear fusion experiments and the employees of fusion nuclear plants, in the future. However, there have been few reports on the biological effects of fusion radiation. In the present study, using the High Intensity D-T Fusion Neutron Generator, the DNA damage and its regulation in normal human fibroblasts exposed to fusion radiation were investigated. Heme oxygenase 1 (HO-1), which is reported to induce anti-inflammatory activity, was upregulated in the irradiated cells. Pretreatment with the HO-1 inhibitor, protoporphyrin IX zinc (II), exacerbated double strand break formation following exposure to fusion radiation. The expression of cyclooxygenase-2 (COX-2) contributed to the upregulation of HO-1, as demonstrated by the result that its inhibitor, NS-398, inhibited the induction of HO-1 in irradiated cells. It was further clarified that the ataxia telangiectasia mutated DNA damage response was activated and it stimulated the phosphorylation of p38 mitogen-activated protein kinase, which was responsible for the upregulation of COX-2 and HO-1. These results provide novel information on fusion radiation-induced biological effects and potential targets for decreasing the associated health risks.
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Affiliation(s)
- Xiaoyao Yang
- Key Laboratory of High Magnetic Field and Ion Beam Physical Biology, Key Laboratory of Neutronics and Radiation Safety, Chinese Academy of Sciences, Hefei, Anhui 230031, P.R. China
| | - Hui Liu
- Key Laboratory of High Magnetic Field and Ion Beam Physical Biology, Key Laboratory of Neutronics and Radiation Safety, Chinese Academy of Sciences, Hefei, Anhui 230031, P.R. China
| | - Xu Jiang
- Key Laboratory of High Magnetic Field and Ion Beam Physical Biology, Key Laboratory of Neutronics and Radiation Safety, Chinese Academy of Sciences, Hefei, Anhui 230031, P.R. China
| | - Chufeng Jin
- Key Laboratory of High Magnetic Field and Ion Beam Physical Biology, Key Laboratory of Neutronics and Radiation Safety, Chinese Academy of Sciences, Hefei, Anhui 230031, P.R. China
| | - Zhao Xu
- Key Laboratory of High Magnetic Field and Ion Beam Physical Biology, Key Laboratory of Neutronics and Radiation Safety, Chinese Academy of Sciences, Hefei, Anhui 230031, P.R. China
| | - Taosheng Li
- Key Laboratory of High Magnetic Field and Ion Beam Physical Biology, Key Laboratory of Neutronics and Radiation Safety, Chinese Academy of Sciences, Hefei, Anhui 230031, P.R. China
| | - Zhigang Wang
- Key Laboratory of High Magnetic Field and Ion Beam Physical Biology, Key Laboratory of Neutronics and Radiation Safety, Chinese Academy of Sciences, Hefei, Anhui 230031, P.R. China
| | - Jun Wang
- Key Laboratory of High Magnetic Field and Ion Beam Physical Biology, Key Laboratory of Neutronics and Radiation Safety, Chinese Academy of Sciences, Hefei, Anhui 230031, P.R. China
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