Abstract

Radiation vasculitis is one of the most common detrimental effects of radiotherapy for malignant tumors. This is developed at the vasculature of adjacent organs. Animal experiments have showed that transplantation of mesenchymal stem cells (MSCs) restores vascular function after irradiation. But the population of MSCs being engrafted into irradiated vessels is too low in the conventional models to make assessment of therapeutic effect difficult. This is presumably because circulating MSCs are dispersed in adjacent tissues being irradiated simultaneously. Based on the assumption, a rat model, namely, RT (radiation) plus TX (transplantation), was established to promote MSC homing by sequestering irradiated vessels. In this model, a 1.5 cm long segment of rat abdominal aorta was irradiated by 160kV X-ray at a single dose of 35Gy before being procured and grafted to the healthy counterpart. F344 inbred rats served as both donors and recipients to exclude the possibility of immune rejection. A lead shield was used to confine X-ray delivery to a 3 cm×3 cm square-shaped field covering central abdominal region. The abdominal viscera especially small bowel and colon were protected from irradiation by being pushed off the central abdominal cavity. Typical radiation-induced vasculopathy was present on the 90th day after irradiation. The recruitment of intravenously injected MSCs to irradiated aorta was significantly improved by using the RT-plus-TX model as compared to the model with irradiation only. Generally, the RT-plus-Tx model promotes MSC recruitment to irradiated aorta by separating irradiated vascular segment from adjacent tissue. Thus, the model is preferred in the study of MSC-based therapy for radiation vasculitis when the evaluation of MSC homing is demanding.

Highlights

  • Radiotherapy is used to treat a variety of cancers, but the therapeutic index of radiotherapy is still limited by normal tissue injury in organs at risk

  • Circulating mesenchymal stem cells (MSCs) would be distributed into adjacent tissue, which was unintentionally subjected to radiation injury yet forming a larger compartment of MSC homing than irradiated aorta

  • If the aorta was exclusively subjected to radiation injury, more circulating MSCs would gather in irradiated aorta

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Summary

Introduction

Radiotherapy is used to treat a variety of cancers, but the therapeutic index of radiotherapy is still limited by normal tissue injury in organs at risk. Chronic radiation enteritis is initiated as early as two months after patients received abdominal/pelvic irradiation, progressing throughout the rest of their life [4] This is characterized by progressive obliterative arteritis with submucosal fibrosis [4]. The number of circulating MSCs that exactly reach irradiated vessels after intravascular injection is fairly low [8]. This is a practical problem in MSC-based therapy for radiation injury and other diseases as well [8, 13]. This study introduced a rat model, namely, RT (radiation) plus TX (transplantation), in which irradiated vessels were sequestered from adjacent tissue to promote MSC local recruitment

Material and Methods
Results and Discussion
A: Vehicle B: TX-only C: RT-only D: RT-plus-TX E
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