Abstract

The acute and residual (or long-term) bone marrow (BM) injury induced by ionizing radiation (IR) is a major clinic concern for patients receiving conventional radiotherapy and victims accidentally exposed to a moderate-to-high dose of IR. In this study, we investigated the effects of the treatment with the p38 inhibitor SB203580 (SB) and/or granulocyte colony-stimulating factor (G-CSF) on the hematoimmune damage induced by IR in a mouse model. Specifically, C57BL/6 mice were exposed to a sublethal dose (6 Gy) of total body irradiation (TBI) and then treated with vehicle, G-CSF, SB, and G-CSF plus SB. G-CSF (1 µg/mouse) was administrated to mice by intraperitoneal (ip) injection twice a day for six successive days; SB (15 mg/kg) by ip injection every other day for 10 days. It was found that the treatment with SB and/or G-CSF significantly enhanced the recovery of various peripheral blood cell counts and the number of BM mononuclear cells 10 and 30 days after the mice were exposed to TBI compared with vehicle treatment. Moreover, SB and/or G-CSF treatment also increased the clonogenic function of BM hematopoietic progenitor cells (HPCs) and the frequency of BM lineage−Sca1+c-kit+ cells (LSK cells) and short-term and long term hematopoietic stem cells (HSCs) 30 days after TBI, in comparison with vehicle treated controls. However, the recovery of peripheral blood B cells and CD4+ and CD8+ T cells was not significantly affected by SB and/or G-CSF treatment. These results suggest that the treatment with SB and/or G-CSF can reduce IR-induced BM injury probably in part via promoting HSC and HPC regeneration.

Highlights

  • Hematoimmune injury is one of the most important side effects of radiotherapy

  • We examined the effects of p38 inhibition with SB in combination with granulocyte colonystimulating factor (G-CSF) on ionizing radiation (IR)-induced acute and long-term hematopoietic injury

  • We found that IR and G-CSF can activate p38 in bone marrow (BM) Lin- cells enriched with hematopoietic stem cells (HSCs) and hematopoietic progenitor cells (HPCs) and the activation can be abrogated by incubation of the cells with SB, a specific p38 inhibitor (Fig.S1)

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Summary

Introduction

Hematoimmune injury is one of the most important side effects of radiotherapy. Some patients receiving radiotherapy might develop both acute and long-term myelosuppression [1,2]. An effective treatment against ionizing radiation (IR)induced bone marrow (BM) damage has yet to be developed [3,4]. Studies have shown that p38 plays a critical role in regulating cell survival and regeneration following exposure to IR. The p38 pathway plays an essential role in regulation of erythropoiesis and myelopoiesis [7,8,9]. Inhibition of p38 either with a pharmacological inhibitor or by a genetic approach has been exploited for AA and MDS treatment because p38 inhibition can inhibit hematopoietic stem cell (HSC)

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