Abstract

Dental pulp stem cell (DPSC) transplantation has been demonstrated to promote the regeneration and repair of tissues and organs and is a potentially effective treatment for radioactive esophageal injury. In this study, to explore the therapeutic effects of DPSCs on acute radiation-induced esophageal injury, DPSCs were cultured and transplanted into rats with acute radioactive esophageal injuries induced by radioactive 125I seeds in vivo. In the injured esophagus, PKH26-labeled DPSCs co-localized with PCNA, CK14, CD71, and integrin α6, and the expression levels of these four makers of esophageal stem cells were significantly increased. After DPSC transplantation, the injured esophagus exhibited a greater thickness. In addition, the esophageal function and inflammation recovered faster. The results demonstrated that transplanted DPSCs, which trans-differentiated into esophageal stem cells in vivo, could repair the damaged esophageal tissue.

Highlights

  • Chemoradiotherapy is the established standard treatment for locally advanced tumors of the head, neck, and lung

  • We observed that the esophageal mucosa became swollen after 5 days of exposure to radiation in the model group

  • The suprabasal compartment included multiple layers of polyhedral cells with spherical nuclei, above which existed a granular layer that was equal to the esophageal epithelial surface of the degenerating nuclei

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Summary

Introduction

Chemoradiotherapy is the established standard treatment for locally advanced tumors of the head, neck, and lung. Severe toxicities, such as acute radioactive esophageal injury, can develop within 3 weeks of radiation therapy and often cause unexpected complications[1,2]. Acute radioactive esophageal injury is generally treated symptomatically with chemical agents[6,7] Some of these agents, including amifostine, manganese superoxide dismutase-plasmid liposome, glutamine, recombinant human granulocytemacrophage colony-stimulating factor and epidermal growth factor, have been reported to relieve radiation injuries in clinical and preclinical settings[8,9]. Compared to bone marrow SCs and other SCs, Official journal of the Cell Death Differentiation Association

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