Abstract

Radiation-induced pneumonitis and fibrosis are major complications following thoracic radiotherapy. Epithelial-to-mesenchymal transition (EMT) plays an important role in tissue injury leading to organ fibrosis, including lung. Our previous studies have reported that radiation can induce EMT in the type II alveolar epithelial cells in both in vitro and in vivo. HDAC inhibitors are a new family of anti-cancer agents currently being used in several clinical trials. In addition to their intrinsic anti-tumor properties, HDAC inhibition is also important in other human diseases, including fibrosis and radiation-induced damage. In this study, we evaluated the effect of Trichostatin A (TSA), a HDAC inhibitor, on radiation-induced EMT in type II alveolar epithelial cells (RLE-6TN). Pre-treatment of RLE-6TN cells with TSA inhibited radiation-induced EMT-like morphological alterations including elevated protein level of α-SMA and Snail, reduction of E-cadherin expression, enhanced phosphorylation of GSK3β and ERK1/2, increased generation of ROS. Radiation enhanced the protein level of TGF-β1, which was blocked by N-acetylcysteine, an antioxidant. Treating cells with SB-431542, TGF-β1 type I receptor inhibitor, diminished radiation-induced alterations in the protein levels of p-GSK-3β, Snail-1 and α-SMA, suggesting a regulatory role of TGF-β1 in EMT. Pre-incubation of cells with TSA showed significant decrease in the level of TGF-β1 compared to radiation control. Collectively, these results demonstrate that i] radiation-induced EMT in RLE-6TN cells is mediated by ROS/MEK/ERK and ROS/TGF-β1 signaling pathways and ii] the inhibitory role of TSA in radiation-induced EMT appears to be due, at least in part, to its action of blocking ROS and TGF-β1 signaling.

Highlights

  • Thoracic radiotherapy, either using X-rays or similar rays, is one of the successful treatment modes for lung and breast cancers

  • We evaluated the effect of Trichostatin A (TSA), a Histone deactylases (HDACs) inhibitor, on radiation-induced Epithelial-to-mesenchymal transition (EMT) in type II alveolar epithelial cells (RLE-6TN)

  • In order to test whether TSA had impact on radiation-induced upregulation of TGF-β1 and Connective tissue growth factor (CTGF), alveolar epithelial cells were incubated with TSA for two hour and exposed to radiation The results showed that TSA partially decreased the levels of TGFβ1 and CTGF in irradiated alveolar epithelial cells (Figure 5C and 5D)

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Summary

Introduction

Either using X-rays or similar rays, is one of the successful treatment modes for lung and breast cancers. 60% of patients receive radiation treatment either alone or in combination with surgery/chemotherapy [1]. The lung complications, including pneumonitis and fibrosis develop within month to years after treatment with radiotherapy thereby affects survival of cancer patients [2]. Myofibroblasts plays important role in fibrosis and upon activation, cells synthesize and stimulates deposition of extracellular matrix (ECM) proteins; recent studies focuses on epithelial cells which have ability to convert themselves into myofibroblast by a process called “epithelial-mesenchymal transition (EMT)” and it has been reported in idiopathic pulmonary fibrosis and experimental fibrosis [3, 4]. A master regulator of E-cadherin, helps epithelial cells to develop into fibroblast-like migratory mesenchymal cells [8]

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