You have accessJournal of UrologyInfections/Inflammation/Cystic Disease of the Genitourinary Tract: Kidney & Bladder I1 Apr 2016MP24-14 RADIATION THERAPY ATTENUATES REGENERATION OF THE UROTHELIUM IN NOVEL CELL CULTURE RADIATION MODEL Bernadette Zwaans, Sarah Bartolone, Peter Levanovich, Monica Liebert, Michael Chancellor, and Laura Lamb Bernadette ZwaansBernadette Zwaans More articles by this author , Sarah BartoloneSarah Bartolone More articles by this author , Peter LevanovichPeter Levanovich More articles by this author , Monica LiebertMonica Liebert More articles by this author , Michael ChancellorMichael Chancellor More articles by this author , and Laura LambLaura Lamb More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.770AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Radiation cystitis (RC) is a chronic inflammatory condition of the bladder that results from extensive exposure to radiation therapy for the treatment of pelvic malignancies. RC is a severely debilitating condition due to its symptoms (e.g. hematuria) and the lack of reliable treatment options. The underlying mechanism that contributes to RC development is not well understood. In this study, we aim to investigate the contribution of radiation-induced urothelial damage to the development of RC. We hypothesize that radiation exposure weakens the urothelial layer by reducing cellular proliferation, survival and differentiation ability of basal urothelial cells. Consequently, the damaged urothelium becomes more permeable to urine, which can cause irritation to the underlying tissue. METHODS Normal human basal urothelial (UR15) cells, developed by Jim Bassuk at the University of Washington, were used to study the effect of radiation therapy on the urothelium. UR15 cells, immortalized using HPV E6/E7, were cultured in serum-free keratinocyte media and differentiated in 10% DMEM. Cells were irradiated and the effect of radiation on cellular proliferation, survival, and differentiation was determined. RESULTS Exposure of undifferentiated UR15 cells to radiation treatment resulted in a dose-dependent decline in cellular proliferation that lasted beyond 2 weeks in culture. This decline in cellular proliferation was both due to an increase in apoptosis (Annexin V) as well as a decrease in the number of cell divisions. Additionally, irradiated UR15 cells had reduced differentiation capacity as measured by the formation of tight junctions (E-cadherin), a marker of urothelial differentiation. Ongoing studies are determining cell survival of differentiated urothelial cells as well as identifying changes to urothelial permeability in response to radiation. CONCLUSIONS Using a novel urothelial radiation model our studies concluded that radiation exposure to the bladder damages the urothelium, at least in part by reducing proliferation and differentiation of basal urothelial cells. Furthermore, a decrease in E-cadherin localized to the cell membrane suggests an increase in bladder permeability. This model may be advantages to investigate therapeutic options that may treat or prevent radiation cystitis. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e275 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Bernadette Zwaans More articles by this author Sarah Bartolone More articles by this author Peter Levanovich More articles by this author Monica Liebert More articles by this author Michael Chancellor More articles by this author Laura Lamb More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...
Read full abstract