Pre-clinical Research on Bladder Toxicity After Radiotherapy for Pelvic Cancers: State-of-the Art and Challenges
Frontiers in Oncology,
Год журнала:
2020,
Номер
10
Опубликована: Окт. 22, 2020
Despite
the
dramatic
advancements
in
pelvic
radiotherapy,
urinary
toxicity
remains
a
significant
side-effect.
The
assessment
of
clinico-dosimetric
predictors
radiation
cystitis
(RC)
based
on
clinical
data
has
improved
substantially
over
last
decade;
however,
thorough
understanding
physiopathogenetic
mechanisms
underlying
onset
RC,
with
its
variegated
acute
and
late
symptoms,
is
still
largely
lacking,
from
pre-clinical
research
limited.
aim
this
review
to
provide
an
overview
main
open
issues
and,
ideally,
help
investigators
orienting
future
research.
First,
anatomy
physiology
bladder,
as
well
current
knowledge
dose
dose-volume
effects
humans,
are
briefly
summarized.
Subsequently,
radiobiology
aspects
RC
discussed.
findings
suggest
that
animal
models
lively
field
growing
interest
development
new
radioprotective
agents.
availability
high
precision
micro-irradiators
rapid
advances
small
imaging
might
lead
big
improvement
into
field.
In
particular,
studies
focusing
definition
fractionation
warranted,
especially
considering
hypo-fractionation
ablative
therapies
for
prostate
cancer
treatment.
Moreover,
radiotherapy
plans
optimization
by
selectively
reducing
more
radiosensitive
substructures
close
bladder
would
be
paramount
importance.
Finally,
thanks
platforms,
reliable
reproducible
methods
assess
severity
expected
developed.
Язык: Английский
Pharmacologic Protection in Distant Space: Current View
Biology Bulletin,
Год журнала:
2019,
Номер
46(11), С. 1524 - 1532
Опубликована: Дек. 1, 2019
Язык: Английский
Looking for the phoenix: the current research on radiation countermeasures
International Journal of Radiation Biology,
Год журнала:
2023,
Номер
99(8), С. 1148 - 1166
Опубликована: Фев. 6, 2023
Purpose
Ionizing
radiation
(IR)
is
widely
applied
in
radiotherapy
for
the
treatment
of
over
50%
cancer
patients.
IR
also
intensively
used
medical
diagnostics
on
a
daily
basis
imaging.
Moreover,
recent
geopolitical
events
have
re-ignited
real
threat
use
nuclear
weapons.
Medical
countermeasures
represent
one
effective
protection
strategies
against
effects
IR.
The
aim
this
review
was
to
summarize
most
commonly
and
procedures
development
evaluate
current
state
their
research,
with
focus
those
clinical
trial
phase.Methods
Clinical
trials
were
selected
accordance
preferred
reporting
items
systematic
reviews
meta-analyses
(PRISMA)
statement.
search
performed
clinicaltrials.gov
database
as
May
2022.Results
Our
returned
263
studies,
which
screened
25
included
review.
10
these
studies
had
been
completed,
3
promising
results:
KMRC011
increased
G-CSF,
IL-6,
neutrophil
counts
suggesting
potential
hematopoietic
acute
syndrome
(H-ARS);
GC4419
reduced
number
patients
severe
oral
mucositis
its
duration;
combination
enoxaparin,
pentoxifylline,
ursodeoxycholic
acid
incidence
focal
radiation-induced
liver
injury.Conclusion
agents
discovered
so
far
show
significant
side
or
low
efficacy,
hence
tested
terminate
early
stages
development.
In
addition,
profitability
type
drug
demotivates
private
sector
invest
such
research.
To
overcome
problem,
there
need
involve
more
public
resources
funding.
Among
technological
opportunities,
deeper
silico
approaches
seems
be
prospective.
Язык: Английский
Mitigation of Iron Irradiation-Induced Genotoxicity and Genomic Instability by Postexposure Dietary Restriction in Mice
BioMed Research International,
Год журнала:
2021,
Номер
2021, С. 1 - 12
Опубликована: Ноя. 25, 2021
Background
and
Purpose.
Postexposure
onset
of
dietary
restriction
(DR)
is
expected
to
provide
therapeutic
nutritional
approaches
reduce
health
risk
from
exposure
ionizing
radiation
(IR)
due
such
as
manned
space
exploration,
radiotherapy,
or
nuclear
accidents
IR
could
alleviate
radiocarcinogenesis
in
animal
models.
However,
the
underlying
mechanisms
remain
largely
unknown.
This
study
aimed
at
investigating
effect
postexposure
DR
on
genotoxicity
genomic
instability
(GI)
induced
by
total
body
irradiation
(TBI)
mice.
Materials
Methods.
Mice
were
exposed
2.0
Gy
accelerated
iron
particles
with
an
initial
energy
500
MeV/nucleon
a
linear
transfer
(LET)
value
about
200
keV/μm.
After
TBI,
mice
either
allowed
free
access
standard
laboratory
chow
treated
under
(25%
cut
diet).
Using
micronucleus
frequency
(MNF)
bone
marrow
erythrocytes,
induction
acute
GI
hematopoietic
system
was,
respectively,
determined
1
2
months
after
TBI.
Results
Conclusions.
TBI
alone
caused
significant
increase
MNF
while
did
not
markedly
influence
MNF.
decrease
compared
treatment
alone.
demonstrated
that
relieve
elevated
high-LET
particles.
These
findings
indicated
reduction
late
may
be
least
part
decreased
DR.
Язык: Английский
B-190 (Indralin) in Light of the History of the Formation of Ideas about the Mechanism of Action of Radioprotectors
Biology Bulletin,
Год журнала:
2021,
Номер
48(11), С. 2045 - 2059
Опубликована: Дек. 1, 2021
Язык: Английский
More efficient induction of genotoxicity by high-LET Fe-particle radiation than low-LET X-ray radiation at low doses
Radiation Medicine and Protection,
Год журнала:
2022,
Номер
4(1), С. 11 - 18
Опубликована: Дек. 30, 2022
To
understand
differential
effects
on
induction
of
genotoxicity
and
genomic
instability
(GI)
by
high-LET
particle
radiation
low-LET
photon
radiation,
based
ground-based
experiments
using
total
body
irradiation
(TBI)
mice
with
Fe-particle
X-ray
radiation.
TBI
was
delivered
to
C57BL/6J
Jms
strain
female
8
weeks
old
at
a
dose
ranging
from
0.1
3.0
Gy
or
5.0
Induction
GI
determined
respectively
1
2
months
after
exposure
frequency
micronuclei
in
bone
marrow
erythrocytes
as
the
endpoint.
Inhibition
cell
proliferation
measured
reduced
erythropoiesis.
Physiological
conditions
were
also
investigated.
TBI,
regardless
type
caused
statistically
significant
increase
month
exposure,
but
did
not
induce
even
higher
doses
(>1.0
Gy).
The
dose-response
curve
for
micronucleated
polychromatic
induced
y
=
0.7798
+
1.7889x–
0.5978x2
(R2
=
0.8109)
0.7421
1.3792x
–
0.2588
x2
0.8081),
respectively.
normochromatic
0.7191
1.4545x
0.4978x2
0.7047)
0.658
1.344x
0.2531x2
0.7853),
In
general,
more
efficient
inducing
than
lower
(<0.5
These
results
further
confirm
that
does
increased
erythrocytes.
findings
indicate
radiation-induced
is
mouse
dependent
suggest
comprehensive
studies
should
be
done
explore
late
health
consequences
low
doses.
Язык: Английский
Raman spectral analysis of the brainstem and responses of neuroglia and cytokines in whole-body gamma-irradiated rats after administration of aminothiol-based radioprotector GL2011
Archives of Biological Sciences,
Год журнала:
2021,
Номер
73(2), С. 161 - 173
Опубликована: Янв. 1, 2021
The
search
for
an
effective
and
non-toxic
radioprotector
is
ongoing.
We
tested
a
novel,
natural
aminothiol-based
radioprotector,
GL2011,
that
was
applied
30
min,
3
h
or
6
after
the
exposure
of
male
albino
Wistar
rats
to
6.7
Gy
mild
dose
gamma
radiation.
molecular
signatures
radioprotection
were
investigated
with
Raman
microspectroscopy
brainstem
tissue
samples.
Morphological
changes
activation
astrocytes
microglia
assessed
by
immunohistochemistry.
Global
markers
neuroinflammation
followed
ELISA
monitor
blood
plasma
levels
proinflammatory
(IL-6
TNF-?)
anti-inflammatory
(IL-10)
cytokines.
A
thirty-day
follow-up
determined
survival
unprotected
animals
37.5%.
increase
observed
(75%,
irrespective
time
application).
spectra
revealed
slightly
deleterious
effect
radiation
on
nucleic
acids
in
surviving
mitigated
as
GL2011
preserved
morphology
both
microglia,
reduced
microglial
infiltration.
Cytokine
assessment
immunomodulatory
novel
radioprotector.
overall
results
point
out
positive
effects
single
at
different
times.
cellular
indicate
conferred
better
protection,
which
underlines
its
translation
cure
accidents.
Язык: Английский