Background: Radiation-induced heart injury can lead to increased risk of heart failure, attack, and ischemia. Some studies proposed IL-4 and IL-13 as two important cytokines that are involved in late effects of ionizing radiation. On the other hand, these cytokines may, through upregulation of Duox1 and Duox2, induce chronic oxidative stress, inflammation, and fibrosis. In this study, we evaluated the upregulation of Duox1 and Duox2 pathways in hearts following chest irradiation in rats and then detected possible attenuation of them by melatonin. Materials and Methods: Twenty male Wistar rats were divided into four groups: (1) control; (2) melatonin treated (100 mg/kg); (3) radiation (15 Gy gamma rays); (4) melatonin treated before irradiation. All rats were sacrificed after 10 weeks and their heart tissues collected for real-time PCR (RT-PCR), ELISA detection of IL-4 and IL-13, as well as histopathological evaluation of macrophages and lymphocytes infiltration. Results: Results showed an upregulation of IL-4, IL4ra1, Duox1, and Duox2. The biggest changes were for IL4ra1 and Duox1. Treatment with melatonin before irradiation could attenuate the upregulation of all genes. Melatonin also caused a reduction in IL-4 as well as reverse infiltration of inflammatory cells. Conclusion: Duox1 and Duox2 may be involved in the late effects of radiation-induced heart injury. Also, via attenuation of these genes, melatonin can offer protection against the toxic effects of radiation on the heart.
Aim:
In this study, we aimed to determine possible mitigation of radiation-induced toxicities in the duodenum, jejunum and colon using post-exposure treatment with resveratrol and alpha-lipoic acid.
Background:
After the bone marrow, gastrointestinal system toxicity is the second critical cause of death following whole body exposure to radiation. Its side effects are responsible for reducing the quality of life of patients who had undergone radiotherapy. Resveratrol has an antioxidant effect and stimulates DNA damage responses (DDRs). Alpha-lipoic acid neutralizes free radicals via recycling of ascorbic acid and alpha-tocopherol.
Objective:
This study is a pilot investigation of mitigation of enteritis using resveratrol and alpha-lipoic acid following histopathological study.
Method:
60 male mice were randomly assigned to six groups; control, resveratrol treatment, alpha-lipoic acid treatment, whole body irradiation, irradiation plus resveratrol, and irradiation plus alpha-lipoic acid. The mice were irradiated with a single dose of 7 Gy from a cobalt-60 gamma ray source. Treatment with resveratrol or alpha-lipoic acid started 24 h after irradiation and continued for 4 weeks. All mice were sacrificed after 30 days for histopathological evaluation of radiation-induced toxicities in the duodenum, jejunum and colon.
Results:
Exposure to radiation caused mild to severe damages to vessels, goblet cells and villous. It also led to significant infiltration of macrophages and leukocytes, especially in the colon. Both resveratrol and alpha-lipoic acid were able to mitigate morphological changes. However, they could not mitigate vascular injury.
Conclusion:
Resveratrol and alpha-lipoic acid could mitigate radiation-induced injuries in small and large intestine. Comparison between these agents showed that resveratrol may be a more effective mitigator compared to alpha-lipoic acid.
Purpose: Recently, the application of high atomic number nanoparticles is suggested in the field of radiotherapy to improve physical dose enhancement and hence treatment efficiency. Several factors such as concentration and material of nanoparticles and energy of beam define the amount of dose enhancement in the target in the presence of nanoparticles.
Materials and Methods: In this approach, a spherical cell was simulated through the Geant4 Monte Carlo toolkit which contained a nucleus and nanoparticles distributed through the cell. To investigate the effect of the concentration of nanoparticles on the deposited dose, it ranged from 3 mg/g to 30 mg/g for different materials like gold, silver, gadolinium, and platinum. Also, various mono-energetic photon beams included low and high energy sources were applied.
Results: The results proved that as the concentration increased, the Dose Enhancement Factor (DEF) enlarged. Overall, almost for all energy and material that were used in this study, the maximum of DEF values occurred in the concentration of 30 mg/g. Moreover, lower energy sources presented higher DEF compared to other sources. The results indicated that the highest amount of DEF transpired for 35 keV photon beams equal to 14.67. Also, the K-edge energy of each material affects DEF values.
Conclusion: To obtain a better outcome in the use of nanoparticles in combination with radiotherapy, a higher concentration of nanoparticles and low-energy photons should be considered to optimize the DEF and thus the treatment ratio.
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