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Local radiotherapy of exposed murine small bowel : Apoptosis and inflammation

Polistena, Andrea LU ; Johnson, Louis Banka LU ; Ohiami-Masseron, Salomé ; Wittgren, Lena LU ; Bäck, Sven LU ; Thornberg, Charlotte LU ; Gadaleanu, Virgil ; Adawi, Diya LU and Jeppsson, Bengt LU (2008) In BMC Surgery 8.
Abstract

Background. Preoperative radiotherapy of the pelvic abdomen presents with complications mostly affecting the small bowel. The aim of this study was to define the features of early radiation-induced injury on small bowel. Methods. 54 mice were divided into two groups (36 irradiated and 18 sham irradiated). Animals were placed on a special frame and (in the radiated group) the exteriorized segment of ileum was subjected to a single absorbed dose of 19 or 38 Gy radiation using 6 MV high energy photons. Specimens were collected for histology, immunohistochemistry (IHC) and ELISA analysis after 2, 24 and 48 hours. Venous blood was collected for systemic leucocyte count in a Burker chamber. Results. Histology demonstrated progressive... (More)

Background. Preoperative radiotherapy of the pelvic abdomen presents with complications mostly affecting the small bowel. The aim of this study was to define the features of early radiation-induced injury on small bowel. Methods. 54 mice were divided into two groups (36 irradiated and 18 sham irradiated). Animals were placed on a special frame and (in the radiated group) the exteriorized segment of ileum was subjected to a single absorbed dose of 19 or 38 Gy radiation using 6 MV high energy photons. Specimens were collected for histology, immunohistochemistry (IHC) and ELISA analysis after 2, 24 and 48 hours. Venous blood was collected for systemic leucocyte count in a Burker chamber. Results. Histology demonstrated progressive infiltration of inflammatory cells with cryptitis and increased apoptosis. MIP-2 (macrophage inflammatory protein) concentration was significantly increased in irradiated animals up to 48 hours. No significant differences were observed in IL-10 (interleukin) and TNF-α (tumour necrosis factor) levels. IHC with CD45 showed a significant increase at 2 hours of infiltrating leucocytes and lymphocytes after irradiation followed by progressive decrease with time. Caspase-3 expression increased significantly in a dose dependent trend in both irradiated groups up to 48 hours. Conclusion. Acute small bowel injury caused by local irradiation is characterised by increased apoptosis of crypt epithelial cells and by lymphocyte infiltration of the underlying tissue. The severity of histological changes tends to be dose dependent and may affect the course of tissue damage.

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organization
publishing date
type
Contribution to journal
publication status
published
subject
in
BMC Surgery
volume
8
article number
1
publisher
BioMed Central (BMC)
external identifiers
  • pmid:18173838
  • scopus:39749162032
ISSN
1471-2482
DOI
10.1186/1471-2482-8-1
language
English
LU publication?
yes
id
975c68cd-d480-448e-a13c-6bde5570ab2a
date added to LUP
2018-10-22 13:14:56
date last changed
2024-01-15 04:52:45
@article{975c68cd-d480-448e-a13c-6bde5570ab2a,
  abstract     = {{<p>Background. Preoperative radiotherapy of the pelvic abdomen presents with complications mostly affecting the small bowel. The aim of this study was to define the features of early radiation-induced injury on small bowel. Methods. 54 mice were divided into two groups (36 irradiated and 18 sham irradiated). Animals were placed on a special frame and (in the radiated group) the exteriorized segment of ileum was subjected to a single absorbed dose of 19 or 38 Gy radiation using 6 MV high energy photons. Specimens were collected for histology, immunohistochemistry (IHC) and ELISA analysis after 2, 24 and 48 hours. Venous blood was collected for systemic leucocyte count in a Burker chamber. Results. Histology demonstrated progressive infiltration of inflammatory cells with cryptitis and increased apoptosis. MIP-2 (macrophage inflammatory protein) concentration was significantly increased in irradiated animals up to 48 hours. No significant differences were observed in IL-10 (interleukin) and TNF-α (tumour necrosis factor) levels. IHC with CD45 showed a significant increase at 2 hours of infiltrating leucocytes and lymphocytes after irradiation followed by progressive decrease with time. Caspase-3 expression increased significantly in a dose dependent trend in both irradiated groups up to 48 hours. Conclusion. Acute small bowel injury caused by local irradiation is characterised by increased apoptosis of crypt epithelial cells and by lymphocyte infiltration of the underlying tissue. The severity of histological changes tends to be dose dependent and may affect the course of tissue damage.</p>}},
  author       = {{Polistena, Andrea and Johnson, Louis Banka and Ohiami-Masseron, Salomé and Wittgren, Lena and Bäck, Sven and Thornberg, Charlotte and Gadaleanu, Virgil and Adawi, Diya and Jeppsson, Bengt}},
  issn         = {{1471-2482}},
  language     = {{eng}},
  month        = {{01}},
  publisher    = {{BioMed Central (BMC)}},
  series       = {{BMC Surgery}},
  title        = {{Local radiotherapy of exposed murine small bowel : Apoptosis and inflammation}},
  url          = {{http://dx.doi.org/10.1186/1471-2482-8-1}},
  doi          = {{10.1186/1471-2482-8-1}},
  volume       = {{8}},
  year         = {{2008}},
}