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Radiation Induced Late Damage to the Barrier Function of Small Blood Vessels in Mouse Bladder

医学 马森三色染色 白蛋白 势垒函数 三色 病理 血管 染色 内科学 H&E染色 生物 细胞生物学
作者
Jana Jaal,Wolfgang Dörr
出处
期刊:The Journal of Urology [Lippincott Williams & Wilkins]
卷期号:176 (6): 2696-2700 被引量:36
标识
DOI:10.1016/j.juro.2006.07.138
摘要

No AccessJournal of UrologyInvestigative urology1 Dec 2006Radiation Induced Late Damage to the Barrier Function of Small Blood Vessels in Mouse Bladder Jana Jaal, and Wolfgang Dörr Jana JaalJana Jaal Department of Radiotherapy and Radiation Oncology, Medical Faculty Carl Gustav Carus, University of Technology of Dresden, Dresden, Germany , and Wolfgang DörrWolfgang Dörr Experimental Centre, Medical Faculty Carl Gustav Carus, University of Technology of Dresden, Dresden, Germany View All Author Informationhttps://doi.org/10.1016/j.juro.2006.07.138AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We identified changes in vascular barrier function in relation to collagen deposition during the late radiation response of mouse bladders. In this study albumin leakage was assessed as a marker of blood vessel barrier disruption. Materials and Methods: Female C3H/Neu mice were irradiated with a single dose of 20 Gy and sacrificed for (immuno) histological studies after 90, 120, 180, 240 and 360 days. The fractional area of subepithelial tissue with extravascular albumin signal was defined. Moreover, the amount of collagen was determined after Masson's trichrome staining on an arbitrary score of 0 to 3. Results: Subepithelial albumin infiltration due to leakage from the blood vessels was seen in irradiated animals during the entire late phase. It was most pronounced at days 120 and 180 after treatment (vs control p <0.0001). Similarly an increase in collagen deposition in the bladder wall was seen during the whole late radiation phase but with increasing values toward the end of the experiment (day 360 vs control p <0.0001). Conclusions: Irradiation of the bladder results in late damage to the barrier function of small subepithelial blood vessels, causing pronounced albumin leakage at the early steps of the chronic radiation reaction, clearly preceding excessive collagen deposition in the bladder wall. Current data suggest a vascular component in the development of late radiation induced changes in the bladder. References 1 : Radiation response and tolerance of normal tissues. In: Basic Clinical Radiobiology. Edited by . London: Arnold2002: 40. chapt. 4. Google Scholar 2 : The short-term effect of pelvic irradiation for gynecologic malignancies on bladder function. Obstet Gynecol1987; 70: 81. Google Scholar 3 : Radiation induced inflammatory changes in the mouse bladder: the role of cyclooxygenase-2. J. Urol2006; 175: 1529. Link, Google Scholar 4 : Early and long term effects of radiation on ICAM-1 expression in mouse urinary bladder endothelium. Int J Radiat Biol2005; 81: 387. Google Scholar 5 : The response of the urinary bladder, urethra, and ureter to radiation and chemotherapy. Int J Radiat Oncol Biol Phys1995; 31: 1257. Google Scholar 6 : The pathology of ionizing radiation as defined by morphologic patterns. Acta Oncol2005; 44: 13. Google Scholar 7 : Early radiation-induced endothelial cell loss and blood-spinal cord barrier breakdown in the rat spinal cord. Radiat Res2004; 161: 143. Google Scholar 8 : Role of leukocyte-endothelial cell adhesion in radiation-induced microvascular dysfunction in rats. Gastroenterology1995; 108: 1761. Google Scholar 9 : Use of steroids to suppress vascular response to radiation. Int J Radiat Oncol Biol Phys1987; 13: 563. Google Scholar 10 : Increased expression of collagen types I and III in human skin as a consequence of radiotherapy. Arch Dermatol Res2002; 294: 178. Google Scholar 11 : Modification of collagen and noncollagenous proteins in radiation-induced muscular fibrosis. Exp Mol Pathol1988; 48: 273. Google Scholar 12 : Differential expression of collagen types I and III in consequential and primary fibrosis in irradiated mouse colon. Radiat Res1995; 144: 318. Google Scholar 13 : Structural changes in the auricles of the rat heart after local ionizing irradiation. Radiother Oncol2001; 58: 303. Google Scholar 14 : Histological changes after fractionated whole or partial irradiation of the rabbit urinary bladder. Acta Oncol1995; 34: 199. Google Scholar 15 : Radiation-induced changes in transforming growth factor-beta and collagen expression in the murine bladder wall and its correlation with bladder function. Radiat Res1996; 146: 619. Google Scholar 16 : Late functional response of mouse urinary bladder to fractionated X-irradiation. Int J Radiat Oncol Biol Phys1999; 75: 1307. Google Scholar 17 : Vascular and epithelial damage in the lung of the mouse after X rays or neutrons. Radiat Res1989; 117: 128. Google Scholar 18 : Control of radiation-induced pneumopathy and lung fibrosis by angiotensin-converting enzyme inhibitors and an angiotensin II type 1 receptor blocker. Int J Radiat Biol2000; 76: 523. Google Scholar 19 : Experimental evidence to support the hypothesis that damage to vascular endothelium plays the primary role in the development of late radiation-induced CNS injury. Br J Radiol2004; 77: 488. Google Scholar © 2006 by American Urological AssociationFiguresReferencesRelatedDetailsCited ByLinder B, Umbreit E, Larson D, Dozois E, Thapa P and Elliott D (2018) Effect of Prior Radiotherapy and Ablative Therapy on Surgical Outcomes for the Treatment of Rectourethral FistulasJournal of Urology, VOL. 190, NO. 4, (1287-1291), Online publication date: 1-Oct-2013. Volume 176Issue 6December 2006Page: 2696-2700 Advertisement Copyright & Permissions© 2006 by American Urological AssociationKeywordsblood vesselsserum albuminradiotherapyfibrosisbladderMetricsAuthor Information Jana Jaal Department of Radiotherapy and Radiation Oncology, Medical Faculty Carl Gustav Carus, University of Technology of Dresden, Dresden, Germany More articles by this author Wolfgang Dörr Experimental Centre, Medical Faculty Carl Gustav Carus, University of Technology of Dresden, Dresden, Germany More articles by this author Expand All Advertisement PDF DownloadLoading ...

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