Mechanisms of radiation-induced craniofacial bone growth inhibition and possibilities of cytoprotection

Autor: La Scala, Giorgio
Jazyk: angličtina
Rok vydání: 2012
Předmět:
Craniofacial bone growth
Male
Bone Development/*drug effects/*radiation effects
Histology
Cephalometry
Histopathology
Osteoblasts/drug effects/radiation effects
Facial Bone/radiation effects
Zygoma/drug effects/radiation effects
Random Allocation
Amifostine
Orbit/growth & development/radiation effects/radiography
Radiation Injuries
Experimental/*physiopathology

Skull/growth & development/radiation effects
Growth/radiation effects
Radiation/adverse effects
Animals
Radiation-Protective Agents/*pharmacology
Radiation Injuries
Dose Fractionation
Cells
Cultured

Hemodynamics/*radiation effects
Periosteum/cytology/drug effects/radiation effects
Radiation protection
Radiation-protective agents
Zygoma
Bone Development
Radiation
Zygoma/growth & development/radiation effects/radiography
Head and Neck Neoplasms/radiotherapy
Rabbits/radiation effects
Skull/growth and development
Facial Bone/growth and development
Orbit/drug effects/radiation effects
Cytoprotection
Amifostine/*pharmacology
Radiation-Protective Agents/pharmacology/*therapeutic use
Models
Animal

Amifostine/pharmacology/*therapeutic use
Radiation Protection/drug effects
Facial Bones/drug effects/*growth & development/*radiation effects
Rabbits
Tomography
X-Ray Computed

Orbit
Mandible/radiography
DOI: 10.13097/archive-ouverte/unige:21690
Popis: Malignancies are frequently located in the head and neck region in children; their management usually requires radiotherapy, which has severe consequences on the growth of the craniofacial skeleton. The purpose of this work is to investigate the effects of radiation in the growing craniofacial skeleton in a rabbit model in vivo and in vitro and the possibilities of growth preservation using the cytoprotective drug Amifostine. The effects of radiation were studied in a single-dose radiation model, then in a more clinically-relevant fractionated-dose radiation model. Both radiation administration modes produced significant bone growth impairment. Administration of Amifostine prior to radiation significantly preserved craniofacial growth; this did not appeared to be related to vascularity as we did not demonstrated histomorphometric vessel changes or long-lasting changes in blood flow. Amifostine- treated animals had increased osteoblast counts, and improved bone turn-over compared to unprotected animals. In vitro, Amifostine enhanced the number of surviving cells after irradiation. This work suggests that radioprotection offers a viable pathway for the prevention of radiation-induced craniofacial bone growth inhibition and ensuing deformities.
Databáze: OpenAIRE