Mammalian Target of Rapamycin Inhibition With Rapamycin Mitigates Radiation-Induced Pulmonary Fibrosis in a Murine Model

Autor: Angela Thetford, Grace McKay-Corkum, Deborah Citrin, Su I. Chung, Anastasia L. Sowers, Eun Joo Chung, James B. Mitchell
Rok vydání: 2016
Předmět:
0301 basic medicine
Cancer Research
Pathology
medicine.medical_specialty
medicine.medical_treatment
Interleukin-1beta
Radiation-Protective Agents
Pharmacology
Radiation Tolerance
Article
Mice
03 medical and health sciences
0302 clinical medicine
Transforming Growth Factor beta
Fibrosis
Pulmonary fibrosis
medicine
Animals
Radiology
Nuclear Medicine and imaging

Fibroblast
Lung
Cellular Senescence
Sirolimus
Radiation
biology
business.industry
Macrophages
TOR Serine-Threonine Kinases
Transforming growth factor beta
beta-Galactosidase
medicine.disease
Extracellular Matrix
Mice
Inbred C57BL

Radiation Pneumonitis
Hydroxyproline
030104 developmental biology
medicine.anatomical_structure
Cytokine
Oncology
Alveolar Epithelial Cells
030220 oncology & carcinogenesis
biology.protein
Female
business
Transforming growth factor
medicine.drug
Zdroj: International Journal of Radiation Oncology*Biology*Physics. 96:857-866
ISSN: 0360-3016
DOI: 10.1016/j.ijrobp.2016.07.026
Popis: Purpose Radiation-induced pulmonary fibrosis (RIPF) is a late toxicity of therapeutic radiation. Signaling of the mammalian target of rapamycin drives several processes implicated in RIPF, including inflammatory cytokine production, fibroblast proliferation, and epithelial senescence. We sought to determine if mammalian target of rapamycin inhibition with rapamycin would mitigate RIPF. Methods and Materials C57BL/6NCr mice received a diet formulated with rapamycin (14 mg/kg food) or a control diet 2 days before and continuing for 16 weeks after exposure to 5 daily fractions of 6 Gy of thoracic irradiation. Fibrosis was assessed with Masson trichrome staining and hydroxyproline assay. Cytokine expression was evaluated by quantitative real-time polymerase chain reaction. Senescence was assessed by staining for β-galactosidase activity. Results Administration of rapamycin extended the median survival of irradiated mice compared with the control diet from 116 days to 156 days ( P =.006, log-rank test). Treatment with rapamycin reduced hydroxyproline content compared with the control diet (irradiation plus vehicle, 45.9 ± 11.8 μg per lung; irradiation plus rapamycin, 21.4 ± 6.0 μg per lung; P =.001) and reduced visible fibrotic foci. Rapamycin treatment attenuated interleukin 1β and transforming growth factor β induction in irradiated lungs compared with the control diet. Type II pneumocyte senescence after irradiation was reduced with rapamycin treatment at 16 weeks (3-fold reduction at 16 weeks, P Conclusions Rapamycin protected against RIPF in a murine model. Rapamycin treatment reduced inflammatory cytokine expression, extracellular matrix production, and senescence in type II pneumocytes.
Databáze: OpenAIRE