Histopathological and morphometric analyses of late rectal injury after irradiation

The aim of the present study was to assess and quantify changes in the structural components of the rectal wall after irradiation with varying single doses of x-rays. A total of 70 CDF1/Bom male mice were irradiated at a selective 1.5 cm of the distal rectum with varying single doses of 0-30 Gy. At 32 weeks postirradiation the mice were sacrificed and the rectum was removed. Sampling of the specimens was based on unbiased stereological principles using systematic random sampling. Vertical tissue sections were used to estimate mucosal surface area density and to measure the thickness and volume fraction of the different intestinal wall layers. The surface area density decreased with increasing dose (p<0.02) due to pronounced injury of the crypts and mucosal morphology. The thickness and the volume fraction of the submucosa were significantly increased in the 20, 25 and 30 Gy treatment groups (p<0.0001 and p<0.0001), whereas the thicknesses of the mucosa, the lamina muscularis propria and the serosa did not change after irradiation. It is concluded that irradiation causes histopathological changes in the rectal mucosa and submucosa, and changes in the thickness of the submucosal intestinal layer. These changes were found to be dose-dependent.     

Role of type II pneumocytes in pathogenesis of radiation pneumonitis: dose response of radiation-induced lung changes in the transient high vascular permeability period.

We studied the dose response of pulmonary changes at 3 weeks after 1-25 Gy irradiation and we investigated the effects of an anti-inflammatory drug. Wistar rats were given a single dose of 1-25Gy irradiation to the thorax. Group one was treated with saline only, while group two was administered subcutaneously a combination of pentoxifylline (35 mg/kg) and dexamethasone (1 mg/kg) twice per week. Lungs were examined histochemically and number of neutrophile granulocytes, alveolar septal thickness, air/tissue ratio, number of alveoli per field, number of type II pneumocytes per alveolus, and occludin 1 expression were measured. A significant dose-dependent depletion of type II pneumocytes was found after irradiation with a dose of 1 Gy and higher. Alveolar neutrophils increased after 1 Gy with a dose dependency noted after 10-25Gy and alveolar septa thickening followed 5-25 Gy. A lower occludin 1 expression was observed in animals irradiated with the doses of 5 20 Gy, indicating an effect on vascular permeability. Anti-inflammatory therapy partially inhibited the increase of neutrophils at all radiation doses and the depletion of type II pneumocytes after doses of 1, 10, and 15 Gy. Occludin 1 did not decrease in the lungs of rats treated with the anti-inflammatory drugs as it did in most rats treated only with saline. Our results suggest that pneumocytes depletion is a major factor responsible for radiation pneumonitis development and that these changes may be compensated for provided radiation doses are below the threshold.     

致死剂量的γ线照射后小鼠胸腺淋巴细胞的凋亡规律及与bax、bcl-2和Bcl-XL表达的关系

目的：观察致死剂量γ线照射后小鼠胸腺淋巴细胞凋亡特征及与Bax、Bcl-2和Bcl-XL蛋白和mRNA表达的关系，为急性重度以上放射病的治疗提供依据。方法：清洁级C57小鼠250只，随机分为0、6、9、12、15和20 Gy6个剂量组.经γ线全身1次照射后，于照射后1～28d和3～12个月，活杀取胸腺和外周血，用原位末端标记(TUNEL)和麦格-姬姆萨(MGG)染色检测胸腺淋巴细胞的凋亡：用原位杂交和碱性磷酸酶免疫组化染色法，检测Bax、Bcl-2和Bcl-XL mRNA和其蛋白的表达。结果.(1)各剂量组小鼠外周血白细胞在照射后6h，出现一过性的升高，以后迅速下降.6Gy照射后7d降至最低，至照射后28d基本恢复到正常水平：(2)不同剂量的γ线照射后24h，胸腺淋巴细胞的凋亡率迅速升高；在6～12Gy范围内与照射的剂量呈正比，≥15Gy照射后变化不明显。(3)6Gy照射后24h，胸腺淋巴细胞的凋亡率达高峰，而后开始降低；但直至照射后6个月和12个月，凋亡率仍明显高于对照组。(4)6Gy照射后3h，胸腺淋巴细胞中Bax蛋白的表达即出现增加，至24h达峰值，显示出时效关系；而Bcl-2蛋白于照射后3h即明显下降，24h降至最低；Bcl-XL蛋白也在照射后24h降至最低。bax和bel-2 mRNA的检测与蛋白水平的检测一致。结论：经6～12 Gy照射后，淋巴细胞的凋亡与照射剂量成正比，≥15 Gy照射后凋亡率下降，提示≤12 Gy照射后胸腺淋巴细胞的凋亡是其死亡的主要方式。促凋亡蛋白Bax表达的增加及抗凋亡蛋白Bcl-XL表达的下降，与照射剂量和淋巴细胞的凋亡率呈现较好的对应关系，提示它们在致死剂量的照射所致胸腺淋巴细胞凋亡的调控中起着重要作用。     

Incidental anorectal pathologic findings in prostatic needle core biopsies: a 13-year experience from a genitourinary pathology consult service

Fragments of anorectal mucosa are frequently present in transrectal prostate core biopsy specimens. Pathologic findings within the anorectal mucosa are easily overlooked, in part because of their rarity and because anorectal mucosa is not the focus of examination. We reviewed pathologic reports of 96 656 prostate biopsies diagnosed in our consultation service from 1997 to 2010. Anorectal lesions were detected in 30 cases, which were summarized as follows: (1) Neoplasia and polyps (n = 10). A flat rectal adenoma with high-grade dysplasia was identified, for which the patient received hemicolectomy. One patient was found to have a rectal carcinoid tumor. Other neoplastic findings included 1 with low-grade B-cell lymphoma, 3 with hyperplastic polyps, 3 with tubular adenomas, and 1 with anal mucosa with high-grade dysplasia that was found to be a contaminant from another case. (2) Inflammatory changes (n = 20). Acute proctitis was found in 12 patients, including 1 with acute radiation proctitis, 2 with inflammatory bowel disease, and 9 with nonspecific proctitis probably due to bowel preparation. Pulse granulomas and nonnecrotizing granulomas were seen in 5 patients, including 3 with diverticular disease, 1 with history of perirectal fistula, and 1 with unknown etiology. Three patients had miscellaneous findings including muciphage reaction, increased eosinophils, and features of collagenous colitis. In conclusion, it is exceedingly rare to find significant pathology in the rectal fragments associated with prostate needle biopsies. Nevertheless, pathologists should evaluate the rectal mucosa for both neoplastic and inflammatory changes to avoid missing clinically significant anorectal diseases.     

血清内皮素-1作为早期放射性肺损伤标志物的探讨

目的:探讨内皮素-1(ET-1)作为一种早期放射性肺损伤诊断及病情变化的血清学标志物的可能性。方法:将190只雌性SD大鼠随机分为正常对照组(C组)和实验组,即:放射组(R组)、氟代他汀(Flu)干预组(Flu组)、维甲酸干预组(Ra组)及地塞米松(Dex)干预组(Dex组)。实验组大鼠麻醉固定后,用直线加速器全胸照射15Gy1次,剂量率为2Gy/min,距离为1m。从照射后次日开始,Flu组经胃灌服Flu(20mg·kg-1·d-1),Ra组灌服Ra(20mg·kg-1·d-1),Dex组灌服Dex(3.33mg·kg-1·d-1),C及R组均灌服等量的生理盐水。各组分别于照射后5、15、30、60d,将大鼠分批断头或经心内穿刺取血,分离血清;同时切取肺组织,用放射测定法(RIA)分别测定ET1,层黏连蛋白(LN)及透明质酸(HA)的水平;同时观察肺部的病理变化。结果:与C组相比较,R组大鼠血清ET-1的水平于照射后第5天开始升高(P<0.05),尔后随着放射性肺损伤的加重逐渐升高,于照射后60d检测达高峰。R组大鼠血清LN的水平于照射后30d开始升高,HA于照射后60d开始升高。R组大鼠血清ET-1水平的升高明显早于其他各组,且同放射性肺损伤的病理变化的程度相关。结论:血清ET-1可作为放射性肺损伤早期诊断及动态监测病情变化的一种标志物。     

60Coγ射线全身照射后大鼠脑NOS表达变化及其与神经再生的关系

目的 研究大鼠经^60Coγ全身照射致中枢神经系统损伤后，神经再生过程中NOS表达变化规律，初步探讨NOS表达变化对神经损伤后再生的影响及意义。方法 旋转式^60Coγ射线一次性全身低剂量照射，NDP组化染色。结果 大鼠经8Gy^60Coγ射线全身照射1周后，大脑皮质、基底核、丘脑和下丘脑的大部分核团NOS呈中等强度阳性表达，照射后第4周，以上脑区NOS水平明显升高，照射后第7周NOS的阳性表达逐渐减弱，但仍高于正常水平。正常对照组大鼠除海马锥体细胞层有较强的阳性标记外，其它脑区仅有弥散的NOS弱阳性标记。结论 ^60Coγ射线全身照射致大鼠脑损伤后NOS表达增强，提示NOS可能在对应的损伤神经元结构再生和突触重建过程中发挥重要作用。     

Effect of dose rate on the radiation-induced bystander response

Radiation-induced biological bystander effects have become a well-established phenomenon associated with the interaction of radiation with cells. These so-called bystander effects have been seen across a variety of end points for both high and low linear energy transfer (LET) radiations, utilizing a variety of dose rates and radiation sources. In this study, the effect of dose rate and different low LET sources on the bystander cell survival fraction (SF) was examined. The cell line investigated was the human keratinocyte HPV-G. The bystander response was measured via clonogenic assay after medium transfer protocol. Cells were irradiated using (60)Co gamma-rays and 20 MeV electrons at doses of 0.5, 5 and 10 Gy with varying dose rates. Both gamma and electron irradiation decreased recipient SF at 0.5 Gy and 5 Gy, respectively. Subsequent recovery of the SF to control levels for 10 Gy was observed. There was no dose rate dependence for (60)Co irradiation. A significant difference in the survival fraction was observed for electron irradiation at 10 Gy and a high dose rate. Furthermore, survival fractions were compared between (60)Co and 20 MeV electron irradiations. This showed a significant increase in the survival fraction 'recovery' at 10 Gy for a (60)Co dose rate of 1.1 Gy min(-1) compared to 20 MeV electrons at 1.0 Gy min(-1). No such difference was observed when comparing at higher dose rates. Lastly, increases in survival fraction at 10 Gy were abolished and the SF decreased by the plating of increased numbers of recipient cells. Such evidence may help gain insight into the nature and mechanism(s) surrounding bystander signal production, how these phenomena are tested and their eventual application in a clinical setting.     

Acute and late radiation injury in rhesus monkey parotid glands. Evidence of interphase cell death.

Acute and chronic salivary gland dysfunction are common sequelae of radiotherapy for head and neck cancer; but the associated morphologic changes, especially of the acute damage, have received relatively little study. For investigation of the morphologic characteristics of acute radiation injury to parotid glands, rhesus monkeys were studied 1-72 hours after parotid irradiation with single doses of 2.5-15.0 Gy. The acute damage from all doses was clearly expressed by 24 hours. Histologically, parotid glands irradiated with 2.5 or 5.0 Gy had random degeneration and necrosis of the serous acinar cells. Doses of 7.5-15.0 Gy produced widespread degeneration along with necrosis of whole acini. Serous cell damage was accompanied by neutrophilic inflammation that subsided after 24 hours to become replaced by plasma cell and lymphocytic infiltrates. Parotid glands receiving 7.5-15.0 Gy were atrophic at 16-22 weeks after irradiation and showed no recovery by 40 weeks. Although parotid acinar cells are well-differentiated nondividing cells, these observations show that they express lethal radiation injury in interphase within hours of receiving a radiation dose as low as 2.5 Gy. This is unlike most mammalian cells that express radiation injury during mitosis. Chronic atrophy is a consequence of this direct, irreversible, and early injury, rather than the result of radiation-induced changes in the vasculature.     

X线对仔鼠胃组织结构及总抗氧化能力、谷胱甘肽过氧化物酶和谷胱甘肽还原酶活性的影响

目的 观察X线辐射后仔鼠胃组织结构和总抗氧化能力(T-AOC)、谷胱甘肽过氧化物酶(GSH-PX)、谷胱甘肽还原酶(GR)的动态变化,为电离辐射防护提供实验依据.方法 对160只仔鼠(出生6～7d)用不同吸收剂量(0Gy、1Gy、3Gy、5Gy、7Gy) X线进行全身辐射,分别于辐射后1d、5d、10d和20d,用比色法检测仔鼠胃组织中T-AOC、GSH-PX、GR酶活性的变化,用显微技术观察仔鼠胃组织结构的变化.结果 1Gy辐射组仔鼠胃T-AOC活性在1～20d时高于对照组,差异显著(P＜0.05),GR活性在1～10d时高于对照组,差异显著(P＜0.05),其他各辐射组T-AOC和GR在辐射后始终低于对照组,差异显著或极显著(P＜0.05或P＜0.01);1Gy辐射组仔鼠胃GSH-PX活性在辐射后1d时低于对照组,差异显著(P＜0.05),以后高于对照组,差异显著(P＜0.05);3Gy辐射组GSH-PX在辐射后1d时高于对照组,差异显著(P＜0.05),以后始终低于对照组,差异显著或极显著(P＜0.05或P＜0.01);其他各辐射组GSH-PX活性始终低于对照组,差异极显著(P＜0.01).随着辐射剂量的增大,实验组仔鼠胃黏膜上皮和腺体均有不同程度的变化,上皮肿胀、空泡化、脱落,胃底腺细胞排列松散、部分降解,胃出血.结论 X线辐射影响仔鼠胃组织结构,这可能与胃抗氧化酶活性降低有关.     

TNF-α在中子及γ线照射小鼠肠组织中的表达

目的:比较小鼠经中子及γ线照射后,肠组织中TNF-α的表达及其意义。方法:350只二级雄性BALB/c小鼠,经不同剂量的中子和γ线照射,于照后6、12h,1、2、3、4、5、7、10、14、21、28d分批活杀,采用免疫组化染色等技术观察TNF-α在肠组织中的变化。结果:在正常肠黏膜中,TNF-α主要见于肠绒毛间质、黏膜下及淋巴组织中巨噬细胞浆内;2.5Gy中子照后2d内,上述阳性部位TNF-α的表达进行性减少;3~7d其在巨噬细胞及隐窝细胞浆内的表达明显增加,5d达高峰,14d恢复至正常水平。4.0、5.5Gy中子及12Gyγ线照射后4d内,TNF-α的表达进行性减少;γ线5.5Gy照后6~12h,TNF-α的表达增多,照后1d减少,2~5d增加,3d达高峰,10d恢复至正常水平。TNF-α的表达在肠黏膜损伤时减少,于损伤后恢复的早期增多。结论:中子和γ线照后,肠内源性TNF-α表达具有不同的变化规律,并参与了肠放射损伤及修复的病理生理过程。     

Apoptosis of circulating lymphocytes induced by whole body gamma-irradiation and its mechanism.

We studied the apoptosis of mousecirculating lymphocytes and its mechanism induced by 2, 4, 6, and 8 Gy of whole-body gamma-irradiation and the expression of bax and bcl-2 gene products as related to apoptosis. We found that, in the early stage after irradiation (4th-7th day), the percentage of lymphocyte apoptosis increased rapidly. Four hours after 2, 4, 6, and 8 Gy of gamma-irradiation, the apoptotic lymphocytes were 2.6, 3.8, 5.5, and 10.4 times those in the controls, respectively. A good correlation was found between the intensity of apoptosis and the radiation dose. As the radiation dose increased, the absolute counts of peripheral lymphocytes decreased sharply; 4 hours after 2, 4, 6, and 8 Gy of gamma-irradiation, the lymphocyte counts were 82, 63, 47, and 22% of the controls, respectively. The peak value of lymphocyte apoptosis was observed on the 7th day after irradiation using the in situ terminal labeling method, and the apoptotic lymphocytes were found to be 16 times the number in the controls. These results were in accordance with those obtained by the May-Grünwald-Giemsa staining method. The absolute counts of peripheral lymphocytes dropped to their lowest value on the 7th day after irradiation, suggesting that lymphocyte apoptosis might be the major cause of lymphocytopenia in the early stage after irradiation. The abnormal expression of bax and bcl-2 gene products in irradiated lymphocytes was closely related to apoptosis in peripheral lymphocytes.     

Hemopoietic progenitor cells in the blood as indicators of the functional status of the bone marrow after total-body and partial-body irradiation: experiences from studies in dogs

The granulocyte-macrophage colony-forming cells (GM-CFC) were studied in the blood of dogs to evaluate their relationship to the bone marrow GM-CFC under normal conditions and their involvement in hemopoietic regeneration after different types of exposure to ionizing radiation. The GM-CFC could be defined as regular blood elements showing characteristic levels of their concentration in individual dogs in the range from 20 to 300 cells per ml. In relative terms, the GM-CFC numbers present in the whole blood of normal dogs were found to be on the order of 0.1% of the GM-CFC numbers present in the bone marrow. A small fraction of the GM-CFC population in the bone marrow, i.e., about 1%, can be mobilized into the peripheral blood within three h by intravenous injection of dextran sulfate (DS). These cells are characterized by a small size and a low S-phase fraction similar to the GM-CFC that are normally present in the blood. Total-body irradiation with single doses of 0.8 Gy and more caused a characteristic pattern of sequential changes in the blood GM-CFC concentration that were related to the recovery of the bone marrow GM-CFC population. The blood GM-CFC concentration showed an extreme depression within the first 15 days, a transient increase from day 17 to day 35 and remained at subnormal values for several weeks and months. The regeneration of the GM-CFC population in the bone marrow that could be mobilized into the blood by DS was similarly delayed as the recovery of the blood GM-CFC values. In dogs which were kept under continuous radiation exposure (0.019 Gy/day) causing permanent damage to the hemopoietic system, the GM-CFC numbers in the blood remained permanently depressed. Partial-body irradiation of dogs with a myeloablative dose (11.7 Gy) given to the anterior part of their body was followed by sequential changes in the blood GM-CFC concentration specific for this type of exposure. The pattern of changes was determined by direct radiation effects, the compensatory responses in the protected bone marrow and the regeneration events in the irradiated bone marrow. On the other hand, it could be shown that the repopulation and the restoration of the hemopoietic tissue is initiated by the seeding of hemopoietic cells (including GM-CFC) from the protected marrow.     

Adaptive responses induced by low dose radiation in dentate gyrus of rats

The purpose of this study is to investigate the mechanism of alternative responses to low dose irradiation for neuronal cell proliferation in the dentate gyrus of rats. To determine the effect of a single exposure to radiation, rats were irradiated with a single dose of 0.1, 1, 10 or 20 Gy. To determine the effect of the cumulative dose, the animals were irradiated daily with 0.01 Gy or 0.1 Gy from 1 to 4 days. The neuronal cell proliferation was evaluated using immunohistochemistry for 5-bromo-2'-deoxyuridine (BrdU), Ki-67 and terminal deoxynucleotidyl transferase-mediated dUTP nick end-labeling (TUNEL) staining. Four consecutive daily irradiations with a 0.01 Gy/fraction increased the number of BrdU-positive and Ki-67-positive cells in a dose dependent manner, but this did not affect the number of TUNEL-positive cells. However, there was not a dose dependent relationship for the 0.1 Gy/fraction irradiation with the number of BrdU, Ki-67 and TUNEL positive cells. Our data support the explanation that the adaptive response, induced by low-dose radiation, in the hippocampus of rats is more likely a reflection of the perturbations of cell cycle progression.     

Mast cells are an essential component of human radiation proctitis and contribute to experimental colorectal damage in mice

Radiation proctitis is characterized by mucosal inflammation followed by adverse chronic tissue remodeling and is associated with substantial morbidity and mortality. Mast cell hyperplasia has been associated with diseases characterized by pathological tissue remodeling and fibrosis. Rectal tissue from patients treated with radiotherapy shows mast cell hyperplasia and activation, suggesting that these cells play a role in the development of radiation-induced sequelae. To investigate the role of mast cells in radiation damage, experimental radiation proctitis was induced in a mast cell-deficient (W(sh)/W(sh)) mouse model. The colon and rectum of W(sh)/W(sh) and wild-type mice were exposed to 27-Gy single-dose irradiation and studied after 2 and 14 weeks. Irradiated rodent rectum showed mast cell hyperplasia. W(sh)/W(sh) mice developed less acute and chronic rectal radiation damage than their control littermates. Tissue protection was associated with increased tissue neutrophil influx and expression of several inflammatory mediators immediately after radiation exposure. It was further demonstrated that mast cell chymase, tryptase, and histamine could change human muscularis propria smooth muscle cells into a migrating/proliferating and proinflammatory phenotype. These data show that mast cells have deleterious effects on both acute and chronic radiation proctitis, possibly by limiting acute tissue neutrophil influx and by favoring phenotypic orientation of smooth muscle cells, thus making them active participants in the radiation-induced inflammatory process and dystrophy of the rectal wall.     

Effects of Aegle marmelos (L.) Correa on the peripheral blood and small intestine of mice exposed to gamma radiation.

The radioprotective effect of bael (Aegle marmelos, AME) extract was studied in Swiss albino mice against radiation-induced changes in the peripheral blood, spleen colony forming units, and intestinal mucosa. The mice were treated with 250 mg/kg body weight of AME orally once daily for five consecutive days before exposure to an acute dose of 7 Gy of gamma radiation after the last administration. The peripheral blood was collected and evaluated for red blood cell (RBC), hemoglobin, total leukocyte count (TLC), and lymphocyte count on days one and seven postirradiation. The nucleated bone marrow cells were isolated and tested for colony-forming units (CFUs) in spleen at days one and seven. AME protected mice against the radiation-induced decline in hemoglobin, total leukocyte, and lymphocytes counts and the clonogenicity of hemopoietic progenitor cells assessed by the exogenous spleen colony-forming assay. Irradiation of mice caused a significant decline in the villus height and crypt number with an increase in goblet and dead cells in the small intestine, where the maximum changes were observed on day one postirradiation, indicating a severe damage, and signs of recovery at day seven postirradiation. Treatment of mice with AME before irradiation elevated the peripheral cell count as well as villus height and the crypt number accompanied by a decline in goblet and dead cells when compared with the irradiation control. The recovery and regeneration were faster in AME pretreated animals than the irradiation alone. AME pretreatment significantly decreased lipid peroxidation accompanied by a significant elevation in the GSH concentration in the mouse intestine. The data clearly indicate that the AME significantly reduced the deleterious effect of radiation in the intestine and bone marrow of mouse and could be a useful agent in reducing the side effects of therapeutic radiation.     

The Effect of Probiotics for Preventing Radiation-Induced Morphological Changes in Intestinal Mucosa of Rats

Radiation therapy is an important treatment modality for abdominal or pelvic cancer, but there is a common and serious complication such as radiation-induced enteritis. Probiotics is reported to have positive effects against radiation-induced enteropathy. In this study, morphological changes of bowel mucosa were analyzed in rats to presume the effect of probiotics on radiation-induced enteritis and its correlation with radiation dose. A total of 48 adult male Sprague-Dawley rats were randomly assigned to two groups and received a solution containing 1.0×10⁸ colony-forming units of Lactiobacillus acidophilus or water once daily for 10 days. Each of two groups was divided into three subgroups and abdomino-pelvic area of each subgroup was irradiated with 10, 15, and 20 Gy, respectively on the seventh day of feeding the solutions. All rats were sacrificed 3 days after irradiation and the mucosal thickness and villus height of jejunum, ileum and colon were measured. The morphological parameters of the small intestine represented significant differences between two solution groups irradiated 10 or 15 Gy, except for villus height of jejunum in 15 Gy-subgroup (P=0.065). There was no significant morphometric difference between two groups irradiated with 20 Gy of radiation. Probiotics appear to be effective for the morphological shortening of small intestinal mucosa damaged by radiation less than or equal to 15 Gy.

Graphical Abstract

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非黏附骨髓源干细胞治疗急性放射损伤

背景：目前对于辐射剂量超过8 Gy的急性放射病尚缺乏有效的治疗方案,间充质干细胞可以分泌多种造血因子、重建造血,在放射损伤救治中具有重要意义。 目的：探讨非黏附骨髓源干细胞在8.5 Gy X射线照射所致急性骨髓型放射损伤救治中的作用及作用机制。 方法：取胎儿四肢长骨的非黏附骨髓源干细胞,分析其麦面抗原,细胞周期,成骨和成脂分化潜能,以及血管内皮生长因子及Annexin A2表达。BALB/C小鼠受8.5 Gy一次性全身均匀X射线照射后随机分成骨髓源干细胞组和对照组,骨髓源干细胞组小鼠在X射线照射2 h内经尾静脉输注含3×106 CFDA-SE标记的人非黏附骨髓源干细胞的细胞悬液0.3 mL,对照组小鼠在X射线照射2 h内输注0.3 mL生理盐水。观察骨髓源干细胞的分布情况、小鼠的存活率、白细胞变化、骨髓病理变化及骨髓中新生血管形成情况。 结果与结论：X射线照射后移植的非黏附间充质干细胞可以向损伤部位归巢;骨髓源干细胞组小鼠存活率明显高于对照组;与对照组相比,骨髓源干细胞组小鼠外周血白细胞计数下降慢且恢复迅速,X射线照射后14 d左右达最低,30 d基本恢复至正常水平。X射线照射后21 d,骨髓源干细胞组骨髓增生活跃,骨髓腔内新生造血灶显著多于对照,血管密度亦显著高于对照组。说明人胎儿非黏附骨髓源干细胞促进急性放射损伤小鼠骨髓内新生血管形成,改善并加快受损小鼠造血功能的恢复。     

Acute radiation sickness in experiment. Efficacy of mexidol

Experiments on mice were made to examine mexidol effects on the course and outcome of acute radiation sickness (ARS). Regenerative processes in hemopoietic system were studied after 6.0 Gy radiation, survival of the animals was studied in 7.7 Gy radiation. Mexidol was used in two schemes. Scheme one--once a day on days 1-8 after radiation. Scheme 2--twice a day on days 1-5, and once a day on days 6-8 after radiation. Administration of mexidol after exposure to ionizing radiation promotes activation of postradiation recovery of erythropoiesis, neutrophilopoiesis in bone marrow and lymphopoiesis in the thymus. This effect was stronger in mexidol administration twice a day. After ionizing radiation in a dose 7.7 Gy only 56% mice survived. Twice a day mexidol increased the survival to 94%. Once a day mexidol had insignificant effect on survival of mice. Thus, administration of mexidol on days 1-8 after radiation had a good effect on metabolism, stimulates regenerative processes in hemopoietic system, attenuates severity of ARS and increases survival of irradiated animals.     

Transient P-cadherin expression in radiation proctitis; a model of mucosal injury and repair

Morphology at both cellular and glandular levels in the colon is dependent to an extent on cell-cell adhesion mediated by cadherin-catenin complexes. Alterations in the expression of E-cadherin, the cadherin normally present in colon, have been shown to be implicated in tissue remodelling within the gastrointestinal tract. Furthermore, it has previously been shown that P-cadherin, normally present only in stratified epithelia and placenta, is expressed in colitis and during neoplastic change in the colon. The morphological features of mucosal injury induced by pre-operative radiotherapy in the non-neoplastic rectal mucosa were studied in patients with rectal adenocarcinoma. Three characteristic phases of radiation proctitis were defined on histological grounds (acute injury, and early and late regenerative phases) essentially correlating with the time interval between radiotherapy and surgery; such features were mirrored by alterations in cadherin-catenin expression and localization in rectal crypts. On immunohistochemistry and western blotting, P-cadherin was highly expressed in the acute injury and early regenerative phases, with a decreased level of expression during late regeneration. E-cadherin and associated catenins were translocated from membrane to cytoplasm in degenerating crypts, with return of normal membranous expression in regenerating crypts. In conclusion, radiation-induced proctitis represents an in vivo model of mucosal injury and regeneration and provides a valid model in which to study events during epithelial injury and repair. Altered cadherin expression, in particular transient aberrant P-cadherin expression, is intimately associated with these processes.