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Single high-dose irradiation aggravates eosinophil-mediated fibrosis through IL-33 secreted from impaired vessels in the skin compared to fractionated irradiation.

Abstract
We have revealed in a porcine skin injury model that eosinophil recruitment was dose-dependently enhanced by a single high-dose irradiation. In this study, we investigated the underlying mechanism of eosinophil-associated skin fibrosis and the effect of high-dose-per-fraction radiation. The dorsal skin of a mini-pig was divided into two sections containing 4-cm(2) fields that were irradiated with 30 Gy in a single fraction or 5 fractions and biopsied regularly over 14 weeks. Eosinophil-related Th2 cytokines such as interleukin (IL)-4, IL-5, and C-C motif chemokine-11 (CCL11/eotaxin) were evaluated by quantitative real-time PCR. RNA-sequencing using 30 Gy-irradiated mouse skin and functional assays in a co-culture system of THP-1 and irradiated-human umbilical vein endothelial cells (HUVECs) were performed to investigate the mechanism of eosinophil-mediated radiation fibrosis. Single high-dose-per-fraction irradiation caused pronounced eosinophil accumulation, increased profibrotic factors collagen and transforming growth factor-β, enhanced production of eosinophil-related cytokines including IL-4, IL-5, CCL11, IL-13, and IL-33, and reduced vessels compared with 5-fraction irradiation. IL-33 notably increased in pig and mouse skin vessels after single high-dose irradiation of 30 Gy, as well as in irradiated HUVECs following 12 Gy. Blocking IL-33 suppressed the migration ability of THP-1 cells and cytokine secretion in a co-culture system of THP-1 cells and irradiated HUVECs. Hence, high-dose-per-fraction irradiation appears to enhance eosinophil-mediated fibrotic responses, and IL-33 may be a key molecule operating in eosinophil-mediated fibrosis in high-dose-per fraction irradiated skin.
AuthorsEun-Jung Lee, Jun Won Kim, Hyun Yoo, Woori Kwak, Won Hoon Choi, Seoae Cho, Yu Jeong Choi, Yoon-Jin Lee, Jaeho Cho
JournalBiochemical and biophysical research communications (Biochem Biophys Res Commun) Vol. 464 Issue 1 Pg. 20-6 (Aug 14 2015) ISSN: 1090-2104 [Electronic] United States
PMID26047701 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
CopyrightCopyright © 2015 Elsevier Inc. All rights reserved.
Chemical References
  • Antibodies
  • Chemokine CCL11
  • Il33 protein, mouse
  • Interleukin-33
  • Interleukin-5
  • Interleukins
  • Transforming Growth Factor beta
  • Interleukin-4
Topics
  • Animals
  • Antibodies (pharmacology)
  • Cell Movement (drug effects, radiation effects)
  • Chemokine CCL11 (genetics, metabolism)
  • Coculture Techniques
  • Dose-Response Relationship, Radiation
  • Eosinophils (drug effects, metabolism, pathology, radiation effects)
  • Female
  • Fibrosis
  • Gene Expression
  • Human Umbilical Vein Endothelial Cells (drug effects, metabolism, pathology, radiation effects)
  • Humans
  • Interleukin-33
  • Interleukin-4 (genetics, metabolism)
  • Interleukin-5 (genetics, metabolism)
  • Interleukins (antagonists & inhibitors, genetics, metabolism)
  • Macrophages (drug effects, metabolism, pathology, radiation effects)
  • Mice
  • Radiation Dosage
  • Skin (blood supply, drug effects, pathology, radiation effects)
  • Swine
  • Transforming Growth Factor beta (genetics, metabolism)
  • X-Rays

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