Unlocking the potential of ultra-high dose fractionated radiation for effective treatment of glioblastoma.

brain injury fractionated radiation glioblastoma hypoxia-inducible factor vascular damage

Journal

Research square
Titre abrégé: Res Sq
Pays: United States
ID NLM: 101768035

Informations de publication

Date de publication:
01 Nov 2023
Historique:
pubmed: 14 11 2023
medline: 14 11 2023
entrez: 14 11 2023
Statut: epublish

Résumé

Conventional radiation therapy for glioblastoma (GBM) has limited efficacy. Regenerative medicine brings hope for repairing damaged tissue, opening opportunities for elevating the maximum acceptable radiation dose. In this study, we explored the effect of ultra-high dose fractionated radiation on brain injury and tumor responses in immunocompetent mice. We also evaluated the role of the HIF-1α under radiation. Naïve and hypoxia-inducible factor-1 alpha (HIF-1α) Fractionated radiation of 5×20 Gy induced severe brain damage, starting 3 weeks after radiation. All animals from this group died within 12 weeks. In contrast, later onset and less severe brain injury were observed starting 12 weeks after radiation of 3×20 Gy. It resulted in complete GBM eradication and survival of all treated animals. Furthermore, HIF-1α Ultra-high dose fractionated 3×20 Gy radiation can eradicate the GBM cells at the cost of only mild brain injury. The HIF-1α gene is a promising target for ameliorating vascular impairment post-radiation, encouraging the implementation of neurorestorative strategies.

Sections du résumé

Background UNASSIGNED
Conventional radiation therapy for glioblastoma (GBM) has limited efficacy. Regenerative medicine brings hope for repairing damaged tissue, opening opportunities for elevating the maximum acceptable radiation dose. In this study, we explored the effect of ultra-high dose fractionated radiation on brain injury and tumor responses in immunocompetent mice. We also evaluated the role of the HIF-1α under radiation.
Methods UNASSIGNED
Naïve and hypoxia-inducible factor-1 alpha (HIF-1α)
Results UNASSIGNED
Fractionated radiation of 5×20 Gy induced severe brain damage, starting 3 weeks after radiation. All animals from this group died within 12 weeks. In contrast, later onset and less severe brain injury were observed starting 12 weeks after radiation of 3×20 Gy. It resulted in complete GBM eradication and survival of all treated animals. Furthermore, HIF-1α
Conclusion UNASSIGNED
Ultra-high dose fractionated 3×20 Gy radiation can eradicate the GBM cells at the cost of only mild brain injury. The HIF-1α gene is a promising target for ameliorating vascular impairment post-radiation, encouraging the implementation of neurorestorative strategies.

Identifiants

pubmed: 37961626
doi: 10.21203/rs.3.rs-3500563/v1
pmc: PMC10635404
pii:
doi:

Types de publication

Preprint

Langues

eng

Subventions

Organisme : NINDS NIH HHS
ID : R01 NS102675
Pays : United States

Déclaration de conflit d'intérêts

Declarations Competing interests Miroslaw Janowski and Piotr Walczak are co-founders and co-owners of IntraART, LLC and Ti-Com, LLC., but they are not directly related to the content of this study. Other co-authors declare no potential conflict of interest.

Références

Int J Radiat Biol. 2022;98(10):1519-1531
pubmed: 35311621
Antioxidants (Basel). 2022 May 26;11(6):
pubmed: 35739947
J Clin Oncol. 2017 Jan 20;35(3):361-369
pubmed: 27893327
Cancers (Basel). 2022 Jul 04;14(13):
pubmed: 35805044
Genes Dis. 2016 May 11;3(3):198-210
pubmed: 30258889
Blood. 2021 Jan 21;137(3):420-428
pubmed: 33475736
Nat Med. 2022 Sep;28(9):1813-1822
pubmed: 36064599
J Neurochem. 2023 Feb;164(4):468-480
pubmed: 36415921
Neurosurgery. 2015 Aug;62 Suppl 1:160-5
pubmed: 26181937
Science. 2022 Nov 4;378(6619):eadc9020
pubmed: 36378959
Int J Radiat Oncol Biol Phys. 2012 Apr 1;82(5):1559-66
pubmed: 22429332
J Neurosci. 1998 Aug 15;18(16):6241-53
pubmed: 9698317
Mol Neurobiol. 2017 Mar;54(2):1022-1032
pubmed: 26797684
Int J Radiat Oncol Biol Phys. 2021 Aug 1;110(5):1383-1395
pubmed: 33771703
JAMA. 2009 Jun 10;301(22):2349-61
pubmed: 19509382
Glia. 2019 Nov;67(11):2153-2165
pubmed: 31038810
Clin Cancer Res. 2012 Jan 1;18(1):273-9
pubmed: 22065084
Brain. 2019 Nov 1;142(11):3456-3472
pubmed: 31529023
Oncoimmunology. 2020 Jun 5;9(1):1776577
pubmed: 32923139
Nat Rev Cancer. 2008 Jun;8(6):425-37
pubmed: 18500244
Front Oncol. 2012 Jul 19;2:73
pubmed: 22833841
Biochemistry (Mosc). 2016 Feb;81(2):91-100
pubmed: 27260389
J Clin Oncol. 2002 Mar 15;20(6):1635-42
pubmed: 11896114
Cell Stem Cell. 2015 Feb 5;16(2):198-210
pubmed: 25658373
Cardiovasc Res. 2010 May 1;86(2):236-42
pubmed: 20164116
Int J Mol Sci. 2015 Nov 24;16(11):27796-815
pubmed: 26610477
Exp Neurol. 2006 Mar;198(1):145-53
pubmed: 16410004
Radiat Res. 2012 Mar;177(3):311-27
pubmed: 22229487
Semin Oncol. 2004 Oct;31(5):702-13
pubmed: 15497124
Eur J Neurosci. 2004 Jul;20(1):29-40
pubmed: 15245476
Neuro Oncol. 2022 Oct 5;24(Suppl 5):v1-v95
pubmed: 36196752
Int J Mol Sci. 2022 Jul 27;23(15):
pubmed: 35955439
Cell. 2014 Jul 17;158(2):383-396
pubmed: 25018103
Biomed Res Int. 2014;2014:407026
pubmed: 24977151
Cardiovasc Res. 2008 Jun 1;78(3):413-21
pubmed: 18349136
Br J Cancer. 2016 Jan 19;114(2):146-50
pubmed: 26671748

Auteurs

Xiao-Yan Lan (XY)

Dalian Municipal Central Hospital.

Lukasz Kalkowski (L)

University of Maryland Baltimore.

Cheng-Yan Chu (CY)

University of Maryland Baltimore.

Anna Jablonska (A)

University of Maryland Baltimore.

Shen Li (S)

Capital Medical University.

Mihoko Kai (M)

Johns Hopkins University.

Yue Gao (Y)

University of Maryland Baltimore.

Miroslaw Janowski (M)

University of Maryland Baltimore.

Piotr Walczak (P)

University of Maryland Baltimore.

Classifications MeSH