Radyasyonun Dokularda Neden Olduğu Toksisitenin Üzerine Yapılan Bilimsel Çalışmalara Histopatolojik Bir Bakış
Özet
Bu çalışma, radyasyonun deney hayvanlarının (özellikle fare ve sıçanların) farklı doku ve organlarında yol açtığı histopatolojik toksisiteyi ve hücresel hasarları literatür verileri ışığında sistematik olarak ele almaktadır. Kısa yaşam süreleri nedeniyle hayvan modellerinde radyasyona bağlı kanser gelişimi gözlenemediğinden, araştırmalar çoğunlukla akut ve subakut doku toksisitesi ile radyoprotektör etkiler üzerine yoğunlaşmıştır. Merkezi sinir sisteminde nöronal apoptozis, nekroz ve ödem; boşaltım sisteminde tübüler nekroz ve glomerüler atrofi; sindirim sisteminde villüs ve kripta hasarı ile intestinal inflamasyon; genital sistemde ise germinal epitel incelmesi ve spermatid kayıpları radyasyon maruziyetinin temel histopatolojik bulguları arasındadır. Bulgular, radyasyon hasarının ışınlama dozu, süresi ve organın radyosensitivitesine bağlı olarak değiştiğini göstermektedir. Nükleer kazaların ve doğal radyasyonun etkilerini tam olarak modellemek zor olsa da tıbbi radyoterapi dozları teknolojik cihazlarla simüle edilebilmektedir. Sonuç olarak çalışma, mevcut literatürü özetlerken gelecekte radyasyonun uzun vadeli etkilerini gözlemlemeyi sağlayacak yeni deneysel modellere ihtiyaç duyulduğunu vurgulamaktadır.
This study systematically reviews the histopathological toxicity and cellular damage induced by radiation in various tissues and organs of experimental animals, primarily rats and mice. Due to their short lifespans, radiation-induced carcinogenesis is difficult to observe in animal models; consequently, research predominantly focuses on acute and subacute tissue toxicity and radioprotective strategies. Key histopathological findings of radiation exposure include neuronal apoptosis, necrosis, and edema in the central nervous system; tubular necrosis and glomerular atrophy in the excretory system; villus and crypt damage with intestinal inflammation in the digestive tract; and germinal epithelial thinning with spermatid loss in the reproductive system. These findings demonstrate that radiation injury varies depending on the exposure dose, duration, and the specific radiosensitivity of the organs. Although perfectly modeling the effects of nuclear accidents and natural radiation remains challenging, medical radiotherapy doses can be precisely simulated using advanced technological devices. In conclusion, while summarizing the current literature, this study emphasizes the critical need for novel experimental models to effectively observe the short- and long-term effects of radiation in the future.
Referanslar
Hwang SY, Jung JS, Kim TH, , et al. Ionizing radiation induces astrocyte gliosis through microglia activation. Neurobiol Dis. 2006;21(3):457–67.
Zelefsky MJ, Fuks Z, Hunt M, et al. High-dose intensity modulated radiation therapy for prostate cancer: Early toxicity and biochemical outcome in 772 patients. Int J Radiat Oncol Biol Phys. 2002;53(5):1111–6.
Wei J, Wang B, Wang H, et al. Radiation-Induced Normal Tissue Damage: Oxidative Stress and Epigenetic Mechanisms. Oxid Med Cell Longev. 2019;2019.
Radford IR. Radiation response of mouse lymphoid and myeloid cell lines. Part I. Sensitivity to killing by ionizing radiation, rate of loss of viability, and cell type of origin. Int J Radiat Biol. 1994;65(2):203–15.
Cakmak G, Severcan M, Zorlu F, Severcan F. Structural and functional damages of whole body ionizing radiation on rat brain homogenate membranes and protective effect of amifostine. International Journal of Radiation Biology. 2016; 92(12):837-48.
Bouleftour W, Mery B, Rowınskı E, Rıvıer C, Daguenet E, Magne N. Cardio-oncology preclinical models: A comprehensive review. Anticancer Res. 2021;41(11):5355–64.
Tuieng RJ, Cartmell SH, Kirwan CC, Sherratt MJ. The effects of ionising and non-ionising electromagnetic radiation on extracellular matrix proteins. Cells. 2021;10(11):1–25.
Danneman P, Suckow M, Brayton C. The Laboratory Rat. Lab Mouse. 2007;10.
Gorbunova V, Seluanov A, Zhang Z, Gladyshev V, Vijg J. Comparative genetics of longevity and cancer: insights from long-lived rodents. Nat Rev Genet. 2014;15(8):531–40.
Ogilvy-Stuart AL, Shalet SM. Effect of radiation on the human reproductive system. Env Heal Perspect. 1993;101 Suppl:109–16.
Raber J, Rola R, Lefevour A, Morhardt D, Curley J, Mizumatsu S. Radiation-Induced Cognitive Impairments are Associated with Changes in Indicators of Hippocampal Neurogenesis. Radiation research. 2004;47:39–47.
Broin P, Vaitheesvaran B, Saha S, et al. Intestinal microbiota-derived metabolomic blood plasma markers for prior radiation injury. Int J Radiat Oncol Biol Phys. 2015;91(2):360–7.
Rakici SY, Tumkaya L, Edirvanli OC, Yazici U, et al. Radioprotective effect of endogenous melatonin secretion associated with the circadian rhythm in irradiated rats. Int J Radiat Biol. 2019;95(9).
Mercantepe T, Unal D, Tümkaya L, Yazici ZA. Protective effects of amifostine, curcumin and caffeic acid phenethyl ester against cisplatin-induced testis tissue damage in rats. Exp Ther Med. 2018;15(4):3404–12.
Hamedani BG, Goliaei B, Shariatpanahi SP. An overview of the biological effects of extremely low frequency electromagnetic fields combined with ionizing radiation. Prog Biophys Mol Biol. 2022.
Topcu A, Mercantepe F, Rakici S, Tumkaya L, Uydu HA, Mercantepe T. An investigation of the effects of N-acetylcysteine on radiotherapy-induced testicular injury in rats. Naunyn-Schmiedeberg's Archives of Pharmacology. 2019;392(2):147-57.
Mercantepe F, Topcu A, Rakici S, Tumkaya L, Yilmaz A. The effects of N-acetylcysteine on radiotherapy-induced small intestinal damage in rats. Exp Biol Med. 2019;244(5):372–9.
Buchberger B, Scholl K, Krabbe L, Spiller L, Lux B. Radiation exposure by medical X-ray applications. Ger Med Sci. 2021:670-9.
Lu L, Zhang Y, Chen C, Field RW, Kahe K. Radon exposure and risk of cerebrovascular disease: a systematic review and meta-analysis in occupational and general population studies. Environ Sci Pollut Res. 2022; 23:1-3.
Shimura T, Yamaguchi I, Terada H, Okuda K, Svendsen ER, Kunugita N. Radiation occupational health interventions offered to radiation workers in response to the complex catastrophic disaster at the Fukushima Daiichi Nuclear Power Plant. J Radiat Res. 2015;56(3):413–21.
Houghton A, Viola M. Solar radiation and the skin malignant melanoma of. Am Acad Dermatol. 1981;5(477):477–83.
UNSCEAR. UNSCEAR 2020 / 2021 Report Volume III. Scientific. Radiation UNSC on the E of A, editor. Vol. II. New York: United Nations; 2022. 7–10 p.
Chun SG, Simone CB, Amini A, et al. American Radium Society Appropriate Use Criteria: Radiation Therapy for Limited-Stage SCLC 2020. J Thorac Oncol. 2021;16(1):66–75.
Greene-Schloesser D, Robbins ME, Peiffer AM, Shaw EG, Wheeler KT, Chan MD. Radiation-induced brain injury: A review. Front Oncol. 2012;2(July):1–18.
Ji S, Tian Y, Lu Y, Sun R, Ji J, Zhang L. Irradiation-induced hippocampal neurogenesis impairment is associated with epigenetic regulation of bdnf gene transcription. Brain research. 2014;1577:77–88.
Wallace RB, Graziadei R, Werboff J. Behavioral Correlates of Focal Hippocampal X-Irradiation in Rats II. Exp Brain Res. 1981;43(2):207–12.
Peißner W, Kocher M, Treuer H, Gillardon F. Ionizing radiation-induced apoptosis of proliferating stem cells in the dentate gyrus of the adult rat hippocampus. Molecular brain research.1999;61–8.
Ismail AFM, El-sonbaty SM. Journal of Photochemistry & Photobiology , B : Biology Fermentation enhances Ginkgo biloba protective role on gamma-irradiation induced neuroin fl ammatory gene expression and stress hormones in rat brain. JPB. 2016;158:154–63.
El-maraghi EF, Abdel-fattah KI, Soliman SM, El-sayed WM. Taurine provides a time-dependent amelioration of the brain damage induced by γ -irradiation in rats. J Hazard Mater. 2018;359:40–6.
Talebpour Amiri F, Hamzeh M, Naeimi RA, Ghasemi A, Hosseinimehr SJ. Radioprotective effect of atorvastatin against ionizing radiation-induced nephrotoxicity in mice. Int J Radiat Biol. 2018;94(2):106–13.
Elkady AA, Ibrahim IM. Protective effects of erdosteine against nephrotoxicity caused by gamma radiation in male albino rats. Hum Exp Toxicol. 2016;35(1):21–8.
Mercantepe T, Topcu A, Rakici S, Tumkaya L, Yilmaz A, Mercantepe F. The radioprotective effect of N-acetylcysteine against x-radiation-induced renal injury in rats. Environ Sci Pollut Res. 2019;26(28):29085–94.
Billiard F, Buard V, Benderitter M, Linard C. Abdominal γ-radiation induces an accumulation of function-impaired regulatory t cells in the small intestine. Int J Radiat Oncol Biol Phys. 2011;80(3):869–76.
Gerassy-Vainberg S, Blatt A, Danin-Poleg Y, Gershovich K, Sabo E, Nevelsky A, et al. Radiation induces proinflammatory dysbiosis: transmission of inflammatory susceptibility by host cytokine induction. Gut. 2018;67(1):97–107.
Abou-zeid SM, El-bialy BE, El-borai NB, Abubakr HO. Radioprotective effect of Date syrup on radiation- induced damage in Rats. Sci Rep. 2018;1–10.
Leibowitz BJ, Qiu W, Liu H, Cheng T, Zhang L, Yu J. Uncoupling p53 Functions in Radiation-Induced Intestinal Damage via PUMA and p21. Mol Cancer Res. 2011;9(5):616–25.
Orhon ZN, Uzal C, Kanter M, Erboga M, Demiroglu M. Protective effects of Nigella sativa on gamma radiation-induced jejunal mucosal damage in rats. Pathol Res Pract.. 2016;212(5):437–43.
El-Ghazaly MA, El-Hazek RM, Khayyal MT. Protective effect of the herbal preparation, STW 5, against intestinal damage induced by gamma radiation in rats. Int J Radiat Biol. 2015;91(2):150–6.
Elliott TB, Deutz NE, Gulani J, et al. Gastrointestinal acute radiation syndrome in Göttingen minipigs (Sus Scrofa Domestica). Comp Med. 2014;64(6):456–63.
Abdel Salam OME, Hadajat I, Bayomy AR, El-Shinawy S, Arbid MS. Acute effect of gamma irradiation on gastric acid secretion and gastric mucosal integrity in the rat. Scientific World Journal. 2005;5:195–204.
Dubois A, Walker RI. Prospects for management of gastrointestinal injury associated with the acute radiation syndrome. Gastroenterology. 1988;95(2):500–7.
Dubois A, Dorval ED, Wood LR, et al. Effect of γ-Irradiation on the Healing of Gastric Biopsy Sites in Monkeys: An Experimental Model for Peptic Ulcer Disease and Gastric Protection. Gastroenterology. 1985;88(1):375–81.
Breiter N, Troot K, Sassy T. Effect Of X-Irradıatıon On The Stomach Of The Rat Norbert. Inr J Radiarron Oncol Rio/ Phys. 1989;17:779–84.
Ji HJ, Wang DM, Wu YP, et al. Wuzi Yanzong pill, a Chinese polyherbal formula, alleviates testicular damage in mice induced by ionizing radiation. BMC Complement Altern Med. 2016;16(1):1–7.
Naeimi RA, Talebpour Amiri F, et al. Atorvastatin mitigates testicular injuries induced by ionizing radiation in mice. Reprod Toxicol. 2017;72:115–21.
Geramizadeh B, Marzban M, Churg A. Role of immunohistochemistry in the diagnosis of solitary fibrous Tumor, a review. Iran J Pathol. 2016;11(3):195–203.
Shaban NZ, Ahmed Zahran AM, El-Rashidy FH, Abdo Kodous AS. Protective role of hesperidin against γ-radiation-induced oxidative stress and apoptosis in rat testis. J Biol Res. 2017;24(245):1–11.
Rakici SY, Guzel AI, Tumkaya L, Sevim Nalkiran H, Mercantepe T. Pelvic Radiation-Induced Testicular Damage: An Experimental Study at 1 Gray. Syst Biol Reprod Med. 2020;66(2).