Kuang Huaxiang,Xu Shilin,Ouyang Weiwei,Zhao Chaofen,Li Xiaoyang,Chen Xiaxia,Yang Wengang,Ma Zhu,Lu Bing,Su Shengfa.Recombinant human endostatin reduces radiation-induced myocardial fibrosis in rats[J].Chinese Journal of Radiological Medicine and Protection,2020,40(5):343-348
Recombinant human endostatin reduces radiation-induced myocardial fibrosis in rats
Received:September 13, 2019  
DOI:10.3760/cma.j.issn.0254-5098.2020.05.003
KeyWords:Recombinant human endostatin  Radiation  Heart  Fibrosis
FundProject:国家自然科学基金(81660507);贵州省科技支撑计划项目([2018]2755)
Author NameAffiliationE-mail
Kuang Huaxiang Department of Oncology, Affiliated Hospital of Guizhou Medical University, Teaching and Research Section of Oncology, Guizhou Medical University, Department of Oncology, Guizhou Cancer Hospital, Guiyang 550004, China  
Xu Shilin Department of Oncology, Affiliated Hospital of Guizhou Medical University, Teaching and Research Section of Oncology, Guizhou Medical University, Department of Oncology, Guizhou Cancer Hospital, Guiyang 550004, China  
Ouyang Weiwei Department of Oncology, Affiliated Hospital of Guizhou Medical University, Teaching and Research Section of Oncology, Guizhou Medical University, Department of Oncology, Guizhou Cancer Hospital, Guiyang 550004, China  
Zhao Chaofen Department of Oncology, Affiliated Hospital of Guizhou Medical University, Teaching and Research Section of Oncology, Guizhou Medical University, Department of Oncology, Guizhou Cancer Hospital, Guiyang 550004, China  
Li Xiaoyang Department of Oncology, Affiliated Hospital of Guizhou Medical University, Teaching and Research Section of Oncology, Guizhou Medical University, Department of Oncology, Guizhou Cancer Hospital, Guiyang 550004, China  
Chen Xiaxia Department of Oncology, Affiliated Hospital of Guizhou Medical University, Teaching and Research Section of Oncology, Guizhou Medical University, Department of Oncology, Guizhou Cancer Hospital, Guiyang 550004, China  
Yang Wengang Department of Oncology, Affiliated Hospital of Guizhou Medical University, Teaching and Research Section of Oncology, Guizhou Medical University, Department of Oncology, Guizhou Cancer Hospital, Guiyang 550004, China  
Ma Zhu Department of Oncology, Affiliated Hospital of Guizhou Medical University, Teaching and Research Section of Oncology, Guizhou Medical University, Department of Oncology, Guizhou Cancer Hospital, Guiyang 550004, China  
Lu Bing Department of Oncology, Affiliated Hospital of Guizhou Medical University, Teaching and Research Section of Oncology, Guizhou Medical University, Department of Oncology, Guizhou Cancer Hospital, Guiyang 550004, China  
Su Shengfa Department of Oncology, Affiliated Hospital of Guizhou Medical University, Teaching and Research Section of Oncology, Guizhou Medical University, Department of Oncology, Guizhou Cancer Hospital, Guiyang 550004, China sushengfa2005@163.com 
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Abstract::
      Objective To assess the effects of recombinant human endostatin (rh-ES) on radiation-induced myocardial fibrosis. Methods Totally 40 SD rats were randomly divided into 4 groups, including A group as normal control, B group receiving rh-ES with a dosage of 6 mg·kg-1·d-1, in traperitoneal injection, for 14 consecutive days, C group with local heart irradiation delivered to the precordial region of rats in five fractions with a dose of 25 Gy, D group receiving rh-ES as the same as B group and local heart irradiation as C group. At 1 and 3 months after irradiation, five rats were killed under anesthesia. Mason staining was used to observe myocardial injury and fibrosis. Western blotting was used to detect the expression of TGF-β1, CTGF and COL-I in myocardium. Results Masson staining showed that no obvious myocardial fibrosis was found in group B at 1 month and 3 months after irradiation, while collagen fibers were distributed in myocardium in groups C and D. One month after irradiation, the result of semi-quantitative analysis showed that the CVF in group A was (5.20 ±0.75)%, which was significantly lower than that in group C (10.12 ±2.17)% (t=4.74、4.93,P<0.01) and the CVF in group D (10.32 ±1.36),and the CVF of group C was similar to that of group D (P<0.01). Three months after irradiation, CVF in group C (13.17±2.67)% was still higher than that in group A (5.23 ±1.32)% (t=4.49, P<0.01), but lower than that in group D (16.92 ±3.58)% (t=3.19,P<0.05). One month after irradiation, the expression of TGF-β1 in group A was 0.441 ±0.063, lower than that in group C (0.817 ±0.079, t=5.81, P<0.01). Three months after irradiation, the expression of TGF-β1 in group A was 0.501 ±0.110, lower than that in group C (0.832 ±0.150, t=4.19,P<0.01), and the expression of TGF-β1 in group D was 1.403 ±0.133, which was significantly higher than that in group C (t=7.24, P<0.01). Conclusions Radiation can cause the formation of myocardial fibrosis, and recombinant human endostatin may aggravate the formation of late radiation fibrosis.
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