NOS1-, NOS3-, PIK3CA-, and MAPK-pathways in skin following radiation therapy
Steffen Koerdt1, Nadine Tanner1, Niklas Rommel1
1Department of Oral and Maxillofacial Surgery, Technical University of Munich (TUM), Ismaninger Str. 22, D-81675 Munich, Germany.
Background:
Essential molecular pathways such as the MAPK pathway, NO system, or the influence of PIK3CA as an oncogene are known to regulate fundamental signalling networks. However, few knowledge about their role in the occurrence of wound healing disorders (WHD) following radiation therapy (RT) exists. This study aims to evaluate the expression profiles of specific molecular pathway marker genes.
Methods:
Expression profiles of the genes encoding MAPK, NOS1, NOS3, and PIK3CA were analyzed, by RT-PCR, in specimens from patients with and without a history of RT to the head and neck. Clinical data on the occurrence of cervical WHDs were analyzed.
Results:
Expression analysis of patients with postoperative WHDs revealed a significant increase in MAPK expression compared to the control group without occurrence of postoperative WHDs. PIK3CA showed a significantly increased expression in patients with a history of RT. Expression analysis of all other investigated genes did not reveal significant differences.
Conclusions:
This current study is able to show the influence of RT on different molecular pathways. This underlines the crucial role of specific molecular networks, responsible for the occurrence of long-term radiation toxicity such as WHDs. Additional studies should be carried out to identify possible starting points for therapeutic interventions.
Insights
Radiation therapy (RT) can impact wound healing. This study found increased MAPK and PIK3CA gene expression in patients with radiation-induced wound healing disorders, suggesting their role in radiation toxicity.
Area of Science:
- Oncology
- Molecular Biology
- Radiotherapy Research
Background:
- Essential molecular pathways like MAPK, NO system, and PIK3CA are crucial for signaling networks.
- Limited knowledge exists regarding their specific role in radiation-induced wound healing disorders (WHD).
Purpose of the Study:
- To evaluate the expression profiles of specific molecular pathway marker genes.
- To investigate the association between gene expression and the occurrence of WHD following radiation therapy (RT).
Main Methods:
- Gene expression analysis of MAPK, NOS1, NOS3, and PIK3CA using RT-PCR.
- Analysis of clinical data on cervical WHD occurrence in head and neck cancer patients with and without RT history.
Main Results:
- Significant increase in MAPK expression observed in patients with postoperative WHDs compared to controls.
- Significantly increased PIK3CA expression noted in patients with a history of RT.
- No significant differences found for other investigated genes.
Conclusions:
- RT influences molecular pathways, highlighting their role in long-term radiation toxicity like WHDs.
- Specific molecular networks are crucial for WHD development post-RT.
- Further research is needed to identify potential therapeutic intervention targets.
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