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Epithelial Responses in Radiation-Induced Lung Injury (RILI) Allow Chronic Inflammation and Fibrogenesis.

Tyler A Beach1, Jacob N Finkelstein2, Polly Y Chang1

  • 1SRI Biosciences, SRI International, Menlo Park, Calfornia 94025-3493.

Radiation Research
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Radiation-induced lung injury (RILI) leads to fibrosis. This study reveals that lung epithelial cells

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Area of Science:

  • Radiation biology
  • Pulmonary medicine
  • Cell biology

Background:

  • Whole thorax lung irradiation (WTLI) causes progressive lung injury, often leading to irreversible radiation-induced pulmonary fibrosis (RIPF).
  • Resident pulmonary epithelial cells are crucial for lung homeostasis but can contribute to radiation-induced lung injury (RILI) progression.
  • Understanding the in vivo epithelial response to irradiation is key to developing therapeutic strategies.

Purpose of the Study:

  • To investigate the in vivo response of lung epithelium during the progression of radiation-induced pulmonary fibrosis (RIPF) using an unbiased RNA sequencing approach.
  • To identify specific molecular changes in lung epithelial cells following irradiation that contribute to RILI progression.

Main Methods:

  • Isolation of CD326+ epithelium from C57BL/6J mice subjected to 12.5 Gy WTLI.
  • RNA sequencing of irradiated and non-irradiated epithelial cells and whole lung tissue at regular intervals.
  • Validation of findings using quantitative PCR (qPCR) and immunohistochemistry.

Main Results:

  • Transcripts regulating immune responses and fibroblast activation were significantly reduced in irradiated lungs by 4 weeks post-irradiation.
  • Alveolar type-2 epithelial cells (AEC2) numbers decreased significantly post-irradiation, indicated by reduced pro-surfactant protein C (pro-SPC) expression.
  • Expression of Cd200 and cyclooxygenase 2 (COX2), which suppress immune and fibroblast activation, was reduced in CD326+ cells.

Conclusions:

  • Epithelial cell loss and reduced expression of immune/fibroblast regulatory molecules (Cd200, COX2) contribute to RILI progression and RIPF.
  • Strategies aimed at preventing epithelial cell loss or restoring epithelial-derived mediators may be effective for treating radiation-induced lung injury.