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Radiation injury causes frailty via hyperactive GAL-9 high neutrophils. These cells disrupt organs and bone marrow, exacerbating patient frailty and impacting quality of life.

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Area of Science:

  • Radiation biology
  • Immunology
  • Hematology

Background:

  • Local radiation injury can cause frailty, significantly impacting patient quality of life and incurring substantial medical costs.
  • The precise mechanisms driving radiation-induced frailty remain largely unknown, necessitating further investigation into cellular and molecular pathways.

Purpose of the Study:

  • To elucidate the underlying mechanisms of radiation injury-induced frailty.
  • To identify key cellular players and molecular pathways involved in the exacerbation of frailty following radiation exposure.

Main Methods:

  • Identification and characterization of a unique neutrophil population (GAL-9 high) with specific functional attributes.
  • Investigation of neutrophil infiltration, bone marrow microenvironment disruption, and macrophage clearance resistance.
  • Analysis of the role of GAL-9 protein in neutrophil hyperactivity and the JAK1/2-STAT1 pathway activation in splenic GMP cells via eccDNA.

Main Results:

  • A novel population of hyperactive GAL-9 high neutrophils was identified, exhibiting elevated reactive oxygen species (ROS), neutrophil extracellular traps (NETs), and interferon-gamma (IFN-γ), along with a prolonged lifespan.
  • These GAL-9 high neutrophils infiltrate multiple organs, causing injury, disrupting the bone marrow microenvironment, promoting myeloid-biased differentiation, and evading macrophage clearance, thereby worsening frailty.
  • Extrachromosomal circular DNA (eccDNA) shedding post-radiation activates the JAK1/2-STAT1 pathway in splenic GMP cells, representing a potential source of these GAL-9 high neutrophils.

Conclusions:

  • Hyperactive GAL-9 high neutrophils are a critical factor in exacerbating frailty after local radiation injury.
  • The identified 'skin-spleen-bone marrow-multiple organs' axis highlights a novel pathway through which radiation-induced frailty develops.
  • Targeting GAL-9 or the JAK1/2-STAT1 pathway may offer therapeutic strategies to mitigate radiation-induced frailty.