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Radiation-induced changes in intestinal and tissue-nonspecific alkaline phosphatase: implications for recovery after radiation therapy - 12/10/16

Doi : 10.1016/j.amjsurg.2016.06.005 
Rebecca M. Rentea, M.D. a, ⁎ , Vy Lam, Ph.D. b, Ben Biesterveld, M.D. c, Katherine M. Fredrich, B.S. d, Jennifer Callison, B.S. e, Brian L. Fish, B.S. f, John E. Baker, M.D. b, Richard Komorowski, M.D. g, David M. Gourlay, M.D. h, Mary F. Otterson, M.D. b, d
a Department of Surgery, Children's Mercy Hospital, 2401 Gillham Road, Kansas City, MO 64108, USA 
b Department of Surgery, Medical College of Wisconsin, Milwaukee, WI, USA 
c Department of Surgery, University of Michigan, Ann Arbor, MI, USA 
d Department of Surgery, Medical College of Wisconsin, Milwaukee, WI, USA 
e Department of Surgery, Clement J. Zablocki Veterans Affairs Medical Center, Milwaukee, WI, USA 
f Radiation Oncology, Medical College of Wisconsin, Milwaukee, WI, USA 
g Division of Gastroenterology and Hepatology, Medical College of Wisconsin, Milwaukee, WI, USA 
h Division of Pediatric Surgery, Medical College of Wisconsin, Children's Hospital of Wisconsin, Children's Research Institute, Milwaukee, WI, USA 

∗Corresponding author. Tel.: +1-816-234-3575; fax: +1-816-983-6885.

Abstract

Background

Exogenous replacement of depleted enterocyte intestinal alkaline phosphatase (IAP) decreases intestinal injury in models of colitis. We determined whether radiation-induced intestinal injury could be mitigated by oral IAP supplementation and the impact on tissue-nonspecific AP.

Methods

WAG/RjjCmcr rats (n = 5 per group) received lower hemibody irradiation (13 Gy) followed by daily gavage with phosphate-buffered saline or IAP (40 U/kg/d) for 4 days. Real-time polymerase chain reaction, AP activity, and microbiota analysis were performed on intestine. Lipopolysaccharide and cytokine analysis was performed on serum. Data were expressed as a mean ± SEM with P greater than .05 considered significant.

Results

Intestine of irradiated animals demonstrates lower hemibody irradiation and is associated with upregulation of tissue-nonspecific AP, downregulation of IAP, decreased AP activity, and altered composition of the intestinal microbiome.

Conclusions

Supplemental IAP after radiation may be beneficial in mitigating intestinal radiation syndrome as evidenced by improved histologic injury, decreased acute intestinal inflammation, and normalization of intestinal microbiome.

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Keywords : Intestinal alkaline phosphatase, Radiation enteritis, Enterocyte, Lipopolysaccharide


Esquema


 Contributions: R.M.R., J.E.B., D.M.G., and M.F.O are responsible for conception and design of the research; R.M.R., V.Y., B.B., K.M.F., J.C., and B.L.F. performed the experiments; R.M.R. and M.F.O. analyzed the data; R.M.R., J.E.B., D.M.G., and M.F.O. interpreted the results of the experiments; R.M.R. prepared the figures; R.M.R., V.L., J.E.B., D.M.G., and M.F.O. drafted the manuscript; R.M.R., J.E.B., R.K., D.M.G., and M.F.O. edited and revised the manuscript; and R.M.R., J.E.B., D.M.G., and M.F.O. approved the final version of the manuscript.
 Supported by the Clinical and Translational Science Institute of Southeast Wisconsin Award 1-UL1-RR031973 and Clinical and Translational Science Award Grant 8UL1TR00005 and the Digestive Disease Center of the Medical College of Wisconsin.
 The authors declare no conflicts of interest.


© 2016  Elsevier Inc. Reservados todos los derechos.
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Vol 212 - N° 4

P. 602-608 - octobre 2016 Regresar al número
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