1. Mitigation of acute radiation-induced brain injury in a mouse model using anlotinib
- Author
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Xiao-Han Gao, Qing-Shuai Fan, Jing Zheng, Long-Bo Ma, Yu-Jie Zhai, Shaoshui Chen, Heng-Lu Wang, Chang-Min Liu, Xiao-Han Wu, Sheng-Jie Wang, Long Ma, Jie Wen, and Fang-Fang Yang
- Subjects
0301 basic medicine ,Vascular Endothelial Growth Factor A ,Pathology ,medicine.medical_specialty ,Indoles ,Central nervous system ,Receptor tyrosine kinase ,Luxol fast blue stain ,Cerebral edema ,03 medical and health sciences ,chemistry.chemical_compound ,Mice ,0302 clinical medicine ,Western blot ,In vivo ,medicine ,Animals ,Advanced and Specialized Nursing ,biology ,medicine.diagnostic_test ,Glial fibrillary acidic protein ,business.industry ,Brain ,medicine.disease ,Vascular endothelial growth factor ,030104 developmental biology ,Anesthesiology and Pain Medicine ,medicine.anatomical_structure ,chemistry ,030220 oncology & carcinogenesis ,Brain Injuries ,biology.protein ,Quinolines ,business - Abstract
Background With the development of radiological technologies, radiotherapy has been gradually widely used in the clinic to intracranial tumours and become standardised. However, the related central nervous system disorders are still the most obvious complications after radiotherapy. This study aims to quantify the effectiveness of anlotinib, a small molecule inhibitor of multiple receptor tyrosine kinases, in mitigating acute phase of radiation-induced brain injury (RBI) in a mouse model. Methods The onset and progression of RBI were investigated in vivo. All mice, (except for the sham group) were irradiated at a single-fraction of 20 Gy and treated with different doses of anlotinib (0, 0.2 and 0.8 mg/kg, respectively). The expression levels of glial fibrillary acidic protein (GFAP), hypoxia-inducible factor-1α (HIF-1α), vascular endothelial growth factor (VEGF), and phosphorylated vascular endothelial growth factor receptor-2 (p-VEGFR2) were assessed by western blot. Histological changes were identified by luxol fast blue (LFB) staining. Results The expression levels of GFAP, HIF-1α, and VEGF were downregulated following treatment with anlotinib. However, anlotinib failed to inhibit the development of demyelination. Cerebral edema [as measured by brain water content (BWC)] was also mitigated following treatment with anlotinib. Conclusions In summary, treatment with anlotinib significantly mitigated the adverse effects of acute RBI in a dose-dependent manner by downregulating the activation of astrocytes, improving brain hypoxia, and alleviating cerebral edema.
- Published
- 2020