Key result
BMSC transplantation improves cardiac function and attenuates radiation-induced myocardial fibrosis via TGF-β1/Smad2/3 inhibition.
Why the study?
Radiation-induced myocardial fibrosis lacks effective therapies because its mechanisms are incompletely understood, prompting investigation into bone marrow mesenchymal stem cells.
Does bone marrow mesenchymal stem cell transplantation alleviate radiation-induced myocardial fibrosis in a rabbit model?
Does bone marrow mesenchymal stem cell transplantation alleviate radiation-induced myocardial fibrosis in a rabbit model?
p-value: p=<0.05
BMSC transplantation demonstrates therapeutic potential in alleviating radiation-induced myocardial fibrosis by mitigating oxidative stress, inflammation, and apoptosis through the TGF-β1/Smad2/3 pathway in an animal model.
Supports BMSC investigation for radiation-induced cardiac injury; hypothesis-generating and leaves open human translation.
and purpose: Radiotherapy (RT) is an effective treatment for most malignant chest tumors. However, radiation-induced myocardial fibrosis (RIMF) is a serious side effect of RT. Currently, due to the mechanism of RIMF has not been fully elucidated, there is a lack of effective therapeutic approach. In this study, we aimed to investigate the role and possible mechanisms of bone marrow mesenchymal stem cells (BMSCs) in the therapy of RIMF. Twenty-four New Zealand white rabbits were allotted into four groups (n = 6). Rabbits in the Control group received neither irradiation nor treatment. A single dose of 20 Gy heart X-irradiation was applied to the RT group, RT + PBS group and RT + BMSCs group. Rabbits in the RT + PBS group and RT + BMSCs group were injected with 200 μL PBS or 2 × 106 cells via pericardium puncture 24 h following irradiation, respectively. Echocardiography was used to test the cardiac function; Then the heart samples were collected, and processed for histopathological, Western blot and immunohistochemistry investigations. It was observed that BMSCs have therapeutic effect on RIMF. Compared with the Control group, inflammatory mediators, oxidative stress and apoptosis were significantly increased, meanwhile, cardiac function was remarkably decreased in the RT group and RT + PBS group. However, in the BMSCs group, BMSCs significantly improved cardiac function, decreased inflammatory mediators, oxidative stress and apoptosis. Furthermore, BMSCs remarkably reduced the expression level of TGF-β1 and the phosphorylated-Smad2/3. In conclusion, our research indicates BMSCs have the potential to alleviate RIMF through TGF-β1/Smad2/3 and would be a new therapeutic approach for patients with myocardial fibrosis.
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Gu et al. (2023) studied Radiation-induced myocardial fibrosis (n=24). Bone marrow mesenchymal stem cells (BMSCs) vs. PBS or untreated was evaluated on Cardiac function (LVEF, FS, LVIDd, LVIDs) and myocardial fibrosis (p=<0.05). BMSC transplantation improved cardiac function and decreased inflammation, oxidative stress, apoptosis, and myocardial fibrosis via inhibition of the TGF-β1/Smad2/3 signaling pathway.
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