Key result
The B2R-selective antagonist HOE-140 enhanced radiation-induced c-Jun phosphorylation, nuclear translocation, and CD68-positive cell counts in irradiated rat hearts.
Why the study?
Does icatibant alter early radiation-induced signaling and inflammatory cell infiltration in male Brown Norway rats subjected to local heart irradiation?
Does icatibant alter early radiation-induced signaling and inflammatory cell infiltration in male Brown Norway rats subjected to local heart irradiation?
In a rat model of radiation-induced heart disease, bradykinin B2 receptor antagonism with icatibant enhanced c-Jun signaling and macrophage infiltration, suggesting B2R signaling regulates early inflammatory responses to cardiac irradiation.
May indicate harm from B2R blockade post-irradiation; hypothesis-generating in rats, no clinical implications yet.
PURPOSE: Radiation-induced heart disease (RIHD) is a delayed effect of radiotherapy for cancers of the chest, such as breast, esophageal, and lung. Kinins are small peptides with cardioprotective properties. We previously used a rat model that lacks the precursor kininogen to demonstrate that kinins are involved in RIHD. Here, we examined the role of the kinin B2 receptor (B2R) in early radiation-induced signaling in the heart. MATERIALS AND METHODS: Male Brown Norway rats received the B2R-selective antagonist HOE-140 (icatibant) via osmotic minipump from 5 days before until 4 weeks after 21 Gy local heart irradiation. At 4 weeks, signaling events were measured in left ventricular homogenates and nuclear extracts using western blotting and real-time polymerase chain reaction. Numbers of CD68-positive (monocytes/macrophages), CD2-positive (T-lymphocytes), and mast cells were measured using immunohistochemistry. RESULTS: Radiation-induced c-Jun phosphorylation and nuclear translocation were enhanced by HOE-140. HOE-140 did not modify endothelial nitric oxide synthase (eNOS) phosphorylation or alter numbers of CD2-positive or mast cells, but enhanced CD68-positive cell counts in irradiated hearts. CONCLUSIONS: B2R signaling may regulate monocyte/macrophage infiltration and c-Jun signals in the irradiated heart. Although eNOS is a main target for kinins, the B2R may not regulate eNOS phosphorylation in response to radiation.
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Lieblong et al. (2015) studied Radiation-induced heart disease. HOE-140 (icatibant) was evaluated on Signaling events and cell counts at 4 weeks. The B2R-selective antagonist HOE-140 enhanced radiation-induced c-Jun phosphorylation, nuclear translocation, and CD68-positive cell counts in irradiated rat hearts.
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