Key result
Pravastatin attenuates radiation-induced intestinal injury in mice by suppressing oxidative stress and inflammation.
Why the study?
Radiation-induced enteropathy involves oxidative damage to intestinal epithelial cells leading to impaired epithelial function, and therapeutic options to mitigate this damage are needed.
Does pravastatin attenuate radiation-induced enteropathy in preclinical models?
Does pravastatin attenuate radiation-induced enteropathy in preclinical models?
Pravastatin attenuates radiation-induced epithelial damage and intestinal lesions by suppressing oxidative stress and inflammatory responses in preclinical models.
Pravastatin shows preclinical radioprotective effects; hypothesis-generating and requires clinical trials before any practice change.
Background and Aims: Radiation-induced enteropathy is frequently observed after radiation therapy for abdominal and pelvic cancer or occurs secondary to accidental radiation exposure. The acute effects of irradiation on the intestine might be attributed to inhibition of mitosis in the crypts, as the loss of proliferative functions impairs development of the small intestinal epithelium and its barrier function. Especially, oxidative damage to intestinal epithelial cells is a key event in the initiation and progression of radiation-induced enteropathy. Pravastatin is widely used clinically to lower serum cholesterol levels and has been reported to have anti-inflammatory effects on endothelial cells. Here, we investigated the therapeutic effects of pravastatin on damaged epithelial cells after radiation-induced enteritis using in vitro and in vivo systems. Materials and Methods: To evaluate the effects of pravastatin on intestinal epithelial cells, we analyzed proliferation and senescence, oxidative damage, and inflammatory cytokine expression in an irradiated human intestinal epithelial cell line (InEpC). In addition, to investigate the therapeutic effects of pravastatin in mice, we performed histological analysis, bacterial translocation assays, and intestinal permeability assays, and also assessed inflammatory cytokine expression, using a radiation-induced enteropathy model. Results: Histological damage such as shortening of villi length and impaired intestinal crypt function was observed in whole abdominal-irradiated mice. However, damage was attenuated in pravastatin-treated animals, in which normalization of intestinal epithelial cell differentiation was also observed. Using in vitro and in vivo systems, we also showed that pravastatin improves the proliferative properties of intestinal epithelial cells and decreases radiation-induced oxidative damage to the intestine. In addition, pravastatin inhibited levels of epithelial-derived inflammatory cytokines including IL-6, IL-1β, and TNF-α in irradiated InEpC cells. We also determined that pravastatin could rescue intestinal barrier dysfunction via anti-inflammatory effects using the mouse model. Conclusions: Pravastatin has a therapeutic effect on intestinal lesions and attenuates radiation-induced epithelial damage by suppressing oxidative stress and the inflammatory response.
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Jang et al. (2018) studied Acute radiation-induced enteropathy (n=75). Pravastatin vs. Irradiation alone (IR) and Control was evaluated on Radiation-induced intestinal injury (apoptosis, histological damage, oxidative stress). Pravastatin attenuated radiation-induced intestinal injury and improved epithelial cell proliferation and barrier function by suppressing oxidative stress and inflammatory responses in a mouse model.
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