Key result
T cell depletion significantly decreased radiation nephropathy and cardiac fibrosis in rats 120 days after targeted X-irradiation of the kidneys with 10 Gy.
Why the study?
Heart disease is a significant adverse event caused by radiotherapy, and the origins of radiogenic heart disease need to be identified to develop therapies.
Does T cell depletion prevent out-of-field cardiac fibrosis following targeted kidney irradiation in a rat model?
Does T cell depletion prevent out-of-field cardiac fibrosis following targeted kidney irradiation in a rat model?
T cells act as effector cells mediating out-of-field radiogenic cardiac fibrosis following targeted kidney irradiation, suggesting a potential therapeutic target for preventing radiation-induced heart disease.
T cells may mediate out-of-field cardiac fibrosis after kidney irradiation; leaves open immunomodulation as a preventive strategy in patients.
Heart disease is a significant adverse event caused by radiotherapy for some cancers. Identifying the origins of radiogenic heart disease will allow therapies to be developed. Previous studies showed non-targeted effects manifest as fibrosis in the non-irradiated heart after 120 days following targeted X-irradiation of the kidneys with 10 Gy in WAG/RijCmcr rats. To demonstrate the involvement of T cells in driving pathophysiological responses in the out-of-field heart, and to characterize the timing of immune cell engagement, we created and validated a T cell knock downrat on the WAG genetic backgrou nd. Irradiation of the kidneys with 10 Gy of X-rays in wild-type rats resulted in infiltration of T cells, natural killer cells, and macrophages after 120 days, and none of these after 40 days, suggesting immune cell engagement is a late response. The radiation nephropathy and cardiac fibrosis that resulted in these animals after 120 days was significantly decreased in irradiated T cell depleted rats. We conclude that T cells function as an effector cell in communicating signals from the irradiated kidneys which cause pathologic remodeling of non-targeted heart.
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Lenarczyk et al. (2022) studied Radiogenic heart disease. T cell depletion (T cell knock down) vs. Wild-type rats was evaluated on Radiation nephropathy and cardiac fibrosis. T cell depletion significantly decreased radiation nephropathy and cardiac fibrosis in rats 120 days after targeted X-irradiation of the kidneys with 10 Gy.
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