Single-Cell Sequencing Analysis Fibrosis Provides Insights into the Pathobiological Cell Types and Cytokines of Radiation-Induced Pulmonary Fibrosis

Abstract

Abstract Background Radiotherapy is an essential treatment for chest cancer. Radiation-induced pulmonary fibrosis (RIPF) is an almost irreversible interstitial lung disease; however, its pathogenesis remains unclear. Methods We analyzed specific changes in cell populations and potential markers by using single-cell sequencing datasets from the Sequence Read Archive database, PERFORMED from control (0 Gy) and thoracic irradiated (20 Gy) mouse lungs at day 150 post-radiation. We performed IHC and ELISA on lung tissue and cells to validate the potential marker cytokines identified by the analysis on rat thoracic irradiated molds (30 Gy). Results Single-cell sequencing analysis showed changes in abundance across cell types and at the single-cell level, with B and T cells showing the most significant changes in abundance. And four cytokines, CCL5, ICAM1, PF4 and TNF, were significantly upregulated in lung tissues of RIPF rats and in cell supernatants after ionizing radiation. Conclusion Cytokines CCL5, ICAM1, PF4 and TNF may play essential roles in radiation pulmonary fibrosis. They are potential targets for the treatment of radiation pulmonary fibrosis.