Abstract
Background: High-dose-rate radiotherapy has shown promising results with respect to normal tissue preservation. We developed an ex vivo model to study the physiological effects of experimental radiotherapy in the rodent esophageal smooth muscle. Methods: We assessed the physiological parameters of the esophageal function in ex vivo preparations of the proximal, middle, and distal segments in the organ bath. High-dose-rate synchrotron irradiation was conducted using both the microbeam irradiation (MBI) technique with peak doses greater than 200 Gy and broadbeam irradiation (BBI) with doses ranging between 3.5–4 Gy. Results: Neither MBI nor BBI affected the function of the contractile apparatus. While peak latency and maximal force change were not affected in the BBI group, and no changes were seen in the proximal esophagus segments after MBI, a significant increase in peak latency and a decrease in maximal force change was observed in the middle and distal esophageal segments. Conclusion: No severe changes in physiological parameters of esophageal contraction were determined after high-dose-rate radiotherapy in our model, but our results indicate a delayed esophageal function. From the clinical perspective, the observed increase in peak latency and decreased maximal force change may indicate delayed esophageal transit.
Funder
Rostock University Medical Center, Germany
German Research Foundation
University Medicine Rostock FORUN Program
Reference63 articles.
1. Thoracic Radiation Normal Tissue Injury;Simone;Semin. Radiat. Oncol.,2017
2. Radiation esophagitis: Predictive factors and preventive strategies;Bradley;Semin. Radiat. Oncol.,2004
3. Radiation pneumonitis and esophagitis in thoracic irradiation;Bradley;Cancer Treat. Res.,2006
4. Therapy and prophylaxis of acute and late radiation-induced sequelae of the esophagus;Zimmermann;Strahlenther. Onkol.,1998
5. Radiation esophagitis;Murro;Arch. Pathol. Lab. Med.,2015
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献