Radiation-Induced Microvascular Injury as a Mechanism of Salivary Gland Hypofunction and Potential Target for Radioprotectors

    July 2016 in “ Radiation Research
    Aviram Mizrachi, Ana P. Cotrim, Nora Katabi, James B. Mitchell, Marcel Verheij, Adriana Haimovitz‐Friedman
    Studysummary This study found that radiation-induced salivary gland dysfunction in mice involves microvascular damage mediated by ceramide and reactive oxygen species, suggesting ROS scavengers could protect salivary function during radiotherapy for head and neck cancer. Our plain-language summary of this paper — not a Tressless recommendation.
    The study investigated how radiation-induced microvascular injury contributed to salivary gland hypofunction, a common side effect in head and neck cancer patients undergoing radiotherapy. Using bovine aortic endothelial cells and mice, researchers found that radiation caused endothelial apoptosis and increased ceramide production, both mediated by reactive oxygen species (ROS). ROS scavengers like Tempol and NAC significantly reduced these effects, preserving microvessel density and partially restoring salivary flow. However, Tempol did not prevent the decrease in saliva quality. The findings suggested that targeting ROS-mediated ceramide generation could protect salivary gland function during radiotherapy. The study involved 12 glands from six mice per treatment group.
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