BACKGROUND: Acute RT-induced damage to the lung is characterized by inflammatory
changes, which proceed to the development of fibrotic lesions in the late phase
of injury. Ultimately, complete structural ablation will ensue, if the source of
inflammatory/fibrogenic mediators and oxidative stress is not removed or
attenuated. Therefore, the purpose of this study is to determine whether
overexpression of extracellular superoxide dismutase (EC-SOD) in mice ameliorates
acute radiation induced injury by inhibiting activation of TGFbeta1 and
downregulating the Smad 3 arm of its signal transduction pathway.
METHODS: Whole thorax radiation (single dose, 15 Gy) was delivered to EC-SOD
overexpressing transgenic (XRT-TG) and wild-type (XRT-WT) animals. Mice were
sacrificed at 1 day, 1 week, 3, 6, 10 and 14 weeks. Breathing rates, right lung
weights, total/differential leukocyte count, activated TGFbeta1 and components of
its signal transduction pathway (Smad 3 and p-Smad 2/3) were assessed to
determine lung injury.
RESULTS: Irradiated wild-type (XRT-WT) animals exhibited time dependent increase
in breathing rates and right lung weights, whereas these parameters were
significantly less increased (p < 0.05) at 3, 6, 10 and 14 weeks in irradiated
transgenic (XRT-TG) mice. An inflammatory response characterized predominantly by
macrophage infiltration was pronounced in XRT-WT mice. This acute inflammation
was significantly attenuated (p < 0.05) in XRT-TG animals at 1, 3, 6 and 14
weeks. Expression of activated TGFbeta1 and components of its signal transduction
pathway were significantly reduced (p < 0.05) at later time-points in XRT-TG vs.
XRT-WT.
CONCLUSION: This study shows that overexpression of EC-SOD confers protection
against RT-induced acute lung injury. EC-SOD appears to work, in part, via an
attenuation of the macrophage response and also decreases TGFbeta1 activation
with a subsequent downregulation of the profibrotic TGFbeta pathway.