Endothelial apoptosis as the primary lesion initiating intestinal radiation damage in mice Journal Article


Authors: Paris, F.; Fuks, Z.; Kang, A.; Capodieci, P.; Juan, G.; Ehleiter, D.; Haimovitz-Friedman, A.; Cordon-Cardo, C.; Kolesnick, R.
Article Title: Endothelial apoptosis as the primary lesion initiating intestinal radiation damage in mice
Abstract: Gastrointestinal (GI) tract damage by chemotherapy or radiation limits their efficacy in cancer treatment. Radiation has been postulated to target epithelial stem cells within the crypts of Lieberkühn to initiate the lethal GI syndrome. Here, we show in mouse models that microvascular endothelial apoptosis is the primary lesion leading to stem cell dysfunction. Radiation-induced crypt damage, organ failure, and death from the GI syndrome were prevented when endothelial apoptosis was inhibited pharmacologically by intravenous basic fibroblast growth factor (bFGF) or genetically by deletion of the acid sphingomyelinase gene. Endothelial, but not crypt, cells express FGF receptor transcripts, suggesting that the endothelial lesion occurs before crypt stem cell damage in the evolution of the GI syndrome. This study provides a basis for new approaches to prevent radiation damage to the bowel.
Keywords: controlled study; gene deletion; pathogenesis; nonhuman; chemotherapy; neoplasms; mouse; animals; mice; apoptosis; genes; gene expression; bone marrow; animal experiment; animal model; radiation injury; oncology; mice, inbred c57bl; animalia; endothelium, vascular; ionizing radiation; tumor suppressor protein p53; stem cells; bone marrow transplantation; intestines; fibroblast growth factor; fibroblast growth factors; intestine injury; whole-body irradiation; sphingomyelin phosphodiesterase; cells; in situ nick-end labeling; intestinal mucosa; radiation damage; crypt cell; annexin a5; capillaries; receptors, fibroblast growth factor; humans; priority journal; article; endothelium lesion
Journal Title: Science
Volume: 293
Issue: 5528
ISSN: 0036-8075
Publisher: American Association for the Advancement of Science  
Date Published: 2001-07-13
Start Page: 293
End Page: 297
Language: English
DOI: 10.1126/science.1060191
PUBMED: 11452123
PROVIDER: scopus
DOI/URL:
Notes: Export Date: 21 May 2015 -- Source: Scopus
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MSK Authors
  1. Gloria Juan
    15 Juan
  2. Zvi Fuks
    428 Fuks
  3. Francois Paris
    19 Paris
  4. Anthony D Kang
    3 Kang
  5. Richard N Kolesnick
    300 Kolesnick