Mn. Tsao et al., Upregulation of vascular endothelial growth factor is associated with radiation-induced blood-spinal cord barrier breakdown, J NE EXP NE, 58(10), 1999, pp. 1051-1060
Citations number
41
Categorie Soggetti
Neurosciences & Behavoir
Journal title
JOURNAL OF NEUROPATHOLOGY AND EXPERIMENTAL NEUROLOGY
The pathogenesis of radiation-induced injury to the central nervous system
(CNS) remains unclear. Dysfunction of the blood-brain barrier (BBB) is asso
ciated with radiation-induced white matter lesions. The aim of this study w
as to determine if vascular endothelial growth factor (VEGF) is implicated
in radiation-induced BBB disruption. Adult rats were irradiated with a sing
le dose of 8 or 22 Gy to the spinal cord from C2 to T2. At various times up
to 20 weeks following irradiation, blood-spinal cord barrier (BSCB) permea
bility was assessed using immunohistochemistry with anti-albumin antibody.
Cell proliferation was assessed using bromodeoxyuridine (BrdU), and endothe
lial cell identity was assessed morphologically and using immunostaining fo
r factor VIII-related antigen. Expression of VEGF protein and message was a
ssessed using immunohistochemistry and in situ hybridization respectively.
In the unirradiated rat spinal cord, there was no evidence of albumin immun
oreactivity and little evidence of VEGF expression. After a dose of 22 Gy,
focal albumin staining in white matter was observed at 16 weeks. Diffuse st
aining was seen at 20 weeks and was associated with necrosis and demyelinat
ion in white matter. This was associated with a significant increase in whi
te matter glial cells that showed immunoreactivity and in situ hybridizatio
n signal for VEGF. VEGF expressing cells showed dual immunoreactivity for g
lial fibrillary acidic protein. No increase in VEGF positive cells was obse
rved in gray matter after 22 Gy. After a dose of 8 Gy, there was no increas
e in VEGF expression or albumin immunostaining in either white or gray matt
er. Microvessel endothelial cell density showed a trend towards a decrease
with time after 22 Gy as compared with 8 Gy or unirradiated controls. BrdU
immunostaining provided no evidence for endothelial cell proliferation in c
ontrol or in the irradiated spinal cord. It is concluded that radiation-ind
uced BSCB dysfunction is associated with upregulation of VEGF in astrocytes
without associated endothelial proliferation. The temporal and spatial ass
ociation of VEGF upregulation with the white matter lesions suggests a role
of VEGF in radiation-induced late CNS injury.