Radiation-induced lung injury: impact on macrophage dysregulation and lipid alteration - a review.

Abstract:

:Lung cancer continues to be the leading cause of cancer deaths and more than one million lung cancer patients will die every year worldwide. Radiotherapy (RT) plays an important role in lung cancer treatment, but the side effects of RT are pneumonitis and pulmonary fibrosis. RT-induced lung injury causes damage to alveolar-epithelial cells and vascular endothelial cells. Macrophages play an important role in the development of pulmonary fibrosis despite its role in immune response. These injury activated macrophages develop into classically activated M1 macrophage or alternative activated M2 macrophage. It secretes cytokines, interleukins, interferons, and nitric oxide. Several pro-inflammatory lipids and pro-apoptotic proteins cause lipotoxicity such as LDL, FC, DAG, and FFA. The overall findings in this review conclude the importance of macrophages in inducing toxic/inflammatory effects during RT of lung cancer, which is clinically vital to treat the radiation-induced fibrosis.

authors

S N SG,Raviraj R,Nagarajan D,Zhao W

doi

10.1080/08923973.2018.1533025

subject

Has Abstract

pub_date

2019-06-01 00:00:00

pages

370-379

issue

3

eissn

0892-3973

issn

1532-2513

journal_volume

41

pub_type

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