Abstract
Ionizing radiation (IR) in the context of radiotherapy or unplanned exposure events results in a myriad of biological events with clinical outcomes that range in severity from DNA damage, local tissue damage, and even death. Radiation is widely utilized in medicine for imaging diagnostics, total body irradiation (TBI) in bone marrow (BM) transplantation and cancer therapy, and for the management of non-cancerous syndromes, including Dupuyten and Ledderhose disease (Halperin in Lancet Oncol 7(8):676–85, 2006; Seegenschmiedt and Attassi in Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft [et al] 179(12):847–853, 2003; Heyd et al. in Organ der Deutschen Rontgengesellschaft [et al] 186(1):24–29, 2010). To eradicate tumors, x-rays, gamma rays, or high-energy charged particle beams are emitted at malignant cells to induce DNA damage and death. The disadvantages associated with radiation therapy include damage to proximal healthy tissues and cell death. The blood forming system is highly sensitive to radiation with increasing risk of morbidity and mortality resulting from loss of white blood cells and platelets with the sequela of opportunistic infection and hemorrhage with increasing duration and intensity of exposure. Radiation therapy increases the risk of infertility, can cause joint and mouth (stoma) complications, and can result in lymphedema and cancer. Irradiation impairs osteogenesis causing cell cycle arrest, reduction of osteoblast proliferation and differentiation (although not initially), collagen and vascular suppression, increased sensitivity to apoptotic agents, osteoradionecrosis, bone demineralization, loss of trabecular connections, sclerosis, and destruction of a stem cell niche that contributes to maintenance of hematopoiesis [Hopewell in Med Pediatr Oncol 41(3):208–211, 2003). In this chapter, we will review what is known regarding the impact of radiation exposure on BM stromal cells that constitute microenvironments/niches that support blood cell production and an overview of hematopoietic stem cell (HSC) radioprotection and regeneration of the stem cell niche. We will outline the acute and late effects of irradiation on hematopoietic stem and progenitor cells leading to hematopoietic acute radiation syndrome (H-ARS) and residual bone marrow damage (RBMD), respectively. The interactive components of the stem cell niche respond to radiation distinctively by cell type and even by state of maturation, and influence the fate of one another. The reader will appreciate a greater understanding of the HSC niche, the radiobiological response as an interconnected symphony, and the therapeutic approach of HSC niche protection and regeneration.
David J. Olivos III and Rajendran Sellamuthu: Contributed equally to this work.
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Abbreviations
- α-SMA:
-
α-smooth muscle actin
- Akt:
-
Serine/threonine-protein kinase
- ALP:
-
Alkaline phosphatase
- Ang1:
-
Angiopoietin-1
- ARE:
-
Anti-oxidant response element
- Bak:
-
BCL-2-antagonist/killer 1
- Bax:
-
BCL-2-like protein 4
- bFGF:
-
Basic fibroblast growth factor
- BFU-E:
-
Burst forming unit-erythroid
- BM:
-
Bone marrow
- CAR:
-
CXCL12-abundant reticular cells
- CD:
-
Cluster of differentiation
- CFU-E:
-
Colony forming unit-erythroid
- CFU-F:
-
Colony-forming unit-fibroblast
- CFU-GEMM:
-
Colony forming unit of granulocytes, erythrocytes, monocyte/macrophages, and megakaryocytes
- CFU-GM:
-
Colony forming units of granulocytes and monocyte
- c-Kit:
-
Cellular receptor-type tyrosine kinase
- COX2:
-
Cyclooxygenase-2
- CXCL12:
-
Chemokine (C-X-C motif) ligand 12
- CXCR4:
-
C-X-C chemokine receptor type 4
- DEARE:
-
Delayed effects of acute radiation exposure
- DNA:
-
Deoxyribonucleic acid
- DSB:
-
Double strand break
- EPCs:
-
Endothelial progenitor cells
- FGF:
-
Fibroblast growth factor
- G-CSF:
-
Granulocyte colony-stimulating factor
- GM-CSF:
-
Granulocyte-macrophage CSF
- GSR:
-
Gluthathione reductase
- Gy:
-
Gray
- H-ARS:
-
Hematopoietic acute radiation syndrome
- hFOB:
-
Human immortalized osteoblast
- HO1:
-
Heme oxygenase-1
- HPC:
-
Hematopoietic progenitor cell
- HSC:
-
Hematopoietic stem cell
- HSPC:
-
Hematopoietic stem progenitor cell
- IGF-1:
-
Insulin-like growth factor-1
- IL-6:
-
Interleukin-6
- IR:
-
Ionizing radiation
- KSL:
-
c-Kit + Sca-1 + Lin-
- LD:
-
Lethal Dose
- Lin-:
-
Lineage-negative
- M-CSF:
-
Macrophage colony stimulating factor
- MSC:
-
Mesenchymal stem cell
- mTOR:
-
Mammalian target of rapamycin
- NFκβ:
-
Nuclear factor kappa β
- NK:
-
Natural killer cell
- Nrf2:
-
Nuclear factor erythroid-2–related factor 2
- Notch-IC:
-
Notch intercellular domain
- OPG:
-
Osteoprotegerin
- PDGF:
-
Platelet derived growth factor
- PGE2 :
-
Prostaglandin E2
- PI3K:
-
Phosphatidylinositol 3-kinase
- PK:
-
Protein kinase
- PRR:
-
Pattern recognition receptor
- RANKL:
-
Receptor activator of nuclear kappa-B ligand
- RBC:
-
Red blood cell
- RBMD:
-
Residual bone marrow damage
- RBP-Jk:
-
Recombination signal binding protein for immunoglobulin kappa J
- REDD1:
-
Regulated in development and DNA damage response 1
- ROS:
-
Reactive oxygen species
- Runx2:
-
Runt-related transcription factor 2
- Sca-1:
-
Stem cell antigen-1 positive
- SCF:
-
Stem cell factor
- SDF-1:
-
Stromal cell-derived factor 1
- SSB:
-
Single strand break
- TBI:
-
Total body irradiation
- Tie2:
-
Tunica internal endothelial cell kinase 2
- TLR:
-
Toll like receptor
- TMC:
-
Trifluoromethyl-2’-methocychalone
- TPO:
-
Thrombopoietin
- TRAP:
-
Tartrate-resistant acid phosphatase
- TXNRD1:
-
Thiordoxin reductase 1
- VCAM-1:
-
Vascular cell adhesion molecule-1
- VE-Cadherin:
-
Vascular endothelial-cadherin
- VEGF:
-
Vascular endothelial growth factor
- VEGFR2:
-
Vascular endothelial growth factor 2
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Acknowledgments
This work was supported in part by NIA R01AG046246 (LMP, MAK, CMO), NIAMS AR060332 (MAK), HL096305 (LMP), NIAID 1U01AI107340 (CMO), NIAID HSN266200500043C (CMO), and NIAID HHSN272201000046C (CMO), the Indiana Center for Excellence in Molecular Hematology (NIDDK P30 DK090948), and a postdoctoral NIH T32 Training Grant in Hematopoiesis, T32 4689736 (DJO). The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.
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Olivos III, D.J. et al. (2015). Stem Cell Niche-Radiobiological Response. In: Turksen, K. (eds) Biology in Stem Cell Niche. Stem Cell Biology and Regenerative Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-21702-4_5
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