Lung irradiation induces pulmonary vascular remodelling resembling pulmonary arterial hypertension
BackgroundPulmonary arterial hypertension (PAH) is a commonly fatal pulmonary vascular disease that is often diagnosed late and is characterised by a progressive rise in pulmonary vascular resistance resulting from typical vascular remodelling. Recent data suggest that vascular damage plays an impor...
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Published in | Thorax Vol. 67; no. 4; pp. 334 - 341 |
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Main Authors | , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
London
BMJ Publishing Group Ltd and British Thoracic Society
01.04.2012
BMJ Publishing Group BMJ Publishing Group LTD |
Subjects | |
Online Access | Get full text |
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Summary: | BackgroundPulmonary arterial hypertension (PAH) is a commonly fatal pulmonary vascular disease that is often diagnosed late and is characterised by a progressive rise in pulmonary vascular resistance resulting from typical vascular remodelling. Recent data suggest that vascular damage plays an important role in the development of radiation-induced pulmonary toxicity. Therefore, the authors investigated whether irradiation of the lung also induces pulmonary hypertension.MethodsDifferent sub-volumes of the rat lung were irradiated with protons known to induce different levels of pulmonary vascular damage. ResultsEarly loss of endothelial cells and vascular oedema were observed in the irradiation field and in shielded parts of the lung, even before the onset of clinical symptoms. 8 weeks after irradiation, irradiated volume-dependent vascular remodelling was observed, correlating perfectly with pulmonary artery pressure, right ventricle hypertrophy and pulmonary dysfunction.ConclusionsThe findings indicate that partial lung irradiation induces pulmonary vascular remodelling resulting from acute pulmonary endothelial cell loss and consequential pulmonary hypertension. Moreover, the close resemblance of the observed vascular remodelling with vascular lesions in PAH makes partial lung irradiation a promising new model for studying PAH. |
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Bibliography: | istex:D072A49C48359C7983190E69D3374B20DC70AFCE href:thoraxjnl-67-334.pdf ark:/67375/NVC-1SG7T2KK-9 ArticleID:thoraxjnl-2011-200346 local:thoraxjnl;67/4/334 PMID:22201162 |
ISSN: | 0040-6376 1468-3296 |
DOI: | 10.1136/thoraxjnl-2011-200346 |