INDUCTION OF INTERLEUKIN-6 BY PROTON BEAM IRRADIATION DEPENDS ON TARGETED ORGAN

Purpose: To determine whether proton beam irradiation induces the increase of IL-6 in plasma and which organ is most responsible for the irradiation. Methods and Materials: Ten to twelve week old mice received whole body or partial body proton beam irradiation. Slit shaped ports were implemented for partial irradiation in order to distinguish the response of a designated organ, head, lung, liver, and lower abdomen. The concentrations of IL-6 in plasma were assayed three and half days after the irradiation. Results: Whole body proton beam irradiation caused a significant elevation of IL-6 plasma levels the same as those occurred after photon beam irradiation. Partial proton beam irradiation explores the significant differences in the induction of IL-6 by the irradiated organ. Contrary to lung and head irradiation, lower abdominal irradiation and whole body irradiation lead the remarkable elevations of IL-6. Conclusion: Although IL-6 was induced by proton beam irradiation to lower abdomen and to the whole body, proton beam irradiation to the liver did not cause elevation of IL-6. Because proton beam can avoid irradiation to digestive organs responsible for IL-6 induction, proton beam therapy is supposed to be an effective treatment for hepatocellular carcinoma.

[1]  D. Cataldo,et al.  Increased IL-6 and TGF-beta1 concentrations in bronchoalveolar lavage fluid associated with thoracic radiotherapy. , 2004, International journal of radiation oncology, biology, physics.

[2]  D. Clarençon,et al.  Acute induction of inflammatory cytokine expression after gamma-irradiation in the rat: effect of an NF-kappaB inhibitor. , 2004, International journal of radiation oncology, biology, physics.

[3]  T. Hashimoto,et al.  Clinical results of proton radiotherapy for hepatocellular carcinoma , 2003 .

[4]  M. Vozenin-Brotons,et al.  Abdominal irradiation increases inflammatory cytokine expression and activates NF-kappaB in rat ileal muscularis layer. , 2003, American journal of physiology. Gastrointestinal and liver physiology.

[5]  R. Savino,et al.  Interleukin 6 is important for survival after partial hepatectomy in mice , 2003, Hepatology.

[6]  T. Zimmers,et al.  Massive liver growth in mice induced by systemic interleukin 6 administration , 2003, Hepatology.

[7]  Chi-Chih Wang,et al.  Stress Response to Hepatectomy in Patients with a Healthy or a Diseased Liver , 2003, World Journal of Surgery.

[8]  M. Manns,et al.  Interleukin-6/Glycoprotein 130-dependent Pathways Are Protective during Liver Regeneration* , 2003, The Journal of Biological Chemistry.

[9]  Y. Nezu,et al.  Kinetics of endotoxin concentration and tumor necrosis factor-alpha, interleukin-1beta, and interleukin-6 activities in the systemic and portal circulation during small intestinal ischemia and reperfusion in dogs. , 2002, American journal of veterinary research.

[10]  G. Tiegs,et al.  Cytokine expression in three mouse models of experimental hepatitis. , 2002, Cytokine.

[11]  Harald Paganetti,et al.  Relative biological effectiveness (RBE) values for proton beam therapy. , 2002, International journal of radiation oncology, biology, physics.

[12]  S. Fan,et al.  Locoregional Therapies for Hepatocellular Carcinoma: A Critical Review From the Surgeon’s Perspective , 2002, Annals of surgery.

[13]  H. Saito,et al.  Inhibition of growth of human hepatoma cells by dual-function antisense IL-6 oligonucleotides. , 2002, Hepatology research : the official journal of the Japan Society of Hepatology.

[14]  A. Vacek,et al.  Irradiation induces increased production of haemopoietic and proinflammatory cytokines in the mouse lung , 2002, International journal of radiation biology.

[15]  B. Barton,et al.  Cancer cachexia is mediated in part by the induction of IL-6-like cytokines from the spleen. , 2001, Cytokine.

[16]  N. Guitton,et al.  IL-6 a key cytokine in in vitro and in vivo response of Sertoli cells to external gamma irradiation. , 2001, Cytokine.

[17]  C. Suh,et al.  Dose-response relationship in local radiotherapy for hepatocellular carcinoma. , 2001, International journal of radiation oncology, biology, physics.

[18]  R. Cannan,et al.  Serum proinflammatory cytokine response in patients with advanced liver tumors following selective internal radiation therapy (SIRT) with (90)Yttrium microspheres. , 2001, International journal of radiation oncology, biology, physics.

[19]  P. Okunieff,et al.  Circulating IL-6 as a predictor of radiation pneumonitis. , 2001, International journal of radiation oncology, biology, physics.

[20]  M. Oka,et al.  Levels of interleukin (IL)-6, IL-8, and IL-1 receptor antagonist in the hepatic vein following liver surgery. , 2000, Hepato-gastroenterology.

[21]  H. Rodemann,et al.  The role of cytokines in the development of normal-tissue reactions after radiotherapy. , 1998, Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al].

[22]  P. Wang,et al.  Increased gut permeability after hemorrhage is associated with upregulation of local and systemic IL-6. , 1998, The Journal of surgical research.

[23]  J. Haveman,et al.  TNF, IL-1 and IL-6 in circulating blood after total-body and localized irradiation in rats. , 1998, Oncology reports.

[24]  K. Bland,et al.  Effect of IL-6 overexpression on the metastatic potential of rat hepatocellular carcinoma cells , 1998, Annals of Surgical Oncology.

[25]  J. Loeffler,et al.  The potential role of proton beams in radiation oncology. , 1997, Seminars in oncology.

[26]  E. Furth,et al.  Liver Failure and Defective Hepatocyte Regeneration in Interleukin-6-Deficient Mice , 1996, Science.

[27]  H. Yamazaki,et al.  Serum interleukin 6 as a predicator of the therapeutic effect and adverse reactions after transcatheter arterial embolization. , 1995, Cytokine.

[28]  M. Pallardy,et al.  Peripheral blood corticotropin-releasing factor, adrenocorticotropic hormone and cytokine (interleukin beta, interleukin 6, tumor necrosis factor alpha) levels after high- and low-dose total-body irradiation in humans. , 1994, Radiation research.

[29]  H. Tsujii,et al.  A new, effective, and safe therapeutic option using proton irradiation for hepatocellular carcinoma. , 1994, Gastroenterology.

[30]  H. Tsujii,et al.  Proton irradiation for hepatocellular carcinoma , 1992, The Lancet.

[31]  S. Bhatia The Spleen , 1929, The Indian medical gazette.

[32]  P. Okunieff,et al.  Radiation pneumonitis and early circulatory cytokine markers. , 2002, Seminars in radiation oncology.

[33]  M. Vandamme,et al.  Inflammatory response to abdominal irradiation stimulates hemopoiesis. , 2001, International journal of radiation biology.