Cellular therapy treatment of chronic radiation cystitis in rats - IRSN - Institut de radioprotection et de sûreté nucléaire
Communication Dans Un Congrès Année : 2019

Cellular therapy treatment of chronic radiation cystitis in rats

Résumé

Introduction and purpose of the study: Chronic radiocystitis (CRC) is a consecutive pathology of pelvic irradiation. It is characterized by chronic inflammation sometimes progressing to fibrosis and in the most severe cases to fistulas with symptoms such as pain and bleeding. There is no effective treatment and we propose to test mesenchymal stem cells (MSCs) as a new therapeutic method. Our previous studies on radiation rectitis have shown that MSCs can reverse chronic inflammation and fibrosis after irradiation. Material and methods: Preclinical modelling of CRC in rats was implemented by localized irradiation guided by scanner imaging of the bladder from 20 to 40 Gray with a follow-up of 3 to 6 months post-irradiation. Gene and protein expression analyses as well as histological and functional parameters are carried out. Results and Statistical Analysis: The analysis of urinary parameters revealed transient hematuria but no decrease in urinary volume over the 6 months. Transcriptomic analysis indicates a profile in favour of chronic inflammation (IL1β, CCL2, IL6) and hypoxia (HIF1α) at 6 months but no pro-fibrotic profile (αSMA). Histological observations reveal a disorganization of the urothelium at 6 months, with a decrease in its thickness and vascular lesions but no fibrosis, which is consistent with gene expression results. Conclusion: These initial results attest to the relevance of the study by showing an initiation of CRC at 6 months with chronic inflammation, signs of hypoxia, hematuria and urothelium disorganization, without decreasing urinary volume. The analysis of kinetics over later times will make it possible to characterize the evolution towards fibrosis and to have an established CRC. In a second step we will set up the treatment of this pathology by CSM.
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hal-03431755 , version 1 (16-11-2021)

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  • HAL Id : hal-03431755 , version 1

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Clement Brossard, Morgane dos Santos, Christelle Demarquay, Valerie Buard, Georges Tarlet, et al.. Cellular therapy treatment of chronic radiation cystitis in rats. International Conference on Cell Science and Molecular Biology, CELL SCIENCE-2019, Jul 2019, PARIS, France. ⟨hal-03431755⟩
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