No abstract

Radiotherapy (RT) plays a pivotal role in the treatment of breast cancer (BC) and various thoracic malignancies. Radiation induced heart disease (RIHD) is one such long term toxicity which can offset the improvement in cancer specific mortality. Long term normal tissue toxicity is becoming a bigger concern, as early diagnosis and the improvement in the treatment of these cancers has led to patients surviving longer. Our research group on Physics applied to biomedical sciences has been investigating the side effects of BC treatment (RT and chemotherapy) for more than ten years. The cardiac regeneration has been studied to better understand the damage that occurs following radiation procedures in the heart tissue after many thoracic cancer treatments. One possible complication is coronary artery disease induced by irradiation after radiotherapy in thoracic area. Studies on the structures of cardiac tissue and the distribution of low atomic weight element can help to understand mechanisms associated with damage to healthy tissue, as these are of fundamental importance to metabolism in biological systems. The present study aimed to elucidate how radiotherapy in the thoracic area causes damage in the coronary artery, and to verify the potential use of losartan in reducing, or even preventing, the side effects of irradiation in this artery. To assess elemental and morphological differences in aortic and coronary samples, the Low Energy X-Ray Fluorescence (LEXRF) technique using Synchrotron Radiation was employed. SR- LEXRF and scanning transmission X-ray microscopy measurements were carried out at the beamline TwinMic at Elettra Sincrotrone Triste, Italy.

Hypertension is one of the major public health problems worldwide. It can cause severely alterations in artery structure and function such as vascular remodeling. Angiotensin II (Ang II) has been linked to vascular dysfunction. It has been shown that blockade of the Ang II type 1 receptor with an Ang II receptor blocker (ARBs) may reverse vascular pathology independently of blood pressure lowering. There is therefore a special interest in establishing whether antihypertensive treatment may correct in part or completely the structural and functional alterations of arteries. Several studies have shown regression of structural remodeling or of functional alterations of small arteries in spontaneously hypertensive rats (SHR) treated with ARBs agents. However, its efficiency was not verified at elemental level in the literature. Knowledge of the elemental distribution in tissues has a great importance in the study of diseases, because chemical imbalance can alter biological functions. Elemental semiquantitative microanalysis in the coronary artery of normotensive, SHRs, and SHRs rats treated with ARBs (losartan and olmesartan) was performed using low energy X‐ray fluorescence maps acquired on TwinMic X‐ray spectromicroscopy station, located at the Elettra synchrotron radiation facility. Morphological changes in coronary samples were also investigated. The results demonstrate that despite the antihypertensive agents used belong to the same class, their capacities to revert chemical and structural changes in the coronary arteries caused by hypertension are different.