Purpose
In our ongoing investigation into the consequences of a radiological terrorism event, we assessed whether a dose range that is believed to be subthreshold for the development of lung endpoints results in late pathological changes and, secondarily, whether those late changes affect the lung’s ability to respond to subsequent challenge.
Materials and methods
C57BL/6J mice received total body irradiation (0.5-10 Gy) and were followed for 6-18 months after irradiation. At 12 and 15 months, a subset of mice was exposed to a second challenge (aerosolized lipopolysaccharide [LPS]).
Results
Cytokines shown to be upregulated early (hours) following irradiation (interleukin [IL]6,keratinocyte chemoattractant [KC], IL1B, and IL1R2) demonstrated increases in messenger ribose nucleic acid (mRNA) expression at late time points, beginning at 9 months. Although persistent, dose-dependent increases in T cell counts were seen, no other overt changes in pathophysiology were observed. Nonetheless, animals that were exposed to a secondary challenge at late time points demonstrated an increased inflammatory cell recruitment and persistence in response relative to controls.
Conclusions
We propose that, following doses that elicit little change in pathophysiology, sub-clinical radiation-induced injury increases the lungs’ susceptibility to a secondary challenge, possibly through a radiation-induced alteration in the immune defense system.