Clin Invest Med 2008; 31 (5): E242-E247.
AbstractPurpose: The prevention of radiation-induced pulmonary toxicity may help to improve radiation therapy in the cancer patient. The aim of this study was to investigate the pulmonary protective effects of caffeic acid phenethyl ester (CAPE), an antioxidant, on radiation-induced lung injury in rats. Methods:30 Wistar albino rats were divided into three groups and treated with saline, Radiation (RT) and RT + CAPE respectively. All rats were treated with CAPE (50 μmol/kg i.p.) or saline. The first dose of CAPE was injected 24 h before radiation and application continued daily, with radiation in second day and 2 days more after the radiation treatment. Radiation dose was 800 cGy for total body. At 72 hr after the last radiation application, under general anesthesia using ip ketamine, the lungs were removed immediately after decapitation. After sacrification, antioxidant enzymes catalase (CAT), superoxide dismutase (SOD) activities and malondiadehyde (MDA) levels were evaluated in lung tissue. Results: The level of malondialdehyde (MDA) was higher in the RT group (233.4±1.5 nmol/g protein) than in both the control (131.8±0.92) and the RT + CAPE (151.4±1.8) groups (P < 0.001). However, CAT activity was decreased in the RT group (7.26±0.27 Umg protein) compared with control (8.49±0.51) and increased again in the RT + CAPE group (8.31±0.56; P<0.001). In accord with CAT activity, SOD activity in the RT group (0.42±0.07 nmolMDA/g wet tissue) was different from the control (0.78±0.02) and RT + CAPE (0.86±0.06) groups (P< 0.001).
Conclusion: CAPE aplication with radiation therapy attenuated radiation induced pulmonary injury in vivo, possibly by its antioxidant effect.When radiation is absorbed by a biological material, free oxygen radicals are produced. The radicals are highly reactive molecules and, via chemical bonds that produce chemical changes, initiate a chain of events that result in biological damage. They can be produced either directly in the target molecule (usually DNA) or indirectly in other cellular molecules and they diffuse far enough to reach and damage critical targets. Most indirect effects occur by free radicals produced in water, since water makes up 70-80 % of mammalian cells. 1 In this way, chemotherapy and radiotherapy eliminate cancer cells, but their nonspecific targeting also destroys normal, healthy cells, particularly in epithelial tissues. Damage to the epithelium of the respiratory tract results in a pathologic condition known as pneumonitis . 2 Radiation (RT) is frequently used to treat tumors in and around the thorax. In these patients, RT-induced lung injury is common, occurring in 5% to 20% of patients with lung cancer. The incidence is somewhat less, 5% to 15%, for patients with tumors such as mediastinal lymphoma and breast cancer . 3 ORIGINAL RESEARCH