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In vivo and in vitro models of ionizing radiation to the vocal folds
Author(s) -
Saltman Benjamin,
Kraus Dennis H.,
Szeto Hazel,
Parashar Bhupesh,
Ghossein Ronald,
Felsen Diane,
Branski Ryan C.
Publication year - 2010
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.21212
Subject(s) - ionizing radiation , in vivo , in vitro , fibrosis , pathology , inflammation , radiation therapy , reactive oxygen species , gene expression , cancer research , medicine , biology , gene , microbiology and biotechnology , surgery , immunology , irradiation , biochemistry , genetics , physics , nuclear physics
Background Radiation therapy (RT) to the head and neck often results in damage to the vocal folds (VF) and surrounding structures. Characterization and treatment of these sequelae is limited, likely due to the lack of experimental models. Methods Larynges from rats exposed to 2 fractionation schedules (40 Gy total) were analyzed histologically. In vitro, reactive oxygen species (ROS) synthesis, and transcription of select genes associated with ROS, inflammation, and fibrosis were examined in VF fibroblasts after single‐dose radiation. Results Although radiation‐induced histologic alterations are made to VF architecture, 1 fractionation schedule was accompanied by significant morbidity and mortality. In vitro, radiation increased ROS synthesis and inflammatory and profibrotic gene expression. Conclusion Our data suggest that hyperfractionated RT is more tolerable. Utilizing this model, RT‐induced histologic aberrations are made to the VF mucosa. In addition, a relationship between radiation, ROS, and inflammatory and fibrotic gene expression was observed in vitro. © 2009 Wiley Periodicals, Inc. Head Neck, 2010