Radiation dermatitis (Image source)
An antiscarring paste when applied to the skin of mice halts fibrosis caused by the radiation used in cancer therapy. That is according to a study led by researchers at Laura and Isaac Perlmutter Cancer Center to be published in the Journal of the Federation of American Societies for Experimental Biology, or FASEB.
Scarring occurs as key cells lay down tough connective tissue to provide a framework for healing after injury. Fibrosis is a related process that creates connective tissue in the wrong context, often interfering with the architecture or function of tissues as part of disease.
The current study addressed a type of fibrosis called radiation dermatitis, which is a side effect experienced by as many as 95 percent of patients undergoing initial radiation treatment. Radiation applied to the skin causes the buildup of fibrotic tissue and skin thickening, with the effects severe enough in some patients to stop treatment.
The NYU Langone research team says they mimicked the development of radiation dermatitis by exposing the mice's skin to a single dose of 40 Grays, a similar amount of radiation to what patients undergoing anti-cancer radiation typically receive over five weeks. Some of the irradiated animals were normal mice, while others were genetically engineered to lack a specific protein receptor, known as the adenosine A2A receptor. Signaling molecules fit into certain receptors on cells, like keys into locks, to pass on messages, and the A2A receptor does so in pathways related to fibrosis.
Half of the irradiated mice were then treated daily with a topical paste made with the research team's patented A2A receptor blocker. The paste contains 2.5 milligrams of active ingredient per milliliter of 3 percent carboxymethyl cellulose, a gum 'binder' used to make drugs and other products. The rest of the mice received a placebo.
A month after exposure, normal mice that got the placebo showed a nearly two-fold increase in the amount of collagen, skin thickness, and fibrosis. Those treated with the A2A receptor-blocking paste accumulated only 10 percent more skin-thickening collagen. Mice genetically engineered to lack the A2A receptor developed no skin reaction at all to the radiation.
If further experiments on animals and eventually people prove successful, clinicians treating early-stage cancers with radiation could eventually prescribe an A2A inhibitor paste to prevent fibrosis. The team's findings suggest that A2A antagonist drugs could also be used in treating other diseases involving changes in the structure of collagen, a major component of skin and connective tissues, such as scleroderma and interstitial pulmonary fibrosis.
Based on material originally posted by New York University.