Towards unravelling biological mechanisms behind radiation-induced oral mucositis via mass spectrometry-based proteomics

ObjectiveHead and neck cancer (HNC) accounts for almost 890,000 new cases per year. Radiotherapy (RT) is used to treat the majority of these patients. A common side-effect of RT is the onset of oral mucositis, which decreases the quality of life and represents the major dose-limiting factor in RT. T...

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Main Authors: Prabal Subedi, Katharina Huber, Christoph Sterr, Anne Dietz, Lukas Strasser, Felix Kaestle, Stefanie M. Hauck, Lukas Duchrow, Christine Aldrian, Elsa Beatriz Monroy Ordonez, Benedikt Luka, Andreas R. Thomsen, Michael Henke, Maria Gomolka, Ute Rößler, Omid Azimzadeh, Simone Moertl, Sabine Hornhardt
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-06-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2023.1180642/full
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author Prabal Subedi
Katharina Huber
Christoph Sterr
Anne Dietz
Lukas Strasser
Felix Kaestle
Stefanie M. Hauck
Lukas Duchrow
Christine Aldrian
Elsa Beatriz Monroy Ordonez
Benedikt Luka
Andreas R. Thomsen
Andreas R. Thomsen
Michael Henke
Michael Henke
Maria Gomolka
Ute Rößler
Omid Azimzadeh
Simone Moertl
Sabine Hornhardt
author_facet Prabal Subedi
Katharina Huber
Christoph Sterr
Anne Dietz
Lukas Strasser
Felix Kaestle
Stefanie M. Hauck
Lukas Duchrow
Christine Aldrian
Elsa Beatriz Monroy Ordonez
Benedikt Luka
Andreas R. Thomsen
Andreas R. Thomsen
Michael Henke
Michael Henke
Maria Gomolka
Ute Rößler
Omid Azimzadeh
Simone Moertl
Sabine Hornhardt
author_sort Prabal Subedi
collection DOAJ
description ObjectiveHead and neck cancer (HNC) accounts for almost 890,000 new cases per year. Radiotherapy (RT) is used to treat the majority of these patients. A common side-effect of RT is the onset of oral mucositis, which decreases the quality of life and represents the major dose-limiting factor in RT. To understand the origin of oral mucositis, the biological mechanisms post-ionizing radiation (IR) need to be clarified. Such knowledge is valuable to develop new treatment targets for oral mucositis and markers for the early identification of “at-risk” patients.MethodsPrimary keratinocytes from healthy volunteers were biopsied, irradiated in vitro (0 and 6 Gy), and subjected to mass spectrometry-based analyses 96 h after irradiation. Web-based tools were used to predict triggered biological pathways. The results were validated in the OKF6 cell culture model. Immunoblotting and mRNA validation was performed and cytokines present in cell culture media post-IR were quantified.ResultsMass spectrometry-based proteomics identified 5879 proteins in primary keratinocytes and 4597 proteins in OKF6 cells. Amongst them, 212 proteins in primary keratinocytes and 169 proteins in OKF6 cells were differentially abundant 96 h after 6 Gy irradiation compared to sham-irradiated controls. In silico pathway enrichment analysis predicted interferon (IFN) response and DNA strand elongation pathways as mostly affected pathways in both cell systems. Immunoblot validations showed a decrease in minichromosome maintenance (MCM) complex proteins 2-7 and an increase in IFN-associated proteins STAT1 and ISG15. In line with affected IFN signalling, mRNA levels of IFNβ and interleukin 6 (IL-6) increased significantly following irradiation and also levels of secreted IL-1β, IL-6, IP-10, and ISG15 were elevated.ConclusionThis study has investigated biological mechanisms in keratinocytes post-in vitro ionizing radiation. A common radiation signature in keratinocytes was identified. The role of IFN response in keratinocytes along with increased levels of pro-inflammatory cytokines and proteins could hint towards a possible mechanism for oral mucositis.
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spelling doaj.art-54557a50150149be9e67c2ae864cb7e62023-06-13T11:25:19ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-06-011310.3389/fonc.2023.11806421180642Towards unravelling biological mechanisms behind radiation-induced oral mucositis via mass spectrometry-based proteomicsPrabal Subedi0Katharina Huber1Christoph Sterr2Anne Dietz3Lukas Strasser4Felix Kaestle5Stefanie M. Hauck6Lukas Duchrow7Christine Aldrian8Elsa Beatriz Monroy Ordonez9Benedikt Luka10Andreas R. Thomsen11Andreas R. Thomsen12Michael Henke13Michael Henke14Maria Gomolka15Ute Rößler16Omid Azimzadeh17Simone Moertl18Sabine Hornhardt19Bundesamt für Strahlenschutz/Federal Office for Radiation Protection, Neuherberg, GermanyBundesamt für Strahlenschutz/Federal Office for Radiation Protection, Neuherberg, GermanyBundesamt für Strahlenschutz/Federal Office for Radiation Protection, Neuherberg, GermanyBundesamt für Strahlenschutz/Federal Office for Radiation Protection, Neuherberg, GermanyBundesamt für Strahlenschutz/Federal Office for Radiation Protection, Neuherberg, GermanyBundesamt für Strahlenschutz/Federal Office for Radiation Protection, Neuherberg, GermanyHelmholtz Zentrum München, German Research Centre for Environmental Health, Metabolomics and Proteomics Core, Munich, GermanyBundesamt für Strahlenschutz/Federal Office for Radiation Protection, Neuherberg, GermanyDepartment of Radiation Oncology, Medical Center, Faculty of Medicine, University of Freiburg, German Cancer Consortium (DKTK) partner site Freiburg, Freiburg, GermanyDepartment of Radiation Oncology, Medical Center, Faculty of Medicine, University of Freiburg, German Cancer Consortium (DKTK) partner site Freiburg, Freiburg, GermanyDepartment of Conservative Dentistry Periodontology and Preventive Dentistry, Hannover Medical School (MHH), Hannover, GermanyDepartment of Radiation Oncology, Medical Center, Faculty of Medicine, University of Freiburg, German Cancer Consortium (DKTK) partner site Freiburg, Freiburg, GermanyGerman Cancer Consortium (DKTK) Partner Site Freiburg, German Cancer Research Center (dkfz), Heidelberg, GermanyDepartment of Radiation Oncology, Medical Center, Faculty of Medicine, University of Freiburg, German Cancer Consortium (DKTK) partner site Freiburg, Freiburg, GermanyGerman Cancer Consortium (DKTK) Partner Site Freiburg, German Cancer Research Center (dkfz), Heidelberg, GermanyBundesamt für Strahlenschutz/Federal Office for Radiation Protection, Neuherberg, GermanyBundesamt für Strahlenschutz/Federal Office for Radiation Protection, Neuherberg, GermanyBundesamt für Strahlenschutz/Federal Office for Radiation Protection, Neuherberg, GermanyBundesamt für Strahlenschutz/Federal Office for Radiation Protection, Neuherberg, GermanyBundesamt für Strahlenschutz/Federal Office for Radiation Protection, Neuherberg, GermanyObjectiveHead and neck cancer (HNC) accounts for almost 890,000 new cases per year. Radiotherapy (RT) is used to treat the majority of these patients. A common side-effect of RT is the onset of oral mucositis, which decreases the quality of life and represents the major dose-limiting factor in RT. To understand the origin of oral mucositis, the biological mechanisms post-ionizing radiation (IR) need to be clarified. Such knowledge is valuable to develop new treatment targets for oral mucositis and markers for the early identification of “at-risk” patients.MethodsPrimary keratinocytes from healthy volunteers were biopsied, irradiated in vitro (0 and 6 Gy), and subjected to mass spectrometry-based analyses 96 h after irradiation. Web-based tools were used to predict triggered biological pathways. The results were validated in the OKF6 cell culture model. Immunoblotting and mRNA validation was performed and cytokines present in cell culture media post-IR were quantified.ResultsMass spectrometry-based proteomics identified 5879 proteins in primary keratinocytes and 4597 proteins in OKF6 cells. Amongst them, 212 proteins in primary keratinocytes and 169 proteins in OKF6 cells were differentially abundant 96 h after 6 Gy irradiation compared to sham-irradiated controls. In silico pathway enrichment analysis predicted interferon (IFN) response and DNA strand elongation pathways as mostly affected pathways in both cell systems. Immunoblot validations showed a decrease in minichromosome maintenance (MCM) complex proteins 2-7 and an increase in IFN-associated proteins STAT1 and ISG15. In line with affected IFN signalling, mRNA levels of IFNβ and interleukin 6 (IL-6) increased significantly following irradiation and also levels of secreted IL-1β, IL-6, IP-10, and ISG15 were elevated.ConclusionThis study has investigated biological mechanisms in keratinocytes post-in vitro ionizing radiation. A common radiation signature in keratinocytes was identified. The role of IFN response in keratinocytes along with increased levels of pro-inflammatory cytokines and proteins could hint towards a possible mechanism for oral mucositis.https://www.frontiersin.org/articles/10.3389/fonc.2023.1180642/fullradiotherapykeratinocytesbiomarkermass spectrometry-based proteomicsinterferon responseSTAT phosphorylation
spellingShingle Prabal Subedi
Katharina Huber
Christoph Sterr
Anne Dietz
Lukas Strasser
Felix Kaestle
Stefanie M. Hauck
Lukas Duchrow
Christine Aldrian
Elsa Beatriz Monroy Ordonez
Benedikt Luka
Andreas R. Thomsen
Andreas R. Thomsen
Michael Henke
Michael Henke
Maria Gomolka
Ute Rößler
Omid Azimzadeh
Simone Moertl
Sabine Hornhardt
Towards unravelling biological mechanisms behind radiation-induced oral mucositis via mass spectrometry-based proteomics
Frontiers in Oncology
radiotherapy
keratinocytes
biomarker
mass spectrometry-based proteomics
interferon response
STAT phosphorylation
title Towards unravelling biological mechanisms behind radiation-induced oral mucositis via mass spectrometry-based proteomics
title_full Towards unravelling biological mechanisms behind radiation-induced oral mucositis via mass spectrometry-based proteomics
title_fullStr Towards unravelling biological mechanisms behind radiation-induced oral mucositis via mass spectrometry-based proteomics
title_full_unstemmed Towards unravelling biological mechanisms behind radiation-induced oral mucositis via mass spectrometry-based proteomics
title_short Towards unravelling biological mechanisms behind radiation-induced oral mucositis via mass spectrometry-based proteomics
title_sort towards unravelling biological mechanisms behind radiation induced oral mucositis via mass spectrometry based proteomics
topic radiotherapy
keratinocytes
biomarker
mass spectrometry-based proteomics
interferon response
STAT phosphorylation
url https://www.frontiersin.org/articles/10.3389/fonc.2023.1180642/full
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