Evaluation of HIF-1α and VEGF-A expression in radiation-induced cystitis: A case-control study

ABSTRACT The standard treatment for locally advanced cervical cancer (CC) is chemoradiotherapy. Once the bladder receives part of the radiation, a typical inflammatory condition that configures radiation-induced cystitis may develop. Chronic radiation-induced cystitis is commonly characterized by th...

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Main Authors: Ricardo Castellani de Mattos, Isabella dos Santos Guimarães, Leandro de Souza Thiago, Andreia Cristina de Melo
Format: Article
Language:English
Published: Sociedade Brasileira de Urologia 2021-02-01
Series:International Brazilian Journal of Urology
Subjects:
Online Access:http://www.scielo.br/pdf/ibju/v47n2/1677-6119-ibju-47-02-0295.pdf
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author Ricardo Castellani de Mattos
Isabella dos Santos Guimarães
Leandro de Souza Thiago
Andreia Cristina de Melo
author_facet Ricardo Castellani de Mattos
Isabella dos Santos Guimarães
Leandro de Souza Thiago
Andreia Cristina de Melo
author_sort Ricardo Castellani de Mattos
collection DOAJ
description ABSTRACT The standard treatment for locally advanced cervical cancer (CC) is chemoradiotherapy. Once the bladder receives part of the radiation, a typical inflammatory condition that configures radiation-induced cystitis may develop. Chronic radiation-induced cystitis is commonly characterized by the bladder new submucosal vascularization, which is typically fragile and favors hematuria. The current study aims to investigate if Hypoxia-Induced Factor (HIF-1α) and its transcriptional target Vascular Endothelial Growth Factor A (VEGF-A) could be a primary pathway leading to increased submucosal vascularization. HIF-1α and VEGF-A mRNA levels in bladder core biopsies from CC patients treated with radiotherapy versus untreated (non-irradiated) patients were analyzed using a droplet digital polymerase chain reaction technology. Gene expression results showed that HIF-1α and VEGF-A had no significant differences between bladder samples from patients previously irradiated and untreated patient samples. However, a direct relationship between the degree of late morbidity and the expression of HIF-1α and VEGF-A has been demonstrated. Despite the lack of statistical significance precludes a definitive conclusion, the data presented herein suggests that further studies investigating the role of HIF-1α in bladder neovascularization in radiation-induced cystitis are highly recommended.
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spelling doaj.art-63b316237b1c4b89b5f95c188b4c78682022-12-21T18:45:03ZengSociedade Brasileira de UrologiaInternational Brazilian Journal of Urology1677-61192021-02-0147229530510.1590/s1677-5538.ibju.2020.0054Evaluation of HIF-1α and VEGF-A expression in radiation-induced cystitis: A case-control studyRicardo Castellani de MattosIsabella dos Santos GuimarãesLeandro de Souza Thiagohttps://orcid.org/0000-0002-4003-3400Andreia Cristina de MeloABSTRACT The standard treatment for locally advanced cervical cancer (CC) is chemoradiotherapy. Once the bladder receives part of the radiation, a typical inflammatory condition that configures radiation-induced cystitis may develop. Chronic radiation-induced cystitis is commonly characterized by the bladder new submucosal vascularization, which is typically fragile and favors hematuria. The current study aims to investigate if Hypoxia-Induced Factor (HIF-1α) and its transcriptional target Vascular Endothelial Growth Factor A (VEGF-A) could be a primary pathway leading to increased submucosal vascularization. HIF-1α and VEGF-A mRNA levels in bladder core biopsies from CC patients treated with radiotherapy versus untreated (non-irradiated) patients were analyzed using a droplet digital polymerase chain reaction technology. Gene expression results showed that HIF-1α and VEGF-A had no significant differences between bladder samples from patients previously irradiated and untreated patient samples. However, a direct relationship between the degree of late morbidity and the expression of HIF-1α and VEGF-A has been demonstrated. Despite the lack of statistical significance precludes a definitive conclusion, the data presented herein suggests that further studies investigating the role of HIF-1α in bladder neovascularization in radiation-induced cystitis are highly recommended.http://www.scielo.br/pdf/ibju/v47n2/1677-6119-ibju-47-02-0295.pdfNeoplasmsRadiation-InducedUterine Cervical NeoplasmsVascular Endothelial Growth Factor A
spellingShingle Ricardo Castellani de Mattos
Isabella dos Santos Guimarães
Leandro de Souza Thiago
Andreia Cristina de Melo
Evaluation of HIF-1α and VEGF-A expression in radiation-induced cystitis: A case-control study
International Brazilian Journal of Urology
Neoplasms
Radiation-Induced
Uterine Cervical Neoplasms
Vascular Endothelial Growth Factor A
title Evaluation of HIF-1α and VEGF-A expression in radiation-induced cystitis: A case-control study
title_full Evaluation of HIF-1α and VEGF-A expression in radiation-induced cystitis: A case-control study
title_fullStr Evaluation of HIF-1α and VEGF-A expression in radiation-induced cystitis: A case-control study
title_full_unstemmed Evaluation of HIF-1α and VEGF-A expression in radiation-induced cystitis: A case-control study
title_short Evaluation of HIF-1α and VEGF-A expression in radiation-induced cystitis: A case-control study
title_sort evaluation of hif 1α and vegf a expression in radiation induced cystitis a case control study
topic Neoplasms
Radiation-Induced
Uterine Cervical Neoplasms
Vascular Endothelial Growth Factor A
url http://www.scielo.br/pdf/ibju/v47n2/1677-6119-ibju-47-02-0295.pdf
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