Cardiac radiotherapy induces electrical conduction reprogramming in the absence of transmural fibrosis

Noninvasive cardiac radiotherapy may effectively manage ventricular tachycardia in refractory patients, but its radiobiologic mechanisms of action are unclear. Here, the authors show that photon radiation durably and favourably reprograms cardiac conduction in the absence of transmural fibrosis sugg...

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Main Authors: David M. Zhang, Rachita Navara, Tiankai Yin, Jeffrey Szymanski, Uri Goldsztejn, Camryn Kenkel, Adam Lang, Cedric Mpoy, Catherine E. Lipovsky, Yun Qiao, Stephanie Hicks, Gang Li, Kaitlin M. S. Moore, Carmen Bergom, Buck E. Rogers, Clifford G. Robinson, Phillip S. Cuculich, Julie K. Schwarz, Stacey L. Rentschler
Format: Article
Language:English
Published: Nature Portfolio 2021-09-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-021-25730-0
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author David M. Zhang
Rachita Navara
Tiankai Yin
Jeffrey Szymanski
Uri Goldsztejn
Camryn Kenkel
Adam Lang
Cedric Mpoy
Catherine E. Lipovsky
Yun Qiao
Stephanie Hicks
Gang Li
Kaitlin M. S. Moore
Carmen Bergom
Buck E. Rogers
Clifford G. Robinson
Phillip S. Cuculich
Julie K. Schwarz
Stacey L. Rentschler
author_facet David M. Zhang
Rachita Navara
Tiankai Yin
Jeffrey Szymanski
Uri Goldsztejn
Camryn Kenkel
Adam Lang
Cedric Mpoy
Catherine E. Lipovsky
Yun Qiao
Stephanie Hicks
Gang Li
Kaitlin M. S. Moore
Carmen Bergom
Buck E. Rogers
Clifford G. Robinson
Phillip S. Cuculich
Julie K. Schwarz
Stacey L. Rentschler
author_sort David M. Zhang
collection DOAJ
description Noninvasive cardiac radiotherapy may effectively manage ventricular tachycardia in refractory patients, but its radiobiologic mechanisms of action are unclear. Here, the authors show that photon radiation durably and favourably reprograms cardiac conduction in the absence of transmural fibrosis suggesting this could be the mechanism through which cardiac radiotherapy to modulates arrhythmia susceptibility.
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spelling doaj.art-b87d769fbd7248d484a32dad47327e5a2022-12-21T20:34:26ZengNature PortfolioNature Communications2041-17232021-09-0112111410.1038/s41467-021-25730-0Cardiac radiotherapy induces electrical conduction reprogramming in the absence of transmural fibrosisDavid M. Zhang0Rachita Navara1Tiankai Yin2Jeffrey Szymanski3Uri Goldsztejn4Camryn Kenkel5Adam Lang6Cedric Mpoy7Catherine E. Lipovsky8Yun Qiao9Stephanie Hicks10Gang Li11Kaitlin M. S. Moore12Carmen Bergom13Buck E. Rogers14Clifford G. Robinson15Phillip S. Cuculich16Julie K. Schwarz17Stacey L. Rentschler18Center for Noninvasive Cardiac Radioablation, Washington University in St. Louis, School of MedicineCenter for Noninvasive Cardiac Radioablation, Washington University in St. Louis, School of MedicineDepartment of Medicine, Cardiovascular Division, Washington University in St. Louis, School of MedicineDepartment of Radiation Oncology, Washington University in St. Louis, School of MedicineDepartment of Medicine, Cardiovascular Division, Washington University in St. Louis, School of MedicineDepartment of Medicine, Cardiovascular Division, Washington University in St. Louis, School of MedicineDepartment of Pathology, Washington University in St. Louis, School of MedicineDepartment of Radiation Oncology, Washington University in St. Louis, School of MedicineDepartment of Medicine, Cardiovascular Division, Washington University in St. Louis, School of MedicineDepartment of Medicine, Cardiovascular Division, Washington University in St. Louis, School of MedicineDepartment of Medicine, Cardiovascular Division, Washington University in St. Louis, School of MedicineDepartment of Medicine, Cardiovascular Division, Washington University in St. Louis, School of MedicineCenter for Noninvasive Cardiac Radioablation, Washington University in St. Louis, School of MedicineCenter for Noninvasive Cardiac Radioablation, Washington University in St. Louis, School of MedicineDepartment of Radiation Oncology, Washington University in St. Louis, School of MedicineCenter for Noninvasive Cardiac Radioablation, Washington University in St. Louis, School of MedicineCenter for Noninvasive Cardiac Radioablation, Washington University in St. Louis, School of MedicineCenter for Noninvasive Cardiac Radioablation, Washington University in St. Louis, School of MedicineCenter for Noninvasive Cardiac Radioablation, Washington University in St. Louis, School of MedicineNoninvasive cardiac radiotherapy may effectively manage ventricular tachycardia in refractory patients, but its radiobiologic mechanisms of action are unclear. Here, the authors show that photon radiation durably and favourably reprograms cardiac conduction in the absence of transmural fibrosis suggesting this could be the mechanism through which cardiac radiotherapy to modulates arrhythmia susceptibility.https://doi.org/10.1038/s41467-021-25730-0
spellingShingle David M. Zhang
Rachita Navara
Tiankai Yin
Jeffrey Szymanski
Uri Goldsztejn
Camryn Kenkel
Adam Lang
Cedric Mpoy
Catherine E. Lipovsky
Yun Qiao
Stephanie Hicks
Gang Li
Kaitlin M. S. Moore
Carmen Bergom
Buck E. Rogers
Clifford G. Robinson
Phillip S. Cuculich
Julie K. Schwarz
Stacey L. Rentschler
Cardiac radiotherapy induces electrical conduction reprogramming in the absence of transmural fibrosis
Nature Communications
title Cardiac radiotherapy induces electrical conduction reprogramming in the absence of transmural fibrosis
title_full Cardiac radiotherapy induces electrical conduction reprogramming in the absence of transmural fibrosis
title_fullStr Cardiac radiotherapy induces electrical conduction reprogramming in the absence of transmural fibrosis
title_full_unstemmed Cardiac radiotherapy induces electrical conduction reprogramming in the absence of transmural fibrosis
title_short Cardiac radiotherapy induces electrical conduction reprogramming in the absence of transmural fibrosis
title_sort cardiac radiotherapy induces electrical conduction reprogramming in the absence of transmural fibrosis
url https://doi.org/10.1038/s41467-021-25730-0
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