Mechanisms of radiation-induced brain injury / Review

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Bibliographic Details
Main Authors: Nataša Šuštar, Berta Jereb, David Neubauer
Format: Article
Language:English
Published: Slovenian Medical Association 2014-11-01
Series:Zdravniški Vestnik
Subjects:
Online Access:http://vestnik.szd.si/index.php/ZdravVest/article/view/970
Description
Summary:<!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:TrackMoves/> <w:TrackFormatting/> <w:HyphenationZone>21</w:HyphenationZone> <w:PunctuationKerning/> <w:ValidateAgainstSchemas/> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:DoNotPromoteQF/> <w:LidThemeOther>SL</w:LidThemeOther> <w:LidThemeAsian>X-NONE</w:LidThemeAsian> <w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> <w:DontGrowAutofit/> <w:SplitPgBreakAndParaMark/> <w:DontVertAlignCellWithSp/> <w:DontBreakConstrainedForcedTables/> <w:DontVertAlignInTxbx/> <w:Word11KerningPairs/> <w:CachedColBalance/> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> <m:mathPr> <m:mathFont m:val="Cambria Math"/> <m:brkBin m:val="before"/> <m:brkBinSub m:val="&#45;-"/> <m:smallFrac m:val="off"/> <m:dispDef/> <m:lMargin m:val="0"/> <m:rMargin m:val="0"/> <m:defJc m:val="centerGroup"/> <m:wrapIndent m:val="1440"/> <m:intLim m:val="subSup"/> <m:naryLim m:val="undOvr"/> </m:mathPr></w:WordDocument> </xml><![endif]--><p class="MsoNormal"><span style="mso-ansi-language: EN-US; mso-no-proof: yes;" lang="EN-US">Mechanisms of radiation-induced brain injury <span class="hps">are not yet fully</span> <span class="hps">understood</span>.</span><span style="mso-ansi-language: EN-US; mso-no-proof: yes;" lang="EN-US"> Early failure occurs because of the effect of ionizing radiation on dividing endothelial</span><span style="mso-ansi-language: EN-US; mso-no-proof: yes;" lang="EN-US">cells and oligodendrocytes. <span class="hps">Hypothetically,</span> late <span class="hps">radiation-induced brain</span> <span class="hps">injury is caused</span></span><span class="hps"><span style="mso-ansi-language: EN-US; mso-no-proof: yes;" lang="EN-US">by chronic inflammation</span></span><span style="mso-ansi-language: EN-US; mso-no-proof: yes;" lang="EN-US"> <span class="hps">and</span> <span class="hps">oxidative stress</span>. <span class="hps">In the case</span> <span class="hps">of irradiation of the</span></span><span class="hps"><span style="mso-ansi-language: EN-US; mso-no-proof: yes;" lang="EN-US">hippocampus, </span></span><span style="mso-ansi-language: EN-US; mso-no-proof: yes;" lang="EN-US">the<span class="hps"> failure of</span> <span class="hps">neurogenesis</span> <span class="hps">and</span> <span class="hps">cognitive decline could be consequences</span></span><span class="hps"><span style="mso-ansi-language: EN-US; mso-no-proof: yes;" lang="EN-US">of</span></span><span style="mso-ansi-language: EN-US; mso-no-proof: yes;" lang="EN-US"> <span class="hps">such</span> <span class="hps">pathological</span> <span class="hps">mechanisms.</span> Due to lack of diagnostic tools, that could not more </span><span style="mso-ansi-language: EN-US; mso-no-proof: yes;" lang="EN-US">precisely define the brain injury after radiation, therapy, that may prevent such </span><span style="mso-ansi-language: EN-US; mso-no-proof: yes;" lang="EN-US">consequences in patients who require radiotherapy, is not currently known. <span class="hps">This article</span></span><span class="hps"><span style="mso-ansi-language: EN-US; mso-no-proof: yes;" lang="EN-US">summarizes research hypotheses regarding processes of the brain damage after </span></span><span class="hps"><span style="mso-ansi-language: EN-US; mso-no-proof: yes;" lang="EN-US">radiation,</span></span><span style="mso-ansi-language: EN-US; mso-no-proof: yes;" lang="EN-US"> <span class="hps">prospects</span> <span class="hps">in the diagnosis and</span> <span class="hps">therapeutic</span> <span class="hps">approaches.</span></span></p>
ISSN:1318-0347
1581-0224