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author:

Shang, Yue (Shang, Yue.) [1] | Hu, Xueyin (Hu, Xueyin.) [2] | Ren, Meixia (Ren, Meixia.) [3] | Ma, Longbo (Ma, Longbo.) [4] | Zhao, Xiaoyu (Zhao, Xiaoyu.) [5] | Gao, Cong (Gao, Cong.) [6] | Zhang, Lumeng (Zhang, Lumeng.) [7] | Li, Shuqin (Li, Shuqin.) [8] | Liu, Luntao (Liu, Luntao.) [9] | Zou, Bingwen (Zou, Bingwen.) [10] | Fan, Saijun (Fan, Saijun.) [11]

Indexed by:

SCIE

Abstract:

Radiation-induced brain injury (RIBI) represents a severe complication of cranial radiotherapy, substantially diminishing patients' quality of life. Unlike conventional brain injuries, RIBI evokes a unique chronic neuroinflammatory response that notably aggravates neurodegenerative processes. Despite significant progress in understanding the molecular mechanisms related to neuroinflammation, the specific and precise mechanisms that regulate neuroinflammation in RIBI and its associated toxicological effects remain largely unclear. Additionally, targeted neuroprotective strategies for RIBI are currently lacking. In this study, we systematically characterized the pathophysiology of RIBI using zebrafish (larvae/adults) and murine models. We established direct associations between neuronal damage and cognitive-behavioral deficits. Mechanistically, we proposed a ROS-mitochondrial-immune axis. Specifically, radiation-induced ROS lead to mitochondrial dysfunction, resulting in the leakage of mitochondrial DNA into the cytosol. This, in turn, activated the cGAS-STING pathway, thereby driving persistent microglia-mediated neuroinflammation. Furthermore, we engineered a dual-function nanotherapeutic agent, Pep-Cu5.4O@H151. This agent integrates ultrasmall copper-based nanozymes (Cu5.4O) for ROS scavenging and H151 (a STING inhibitor) and is conjugated with peptides that can penetrate the blood-brain barrier and target microglia. This nanoplatform exhibited excellent synergistic therapeutic efficacy by simultaneously neutralizing oxidative stress and blocking inflammatory cascades. Our research provided an in-depth analysis of radiation-induced neurotoxicity, clarifying the crucial ROS-mitochondrial-immune axis. Moreover, we have developed a precise therapeutic strategy on the basis of this mechanism.

Keyword:

Community:

  • [ 1 ] [Shang, Yue]Chinese Acad Med Sci, Tianjin Inst Hlth Sci, State Key Lab Adv Med Mat & Devices,Inst Radiat M, Tianjin Key Lab Radiat Med & Mol Nucl Med, Tianjin, Peoples R China
  • [ 2 ] [Hu, Xueyin]Chinese Acad Med Sci, Tianjin Inst Hlth Sci, State Key Lab Adv Med Mat & Devices,Inst Radiat M, Tianjin Key Lab Radiat Med & Mol Nucl Med, Tianjin, Peoples R China
  • [ 3 ] [Ma, Longbo]Chinese Acad Med Sci, Tianjin Inst Hlth Sci, State Key Lab Adv Med Mat & Devices,Inst Radiat M, Tianjin Key Lab Radiat Med & Mol Nucl Med, Tianjin, Peoples R China
  • [ 4 ] [Zhao, Xiaoyu]Chinese Acad Med Sci, Tianjin Inst Hlth Sci, State Key Lab Adv Med Mat & Devices,Inst Radiat M, Tianjin Key Lab Radiat Med & Mol Nucl Med, Tianjin, Peoples R China
  • [ 5 ] [Gao, Cong]Chinese Acad Med Sci, Tianjin Inst Hlth Sci, State Key Lab Adv Med Mat & Devices,Inst Radiat M, Tianjin Key Lab Radiat Med & Mol Nucl Med, Tianjin, Peoples R China
  • [ 6 ] [Li, Shuqin]Chinese Acad Med Sci, Tianjin Inst Hlth Sci, State Key Lab Adv Med Mat & Devices,Inst Radiat M, Tianjin Key Lab Radiat Med & Mol Nucl Med, Tianjin, Peoples R China
  • [ 7 ] [Liu, Luntao]Chinese Acad Med Sci, Tianjin Inst Hlth Sci, State Key Lab Adv Med Mat & Devices,Inst Radiat M, Tianjin Key Lab Radiat Med & Mol Nucl Med, Tianjin, Peoples R China
  • [ 8 ] [Fan, Saijun]Chinese Acad Med Sci, Tianjin Inst Hlth Sci, State Key Lab Adv Med Mat & Devices,Inst Radiat M, Tianjin Key Lab Radiat Med & Mol Nucl Med, Tianjin, Peoples R China
  • [ 9 ] [Shang, Yue]Peking Union Med Coll, Tianjin, Peoples R China
  • [ 10 ] [Hu, Xueyin]Peking Union Med Coll, Tianjin, Peoples R China
  • [ 11 ] [Ma, Longbo]Peking Union Med Coll, Tianjin, Peoples R China
  • [ 12 ] [Zhao, Xiaoyu]Peking Union Med Coll, Tianjin, Peoples R China
  • [ 13 ] [Gao, Cong]Peking Union Med Coll, Tianjin, Peoples R China
  • [ 14 ] [Li, Shuqin]Peking Union Med Coll, Tianjin, Peoples R China
  • [ 15 ] [Liu, Luntao]Peking Union Med Coll, Tianjin, Peoples R China
  • [ 16 ] [Fan, Saijun]Peking Union Med Coll, Tianjin, Peoples R China
  • [ 17 ] [Ren, Meixia]Fuzhou Univ, Fujian Med Univ, Fujian Prov Hosp, Shengli Clin Med Coll,Affiliated Prov Hosp, Fuzhou, Peoples R China
  • [ 18 ] [Zhang, Lumeng]Emory Univ, Sch Med, Dept Surg, Atlanta, GA USA
  • [ 19 ] [Zou, Bingwen]Sichuan Univ, West China Hosp, Canc Ctr, Div Thorac Tumor Multimodal Treatment, Chengdu, Peoples R China
  • [ 20 ] [Zou, Bingwen]Sichuan Univ, West China Hosp, Canc Ctr, Dept Radiat Oncol, Chengdu, Peoples R China

Reprint 's Address:

  • [Liu, Luntao]Chinese Acad Med Sci, Tianjin Inst Hlth Sci, State Key Lab Adv Med Mat & Devices,Inst Radiat M, Tianjin Key Lab Radiat Med & Mol Nucl Med, Tianjin, Peoples R China;;[Fan, Saijun]Chinese Acad Med Sci, Tianjin Inst Hlth Sci, State Key Lab Adv Med Mat & Devices,Inst Radiat M, Tianjin Key Lab Radiat Med & Mol Nucl Med, Tianjin, Peoples R China;;[Zou, Bingwen]Sichuan Univ, West China Hosp, Canc Ctr, Div Thorac Tumor Multimodal Treatment, Chengdu, Peoples R China;;[Zou, Bingwen]Sichuan Univ, West China Hosp, Canc Ctr, Dept Radiat Oncol, Chengdu, Peoples R China

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Source :

SIGNAL TRANSDUCTION AND TARGETED THERAPY

ISSN: 2095-9907

Year: 2025

Issue: 1

Volume: 10

4 0 . 8 0 0

JCR@2023

Cited Count:

WoS CC Cited Count:

SCOPUS Cited Count:

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 0

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