Radiation-induced fibrosis is an untoward effect of high dose therapeutic and inadvertent exposure to ionizing radiation.
Transforming growth factor-beta (
TGF-beta) has been proposed to be critical in tissue repair mechanisms resulting from
radiation injury. Previously, we showed that interruption of
TGF-beta signaling by deletion of Smad3 results in resistance to radiation-induced injury. In the current study, a small molecular weight molecule,
halofuginone (100 nm), is demonstrated by reporter assays to inhibit the
TGF-beta signaling pathway, by Northern blotting to elevate inhibitory Smad7 expression within 15 min, and by Western blotting to inhibit formation of phospho-Smad2 and phospho-Smad3 and to decrease cytosolic and membrane
TGF-beta type II receptor (TbetaRII). Attenuation of TbetaRII levels was noted as early as 1 h and down-regulation persisted for 24 h.
Halofuginone blocked
TGF-beta-induced delocalization of tight junction ZO-1, a marker of epidermal mesenchymal transition, in NMuMg mammary epithelial cells and suggest
halofuginone may have in vivo anti-fibrogenesis characteristics. After documenting the in vitro cellular effects,
halofuginone (intraperitoneum injection of 1, 2.5, or 5 microg/mouse/day) efficacy was assessed using ionizing radiation-induced (single dose, 35 or 45 Gy) hind leg contraction in C3H/Hen mice.
Halofuginone treatment alone exerted no toxicity but significantly lessened
radiation-induced fibrosis. The effectiveness of
radiation treatment (2 gray/day for 5 days) of
squamous cell carcinoma (SCC)
tumors grown in C3H/Hen was not affected by
halofuginone. The results detail the molecular effects of
halofuginone on the
TGF-beta signal pathway and show that
halofuginone may lessen
radiation-induced fibrosis in humans.