Haematologica
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Haematologica, Vol 92, Issue 8, 1091-1098 doi:10.3324/haematol.10702
Copyright © 2007 by Ferrata Storti Foundation
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Disorders of Hemostasis

Effect of ionizing radiation on cellular procoagulability and co-ordinated gene alterations

Petra Goldin-Lang, Klaus Pels, Quoc-Viet Tran, Bjoern Szotowski, Frank Wittchen, Silvio Antoniak, Tobias Willich, Henning Witt, Michael Hummel, Dido Lenze, Wolfgang Poller, Heinz-Peter Schultheiss, Ursula Rauch

From the Department of Cardiology and Pneumology, Charité-Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin, Germany (PG-L, KP, Q-VT, BS, FW, SA, TW, WP, H-PS, UR); Center for Cardiovascular Research, Charité-Universitätsmedizin Berlin, Campus Mitte, Berlin, Germany (HW); Department of Pathology, Charité-Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin, Germany (MH, DL)

Correspondence: Ursula Rauch, MD, Medical Clinic II, Charité-Universitätsmedizin Berlin Campus Benjamin Franklin, Hindenburgdamm 30, 12200 Berlin, Germany. E-mail: ursula.rauch{at}charite.de

Background and Objectives: Ionizing radiation (IR) is associated with thrombotic vascular occlusion predicting a poor clinical outcome. Our study examined whether IR induced tissue factor (TF) expression and procoagulability. We further investigated coordinated gene alterations associated with TF upregulation in the myelomonocytic leukemia THP-1 cells.

Design and Methods: TF expression was determined by quantitative Reverse Transcriptase (TaqMan®) PCR, TF ELISA and TF activity by a two stage chromogenic assay in the time course of days 1, 3, 7, 10, and 17 post IR. To detect IR-induced alterations in gene expression, Affymetrix HG U133 Plus 2.0 microarrays were used.

Results: IR induced a significant increase in TF/GAPDH mRNA ratios and cellular TF protein on days 3 and 7 post IR (20 Gy [p≤0.01] and 40 Gy [p≤0.01 vs. control]), suggesting a late and persistent induction of TF. An increase in cellular TF activity was already found 1 day post IR (20 Gy and 40 Gy [p≥0.001] vs. control respectively), suggesting IR immediately alters the cellular thrombogenicity. TF upregulation post IR was confirmed in PBMNCs. Gene expression profiling showed IR increased the expression of inflammatory and apoptosis-related pathways known to be involved in the regulation of TF expression.

Interpretation and Conclusions: TF upregulation together with inflammation and apoptosis may increase the thrombogenicity of tissues. The demonstrated upregulation of TF might play a pivotal role in radiation associated thrombosis.

Key words: gene expression profiles, ionizing radiation, myelomonocytic cell line THP-1, procoagulability, tissue factor.







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