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Kjærgaard, Kristoffer; Weber, Britta; Alstrup, Aage Kristian Olsen; Petersen, Jørgen Breede Baltzer; Hansen, Rune; Hamilton-Dutoit, Stephen Jacques; Mortensen, Frank Viborg; Sørensen, Michael
Scientific reports, 07/2020, Volume: 10, Issue: 1Journal Article
Normal liver tissue is highly vulnerable towards irradiation, which remains a challenge in radiotherapy of hepatic tumours. Here, we examined the effects of radiation-induced liver injury on two specific liver functions and hepatocellular regeneration in a minipig model. Five Göttingen minipigs were exposed to whole-liver stereotactic body radiation therapy (SBRT) in one fraction (14 Gy) and examined 4-5 weeks after; five pigs were used as controls. All pigs underwent in vivo positron emission tomography (PET) studies of the liver using the conjugated bile acid tracer N-methyl- Ccholylsarcosine ( CCSar) and the galactose-analogue tracer Ffluoro-2-deoxy-D-galactose ( FFDGal). Liver tissue samples were evaluated histopathologically and by immunohistochemical assessment of hepatocellular mitosis, proliferation and apoptosis. Compared with controls, both the rate constant for secretion of CCSar from hepatocytes into intrahepatic bile ducts as well as back into blood were doubled in irradiated pigs, which resulted in reduced residence time of CCSar inside the hepatocytes. Also, the hepatic systemic clearance of FFDGal in irradiated pigs was slightly increased, and hepatocellular regeneration was increased by a threefold. In conclusion, parenchymal injury and increased regeneration after whole-liver irradiation was associated with enhanced hepatobiliary secretion of bile acids. Whole-liver SBRT in minipigs ultimately represents a potential large animal model of radiation-induced liver injury and for testing of normal tissue protection methods.
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