Background: Radiation-induced muscle fibrosis is a long-term side effect of radiotherapy that significantly affect the quality of life and even reduces the survival of cancer patients. We have demonstrated that radiation induces satellite cell (SC) activation at the molecular level; however, cellular evidence in a rat model of radiation-induced muscle fibrosis was lacking. In this study, we evaluated SC activation in vivo and investigated whether radiation affects the proliferation and differentiation potential of SCs in vitro.
Methods: For in vivo studies, Sprague-Dawley rats were randomly divided into six groups (n = 6 per group): a non-irradiated control group and 90 Gy-1 w, 90 Gy-2 w, 90 Gy-4 w, 90 Gy-12 w, and 90 Gy-24 w groups.Left groin area of the rats received a single dose of irradiation and rectus femoris tissues were collected in the indicated weeks. Fibrosis, apoptosis, and autophagy were evaluated by Masson’s trichrome staining, TUNEL staining, and electron microscopy, respectively. SC activation and central nuclear muscle fibers were evaluated by immunofluorescence staining and hematoxylin and eosin staining. IL-1β concentrations in serum and irradiated muscle tissue samples were determined by ELISA. For in vitro studies, SCs were isolated from rats with radiation-induced muscle fibrosis and their proliferation and differentiation were evaluated by immunofluorescence staining.
Results: In vivo, fibrosis increased over time following irradiation. Apoptosis and autophagy levels, IL-1β concentrations in serum and irradiated skin tissues, and the numbers of SCs and central nuclear muscle fibers were increased in the irradiated groups when compared with control group. In vitro, cultured SCs from irradiated muscle were positive for proliferation marker Pax7, and differentiated SCs were positive for myogenic differentiation marker MyHC.
Conclusion: This study provided cellular evidence of SC activation and proliferation in rats with radiation-induced muscle fibrosis. Radiation does not affect the proliferation and differentiation potential of SCs in vitro.