Mitigation of radiation-induced esophageal fibrosis by macrophage-targeted phosphatidylserine-containing liposomes with partial PEGylation

Summary

Radiation therapy used to treat esophageal cancer often causes scarring and tissue damage that makes swallowing difficult. Researchers developed special fatty particles called PEGylated phosphatidylserine-containing liposomes that can reduce this scarring by calming down immune cells called macrophages. In studies using animal models and laboratory tests, these particles successfully reduced fibrosis, preserved normal tissue structure, and promoted muscle healing, offering hope for better management of radiation therapy side effects.

Background

Radiation-induced fibrosis (RIF) is a major complication following radiotherapy treatment. Macrophages are key regulators of inflammatory responses and have emerged as critical targets for fibrosis prevention. Current treatments remain limited with significant side effects.

Objective

To evaluate the efficacy of PEGylated phosphatidylserine-containing liposomes (PEG-PSLs) in mitigating radiation-induced esophageal fibrosis by modulating macrophage activity and investigating the underlying molecular mechanisms.

Results

PEG-PSLs at 1-1.5 mol% PEG reduced inflammatory cytokines and fibrosis markers in BMDMs, with suppression occurring at or beyond JAK-1 phosphorylation. In vitro fibrosis assays showed PEG-PSLs reduced fibroblast-to-myofibroblast and epithelial-to-mesenchymal transitions. In vivo studies demonstrated PEG-PSLs effectively attenuated fibrotic progression, preserved tissue architecture, and enhanced muscle regeneration.

Conclusion

Partially PEGylated phosphatidylserine liposomes show significant potential as therapeutic agents for mitigating post-irradiation esophageal fibrosis through macrophage immunomodulation and suppression of fibrotic pathways.
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