title: Radiation-induced changes in gene expression and distribution of atrial natriuretic peptide (ANP) in different anatomical regions of the rat heart.
abstract: OBJECTIVE
  To examine the effects of whole-heart irradiation on gene expression and distribution of atrial natriuretic peptide (ANP) in atrial appendages and left ventricles of the rat heart.
  
  
  METHODS
  Female Sprague-Dawley rats were irradiated with a single dose of 0, 15 or 20 Gy locally to the heart. At intervals up to 16 months post-irradiation, the localization of ANP was examined using immunohistochemical techniques. Absolute mRNA concentrations were determined using the competitive PCR assay.
  
  
  RESULTS
  Histological and immunohistochemical studies demonstrated that whole-heart irradiation caused a reduction of atrial ANP, which is due to a substantial loss of ANP-producing atrial myocytes and accumulation of collagen (replacement fibrosis). On the other hand, ANP became detectable in the subendocardium of the irradiated left ventricles. Positive staining of ANP was mainly found in the proximity of injured areas consisting of degeneration of myocytes and fibrosis. At the transcriptional level, reduction of atrial ANP expression at 1 month post-irradiation was followed by recovery at 3 months. Thereafter, ANP mRNA concentrations followed the mRNA pattern of controls and even appeared to increase at 16 months. In the left ventricle, dose-dependent and progressive elevation of ANP gene expression could be observed during the observation period and reached a 20-fold increase as compared with sham-irradiated age-matched controls.
  
  
  CONCLUSIONS
  The distribution of ANP after local irradiation of the rat heart depends on the severity of the pathological/structural changes (i.e. myocyte degeneration and fibrosis). In radiation-induced heart disease, elevated ANP expression in the left ventricle is most probably involved in the observed chronic elevation of plasma ANP levels.
authors.affiliation: Department of Experimental Therapy, Netherlands Cancer Institute, Plesmanlaan 121, 1066 CX Amsterdam, The Netherlands. jkruse@nki.nl
authors.forename: J J C M
authors.initials: JJ
authors.lastname: Kruse
authors.forename: E G
authors.initials: EG
authors.lastname: Strootman
authors.forename: C I
authors.initials: CI
authors.lastname: Bart
authors.forename: A
authors.initials: A
authors.lastname: Visser
authors.forename: J-W H
authors.initials: JW
authors.lastname: Leer
authors.forename: J
authors.initials: J
authors.lastname: Wondergem
mesh_terms: D000818:Animals; D009320:Atrial Natriuretic Factor / Q000235:genetics* / Q000378:metabolism*; D005260:Female; D015870:Gene Expression / Q000528:radiation effects; D006321:Heart / Q000528:radiation effects*; D006325:Heart Atria / Q000378:metabolism / Q000528:radiation effects; D006352:Heart Ventricles / Q000378:metabolism / Q000528:radiation effects; D007150:Immunohistochemistry; D009206:Myocardium / Q000378:metabolism*; D012333:RNA, Messenger / Q000235:genetics / Q000378:metabolism; D051381:Rats; D017207:Rats, Sprague-Dawley; D014018:Tissue Distribution
chemical_list: D012333:RNA, Messenger; D009320:Atrial Natriuretic Factor