Evidence map›Paper›PMID 19995235›Full record

ArticleInternational journal of radiation biology2009

10 Gy total body irradiation increases risk of coronary sclerosis, degeneration of heart structure and function in a rat model.

John E Baker, Brian L Fish, Jidong Su, Steven T Haworth, Jennifer L Strande, Richard A Komorowski, Raymond Q Migrino, Anil Doppalapudi, Leanne Harmann, X Allen Li and 2 more

Abstract read
In one paragraph

Article in International journal of radiation biology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed
5.1field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 113 citations in OpenAlex.

  1. Article
  2. Radiomitigators: Breakthroughs in Post-Radiation Recovery.Antioxidants (Basel, Switzerland) · 2026
    Review
  3. Article
  4. Article
  5. 2Molecular imaging and biology · 2024
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. [Radiation-Induced Heart Disease: Current Status and Challenges].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2022
    Review
  14. Impact of lung block shape on cardiac dose for total body irradiation.Physics and imaging in radiation oncology · 2022
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Cardiovascular Damage Associated With Chest Irradiation.Frontiers in cardiovascular medicine · 2020
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 2 countries.

John E BakerDivision of Cardiothoracic Surgery, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI 53226, USA. jbaker@mcw.edu
Brian L Fish
Jidong Su
Steven T Haworth
Jennifer L Strande
Richard A Komorowski
Raymond Q Migrino
Anil Doppalapudi
Leanne Harmann
X Allen Li
John W Hopewell
John E Moulder
Medical College of Wisconsin · USChurchill Hospital · GB

Funding

Training and educationU19AI067734 · NIAID · MEDICAL COLLEGE OF WISCONSIN · PI MOULDER, JOHN E · 2005 to 2009
$18.2M
NITRIC OXIDE AND TOLERANCE OF HYPOXIC HEART TO ISCHEMIAR01HL054075 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI BAKER, JOHN E · 1997 to 2010
$2.5M
Radiation injury to the heartR01AI080363 · NIAID · MEDICAL COLLEGE OF WISCONSIN · PI BAKER, JOHN E · 2009 to 2010
$760k
NHLBI NIH HHS HL54075NHLBI NIH HHS R01 HL054075NIAID NIH HHS AI067734NIAID NIH HHS AI080363NIAID NIH HHS R01 AI080363NIAID NIH HHS U19 AI067734
6 · The paper itself

Abstract

purposeTo determine the impact of 10 Gy total body irradiation (TBI) or local thorax irradiation, a dose relevant to a radiological terrorist threat, on lipid and liver profile, coronary microvasculature and ventricular function. MATERIALS AND

methodsWAG/RijCmcr rats received 10 Gy TBI followed by bone marrow transplantation, or 10 Gy local thorax irradiation. Age-matched, non-irradiated rats served as controls. The lipid profile and liver enzymes, coronary vessel morphology, nitric oxide synthase (NOS) isoforms, protease activated receptor (PAR)-1 expression and fibrinogen levels were compared. Two-dimensional strain echocardiography assessed global radial and circumferential strain on the heart.

resultsTBI resulted in a sustained increase in total and low density lipoprotein (LDL) cholesterol (190 +/- 8 vs. 58 +/- 6; 82 +/- 8 vs. 13 +/- 3 mg/dl, respectively). The density of small coronary arterioles was decreased by 32%. Histology revealed complete blockage of some vessels while cardiomyocytes remained normal. TBI resulted in cellular peri-arterial fibrosis whereas control hearts had symmetrical penetrating vessels with less collagen and fibroblasts. TBI resulted in a 32 +/- 4% and 28 +/- 3% decrease in endothelial NOS and inducible NOS protein, respectively, and a 21 +/- 4% and 35 +/- 5% increase in fibrinogen and PAR-1 protein respectively, after 120 days. TBI reduced radial strain (19 +/- 8 vs. 46 +/- 7%) and circumferential strain (-8 +/- 3 vs. -15 +/- 3%) compared to controls. Thorax-only irradiation produced no changes over the same time frame.

conclusionsTBI with 10 Gy, a dose relevant to radiological terrorist threats, worsened lipid profile, injured coronary microvasculature, altered endothelial physiology and myocardial mechanics. These changes were not manifest with local thorax irradiation. Non-thoracic circulating factors may be promoting radiation-induced injury to the heart.

Indexed as

Radiation DosageAnimalsBone Marrow TransplantationCollagenCoronary Artery DiseaseDisease Models, AnimalFibrinogenFibroblastsGamma RaysHeartLipidsMaleMyocardiumNitric Oxide SynthaseRatsRats, WistarCollagenFibrinogenLipidsNitric Oxide SynthaseReceptor, PAR-1

Identifiers

PMID19995235
PMCPMC2792125
OpenAlexW2143110924

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.