Experimental therapy for rabbits with radiation cystitis
pdf (Русский)

Keywords

bladder
radiation cystitis
AGDL gel
intravesical administration

How to Cite

Korytov, O., Ivanov, S., Korytova, L., Semenov, A., Tochilnikov, G., Vasilyeva, I., Bespalov, V., & Achtemzyanov, A. (2022). Experimental therapy for rabbits with radiation cystitis. Voprosy Onkologii, 67(1), 150–156. https://doi.org/10.37469/0507-3758-2021-67-1-150-156

Abstract

Using a new model of the induction of radiation cystitis (RC) in rabbits, the treatment effectiveness of animals with intravesical administration of a biodegradable drug - a gel containing salts of alginic and hyaluronic acids, as well as dioxidine and lidocaine (AHDL) was assessed. The work was performed on female rabbits of the “Chinchilla” breed. Fractional irradiation of the rabbit urinary bladder was carried out by a linear photon accelerator: a single dose per fraction was 6 Gy administered daily for 5 days to a total focal dose of 30 Gy. As a result of irradiation of the bladder, the animals developed RC. AHDL-gel was injected intravesically using a catheter at a dose of 2500 mg / kg of body weight 3 times a day weekly for 2 months, starting from 1 month after irradiation. The drug had a pronounced therapeutic effect on the rabbits with RC: the values ​​of clinical and laboratory indicators of cystitis in urea and blood were reduced, it was observed regression of morphological manifestations of inflammation in the bladder mucosa.

https://doi.org/10.37469/0507-3758-2021-67-1-150-156
pdf (Русский)

References

Коровина М.А., Олтаржевская Н.Д., Миркин Я.Б. и др. Способ лечения лучевого и интерстициального цистита. Пат. на изобретение. 2015; № 2557944 [Korovina M.A., Oltarzhevskaya ND, Mirkin Ya.B., Khlystova T.S. Method for the treatment of radiation and interstitial cystitis. Pat. for invention. 2015; No. 2557944 (In Russ.)].

Корытов О.В. Корытова Л.И., Беспалов В.Г. и др. Способ моделирования лучевого цистита. Пат. на изобретение. 2019; №2676431 [Korytov O.V., Korytova L.I., Bespalov V.G. et al. Method for modeling radiation cystitis. Pat. for invention. 2019;. No. 2676431 (In Russ.)].

Миркин Я.Б., Хлыстова Т.С., Олтаржевская Н.Д. и др. Способ лечения цистита. Пат. на изобретение.2014; № 2537031 [Mirkin Ya.B., Khlystova T.S., Oltarzhevskaya N.D. et al. Method for the treatment of cystitis. Pat. for invention. 2014;№ 2537031 (In Russ.)].

Сычева И.В., Пасов В.В., Курпешева А.К. Консервативные методы лечения местных лучевых повреждений, сформировавшихся в результате сочетанной лучевой терапии и брахитерапии рака предстательной железы. Сиб. онкол. журнал. 2012; 5 (53):57-60 [Sycheva I.V., Pasov V.V., Kurpesheva А.К. Conservative treatment of local radiation-induced injuries caused by combined brachitherapy and external radiation therapy for prostate cancer. Sibirian Oncol. J. 2012.5(53): 57-60 (In Russ.)].

Alesawi A.M., El-Hakim A., Zorn K.C., Saad F. Radiation-induced hemorrhagic cystitis. Curr. Opin. Support. Palliat Care. 2014; 8: 235240. doi: 10.1097 / SPC.0000000000000073.

Browne C., Davis N. F., Mac Craith E. et al. A narrative review on the pathophysiology and management for radiation cystitis. Adv. Urology. 2015; 2015: Article ID 346812. doi: 10.1155 / 2015/346812.

Delgado J.M., Samper P., Garrido J. Hyaluronic acid in the prevention of radiation-induced cystitis (Abstr.) Proc Am Soc Clin Oncol. 2003;22:752.

Denton A.S., Clarke N.W., Maher E.J. Non-surgical interventions for late radiation cystitis in patients who have received radical radiotherapy to the pelvis. Cochrane Database of Systematic Reviews. 2002; 3: Article ID CD001773. doi: 10.1002 / 14651858.CD001773.

Gacci M., Saleh O., Giannessi C. et al. Bladder instillation therapy with hyaluronic acid and chondroitin sulfate improves symptoms of postradiation cystitis: Prospective pilot study. Clin Genitourin. Cancer. 2016; 14(5): 444-449. doi: 10.1016 / j.clgc.2016.01.016.

Jaal J., Dorr W. Radiation induced late damage to the barrier function of small blood vessels in mouse bladder. J. Urol. 2006; 176(6): 2696-2700. doi: 10.1016 / j.juro.2006.07.138.

Kohler M., Michael C., Zimmermann A. Histological changes after fractionated whole or partial irradiation of the rabbit urinary bladder. Acta Oncol. (Madr). 1995; 24: 199-204.

Lazzeri M. New horizons for GAG therapy in the management of urothelial damage. Urologia. 2015; 82(Suppl. 3):10-14. doi: 10.5301 / uro.5000146.

Mallick S., Madan R., Julka P.K. et al. Radiation induced cystitis and proctitis - prediction, assessment and management. Asian Pac. J. Cancer Prev. 2015; 16(140: 5589-5594. doi:10.7314 / apjcp.2015.16.14.5589.

Muhlstadt S., Mohammed N., Weigand K. et al. Radiogen bedingte Zystitis. Pathophysiologie und Therapie. Urologe A. 2017; 56: 301-305.

Pavlidakey P.G., MacLennan G.T. Radiation cystitis. J. Urol. 2009:182(3): 1172–1173. doi: 10.1016/j.juro.2009.06.034.

Rajagapathy B.R., Janicki J.J., Levanovich P. et al. Intravesical liposomal tacrolimus protects against radiation cystitis induced by 3-beam targeted bladder radiation. J. Urol. 2015; 194(2): 578-584. doi: 10.1016/j.juro.2015.03.108.

Rapariz-Gonzalez M., Castro-Diaz D., Mejia-Rendon D. Evaluation of the impact of urinary symptoms on quality of life of patients with painful bladder syndrome/chronic pelvic pain and radiation cystitis: EURCIS study. Acta Urologicas Espanolas. 2014; 38(4):224-231. doi: 10.1016/j.acuro.2013.09.016.

Samper O.P.M., Lopez C.C., Rodriguez A. et al. Vesical instillations of hyaluronic acid to reduce the acute vesical toxicity caused by high-dose brachytherapy do not affect the survival: a five-year follow-up study. Clin Transl Oncol. 2009;11(12): 828-834. doi: 10.1007 /s12094-009-0451-6.

Shao Y., Lu G.L., Shen Z.J. et al. Comparison of intravesical hyaluronic acid instillation and hyperbaric oxygen in the treatment of radiation-induced hemorrhagic cystitis.BJU Int. 2012; 109(5): 691-694. doi: 10.1111 / j.1464-410X.2011.10550x.

Sommariva M.L., Sandri S.D., Geriani V. Efficacy of sodium hyaluronate in the management of chemical and radiation cystitis. Minerva Urol. Nefrol. 2010; 62(2): 145-150.

Zwaans B.M., Chancellor M.D., Lamb I.E. Modeling and treatment of radiation cystitis. Urology. 2016;.88(1): 14-21. doi:10.1016/ j.urology.2015.11.001.

Zwaans B.M.M., Krueger S., Bartolone S.N. et al. Modeling of radiation-induced cystitis in mice. Adv. Radiat. Oncology. 2016; 1(4): 333-343. doi: 10.1016 / j.adro.2016.07.004.

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