Mechanism, Prevention, and Treatment of Radiation-Induced Salivary Gland Injury Related to Oxidative Stress
Radiation therapy is a common treatment for head and neck cancers. However, because of the presence of nerve structures (brain stem, spinal cord, and brachial plexus), salivary glands (SGs), mucous membranes, and swallowing muscles in the head and neck regions, radiotherapy inevitably causes damage...
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MDPI AG
2021
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oai:doaj.org-article:37e118a47b664d3dbaf656d8821565432021-11-25T16:25:42ZMechanism, Prevention, and Treatment of Radiation-Induced Salivary Gland Injury Related to Oxidative Stress10.3390/antiox101116662076-3921https://doaj.org/article/37e118a47b664d3dbaf656d8821565432021-10-01T00:00:00Zhttps://www.mdpi.com/2076-3921/10/11/1666https://doaj.org/toc/2076-3921Radiation therapy is a common treatment for head and neck cancers. However, because of the presence of nerve structures (brain stem, spinal cord, and brachial plexus), salivary glands (SGs), mucous membranes, and swallowing muscles in the head and neck regions, radiotherapy inevitably causes damage to these normal tissues. Among them, SG injury is a serious adverse event, and its clinical manifestations include changes in taste, difficulty chewing and swallowing, oral infections, and dental caries. These clinical symptoms seriously reduce a patient’s quality of life. Therefore, it is important to clarify the mechanism of SG injury caused by radiotherapy. Although the mechanism of radiation-induced SG injury has not yet been determined, recent studies have shown that the mechanisms of calcium signaling, microvascular injury, cellular senescence, and apoptosis are closely related to oxidative stress. In this article, we review the mechanism by which radiotherapy causes oxidative stress and damages the SGs. In addition, we discuss effective methods to prevent and treat radiation-induced SG damage.Zijing LiuLihua DongZhuangzhuang ZhengShiyu LiuShouliang GongLingbin MengYing XinXin JiangMDPI AGarticlehead and neck cancerradiotherapysalivary glandsinjuryoxidative stressTherapeutics. PharmacologyRM1-950ENAntioxidants, Vol 10, Iss 1666, p 1666 (2021) |
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head and neck cancer radiotherapy salivary glands injury oxidative stress Therapeutics. Pharmacology RM1-950 |
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head and neck cancer radiotherapy salivary glands injury oxidative stress Therapeutics. Pharmacology RM1-950 Zijing Liu Lihua Dong Zhuangzhuang Zheng Shiyu Liu Shouliang Gong Lingbin Meng Ying Xin Xin Jiang Mechanism, Prevention, and Treatment of Radiation-Induced Salivary Gland Injury Related to Oxidative Stress |
description |
Radiation therapy is a common treatment for head and neck cancers. However, because of the presence of nerve structures (brain stem, spinal cord, and brachial plexus), salivary glands (SGs), mucous membranes, and swallowing muscles in the head and neck regions, radiotherapy inevitably causes damage to these normal tissues. Among them, SG injury is a serious adverse event, and its clinical manifestations include changes in taste, difficulty chewing and swallowing, oral infections, and dental caries. These clinical symptoms seriously reduce a patient’s quality of life. Therefore, it is important to clarify the mechanism of SG injury caused by radiotherapy. Although the mechanism of radiation-induced SG injury has not yet been determined, recent studies have shown that the mechanisms of calcium signaling, microvascular injury, cellular senescence, and apoptosis are closely related to oxidative stress. In this article, we review the mechanism by which radiotherapy causes oxidative stress and damages the SGs. In addition, we discuss effective methods to prevent and treat radiation-induced SG damage. |
format |
article |
author |
Zijing Liu Lihua Dong Zhuangzhuang Zheng Shiyu Liu Shouliang Gong Lingbin Meng Ying Xin Xin Jiang |
author_facet |
Zijing Liu Lihua Dong Zhuangzhuang Zheng Shiyu Liu Shouliang Gong Lingbin Meng Ying Xin Xin Jiang |
author_sort |
Zijing Liu |
title |
Mechanism, Prevention, and Treatment of Radiation-Induced Salivary Gland Injury Related to Oxidative Stress |
title_short |
Mechanism, Prevention, and Treatment of Radiation-Induced Salivary Gland Injury Related to Oxidative Stress |
title_full |
Mechanism, Prevention, and Treatment of Radiation-Induced Salivary Gland Injury Related to Oxidative Stress |
title_fullStr |
Mechanism, Prevention, and Treatment of Radiation-Induced Salivary Gland Injury Related to Oxidative Stress |
title_full_unstemmed |
Mechanism, Prevention, and Treatment of Radiation-Induced Salivary Gland Injury Related to Oxidative Stress |
title_sort |
mechanism, prevention, and treatment of radiation-induced salivary gland injury related to oxidative stress |
publisher |
MDPI AG |
publishDate |
2021 |
url |
https://doaj.org/article/37e118a47b664d3dbaf656d882156543 |
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