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Advances in Radiotherapy
            & Nuclear Medicine                                                        Aspirin’s protective effect on RISI



              To understand the functional implications of these   2.9. ASP treatment and evaluation of protective
            shifts, the Reactome pathway enrichment analysis was   effects
            conducted. GSEA was used to evaluate pathway activations   To assess the protective effects of ASP on RISI, mice in the
            across different major cell types post-irradiation. Core   ASP treatment group were gavaged with ASP (20 mg/kg,
            pathways such as extracellular matrix organization,   once daily) for seven consecutive days before radiation
            chemokine signaling, fatty acyl-CoA metabolism, Rho   exposure. The corresponding control group received an
            GTPase activity, and cornified envelope formation were   equal volume of saline. One day after the final gavage,
            identified. The average expression levels of core genes   both groups were irradiated with a single dose of 20 Gy
            involved in these pathways were calculated for epithelial   X-ray to establish the RISI model. The severity of RISI was
            cells, fibroblasts, T cells, monocytes, and endothelial
            cells. The differential activation of these pathways was   monitored daily post-irradiation, and the modified RISI
            visualized to highlight the primary mechanisms impacted   scoring system was used to evaluate the effects of ASP
            by radiation and to illustrate potential targets for ASP’s   treatment on the development and progression  of  skin
                                                               injury.
            protective effects.
            2.7. Cell subtype annotation and analysis          3. Results
            For finer subclassification, specific marker genes were   3.1. Overall differential analysis
            used to define each cluster . For instance, IFE cells were   The differential analysis of irradiated versus control
                                  17
            identified based on  Krt10,  Lor, and  Pgsl1 expression,   groups revealed significant changes in cell clustering and
            and further subdivided into IFE basal  (IFE B), and IFE   gene expression patterns. The scRNA-seq data visualized
            keratinized (IFE K) based on differential expression   through t-SNE plots showed a distinct separation between
            profiles. Similarly, the upper hair follicle (uHF) was   the  control and  irradiated groups,  indicating  substantial
            distinguished using  Krt17,  Krt79, and  Cyb5r3, and   transcriptional  reprogramming  post-irradiation.
            sebaceous gland (SG) markers included Mgst1 and Scd1.   Specifically, the control group included 5479  cells,
            For each of these clusters, additional gene markers were   whereas the irradiated group showed a reduction to
            used to refine subclassification, incorporating well-  3543  cells,  highlighting  a  significant  decrease  in  cellular
            established gene markers such as Krt14, Krt15, and Lrig1   population after radiation exposure (Figure 1A). Heatmap
            for infundibulum and bulge regions.                visualization  further  illustrated  marked  differences  in
              Further subclassification was performed by analyzing   gene expression profiles, with notable clusters of genes
            comprehensive gene expression profiles, which are visualized   either upregulated or downregulated between the two
            in the subsequent tSNE plots and heatmaps. Cluster-  conditions. The contrasting colors of the heatmap
            specific gene expression was validated with previously   emphasize the clear distinction in expression levels,
            reported datasets, which include marker genes for dermal   suggesting major transcriptional changes following
            and epidermal skin cell types . For clusters displaying   irradiation (Figure  1B). The  differential gene  expression
                                     19
            ambiguous classifications, marker gene expression was   analysis identified a significant number of differentially
            further analyzed to provide a more precise categorization .  expressed genes (DEGs) between the irradiated and control
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                                                               groups. This set of DEGs includes both upregulated genes
            2.8. Pseudotime analysis                           (n = 257) and downregulated genes (n = 500) (Table S1),
            To further investigate the progression and differentiation   which  were  further  analyzed  for pathway  enrichment.
            of IFE cells during radiation-induced injury, pseudotime   Enrichment analysis showed that upregulated genes were
            trajectory analysis was conducted using Monocle . The   predominantly involved in pathways such as “extracellular
                                                     20
            scRNAseq  data  used  for  this  analysis  was  composed   matrix organization” and “chemokine receptors bind
            of IFE cells, IFE B1, and IFE B2  cells. Gene expression   chemokines” pathways, reflecting increased tissue
            data were extracted and organized into a cell data set   remodeling and immune signaling activity. On the other
            object in Monocle, with further dimension reduction   hand, downregulated genes were enriched in pathways
            performed using DDRTree. Cells were then ordered along   related to “Rho GTPases activate NADPH oxidases” and
            a pseudotemporal trajectory to model the progression of   “fatty acid metabolism,” indicating suppression of cellular
            cellular states during injury and recovery. Differential gene   processes linked to oxidative stress responses and lipid
            expression analysis identified genes involved in radiation   metabolism (Figure 1C). GSEA provided further validation
            response pathways, with Krt14, Krt10, and Mki67 serving   for the differential pathway activation. The normalized
            as key markers for identifying cellular progression along   enrichment scores (NES) indicate a shift in pathway
            the trajectory.                                    activity between the two groups, with some pathways such


            Volume 3 Issue 1 (2025)                         60                             doi: 10.36922/arnm.5829
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