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Advances in Radiotherapy
            & Nuclear Medicine                                    CS@LGG for acute radiation-induced bowel injury alleviation



            2.7. Biosafety assessment                          PBS and the sections were further subjected to HE staining

            Each group of mice contained five individuals and was   for 5  min. Finally, the sections were dehydrated and
            dosed orally with CS (10 mg/mL, 200μL), LGG (1 × 10 9   mounted with neutral balsam. Histological assessment was
            CFUs, 200 μL), or CS@ LGG (1 UI, 200 μL). On day 30,   performed using a general optical microscope and ImageJ
                                                               after air drying. The percentage of positive-stained cells,
            the mice were sacrificed, and their major organs, such   staining intensity score, and final score were calculated
            as heart, liver, spleen, lung, and kidney, were harvested.   and subjected to statistical analysis. The ratio of positive
            Blood samples were centrifuged (1000 ×  g, 5  min,   cells was divided into four levels: ≤25% (1 point), 26–50%
            room temperature) and aliquoted for routine blood   (2 points), 51–75% (3 points), and >75% (4 points). The
            examination, hepatotoxicity, and nephrotoxicity analysis.   staining intensity score was also divided into four levels: No
            These tests were performed at the Animal Testing Center,   positive coloration (0 point), light yellow (1 point), brown
            Nanfang Hospital. Organ samples were immersed in PFA   yellow (2 points), and tan (3 points). Finally, the IHC score
            (4%,  1  mL/sample)  for  24  h.  The  tissue  samples  were   was obtained by multiplying the staining intensity score by
            then embedded and subjected to longitudinal sectioning   the percentage of positive cells score.
            for further pathological staining, while blood and serum
            samples were prepared for biochemical and routine tests.  2.9. In vivo intestinal permeability assay

            2.8. Histopathology analysis                       Intestinal permeability assays were performed with 4 kDa
                                                               FITC-dextran. After 4 h of food and water deprivation, the
            2.8.1. Hematoxylin-eosin (HE) staining             mice in four groups were given 0.5 mg/kg of FITC-dextran
            The mice intestine, colon, and other organs were collected   orally. The mice were then sacrificed, and serum samples
            and rinsed in pre-cooled PBS. They were then immersed   were collected to measure the fluorescence intensity of
            in PFA and fixed for more than 24 h. Next, the tissues were   FITC using a Varioskan LUX microplate reader (Thermo
            dehydrated and paraffin-embedded for sectioning at 5 μm   Fisher, USA). The mice serum from the control group
            thickness. The prepared sections were dewaxed and stained   served as the blank sample.
            with hematoxylin first and eosin last. Finally, the sections   2.10. In vitro and in vivo ELISA
            were dehydrated and mounted with neutral balsam. After
            air drying for more than 24 h, they were placed under an   To determine the levels of cytokines (IL-6, IL-1β, and TNFα)
            optical microscope (Leica Microsystems, Shanghai, China)   in colon tissue and serum, colon tissue homogenates and
            for observation. ImageJ software (National Institutes of   serum samples were prepared and analyzed using ELISA
                                                                                               3
            Health, USA) was applied to analyze the length of villi, the   kits. First, mice colon segments (1 mm ) were harvested,
            depth of crypts, and the ratio of the former to the latter.   homogenized in PBS at 4°C (1:10 w/v), centrifuged (12,000
            First, the intestinal villi were measured for length, counts,   ×g, 10 min, 4°C), and the supernatant was collected for
            as well as area, and underwent manual correction and   testing. Second, serum was separated from blood samples
            statistical analysis. Second, the numbers, depth, and area   by centrifugation (1,000 ×g, 5 min, room temperature) and
            of intestinal crypts were calculated as described above.   stored at 4°C for further analysis.
            Finally, statistical analysis of the key data for villi, crypts,   2.11. In vitro cell assay
            and their ratio was performed using GraphPad Prism v.9.0
            (Dotmatics, USA).                                  2.11.1. Cell counting kit-8 (CCK-8) cell viability assay
            2.8.2. Immunohistochemistry (IHC) staining         The MC38 and IEC6  cells were seeded into 96-well
                                                               plates with 2,000 cells/well for the proliferation assay and
            The paraffin tissue sections of mice intestine and colon   5,000  cells/well for cytotoxicity experiments, with three
            underwent antigen retrieval with EDTA-Na (1×, high-  replicates in each group. After incubation at 37°C, 5%
            pressure heating, 8 min), blocking with goat serum (5%,   CO  humidified atmosphere for adherence, each group
                                                                  2
            Biosharp)  for  20  min,  and  were  then  probed  with  Ki67   underwent different treatments and was prepared for
            antibody  (1:800),  OCCLDN  antibody  (1:800),  CLDN3   measurement. As specified by the CCK-8 kit, the working
            antibody (1:800), γH2A.X antibody (1:600). After overnight   solution was prepared with CCK-8 and DMEM at 1:100
            incubation, the sections were washed with PBS for 5 min,   in dark. Then, the cell culture medium was discarded in
            3  times, and incubated with horseradish peroxidase-  the tested wells, and 100 μL/well of the pre-made solution
            conjugated anti-rabbit immunoglobulin G (1:500, MXB)   was added, followed by an 1-h incubation. Finally, OD
            for 1 h on the next day. The sections were then washed   values were measured at 450 nm using a microplate reader
            with PBS and incubated with DAB substrate. Once the   (Multiskan, Thermo Fisher, USA), and the OD value was
            samples  turned  brown,  the  reactions  were  stopped  with   positively correlated with the cell viability. In this study, the


            Volume 3 Issue 3 (2025)                         68                        doi: 10.36922/ARNM025230026
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