KUČERA, Tomáš, Kristína JEDLIČKOVÁ, Marek ŠRAMKO, Petr PEICHL, Jakub CVEK, Lukáš KNYBEL, Pavel HURNÍK, Radek NEUWIRTH, Otakar JIRAVSKÝ, Luděk VOSKA and Josef KAUTZNER. Inflammation and fibrosis characterize different stages of myocardial remodeling in patients after stereotactic body radiotherapy of ventricular myocardium for recurrent ventricular tachycardia. CARDIOVASCULAR PATHOLOGY. NEW YORK: ELSEVIER SCIENCE INC, 2023, vol. 62, January-February 2023, p. 1-8. ISSN 1054-8807. Available from: https://dx.doi.org/10.1016/j.carpath.2022.107488.
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Basic information
Original name Inflammation and fibrosis characterize different stages of myocardial remodeling in patients after stereotactic body radiotherapy of ventricular myocardium for recurrent ventricular tachycardia
Authors KUČERA, Tomáš (203 Czech Republic, guarantor), Kristína JEDLIČKOVÁ (203 Czech Republic), Marek ŠRAMKO (203 Czech Republic), Petr PEICHL (203 Czech Republic), Jakub CVEK (203 Czech Republic), Lukáš KNYBEL (203 Czech Republic), Pavel HURNÍK (203 Czech Republic), Radek NEUWIRTH (203 Czech Republic, belonging to the institution), Otakar JIRAVSKÝ (203 Czech Republic, belonging to the institution), Luděk VOSKA (203 Czech Republic) and Josef KAUTZNER (203 Czech Republic).
Edition CARDIOVASCULAR PATHOLOGY, NEW YORK, ELSEVIER SCIENCE INC, 2023, 1054-8807.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30201 Cardiac and Cardiovascular systems
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 3.700 in 2022
RIV identification code RIV/00216224:14110/23:00130065
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1016/j.carpath.2022.107488
UT WoS 000892258800002
Keywords in English radioablation; arrhythmia; apoptosis; inflammation; macrophage; immunohistochemistry
Tags 14110211, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 29/1/2024 14:44.
Abstract
We performed a histological and immunohistochemical analysis of myocardia from 3 patients who un-derwent radiosurgery and died for various reasons 3 months to 9 months after radiotherapy. In Case 1 (death 3 months after radiotherapy) we observed a sharp transition between relatively intact and irradiated regions. In the myolytic foci, only scattered cardiomyocytes were left and the area was in-filtrated by immune cells. Using immunohistochemistry we detected numerous inflammatory cells in-cluding CD68 + /CD11c + macrophages, CD4 + and CD8 + T-lymphocytes and some scattered CD20 + B-lymphocytes. Mast cells were diminished in contrast to viable myocardium. In Case 2 and Case 3 (death 6 and 9 months after radiotherapy, respectively) we found mostly fibrosis, infiltration by adipose tissue and foci of calcification. Inflammatory infiltrates were less pronounced. Our observations are in accor-dance with animal experimental studies and confirm a progress from myolysis to fibrosis. In addition, we demonstrate a role of pro-inflammatory macrophages in the earlier stages of myocardial remodeling after stereotactic radioablation for ventricular tachycardia.
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