Radiation results in IL-8 mediated intercellular signaling that increases adhesion between monocytic cells and aortic endothelium

Epidemiological evidence has established terrestrial radiation exposure as a risk factor for cardiovascular disease. For example, a major side effect of therapeutic radiation, especially for breast and head-and-neck cancers, is atherosclerosis, which can result in stroke years after treatment. Similarly, atomic bomb survivors were significantly more likely to die of cardiovascular disease than their countrymen. Even radiation technologists, prior to 1950 (when regulations governing shielding and occupational exposure were less rigorous) had an increased risk of clinically significant atherosclerosis. We have recently shown that 600 MeV (56) Fe similarly exacerbates plaque formation in the apoE mouse atherosclerosis model at doses 4-7 fold lower than required for x-rays to produce a similar pro-atherogenic effect. This raises concern that exposure to cosmic radiation might pose a similar risk for astronauts. Because so little is known about the mechanism of pro-atherogenic radiation effects, however, the current strategy to minimize risk from terrestrial radiation sources is to limit exposure. For astronauts on deep space missions, exposure to a significant amount of radiation will be unavoidable. Therefore, an understanding of the mechanism of radiation-induced atherosclerosis will be essential in order to develop countermeasures. Radiation can cause increased adhesiveness of vascular endothelium, leading to inappropriate accumulation of monocytes and other white blood cells, which can initiate a self-perpetuating inflammatory response. This vascular inflammation is an early event in atherosclerosis that can eventually lead to clinically significant cardiovascular events such as myocardial infarction and stroke. We showed earlier that x-rays, (56) Fe, and (28) Si all accelerate development of atherosclerosis in the apoE -/- mouse model. We also demonstrated that both x-rays and heavy ions increase adhesion of monocytic cells to vascular human aortic endothelial cells (HAECs) in vitro under conditions that mimic the shear stress in the bloodstream. For both heavy ions and x-rays, these adhesiveness changes are independent of adhesion molecule expression levels, but are chemokine dependent. Here we identify the specific endothelial chemokine responsible for this radiation-induced adhesiveness. X-irradiation increased IL-8 secretion almost 5-fold, while having little or no effect on expression of 15 other chemokines. Adhesiveness was then assayed under physiological shear stress using a flow chamber adhesion assay. Radiation significantly increased endothelial adhesiveness. The radiation-induced adhesiveness was specifically blocked by anti-IL-8 antibody, with no effect on baseline, radiation-independent adhesion. Addition of recombinant human IL-8 to un-irradiated HAECs was sufficient to increase adhesion to the same level as x-rays. Therefore, radiation-induced IL-8 signaling is both necessary and sufficient for radiation effects on aortic endothelial adhesiveness. This IL-8 induced adhesiveness may explain, at least in part, the mechanism by which radiation accelerates development of atherosclerosis. A better understanding of this mechanism can provide the basis for future countermeasure development.