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Proton FLASH Exposure Preserves Gut Commensal Microbiomes and Spares Intestinal Stem Cells - PubMed

3 hours ago
  • #Intestinal Stem Cells
  • #Gut Microbiome
  • #Proton FLASH Radiotherapy
  • Proton FLASH radiotherapy spares normal tissues while maintaining anti-tumor efficacy, with specific benefits for intestinal stem cells (ISCs) and the gut microbiome.
  • In mouse models, Proton FLASH exposure improved survival and reduced crypt-villus damage compared to conventional dose rate proton irradiation.
  • Single-cell RNA sequencing revealed that Proton FLASH spares Lgr5+ crypt-based columnar cells and a revival stem cell population by modulating oxidative stress and cell cycle progression.
  • Proton FLASH modulates gut microbiota composition without reducing overall species richness, increasing protective bacteria like Alistipes sp. and Akkermensia sp.
  • Fecal microbiota transplantation from Proton FLASH-irradiated mice reduced lethality and protected crypt-villus morphology in recipients exposed to conventional proton irradiation.
  • The study highlights the microbiome's crucial role in Proton FLASH-mediated sparing of the mucosal epithelium in radiation-induced intestinal injury.