On tests of equal effect per fraction in microcolony assays of survival after fractionated irradiations

H. D. Thames, Jr. and H. R. Withers [Br. J. Radiol. 53, 1071-1077 (1980)] propose a test of an equal effect per fraction in microcolony assays after fractionated radiation, in which the total effect is measured by counting microcolonies derived from surviving cells in a tissue. The factors considered to influence the cytocidal effect per fraction are incomplete repair, repopulation, and synchrony. The statistics used in the method are criticized and conditions are given under which the test should not be used. An alternative method of testing for an equal effect per fraction is proposed. The pros and cons of each test are discussed and compared using some mouse jejunal crypt cell survival data.     

Dose-independent effect of misonidazole in fractionated irradiations of hypoxic Vicia faba bean roots

The radiosensitization of 5 mM misonidazole (Miso) was measured in Vicia faba bean roots with regimens of single, three, six and twelve fractions of 250 kVp X-rays. To inhibit cell division, the beans were kept at a constant temperature of 3.5 degrees C during irradiation and between fractions that were spaced 24 hours apart. The doses in various regimens were graded such that they ranged between 27 and 350, and 42 and 513 cGy per fraction in Miso-treated and non-treated regimens, respectively, under hypoxia. The sensitivity enhancement ratio (s.e.r.) was constant throughout the dose range employed with an average value of 1.62. The s.e.r. increased to 2.3 when measured with single doses at 19 degrees C. It is concluded that the s.e.r. is dose-independent and that temperature enhances the effectiveness of the drug.     

The relationship between survival and mutagenesis in Escherichia coli after fractionated ultraviolet irradiation

The relationship between survival and mutagenesis in Escherichia coli after fractionated ultraviolet (UV) irradiation was studied. The cells were incubated either in buffer or nutrient media. Regardless of incubation conditions, greater survival is observed after fractionated irradiation than after acute irradiation. When the cells are incubated in buffer, UV mutagenesis decreases with an increase in the number of dose fractions. However, when the cells are cultivated in nutrient media, the increased survival (i.e., the enhanced capacity for repair) is coupled with the enhanced capacity for UV mutagenesis. We, therefore, assume that during incubation in nutrient media, fractionated irradiation leads to full and prolonged expression of all UV-inducible (SOS) genes, including those required for mutagenesis.     

Jejunal crypt stem-cell survival after fractionated gamma-irradiation performed at different dose rates

Jejunal crypt survival after fractionated total body irradiation of C3H mice given at dose rates between 1.2 and 0.08 Gy/min was studied and the results analysed according to the linear quadratic model. Whereas alpha was independent of dose rate beta decreased with dose rate to approach zero at about 0.01 Gy/min. During the period of recovery, sublethal damage from doses given at high dose rate interact with low dose rate irradiation given immediately after, and increases its effectiveness.     

The survival of amphibian embryos after continuous ultrasonic treatment

The effect of continuous ultrasonic treatment on the development of early embryos of common frog Rana temporaria was studied. Intact embryos at the blastula stage were exposed to ultrasound of various frequencies (0.88 and 2.64 MHz) and intensities (0.05 to 1.0 W/cm²) for various periods (1 to 15 min). The increase in ultrasound intensity to 0.7–1.0 W/cm² and exposure time to 5–15 min resulted in nearly complete mortality. Development of the embryos exposed to ultrasound of medium intensity (0.2–0.7 W/cm²) for 1–5 min was virtually similar to the control. Treatment at a frequency of 2.64 MHz and intensity of 0.05–0.7 W/cm² for 1–5 min had no effect on the development of amphibian embryos and their survival rate. The increase in intensity of the ultrasound of this frequency to 1 W/cm² and the exposure time to 5 min decreased the number of normally developing embryos by 35%.     

Radiation-induced epigenetic alterations after low and high LET irradiations

Epigenetics, including DNA methylation and microRNA (miRNA) expression, could be the missing link in understanding radiation-induced genomic instability (RIGI). This study tests the hypothesis that irradiation induces epigenetic aberrations, which could eventually lead to RIGI, and that the epigenetic aberrations induced by low linear energy transfer (LET) irradiation are different than those induced by high LET irradiations. GM10115 cells were irradiated with low LET X-rays and high LET iron (Fe) ions and evaluated for DNA damage, cell survival and chromosomal instability. The cells were also evaluated for specific locus methylation of nuclear factor-kappa B (NFκB), tumor suppressor in lung cancer 1 (TSLC1) and cadherin 1 (CDH1) gene promoter regions, long interspersed nuclear element 1 (LINE-1) and Alu repeat element methylation, CpG and non-CpG global methylation and miRNA expression levels. Irradiated cells showed increased micronucleus induction and cell killing immediately following exposure, but were chromosomally stable at delayed times post-irradiation. At this same delayed time, alterations in repeat element and global DNA methylation and miRNA expression were observed. Analyses of DNA methylation predominantly showed hypomethylation, however hypermethylation was also observed. We demonstrate that miRNA expression levels can be altered after X-ray irradiation and that these miRNA are involved in chromatin remodeling and DNA methylation. A higher incidence of epigenetic changes was observed after exposure to X-rays than Fe ions even though Fe ions elicited more chromosomal damage and cell killing. This distinction is apparent at miRNA analyses at which only three miRNA involved in two major pathways were altered after high LET irradiations while six miRNA involved in five major pathways were altered after low LET irradiations. This study also shows that the irradiated cells acquire epigenetic changes suggesting that epigenetic aberrations may arise in the cell without initiating chromosomal instability.     

Linkage effects in a model for cell survival after radiation

A thermodynamic treatment for the effects of radiation on cell survival is proposed. The treatment is an extension of the linear-quadratic model (K.H. Chadwick and H.P. Leenhouts, Phys. Med. Biol. 13 (1973) 78) following the principles of linkage thermodynamics (E. Di Cera, S.J. Gill and J. Wyman, Proc. Natl. Acad. Sci. U.S.A. 85 (1988) 5077). Linkage effects between chemical binding to DNA and radiation action are considered, along with the synergism between different types of radiations. A simple mathematical condition is found for the additivity of radiation doses that result in an isoeffect. The resolvability of the model parameter is investigated by simulations and statistical analysis of the distributions obtained.     

A two compartment model for cell survival after irradiation with ionizing radiation

A theory of cell survival after irradiation has been developed, considering the cell as composed of two compartments with different sensitivities and taking into account recovery phenomena. Expressions are obtained for the probabilities that the cell will be in a survival state or damaged state or will function with reduced efficiency.     

Bystander and delayed effects after fractionated radiation exposure

Human immortalized keratinocytes were exposed to a range of single or fractionated doses of gamma rays from (60)Co, to medium harvested from donor cells exposed to these protocols, or to a combination of radiation and irradiated cell conditioned medium (ICCM). The surviving fractions after direct irradiation or exposure to ICCM were determined using a clonogenic assay. The results show that medium harvested from cultures receiving fractionated irradiation gave lower recovery factors than direct fractionated irradiation, where normal split-dose recovery occurred. The recovery factor is defined here as the surviving fraction of the cells receiving two doses (direct or ICCM) separated by an interval of 2 h divided by the surviving fraction of cells receiving the same dose in one exposure. After treatment with ICCM, the recovery factors were less than 1 over a range of total doses from 5 mGy-5 Gy. Varying the time between doses from 10 min to 180 min did not alter the effect of ICCM, suggesting that two exposures to ICCM are more toxic than one irrespective of the dose used to generate the response. In certain protocols using mixtures of direct irradiation and ICCM, it was possible to eliminate the bystander effect. If bystander factors are produced in vivo, then they may reduce the sparing effect of the dose fractionation.     

A cell survival model with saturable repair after irradiation

Summary A cell survival model with saturable repair has been developed. The model is based on the assumption that after irradiation the cell can be in one of the following three states: In state A the viable cells have no lesions, in state C cells carry lethal lesions and in state B cells exhibit potentially lethal lesions which can be repaired by a saturable enzymatic repair system or which are converted to lethal lesions. The model incorporates five parameters. The applicability of the model has been demonstrated by fitting 11 experimental data sets obtained with different cell lines, different kinds of radiation and variable repair times simulated by liquid holding recovery or inhibition of repair processes by different agents. The model and the results obtained are discussed in relation to published results.Dedicated to Prof. K.G. Zimmer on his 75th birthday     

Histomorphometric evidence of growth plate recovery potential after fractionated radiotherapy: an in vivo model

Damron, T. A., Horton, J. A., Pritchard, M. R., Stringer, M. T., Margulies, B. S., Strauss, J. A., Spadaro, J. A. and Farnum, C. E. Histomorphometric Evidence of Recovery Potential after Fractionated Radiotherapy: An In Vivo Model. Radiat. Res. 170, 284-291 (2008).This study evaluated the hypothesis that early growth plate radiorecovery is evident by growth rate, histomorphometric and immunohistochemical end points after exposure to clinically relevant fractionated radiation in vivo. Twenty-four weanling 5-week-old male Sprague-Dawley rats were randomized into eight groups. In each animal, the right distal femur and proximal tibia were exposed to five daily fractions of 3.5 Gy (17.5 Gy) with the left leg serving as a control. Rats were killed humanely at 7, 8, 9, 10, 11, 14, 15 and 16 days after the first day of radiation exposure. Quantitative end points calculated included individual zonal and overall growth plate heights, area matrix fraction, OTC-labeled growth rate, chondrocyte clone volume and numeric density, and BrdU immunohistochemical labeling for proliferative index. Transient postirradiation reductions occurred early and improved during observation for growth rate, proliferative indices, transitional/hypertrophic zone matrix area fraction, proliferative height, and clonal volume. Reserve and hypertrophic zone height remained increased during the period of observation. The current model, using a more clinically relevant fractionation scheme than used previously, shows early evidence of growth plate recovery and provides a model that can be used to correlate temporal changes in RNA and protein expression during the early period of growth plate recovery.     

Thermodynamic model for cold water survival

A thermodynamic heat flow model for the human body gives survival time as a function of water temperature, assuming constant specific heat and thermal conductance.     

Accumulation of DNA damage and cell death after fractionated irradiation

The purpose of this work was to determine how fractionated radiation used in the treatment of tumors affects the ability of cancer as well as normal cells to repair induced DNA double-strand breaks (DSBs) and how cells that have lost this ability die. Lymphocytic leukemia cells (MOLT4) were used as an experimental model, and the results were compared to those for normal cell types. The results show that cancer and normal cells were mostly unable to repair all DSBs before the next radiation dose induced new DNA damage. Accumulation of DSBs was observed in normal human fibroblasts and healthy lymphocytes irradiated in vitro after the second radiation dose. The lymphocytic leukemia cells irradiated with 4 × 1 Gy and a single dose of 4 Gy had very similar survival; however, there was a big difference between human fibroblasts irradiated with 4 × 1.5 Gy and a single dose of 6 Gy. These results suggest that exponentially growing lymphocytic leukemia cells, similar to rapidly proliferating tumors, are not very sensitive to fraction size, in contrast to the more slowly growing fibroblasts and most late-responding (radiation therapy dose-limiting) normal tissues, which have a low proliferation index.     

Morphological response and survival of hepatoma cells during fractionated hyperthermia: effect of glycerol

Reuber H35 rat hepatoma cells rounded and became spherical during hyperthermia at 42.5 degrees C. When returned to 37 degrees C, the cells recovered and spread out again. As soon as the cells had recovered from the morphologically expressed stress, they expressed tolerance to a second hyperthermia treatment as measured by the same end point. Fractionated hyperthermia made the cells thermotolerant as judged by both the morphological and the cell survival response. Glycerol protected the cells against heat damage as measured by less morphological alteration and decreased cell lethality. Protection depended on the glycerol concentration and maximal protection was observed at 6-8%. After heating in the presence of 7% glycerol, cells expressed thermotolerance at an earlier time than in the absence of glycerol, although the rates of development were approximately similar. Cell survival data and morphological responses showed good correlation.