Ian Johnson, Nicole Ferreira, Vassilena Sharlandjieva, Laetitia Sabatier, Derek Hyde, Erin E McCurry, Kirsty Milligan, Christina K Haston
Susceptibility to radiation-induced lung disease differs among people and among inbred strains of mice; C3H/HeJ mice develop early onset distress from pneumonitis and C57BL/6J mice present later onset pneumonitis with fibrosis. Previous studies revealed C3H/HeJ alleles at a 28 Mb locus on chromosome 2 to be linked to early onset distress and at an 18 Mb locus on chromosome 17 (called Radpf1 for radiation-induced pulmonary fibrosis-1) to decrease fibrosis in whole-thorax irradiated mice. To potentially reduce these genomic intervals, parental chr17-subcongenic mice with 0.71 Mb of C3H/HeJ alleles, and chr 2-congenic mice with region-spanning C3H/HeJ alleles from 95 to 123 Mb, and four lines of subcongenic mice received 16 Gy whole thorax irradiation and were assessed for onset of respiratory distress and histological lung disease at distress. One hundred percent of irradiated C3H/HeJ and C57BL/6J mice exhibited respiratory distress from pneumonitis and pneumonitis with fibrosis (6.8% of lung), respectively, while 18/19 chr17-subcongenic mice survived to 25 weeks post-treatment without symptoms of distress and with significantly decreased radiation-induced pulmonary fibrosis (0.3% of lung, P = 0.002). Of the chr2-subcongenics, mice of one line, which we refer to as Pneum1 (pneumonitis one), succumbed at an average of 20.2 ± 1.1 weeks postirradiation in females and 26.3 ± 1.2 weeks in males (P > 0.22 vs. congenic mice), reducing this locus to 5.6 Mb. Bioinformatic analyses revealed 114 candidate genes within these reduced intervals, with effects on pathways including on immune pathways. Mapping refined genetic susceptibility to radiation-induced lung disease in mice.
{"title":"Genomic Loci of Radiation-induced Lung Disease in a Mouse Model: Refinement and Candidate Gene Analysis.","authors":"Ian Johnson, Nicole Ferreira, Vassilena Sharlandjieva, Laetitia Sabatier, Derek Hyde, Erin E McCurry, Kirsty Milligan, Christina K Haston","doi":"10.1667/RADE-25-00064.1","DOIUrl":"10.1667/RADE-25-00064.1","url":null,"abstract":"<p><p>Susceptibility to radiation-induced lung disease differs among people and among inbred strains of mice; C3H/HeJ mice develop early onset distress from pneumonitis and C57BL/6J mice present later onset pneumonitis with fibrosis. Previous studies revealed C3H/HeJ alleles at a 28 Mb locus on chromosome 2 to be linked to early onset distress and at an 18 Mb locus on chromosome 17 (called Radpf1 for radiation-induced pulmonary fibrosis-1) to decrease fibrosis in whole-thorax irradiated mice. To potentially reduce these genomic intervals, parental chr17-subcongenic mice with 0.71 Mb of C3H/HeJ alleles, and chr 2-congenic mice with region-spanning C3H/HeJ alleles from 95 to 123 Mb, and four lines of subcongenic mice received 16 Gy whole thorax irradiation and were assessed for onset of respiratory distress and histological lung disease at distress. One hundred percent of irradiated C3H/HeJ and C57BL/6J mice exhibited respiratory distress from pneumonitis and pneumonitis with fibrosis (6.8% of lung), respectively, while 18/19 chr17-subcongenic mice survived to 25 weeks post-treatment without symptoms of distress and with significantly decreased radiation-induced pulmonary fibrosis (0.3% of lung, P = 0.002). Of the chr2-subcongenics, mice of one line, which we refer to as Pneum1 (pneumonitis one), succumbed at an average of 20.2 ± 1.1 weeks postirradiation in females and 26.3 ± 1.2 weeks in males (P > 0.22 vs. congenic mice), reducing this locus to 5.6 Mb. Bioinformatic analyses revealed 114 candidate genes within these reduced intervals, with effects on pathways including on immune pathways. Mapping refined genetic susceptibility to radiation-induced lung disease in mice.</p>","PeriodicalId":20903,"journal":{"name":"Radiation research","volume":" ","pages":"595-603"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145258916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Joseph R Dynlacht, Joy Garrett, Meijing Wang, Steven J Miller, R Mark Payne
Recent advances in dose-delivery techniques have led to a reduction in normal tissue complications in radiotherapy patients. However, significant early and late cardiovascular (CV) effects may result when the heart is included in the radiation field and exposed to doses commonly used to treat several types of malignancies, or during total-body irradiation (TBI) prior to hematopoietic stem cell transplantation. Moreover, a radiological or nuclear (RAD/NUC) incident in which thousands of people are exposed to potentially lethal doses of ionizing radiation could result in the development of delayed effects of acute radiation exposure (DEARE) in survivors; several life-threatening cardiac DEARE-related pathologies would be observed months to years after TBI doses that trigger the hematopoietic acute radiation syndrome (H-ARS). While mitigators are available to treat acute symptoms in individuals that received radiation doses high enough to trigger the H-ARS, there are no drugs or strategies for mitigating early or late cardiovascular effects in radiotherapy patients, or late cardiac pathologies that would subsequently manifest in H-ARS survivors; while some drugs have shown promise, toxicity, limited efficacy or logistical issues regarding administration precludes their clinical use. Thus, there is great interest in the development of mitigators of cardiovascular dysfunction. We previously identified a novel non-pharmacological strategy that is effective in mitigating the lethal effects of TBI in mice when administered after exposure. Our approach involved the creation of a small subcutaneous (SC) incision postirradiation. We found that subcutaneous wounding several minutes after a high-dose TBI greatly protected against lethality, and that mitigation of the resulting H-ARS was likely mediated by enhanced recovery of hematopoiesis. We refer to this approach as "protective wounding." We now show that a subcutaneous cut preserves cardiac function, specifically, pumping capacity as measured by the Langendorff technique, in mice when assessed 30 days after a single dose or fractionated TBI. For example, left ventricular developed pressure (LVDP) at end diastolic pressure (EDP) 30-39 was 22.5% greater in mice that received a cut after a TBI dose of 6.5 Gy, compared to sham-cut mice. We propose that "protective wounding" may be used as a novel model for interrogating the proteins and pathways involved in reducing cardiotoxicity after irradiation and ultimately guiding development of pharmacological mitigators of cardiotoxicity in radiotherapy patients or victims of RAD/NUC incidents.
{"title":"Mitigation of Radiation-induced Cardiotoxicity by Subcutaneous \"Protective Wounding\".","authors":"Joseph R Dynlacht, Joy Garrett, Meijing Wang, Steven J Miller, R Mark Payne","doi":"10.1667/RADE-25-00067.1","DOIUrl":"10.1667/RADE-25-00067.1","url":null,"abstract":"<p><p>Recent advances in dose-delivery techniques have led to a reduction in normal tissue complications in radiotherapy patients. However, significant early and late cardiovascular (CV) effects may result when the heart is included in the radiation field and exposed to doses commonly used to treat several types of malignancies, or during total-body irradiation (TBI) prior to hematopoietic stem cell transplantation. Moreover, a radiological or nuclear (RAD/NUC) incident in which thousands of people are exposed to potentially lethal doses of ionizing radiation could result in the development of delayed effects of acute radiation exposure (DEARE) in survivors; several life-threatening cardiac DEARE-related pathologies would be observed months to years after TBI doses that trigger the hematopoietic acute radiation syndrome (H-ARS). While mitigators are available to treat acute symptoms in individuals that received radiation doses high enough to trigger the H-ARS, there are no drugs or strategies for mitigating early or late cardiovascular effects in radiotherapy patients, or late cardiac pathologies that would subsequently manifest in H-ARS survivors; while some drugs have shown promise, toxicity, limited efficacy or logistical issues regarding administration precludes their clinical use. Thus, there is great interest in the development of mitigators of cardiovascular dysfunction. We previously identified a novel non-pharmacological strategy that is effective in mitigating the lethal effects of TBI in mice when administered after exposure. Our approach involved the creation of a small subcutaneous (SC) incision postirradiation. We found that subcutaneous wounding several minutes after a high-dose TBI greatly protected against lethality, and that mitigation of the resulting H-ARS was likely mediated by enhanced recovery of hematopoiesis. We refer to this approach as \"protective wounding.\" We now show that a subcutaneous cut preserves cardiac function, specifically, pumping capacity as measured by the Langendorff technique, in mice when assessed 30 days after a single dose or fractionated TBI. For example, left ventricular developed pressure (LVDP) at end diastolic pressure (EDP) 30-39 was 22.5% greater in mice that received a cut after a TBI dose of 6.5 Gy, compared to sham-cut mice. We propose that \"protective wounding\" may be used as a novel model for interrogating the proteins and pathways involved in reducing cardiotoxicity after irradiation and ultimately guiding development of pharmacological mitigators of cardiotoxicity in radiotherapy patients or victims of RAD/NUC incidents.</p>","PeriodicalId":20903,"journal":{"name":"Radiation research","volume":" ","pages":"666-672"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145308928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mikhail E Sokolnikov, Daniel O Stram, Dale L Preston, Svetlana F Sosnina, Yulia V Tsareva, Brian E Moroz, Irina S Kuznetsova
<p><p>Increased leukemia incidence or mortality is a well-known effect of acute radiation exposure. Less is known about the risks associated with protracted exposure, such as those arising in occupational exposure settings. We used excess relative risk models to investigate the strength of evidence for and the shape of the dose response for mortality from leukemia (excluding chronic lymphocytic leukemia, CLL) in the Russian Mayak Worker Cohort. The cohort includes 25,757 workers followed for cancer mortality from 1948 to 2015 who were subject to both external low-dose-rate gamma ray and internal exposures (from alpha particles emitted by inhaled plutonium). The red bone marrow external dose estimates were based on individual readings from film badges or TLD dosimeters. The mean external marrow dose was 584 mGy for workers hired before 1959 and 105 mGy for those hired between 1959 and 1982. Internal exposures were described using red bone marrow alpha-particle dose for workers who were subject to plutonium monitoring and potential plutonium exposure categories for unmonitored workers. The mean marrow dose from internal exposure for monitored workers was 2.1 mGy for those hired before 1959 and 0.16 mGy for those hired between 1959 and 1982. Radiation effects were described using both excess relative rate (ERR) and excess absolute rate (EAR) models. The excess relative rates for the 96 deaths from non-CLL leukemia were described using a time-since-exposure-dependent quadratic response in cumulative external low LET dose with effect modification by attained age. While the largest ERRs [2.45 at 1 Gy, 95% confidence interval (CI) 0.33 to 11.9] were associated with external doses received between 2 and 5 years before death, there was also a significant increase in rates for doses received 5 or more years before death (ERR 0.28 at 1 Gy, 95% CI 0.06 to 0.72) and an indication of increased rates associated with doses within two years of death (ERR 1.47 at 1 Gy, 95% CI 0.06 to 10.6). Uncertainties in these excess relative rate estimates from the primary models were adjusted for dose uncertainty. Excess absolute rate (EAR) models were also used to describe the leukemia death rates. The pattern of the EAR variation with time-since-exposure was like that for the ERR Doses received 2 to 4 years before death had the largest EAR (ERR 4.78 per 10,000 person years per Gy2, 94% CI 1.75 to 10.7) with increased rates for doses received within two years of death (3.66, 95% CI 9.26 to 11.2), and for doses received 5 or more years before death (0.34, 95% CI 0.11 to 0.7). However, while the ERR decreased with increasing attained age, there was no indication of an attained age dependence in the EAR. The external-exposure radiation-associated leukemia risk appeared to be largely from acute myeloid leukemia. There was no evidence of external exposure effects on the risks of death from chronic lymphocytic leukemia, lymphoma, or multiple myeloma. There was no evidence of inter
白血病发病率或死亡率的增加是众所周知的急性辐射暴露的影响。对于与长期接触有关的风险,例如在职业接触环境中产生的风险,所知甚少。我们使用过量相对风险模型来调查俄罗斯Mayak工人队列中白血病(不包括慢性淋巴细胞白血病,CLL)死亡率的剂量反应的证据强度和形状。该队列包括25,757名工人,他们在1948年至2015年期间接受了低剂量率外部伽马射线和内部暴露(来自吸入钚释放的α粒子)的癌症死亡率跟踪调查。红骨髓外剂量的估计是基于胶片胸牌或TLD剂量计的个人读数。1959年以前雇用的工人的平均骨髓外剂量为584mgy, 1959年至1982年期间雇用的工人的平均骨髓外剂量为105mgy。对受钚监测的工人使用红骨髓剂量和对未受监测的工人使用潜在钚暴露类别来描述内部照射。受监测工人体内照射的平均骨髓剂量为1959年以前雇用的工人为2.1毫戈瑞,1959年至1982年期间雇用的工人为0.16毫戈瑞。使用过量相对速率(ERR)和过量绝对速率(EAR)模型描述辐射效应。96例非慢性淋巴细胞白血病死亡的超额相对死亡率是用暴露时间依赖于低LET累积外源性剂量的二次响应来描述的,其效应随达到的年龄而改变。虽然最大的ERRs [1 Gy时2.45,95%可信区间(CI) 0.33至11.9]与死亡前2至5年接受的外部剂量相关,但死亡前5年或更长时间接受的剂量率也显著增加(1 Gy时ERR 0.28, 95% CI 0.06至0.72),并且表明死亡后两年内接受的剂量相关的风险增加(1 Gy时ERR 1.47, 95% CI 0.06至10.6)。根据剂量不确定性调整了原始模型中这些超额相对风险估计值的不确定性。超额绝对死亡率(EAR)模型也用于描述白血病死亡率。EAR随暴露时间变化的模式与ERR相似,死亡前2至4年接受的剂量具有最大的EAR(4.78 / 10,000人年/ Gy2, 94% CI 1.75至10.7),死亡后两年内接受的剂量增加(3.66,95% CI 9.26至11.2),死亡前5年或更长时间接受的剂量增加(0.34,95% CI 0.11至0.7)。然而,虽然ERR随着年龄的增加而下降,但没有迹象表明EAR具有年龄依赖性。外照射辐射相关的白血病风险似乎主要来自急性髓系白血病。没有证据表明外部暴露对慢性淋巴细胞白血病、淋巴瘤或多发性骨髓瘤的死亡风险有影响。没有证据表明内部暴露对白血病或其他淋巴造血恶性肿瘤的发病率有影响。这些分析扩展了Mayak工人队列中白血病死亡率的早期研究,增加了多年的随访,利用最新的骨髓剂量估计,并包括对共享剂量不确定性对风险不确定性的影响的评估。我们的研究结果显示,非cll白血病死亡率的显著超额风险与达到年龄、暴露后时间和暴露年龄之间的复杂相互作用有关。单位剂量的最高风险与风险时间前2-5年接受的暴露有关。此外,对于给定的总累积剂量,风险随着达到年龄的增加而迅速降低。我们讨论了广岛和长崎原子弹爆炸幸存者寿命研究中与急性暴露相关的风险模式与Mayak工人队列中的慢性暴露之间的差异,以及我们的研究与其他涉及长时间低剂量外部伽马射线暴露的研究中风险估计之间的差异。
{"title":"Leukemia, Lymphoma, and Multiple Myeloma Mortality in the Russian Mayak Worker Cohort 1948-2015.","authors":"Mikhail E Sokolnikov, Daniel O Stram, Dale L Preston, Svetlana F Sosnina, Yulia V Tsareva, Brian E Moroz, Irina S Kuznetsova","doi":"10.1667/RADE-23-00059.1","DOIUrl":"10.1667/RADE-23-00059.1","url":null,"abstract":"<p><p>Increased leukemia incidence or mortality is a well-known effect of acute radiation exposure. Less is known about the risks associated with protracted exposure, such as those arising in occupational exposure settings. We used excess relative risk models to investigate the strength of evidence for and the shape of the dose response for mortality from leukemia (excluding chronic lymphocytic leukemia, CLL) in the Russian Mayak Worker Cohort. The cohort includes 25,757 workers followed for cancer mortality from 1948 to 2015 who were subject to both external low-dose-rate gamma ray and internal exposures (from alpha particles emitted by inhaled plutonium). The red bone marrow external dose estimates were based on individual readings from film badges or TLD dosimeters. The mean external marrow dose was 584 mGy for workers hired before 1959 and 105 mGy for those hired between 1959 and 1982. Internal exposures were described using red bone marrow alpha-particle dose for workers who were subject to plutonium monitoring and potential plutonium exposure categories for unmonitored workers. The mean marrow dose from internal exposure for monitored workers was 2.1 mGy for those hired before 1959 and 0.16 mGy for those hired between 1959 and 1982. Radiation effects were described using both excess relative rate (ERR) and excess absolute rate (EAR) models. The excess relative rates for the 96 deaths from non-CLL leukemia were described using a time-since-exposure-dependent quadratic response in cumulative external low LET dose with effect modification by attained age. While the largest ERRs [2.45 at 1 Gy, 95% confidence interval (CI) 0.33 to 11.9] were associated with external doses received between 2 and 5 years before death, there was also a significant increase in rates for doses received 5 or more years before death (ERR 0.28 at 1 Gy, 95% CI 0.06 to 0.72) and an indication of increased rates associated with doses within two years of death (ERR 1.47 at 1 Gy, 95% CI 0.06 to 10.6). Uncertainties in these excess relative rate estimates from the primary models were adjusted for dose uncertainty. Excess absolute rate (EAR) models were also used to describe the leukemia death rates. The pattern of the EAR variation with time-since-exposure was like that for the ERR Doses received 2 to 4 years before death had the largest EAR (ERR 4.78 per 10,000 person years per Gy2, 94% CI 1.75 to 10.7) with increased rates for doses received within two years of death (3.66, 95% CI 9.26 to 11.2), and for doses received 5 or more years before death (0.34, 95% CI 0.11 to 0.7). However, while the ERR decreased with increasing attained age, there was no indication of an attained age dependence in the EAR. The external-exposure radiation-associated leukemia risk appeared to be largely from acute myeloid leukemia. There was no evidence of external exposure effects on the risks of death from chronic lymphocytic leukemia, lymphoma, or multiple myeloma. There was no evidence of inter","PeriodicalId":20903,"journal":{"name":"Radiation research","volume":" ","pages":"604-623"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145346686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ionizing radiation causes various types of DNA damage in mammalian cells, leading to tissue reactions and stochastic effects. Different cultured cell lines have been used to study DNA alterations at the molecular level; however, most previous studies have used diploid cells, making it difficult to accurately analyze structural variations (SVs), such as insertions and deletions (indels), in autosomal chromosomes. Here, we report the development of a unique experimental system using HAP1 cells, a human haploid cell line derived from the chronic myeloid leukemia (CML) cell line KBM-7. To compare their biological properties with normal human diploid fibroblasts (NHDFs), we measured radiation sensitivity, protein expression, and DNA damage response. The results showed that HAP1 cells exhibit properties similar to NHDFs. We also demonstrated their usefulness in next-generation sequencing analysis to identify SVs in autosomes caused by ionizing radiation. Therefore, HAP1 cells serve as an ideal model system for investigating molecular radiation signatures.
{"title":"A Novel Haploid Cell Culture System for Multi-layered Analysis of Radiation Effects on Human Cells.","authors":"Kasumi Kawamura, Norisato Mitsutake, Keiji Suzuki","doi":"10.1667/RADE-24-00234.1","DOIUrl":"10.1667/RADE-24-00234.1","url":null,"abstract":"<p><p>Ionizing radiation causes various types of DNA damage in mammalian cells, leading to tissue reactions and stochastic effects. Different cultured cell lines have been used to study DNA alterations at the molecular level; however, most previous studies have used diploid cells, making it difficult to accurately analyze structural variations (SVs), such as insertions and deletions (indels), in autosomal chromosomes. Here, we report the development of a unique experimental system using HAP1 cells, a human haploid cell line derived from the chronic myeloid leukemia (CML) cell line KBM-7. To compare their biological properties with normal human diploid fibroblasts (NHDFs), we measured radiation sensitivity, protein expression, and DNA damage response. The results showed that HAP1 cells exhibit properties similar to NHDFs. We also demonstrated their usefulness in next-generation sequencing analysis to identify SVs in autosomes caused by ionizing radiation. Therefore, HAP1 cells serve as an ideal model system for investigating molecular radiation signatures.</p>","PeriodicalId":20903,"journal":{"name":"Radiation research","volume":" ","pages":"655-665"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145293386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ionizing radiation induces cytokine expression, affecting apoptosis through pro- and anti-apoptotic signals. Although some innate immune pathways regulating radiation-induced germ cell apoptosis have been identified in Caenorhabditis elegans, the precise mechanisms remain unclear. To clarify how innate immune genes regulate germ cell apoptosis, we first combined transcriptome sequencing and WormExp enrichment analysis to explore early gene expression changes in C. elegans after irradiation. The results showed that radiation triggers innate immunity genes similarly to pathogen responses. Subsequently, we employed mutants of innate immune pathways to investigate the underlying regulatory mechanisms. Germ cell apoptosis was reduced in pmk-1(km25), mpk-1(n2521), dbl-1(wk70), and daf-2(e1370) innate immunity related-mutants compared to N2 worms after irradiation. RNA-seq analysis revealed that the innate immune gene expression was downregulated in the mutant pmk-1(km25), while upregulated in mpk-1(n2521), dbl-1(wk70), kgb-1(um3), and daf-2(e1370). Pro-apoptotic genes egl-1 and ced-13 were significantly upregulated in wild-type worms and these mutants postirradiation. Further RNA-seq enrichment analysis using Gene Set Enrichment Analysis (GSEA) indicated distinct biological processes in these mutants after irradiation. Genes upregulated in wild-type but downregulated in mutants were involved in innate immunity, and RNAi of dod-21 significantly inhibited germ cell apoptosis. This suggests that reduced apoptosis in mutants is partly due to decreased expression of innate immunity genes.
{"title":"Regulation of Germ Cell Apoptosis by Innate Immune Pathways in Caenorhabditis elegans Exposed to Ionizing Radiation.","authors":"Xiaoman Li, Kangyang Li, Meimei Zhao, Shiwei Li, Qixiang Liu, Zhanzhan Xu, Chen Nie, Yundong Xiong, Haodong Lin, Xiao Zhou, Yibao Zhang, Jiadong Wang","doi":"10.1667/RADE-24-00218.1","DOIUrl":"10.1667/RADE-24-00218.1","url":null,"abstract":"<p><p>Ionizing radiation induces cytokine expression, affecting apoptosis through pro- and anti-apoptotic signals. Although some innate immune pathways regulating radiation-induced germ cell apoptosis have been identified in Caenorhabditis elegans, the precise mechanisms remain unclear. To clarify how innate immune genes regulate germ cell apoptosis, we first combined transcriptome sequencing and WormExp enrichment analysis to explore early gene expression changes in C. elegans after irradiation. The results showed that radiation triggers innate immunity genes similarly to pathogen responses. Subsequently, we employed mutants of innate immune pathways to investigate the underlying regulatory mechanisms. Germ cell apoptosis was reduced in pmk-1(km25), mpk-1(n2521), dbl-1(wk70), and daf-2(e1370) innate immunity related-mutants compared to N2 worms after irradiation. RNA-seq analysis revealed that the innate immune gene expression was downregulated in the mutant pmk-1(km25), while upregulated in mpk-1(n2521), dbl-1(wk70), kgb-1(um3), and daf-2(e1370). Pro-apoptotic genes egl-1 and ced-13 were significantly upregulated in wild-type worms and these mutants postirradiation. Further RNA-seq enrichment analysis using Gene Set Enrichment Analysis (GSEA) indicated distinct biological processes in these mutants after irradiation. Genes upregulated in wild-type but downregulated in mutants were involved in innate immunity, and RNAi of dod-21 significantly inhibited germ cell apoptosis. This suggests that reduced apoptosis in mutants is partly due to decreased expression of innate immunity genes.</p>","PeriodicalId":20903,"journal":{"name":"Radiation research","volume":" ","pages":"635-654"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145346719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This paper investigates cosmic ray exposure among Antarctic expeditioners through detailed case analyses of individuals undertaking diverse polar missions, encompassing both summer campaigns and extended winter-overs. The first case profiles a glaciologist with a longitudinal dataset spanning over three decades (1988-2025) and 31 high-altitude missions at key stations such as Vostok and Concordia. The second case examines an astronomer, referred to as Stella, whose exposure history includes multiple summer deployments and two overwintering periods between 2001 and 2025. The third case presents a comprehensive evaluation of overwintering personnel at Concordia, incorporating mission frequency, duration, and cumulative dose assessments over several years, with some subjects completing up to four winter stays within a seven-year timeframe. Exposure assessments, leveraging sophisticated modeling tools alongside empirical measurements, reveal annual effective doses generally below one mSv for summer expeditions. Overwintering expeditioners exhibit higher cumulative doses, occasionally approaching or exceeding the lower value of the ICRP's recommended reference level range for existing exposure situations (1-20 mSv per year) when averaged over five years. These results underscore the significance of mission duration, solar activity, and repeated exposure, and support the value of continued dosimetric monitoring. They also suggest that tailored radiological considerations may be beneficial for long-term expeditioners in polar environments.
{"title":"Cosmic Ray-induced Radiation Exposure among Summer and Overwintering Expeditioners in the High-altitude Antarctic Environment.","authors":"Guillaume Hubert, Eric Lefebvre","doi":"10.1667/RADE-25-00096.1","DOIUrl":"10.1667/RADE-25-00096.1","url":null,"abstract":"<p><p>This paper investigates cosmic ray exposure among Antarctic expeditioners through detailed case analyses of individuals undertaking diverse polar missions, encompassing both summer campaigns and extended winter-overs. The first case profiles a glaciologist with a longitudinal dataset spanning over three decades (1988-2025) and 31 high-altitude missions at key stations such as Vostok and Concordia. The second case examines an astronomer, referred to as Stella, whose exposure history includes multiple summer deployments and two overwintering periods between 2001 and 2025. The third case presents a comprehensive evaluation of overwintering personnel at Concordia, incorporating mission frequency, duration, and cumulative dose assessments over several years, with some subjects completing up to four winter stays within a seven-year timeframe. Exposure assessments, leveraging sophisticated modeling tools alongside empirical measurements, reveal annual effective doses generally below one mSv for summer expeditions. Overwintering expeditioners exhibit higher cumulative doses, occasionally approaching or exceeding the lower value of the ICRP's recommended reference level range for existing exposure situations (1-20 mSv per year) when averaged over five years. These results underscore the significance of mission duration, solar activity, and repeated exposure, and support the value of continued dosimetric monitoring. They also suggest that tailored radiological considerations may be beneficial for long-term expeditioners in polar environments.</p>","PeriodicalId":20903,"journal":{"name":"Radiation research","volume":" ","pages":"570-580"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145131764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Isabelle R Miousse, Charles M Skinner, Rupak Pathak, Vijayalakshmi Sridharan, Stepan Melnyk, Jeffrey Willey, Jeffrey Chancellor, Martin Hauer-Jensen, Marjan Boerma, Igor Koturbash
Space radiation, primarily originating from galactic cosmic rays, is mainly composed of protons. Given NASA's plans for manned lunar and Mars missions, it is critical to assess the risk of proton radiation in disrupting tissue homeostasis, including in the intestine, which is a highly radiosensitive organ that harbors trillions of bacteria on the luminal surface. One-carbon metabolism encompasses the folate and methionine cycle and plays a crucial role in maintaining tissue homeostasis by regulating methylation, reductive metabolism, and nucleotide synthesis. However, the effects of proton radiation on intestinal one-carbon metabolism and the luminal microbiome profile are unknown. To address this, 6-month-old male C57BL/6J mice were exposed to a single dose of 0.5 Gy or 1.0 Gy of protons (150 MeV/n; dose rate = 35-55 cGy/min). Nine months after irradiation, significant shifts in the one-carbon metabolism pathway were detected in the mouse proximal jejunum and colon. These changes were exhibited as a loss of intra-intestinal methionine, s-adenosylmethionine, and glutathione tissue concentrations, with more pronounced effects being observed in the proximal jejunum compared to the colon. This resulted in the loss of DNA methylation within long-interspersed nucleotide element-1 (LINE-1), indicative of a global hypomethylative phenotype. Molecular changes were characterized by substantial dysregulation of gene expression in the proximal jejunum, where the most pronounced changes were associated with the dramatic loss of Nos2 expression and reactivation of Casp14, suggesting potential shifts in amino acid utilization and restoration of epithelial barriers in the gut. Furthermore, claudins Cldn5, Cldn6, and Cldn10 were substantially modulated in the proximal jejunum of exposed mice. Gross shifts in the microbiota profiles were exhibited as increases in both overall richness and diversity, however, at the expense of commensal bacterial species, like Akkermansia. The extent of the observed alterations was not congruent with the relatively low doses used in the study, the late time-point, and the overall lack of histomorphological alterations. Altogether, our findings demonstrate that exposure to space-relevant proton radiation causes substantial and persistent changes in the mouse gut. The degree and nature of the observed effects suggest the potential for negative health consequences after exposure to proton radiation during deep space exploration.
{"title":"Exposure to a Single Dose of Space-Relevant Proton Radiation Alters the Intestinal One-Carbon Metabolism Pathway and Microbiome in Mice.","authors":"Isabelle R Miousse, Charles M Skinner, Rupak Pathak, Vijayalakshmi Sridharan, Stepan Melnyk, Jeffrey Willey, Jeffrey Chancellor, Martin Hauer-Jensen, Marjan Boerma, Igor Koturbash","doi":"10.1667/RADE-25-00019.1","DOIUrl":"10.1667/RADE-25-00019.1","url":null,"abstract":"<p><p>Space radiation, primarily originating from galactic cosmic rays, is mainly composed of protons. Given NASA's plans for manned lunar and Mars missions, it is critical to assess the risk of proton radiation in disrupting tissue homeostasis, including in the intestine, which is a highly radiosensitive organ that harbors trillions of bacteria on the luminal surface. One-carbon metabolism encompasses the folate and methionine cycle and plays a crucial role in maintaining tissue homeostasis by regulating methylation, reductive metabolism, and nucleotide synthesis. However, the effects of proton radiation on intestinal one-carbon metabolism and the luminal microbiome profile are unknown. To address this, 6-month-old male C57BL/6J mice were exposed to a single dose of 0.5 Gy or 1.0 Gy of protons (150 MeV/n; dose rate = 35-55 cGy/min). Nine months after irradiation, significant shifts in the one-carbon metabolism pathway were detected in the mouse proximal jejunum and colon. These changes were exhibited as a loss of intra-intestinal methionine, s-adenosylmethionine, and glutathione tissue concentrations, with more pronounced effects being observed in the proximal jejunum compared to the colon. This resulted in the loss of DNA methylation within long-interspersed nucleotide element-1 (LINE-1), indicative of a global hypomethylative phenotype. Molecular changes were characterized by substantial dysregulation of gene expression in the proximal jejunum, where the most pronounced changes were associated with the dramatic loss of Nos2 expression and reactivation of Casp14, suggesting potential shifts in amino acid utilization and restoration of epithelial barriers in the gut. Furthermore, claudins Cldn5, Cldn6, and Cldn10 were substantially modulated in the proximal jejunum of exposed mice. Gross shifts in the microbiota profiles were exhibited as increases in both overall richness and diversity, however, at the expense of commensal bacterial species, like Akkermansia. The extent of the observed alterations was not congruent with the relatively low doses used in the study, the late time-point, and the overall lack of histomorphological alterations. Altogether, our findings demonstrate that exposure to space-relevant proton radiation causes substantial and persistent changes in the mouse gut. The degree and nature of the observed effects suggest the potential for negative health consequences after exposure to proton radiation during deep space exploration.</p>","PeriodicalId":20903,"journal":{"name":"Radiation research","volume":" ","pages":"561-569"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145131786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Radiation-induced brain injury (RIBI) continues to pose a significant clinical problem linked to neuroinflammation, oxidative stress, and neuronal death. This research evaluates the neuroprotective efficacy of oxytetracycline (OTC) in mitigating RIBI, examining its effects on behavioral, histological, biochemical, and metabolic characteristics. Female Wistar albino rats were categorized into three groups: a control group, a group subjected to brain irradiation with saline, and a group subjected to brain irradiation with oxytetracycline therapy at a dosage of 30 mg/kg/day for 15 days. Behavioral results were assessed through daily sociability, open-field, and passive avoidance learning tests. Biochemical studies included the quantification of inflammatory and oxidative stress indicators, including TNF-α, malondialdehyde (MDA), and superoxide dismutase (SOD). Histopathological assessments focused on neuronal integrity and astrocytic activity in hippocampus (CA1 and CA3 areas) and cerebellar tissues. Magnetic resonance (MR) spectroscopy was used to evaluate metabolic alterations, including lactate, N-acetylaspartate (NAA), and creatine (Cr) concentrations. oxytetracycline therapy markedly decreased oxidative stress indicators, including malondialdehyde (MDA), and restored antioxidant enzyme activity (SOD). Inflammatory markers such as TNF-α, Iba-1, and TLR-4 were reduced, however levels of neurotrophic factors (NGF and NRG-1) remained constant. Improvements in behavior were seen in friendliness, memory retention, and inquisitive behaviors. Histopathological analysis indicated maintained neuronal integrity and diminished GFAP immunostaining in the hippocampus and cerebellum. MR spectroscopy revealed reduced lactate levels and normalized NAA and Cr levels, indicating metabolic stability. Thus, oxytetracycline has neuroprotective properties that act via mitigation of inflammation, decreasing oxidative stress, and maintaining neuronal integrity. Furthermore, its capacity to alleviate metabolic dysfunction enhances its prospective use in safeguarding cognitive and neurological processes. These findings underscore the therapeutic efficacy of oxytetracycline in mitigating radiation-induced cerebral damage.
{"title":"Radiation-induced Brain Injury and the Protective Role of Oxytetracycline: A Multimodal Study Integrating Behavioral, Biochemical, Histopathological, and Spectroscopic Analyses.","authors":"Oytun Erbaş, Mümin Alper Erdoğan, Bahattin Özkul, Yiğit Uyanikgil","doi":"10.1667/RADE-25-00077.1","DOIUrl":"https://doi.org/10.1667/RADE-25-00077.1","url":null,"abstract":"<p><p>Radiation-induced brain injury (RIBI) continues to pose a significant clinical problem linked to neuroinflammation, oxidative stress, and neuronal death. This research evaluates the neuroprotective efficacy of oxytetracycline (OTC) in mitigating RIBI, examining its effects on behavioral, histological, biochemical, and metabolic characteristics. Female Wistar albino rats were categorized into three groups: a control group, a group subjected to brain irradiation with saline, and a group subjected to brain irradiation with oxytetracycline therapy at a dosage of 30 mg/kg/day for 15 days. Behavioral results were assessed through daily sociability, open-field, and passive avoidance learning tests. Biochemical studies included the quantification of inflammatory and oxidative stress indicators, including TNF-α, malondialdehyde (MDA), and superoxide dismutase (SOD). Histopathological assessments focused on neuronal integrity and astrocytic activity in hippocampus (CA1 and CA3 areas) and cerebellar tissues. Magnetic resonance (MR) spectroscopy was used to evaluate metabolic alterations, including lactate, N-acetylaspartate (NAA), and creatine (Cr) concentrations. oxytetracycline therapy markedly decreased oxidative stress indicators, including malondialdehyde (MDA), and restored antioxidant enzyme activity (SOD). Inflammatory markers such as TNF-α, Iba-1, and TLR-4 were reduced, however levels of neurotrophic factors (NGF and NRG-1) remained constant. Improvements in behavior were seen in friendliness, memory retention, and inquisitive behaviors. Histopathological analysis indicated maintained neuronal integrity and diminished GFAP immunostaining in the hippocampus and cerebellum. MR spectroscopy revealed reduced lactate levels and normalized NAA and Cr levels, indicating metabolic stability. Thus, oxytetracycline has neuroprotective properties that act via mitigation of inflammation, decreasing oxidative stress, and maintaining neuronal integrity. Furthermore, its capacity to alleviate metabolic dysfunction enhances its prospective use in safeguarding cognitive and neurological processes. These findings underscore the therapeutic efficacy of oxytetracycline in mitigating radiation-induced cerebral damage.</p>","PeriodicalId":20903,"journal":{"name":"Radiation research","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145637672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-10DOI: 10.1667/ RADE-24-00112.1
Qiaoyuan Wu, Liqing Li, Yuxin Wei, Qingguo Fu, Teng Zhou, Kai Chen, Shixiong Liang, Tingshi Su
This study aims to elucidate the processes involved in radiation-induced liver injury and subsequent hepatocyte proliferation, and to identify novel metabolic profiles associated with progression of liver injury and hepatocyte proliferation. Six-week-old male Sprague-Dawley rats were exposed to a single 25 Gy dose of radiation to the whole liver to induce a model of radiation-induced liver injury and subsequent hepatocyte proliferation. Liver injury and hepatocyte proliferation were assessed using a range of techniques, including Masson's trichrome staining, liver histopathology, ELISA, immunohistochemistry, and Western blotting. Dynamic changes in metabolic profiles and biomarker concentrations in liver tissue were investigated using ultra-performance liquid chromatography and quadrupole time-of-flight mass spectrometry. After radiation exposure, acute radiation-induced liver dysfunction occurs, but then there is gradual recovery over time, concomitant with the onset of hepatocyte proliferation. Metabolomic analysis of liver tissues at different time points, specifically day 1, day 8, day 15, and day 30 postirradiation, revealed notable differences in all 22 metabolites, with a predominance of lipid metabolites. Among them, 9 metabolites showed more than a twofold change on days 15 and 30. We validated the correlation between these 9 metabolites with injury scores and Ki-67 positive cells (%). Notably, there was a strong negative correlation between glycerylphosphorylethanolamine (GPE) and the injury score (correlation coefficient: -0.701) and between 1-hexadecanoyl-2-(5-hydroxy-8-oxo-6E-octenoyl)-sn-glycero-3-phosphoserine (PHOOA-PS) and the Ki-67 positive cells (%) (correlation coefficient: -0.824). Additionally, GPE has significant value in differentiating the degree of injury [area under the curve (AUC) = 0.958]. This study successfully established a rat model of radiation-induced hepatic injury and subsequent hepatocyte proliferation, shedding light on dynamic metabolic changes at different times.
{"title":"Dynamic Metabolomics Atlas of Radiation-induced Liver Injury and Hepatocyte Proliferation Process in Rat.","authors":"Qiaoyuan Wu, Liqing Li, Yuxin Wei, Qingguo Fu, Teng Zhou, Kai Chen, Shixiong Liang, Tingshi Su","doi":"10.1667/ RADE-24-00112.1","DOIUrl":"https://doi.org/10.1667/ RADE-24-00112.1","url":null,"abstract":"<p><p>This study aims to elucidate the processes involved in radiation-induced liver injury and subsequent hepatocyte proliferation, and to identify novel metabolic profiles associated with progression of liver injury and hepatocyte proliferation. Six-week-old male Sprague-Dawley rats were exposed to a single 25 Gy dose of radiation to the whole liver to induce a model of radiation-induced liver injury and subsequent hepatocyte proliferation. Liver injury and hepatocyte proliferation were assessed using a range of techniques, including Masson's trichrome staining, liver histopathology, ELISA, immunohistochemistry, and Western blotting. Dynamic changes in metabolic profiles and biomarker concentrations in liver tissue were investigated using ultra-performance liquid chromatography and quadrupole time-of-flight mass spectrometry. After radiation exposure, acute radiation-induced liver dysfunction occurs, but then there is gradual recovery over time, concomitant with the onset of hepatocyte proliferation. Metabolomic analysis of liver tissues at different time points, specifically day 1, day 8, day 15, and day 30 postirradiation, revealed notable differences in all 22 metabolites, with a predominance of lipid metabolites. Among them, 9 metabolites showed more than a twofold change on days 15 and 30. We validated the correlation between these 9 metabolites with injury scores and Ki-67 positive cells (%). Notably, there was a strong negative correlation between glycerylphosphorylethanolamine (GPE) and the injury score (correlation coefficient: -0.701) and between 1-hexadecanoyl-2-(5-hydroxy-8-oxo-6E-octenoyl)-sn-glycero-3-phosphoserine (PHOOA-PS) and the Ki-67 positive cells (%) (correlation coefficient: -0.824). Additionally, GPE has significant value in differentiating the degree of injury [area under the curve (AUC) = 0.958]. This study successfully established a rat model of radiation-induced hepatic injury and subsequent hepatocyte proliferation, shedding light on dynamic metabolic changes at different times.</p>","PeriodicalId":20903,"journal":{"name":"Radiation research","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145482904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ankang Hu, Wanyi Zhou, Xiyu Luo, Rui Qiu, Junli Li
The variation of the oxygen enhancement ratio (OER) across linear energy transfer (LET) currently lacks a comprehensive mechanistic interpretation and a mechanistic model. Our earlier research revealed a significant correlation between the distribution of double-strand breaks (DSBs) within 3D genome and radiation-induced cell death, which offers valuable insights into the oxygen effect. We propose a model where the reaction of oxygen is represented as the probability of inducing DNA strand breaks. Then it is integrated into a track-structure Monte Carlo simulation to investigate the impact of oxygen on the distribution of DSBs within 3D genome. Using the parameters from our previous study, we calculate the OER values related to cell survival. Results show that the incidence ratios of clustered DSBs within a single topologically associating domain (TAD) (case 2) and within frequently interacting TADs (case 3) under aerobic and hypoxic conditions align with the trend in the OER of cell survival across LET. Our OER curves exhibit good correspondence with experimental data. This study provides a potentially mechanistic explanation for changes in OER across LET. High-LET irradiation leads to dense ionization events, resulting in an overabundance of lesions that readily induce case 2 and case 3, which have substantially higher probabilities of cell killing than other damage patterns. This may contribute to the main mechanism governing the variation of OER for high LET. Our study further underscores the importance of the DSB distribution within 3D genome in the context of radiation-induced cell death.
{"title":"Impact of Oxygen on DNA Damage Distribution in 3D Genome and its Correlation to Oxygen Enhancement Ratio after High-LET Irradiation.","authors":"Ankang Hu, Wanyi Zhou, Xiyu Luo, Rui Qiu, Junli Li","doi":"10.1667/RADE-25-00093.1","DOIUrl":"https://doi.org/10.1667/RADE-25-00093.1","url":null,"abstract":"<p><p>The variation of the oxygen enhancement ratio (OER) across linear energy transfer (LET) currently lacks a comprehensive mechanistic interpretation and a mechanistic model. Our earlier research revealed a significant correlation between the distribution of double-strand breaks (DSBs) within 3D genome and radiation-induced cell death, which offers valuable insights into the oxygen effect. We propose a model where the reaction of oxygen is represented as the probability of inducing DNA strand breaks. Then it is integrated into a track-structure Monte Carlo simulation to investigate the impact of oxygen on the distribution of DSBs within 3D genome. Using the parameters from our previous study, we calculate the OER values related to cell survival. Results show that the incidence ratios of clustered DSBs within a single topologically associating domain (TAD) (case 2) and within frequently interacting TADs (case 3) under aerobic and hypoxic conditions align with the trend in the OER of cell survival across LET. Our OER curves exhibit good correspondence with experimental data. This study provides a potentially mechanistic explanation for changes in OER across LET. High-LET irradiation leads to dense ionization events, resulting in an overabundance of lesions that readily induce case 2 and case 3, which have substantially higher probabilities of cell killing than other damage patterns. This may contribute to the main mechanism governing the variation of OER for high LET. Our study further underscores the importance of the DSB distribution within 3D genome in the context of radiation-induced cell death.</p>","PeriodicalId":20903,"journal":{"name":"Radiation research","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145459527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}