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The Effect of X rays on the Expression of Mismatch Repair Genes and Proteins in Lynch Syndrome Associated Human Colorectal Cancer Cell Lines. X射线对Lynch综合征相关人结直肠癌细胞系错配修复基因和蛋白表达的影响
IF 2.7 3区 医学 Q2 BIOLOGY Pub Date : 2025-09-01 DOI: 10.1667/RADE-25-00097.1
Mingzhu Sun, Lourdes Cruz-Garcia, Danny Freestone, Kevin Monahan, Christophe Badie, Yannick Comoglio, Hannah Mancey, Jayne Moquet, Stephen Barnard

This study investigated whether therapeutic doses of X rays can affect the expression of mismatch repair (MMR) genes and proteins using Lynch syndrome-associated human colorectal cancer cell lines. MMR-deficient cell lines (HCT116, SW48, LoVo) and an MMR-proficient control cell line (HT29) were exposed to X rays [a 2 Gy dose or 2 Gy daily for five consecutive days (10 Gy)]. Reverse transcription quantitative real-time PCR (RT-qPCR) and Western blotting were used to detect the radiation-induced changes in the expression of RNAs and proteins, respectively. RT-qPCR revealed that MLH1 and MSH6 genes were stably expressed regardless of the MMR status of the cell line and the radiation dose. In contrast, the MSH2 gene was either up-regulated or down-regulated after 2 Gy or 10 Gy or both. The expression of PMS2 increased after 10 Gy irradiation in all MMR-deficient cell lines, even though the data were not statistically significant compared to other doses, except for the LoVo cell line. Protein expression analysed using Western blotting demonstrated that MLH1 protein expression was stable, whereas the expression of MSH2 was significantly affected by radiation exposure in both MLH1-deficient cell lines. No correlation between the expression of RNA and protein could be identified. In conclusion, radiation may have significantly differential effects on MMR RNA and protein expression when different cell lines, doses, and specific genes are considered.

本研究利用Lynch综合征相关的人类结直肠癌细胞系研究治疗性x射线剂量是否会影响错配修复(MMR)基因和蛋白的表达。mmr缺陷细胞系(HCT116, SW48, LoVo)和mmr熟练对照细胞系(HT29)暴露于X射线[2 Gy剂量或每天2 Gy,连续5天(10 Gy)]。采用逆转录实时荧光定量PCR (RT-qPCR)和Western blotting分别检测辐射诱导的rna和蛋白质表达变化。RT-qPCR结果显示,无论MMR状态和辐照剂量如何,MLH1和MSH6基因均稳定表达。相比之下,MSH2基因在2 Gy或10 Gy后或上调或下调,或两者都上调或下调。在所有mmr缺陷细胞系中,PMS2的表达在10 Gy照射后都增加了,尽管与其他剂量相比,数据没有统计学意义,但LoVo细胞系除外。蛋白表达分析表明,MLH1蛋白的表达是稳定的,而MSH2的表达在两种MLH1缺陷细胞系中受到辐射暴露的显著影响。RNA和蛋白的表达没有相关性。综上所述,在考虑不同细胞系、剂量和特定基因时,辐射对MMR RNA和蛋白表达的影响可能存在显著差异。
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引用次数: 0
Effects of p53 Mutation on Tumor Radiosensitivity Estimated by Predictive Models. 预测模型估计p53突变对肿瘤放射敏感性的影响
IF 2.7 3区 医学 Q2 BIOLOGY Pub Date : 2025-09-01 DOI: 10.1667/RADE-24-00260.1
Atsushi Kaida, Hitomi Nojima, Masahiko Miura

p53 gene mutations are common in various cancers and may provide insights in predicting tumor radiosensitivity. This study aimed to assess the effect of p53 mutations on radiosensitivity using the intrinsic radiosensitivity index (RSI) across publicly available cancer cohorts. Gene expression data, mutation data, and clinical information were obtained from the Cancer Genome Atlas dataset. RSI, calculated from the expression of 10 specific genes, was used to evaluate radiosensitivity. Additional models were used to assess the tumor microenvironment status. p53 mutations were prevalent in several types of cancer. Notably, RSI models indicated reduced predicted radiosensitivity in patients with p53 mutations compared to those without mutations, only in head and neck squamous cell carcinoma (HNSC). In contrast, p53 mutations did not significantly decrease predicted radiosensitivity in other cancers. The association between p53 mutations and the predicted radioresistant phenotype disappeared when the cohort was controlled for p53 and p16 status in HNSC. Similarly, the estimated tumor microenvironment status was unaffected by p53 mutations. These findings suggest that predicted radiosensitivity is more strongly influenced by p16 status than by p53 mutations, indicating that p53 status alone may not be a reliable predictive marker for radiosensitivity in HNSC.

P53基因突变在各种癌症中很常见,可能为预测肿瘤放射敏感性提供见解。本研究旨在评估p53突变对放射敏感性的影响,使用内在放射敏感性指数(RSI)在公开的癌症队列中进行评估。基因表达数据、突变数据和临床信息均来自癌症基因组图谱数据集。RSI由10个特定基因的表达计算得出,用于评估放射敏感性。使用其他模型评估肿瘤微环境状态。P53突变在几种类型的癌症中普遍存在。值得注意的是,RSI模型显示,只有头颈部鳞状细胞癌(HNSC)中,p53突变患者的预测放射敏感性低于无突变患者。相比之下,p53突变并没有显著降低其他癌症的预测放射敏感性。当控制HNSC中p53和p16的状态时,p53突变与预测的放射耐药表型之间的关联消失了。同样,估计的肿瘤微环境状态不受p53突变的影响。这些发现表明,p16状态比p53突变对预测放射敏感性的影响更大,表明p53状态本身可能不是HNSC放射敏感性的可靠预测指标。
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引用次数: 0
A Microdosimetric Dose Response Model for Monoenergetic Ions and Doses Relevant for Space Radiation Carcinogenesis. 单能离子的微剂量反应模型和与空间辐射致癌有关的剂量。
IF 2.7 3区 医学 Q2 BIOLOGY Pub Date : 2025-08-01 DOI: 10.1667/RADE-25-00021.1
T C Slaba, F Poignant, S Rahmanian

The radiation environment in space consists of a complex mixture of particles and energies that are characteristically different from any natural Earth radiation source. Projections of space radiation cancer risk are obtained by scaling or adjusting epidemiological models derived from terrestrially exposed cohorts to account for differences in radiation quality, dose rate, and other factors. Radiation quality and dose-rate effects introduce significant uncertainty, thereby obfuscating risk communication and hindering the ability to evaluate the efficacy of mitigation strategies such as medical countermeasures. Space radiation quality factors are developed through a multi-step process that requires computational models and experimental data. The first step in this process involves developing dose-response models and fitting them to data from ground-based experiments involving acute irradiation of animals or cells. There is limited ground-based data compared to the range of ions and energies found in space; thus, dose-response models must be able to reproduce available data and predict responses where no data exist. This work focuses on developing a microdosimetric (μD) dose-response model applicable to experimental datasets relevant to space radiation cancer induction. Three experimental datasets, encompassing murine Harderian gland tumorigenesis and chromosome aberrations in human skin fibroblasts and blood lymphocytes, are utilized to demonstrate key features and overall performance of the μD model. The model generates non-linear dose-responses and can predict charge and energy dependence observed in experimental data without the use of empirical functions or corrections. Additionally, the μD model identifies the critical microscopic target population and target size that drive the observed biological effects.

空间辐射环境由粒子和能量的复杂混合物组成,其特征不同于任何地球自然辐射源。空间辐射癌风险预估是通过按比例调整或调整来自地面照射队列的流行病学模型得出的,以考虑到辐射质量、剂量率和其他因素的差异。辐射质量和剂量率效应带来了很大的不确定性,从而混淆了风险通报,妨碍了评估医疗对策等缓解战略效力的能力。空间辐射质量因子是一个多步骤的过程,需要计算模型和实验数据。这一过程的第一步是建立剂量反应模型,并将其与涉及动物或细胞急性辐照的地面实验数据相匹配。与在太空中发现的离子和能量范围相比,地面数据有限;因此,剂量-反应模型必须能够重现现有数据,并在没有数据的情况下预测反应。这项工作的重点是建立一个适用于与空间辐射致癌相关的实验数据集的微剂量学(D)剂量反应模型。三个实验数据集,包括小鼠哈德氏腺肿瘤发生和人类皮肤成纤维细胞和血液淋巴细胞的染色体畸变,被用来展示D模型的关键特征和整体性能。该模型产生非线性剂量响应,并且可以预测在实验数据中观察到的电荷和能量依赖,而无需使用经验函数或校正。此外,D模型确定了驱动所观察到的生物效应的关键微观目标种群和目标大小。
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引用次数: 0
miR-144-3p Regulates the Radiation Sensitivity of Nasopharyngeal Carcinoma Through Targeting the NFE2L2 Pathway. miR-144-3p通过靶向NFE2L2通路调控鼻咽癌的辐射敏感性
IF 2.7 3区 医学 Q2 BIOLOGY Pub Date : 2025-08-01 DOI: 10.1667/RADE-24-00130.1
Jingjing Chen, Yilong Wang, Na Zhao, Jie Song, Yongjun Feng

Radiation therapy is one of the most critical methods for the comprehensive treatment of nasopharyngeal carcinoma (NPC). However, radiation resistance limits the effectiveness of radiotherapy. MicroRNAs (miRNAs) are associated with the radiosensitivity of NPC, but their impacts and mechanisms of action require further investigation. Aberrantly expressed miRNAs were screened in NPC and normal tissue. A series of gain-of-function and loss-of-function experiments were conducted to evaluate the biological behavior of miR-144-3p in NPC cells. The role of miR-144-3p in the proliferation and apoptosis of NPC cells was studied. Downstream mechanisms of miR-144-3p were explored through bioinformatics analysis and RNA sequencing, confirmed by dual-luciferase reporter gene assays. We observed downregulation of miR-144-3p in NPC tissue and radiation-resistant cells. Furthermore, upregulation of miR-144-3p in radiation-resistant cells suppressed the enhancement of radiosensitivity in NPC cells. Conversely, inhibiting miR-144-3p decreased radiosensitivity. We also found that miR-144-3p directly targets nuclear factor erythroid 2-related factor 2 (NFE2L2) and inhibits its expression. The results of this study indicate that the miR-144-3p/Nrf2 pathway contributes to reducing the radioresistance of NPC, making it a potential therapeutic target.

放射治疗是鼻咽癌综合治疗的重要手段之一。然而,放射抵抗限制了放射治疗的有效性。MicroRNAs (miRNAs)与鼻咽癌的放射敏感性有关,但其影响和作用机制有待进一步研究。在NPC和正常组织中筛选异常表达的mirna。我们通过一系列功能获得和功能丧失实验来评估miR-144-3p在鼻咽癌细胞中的生物学行为。研究miR-144-3p在鼻咽癌细胞增殖和凋亡中的作用。通过生物信息学分析和RNA测序探索miR-144-3p的下游机制,并通过双荧光素酶报告基因检测证实。我们观察到miR-144-3p在鼻咽癌组织和耐辐射细胞中的下调。此外,辐射抗性细胞中miR-144-3p的上调抑制了鼻咽癌细胞放射敏感性的增强。相反,抑制miR-144-3p会降低放射敏感性。我们还发现miR-144-3p直接靶向核因子红细胞2相关因子2 (NFE2L2)并抑制其表达。本研究结果表明,miR-144-3p/Nrf2通路有助于降低鼻咽癌的放射耐药,使其成为潜在的治疗靶点。
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引用次数: 0
Quantifying Sensitivity of Carbon RBE Models to Reference Parameter Variations. 量化碳RBE模型对参考参数变化的敏感性。
IF 2.7 3区 医学 Q2 BIOLOGY Pub Date : 2025-08-01 DOI: 10.1667/RADE-24-00162.1
Shannon Hartzell, Fada Guan, Giuseppe Magro, Paige Taylor, Christine B Peterson, Stephen F Kry

Models used to calculate the relative biological effectiveness (RBE) of carbon-ion radiotherapy include the microdosimetric kinetic model (MKM), stochastic MKM (SMKM), repair-misrepair-fixation (RMF) model, and local effect model I (LEM). We compared the sensitivities of these models to variations in input biological and reference parameters. We used Monte Carlo simulations of clinically realistic carbon-ion beams incident on a phantom and scored input parameters for RBE models (kinetic energy, microdosimetric spectra, double-strand break yield, and physical dose). We combined data with cell- and model-specific parameters to calculate the linear (α) and quadratic (β) components of the carbon-ion beam, which were used along with the reference α and β values and dose to calculate RBE. Model sensitivity to parameters was quantified by statistically introducing uncertainty into independent parameters and sampling the resultant RBE. To assess histological differences contributing to variations in the RBE, we also used various reference cell lines. We recalculated the RBE using different reported datasets within individual cell lines to compare inter- and intra-cell line variability. The variability introduced by inherent measurement and estimation uncertainty was typically 26% for the microdosimetric models, 25% for the RMF model, and 30% for the LEM at the 1-σ level. The variability across cell lines, which averaged 27% for the microdosimetric models and 2.5% for the RMF model, was similar to the intra-cell line variability in the RBE as calculated with unique datasets for an individual cell line. While the focus is largely on comparing models, the results of this study indicate that the variation in RBE within each model, based solely on reference parameters, is substantial. Our findings indicate that the selection of input parameters is of comparable importance to the choice of cell line and even the RBE model. This study provides insight into model robustness and emphasizes the need for continued computational and in-vitro RBE research.

用于计算碳离子放疗相对生物有效性(RBE)的模型包括微剂量动力学模型(MKM)、随机MKM (SMKM)、修复-错修复-固定(RMF)模型和局部效应模型I (LEM)。我们比较了这些模型对输入生物参数和参考参数变化的敏感性。我们使用蒙特卡罗模拟临床真实的碳离子束入射到一个幻影上,并对RBE模型的输入参数(动能、微剂量谱、双链断裂率和物理剂量)进行评分。我们将数据与细胞和模型的特定参数相结合,计算出碳离子束的线性(α)和二次(β)分量,并与参考α和β值和剂量一起计算RBE。通过统计方法将不确定性引入独立参数并对结果RBE进行抽样,量化了模型对参数的敏感性。为了评估导致RBE变异的组织学差异,我们还使用了各种参考细胞系。我们在单个细胞系中使用不同的报告数据集重新计算RBE,以比较细胞系间和细胞系内的变异性。在1-σ水平上,由固有测量和估计不确定性引入的变异在微剂量模型中通常为26%,在RMF模型中为25%,在LEM中为30%。不同细胞系间的可变性,微剂量模型平均为27%,RMF模型平均为2.5%,与RBE中单个细胞系的独特数据集计算的细胞系内可变性相似。虽然重点主要放在比较模型上,但本研究的结果表明,仅基于参考参数,每个模型中RBE的变化是实质性的。我们的研究结果表明,输入参数的选择与细胞系甚至RBE模型的选择具有相当的重要性。这项研究提供了对模型鲁棒性的见解,并强调了继续进行计算和体外RBE研究的必要性。
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引用次数: 0
Angiosarcoma of the Liver and Other Hepatic Malignancies in the Russian Cohort of Mayak Nuclear Workers. 俄罗斯Mayak核工人队列中的肝脏血管肉瘤和其他肝脏恶性肿瘤。
IF 2.7 3区 医学 Q2 BIOLOGY Pub Date : 2025-08-01 DOI: 10.1667/RADE-23-00240.1
Christopher A Loffredo, Felicia D Atkinson, Bhaskar Kallakury, Jan Blancato, Galina V Zhuntova, Evgeniya S Grigoryeva, David S Goerlitz, Timothy J Jorgensen, Gleb V Sychugov, Scott C Miller, Tamara V Azizova

Human occupational exposure to ionizing radiation has been linked to increased risks of developing cancers, including solid tumors. In particular, 239Pu, used in the production of nuclear weapons, has been associated with a higher risk of malignancies of the lungs, liver, and bones, but the specific patterns of malignant histology have not been well described in humans. We assessed the pathological characteristics of liver cancers that occurred in a Russian cohort of nuclear workers from the Mayak Production Association, with a special emphasis on angiosarcoma, and studied the relationships between dosimetry, sex, and histology. The subjects included two main groups of workers whose biological specimens were collected during autopsies: thirty-one were diagnosed with liver cancers (cases), and 38 workers were cancer-free (controls). An independent pathologist reviewed all liver tissues from these cancer cases and performed immunohistochemistry to confirm the diagnoses (angiosarcoma, hepatocellular carcinoma, or cholangiocarcinoma). A third group consisted of 36 workers who developed liver cancer but for whom no biological samples were available. Radiation dose levels, along with sex and age distributions, were compared statistically among the three types of liver tumors and the control groups. There was a predominance of females (9 of 13, 69%) among the workers who developed angiosarcoma of the liver, whereas a male predominance characterized both hepatocellular carcinoma (9 of 9, 100%) and cholangiocarcinoma (8 of 9, 89%). A male predominance was also observed in the group of workers with liver cancer but without biological samples (22 of 36, 61%) and in the group of workers without liver cancer (30 of 38, 79%). Occupational differences were evident, with angiosarcoma patients who had biological samples representing the largest proportion (9 of 13) of plutonium metallurgical plant workers (the most highly exposed occupation to plutonium in the cohort), while the remainder (4 of 13) occurred among the radiochemical plant workers. Compared to other groups, those workers with biological samples who developed angiosarcoma had the largest accumulated and widest range of external doses absorbed by the liver, as well as the highest absorbed doses of 239Pu to the liver. Females with biological samples who developed liver cancer also had some of the highest accumulated doses from 239Pu, exceeding 1 Gy in some instances. Our observations of histology, sex, occupation, and dose patterns provide possible clues to the unusual pattern of liver malignancies, particularly angiosarcoma, related to aspects of plutonium exposure.

人类职业暴露于电离辐射与患癌症(包括实体瘤)的风险增加有关。特别是,用于制造核武器的239Pu与较高的肺、肝和骨骼恶性肿瘤风险有关,但人类恶性肿瘤组织学的具体模式尚未得到很好的描述。我们评估了俄罗斯Mayak生产协会核工人队列中发生的肝癌的病理特征,特别强调血管肉瘤,并研究了剂量学、性别和组织学之间的关系。研究对象包括两组主要的工人,他们的生物标本是在尸检过程中收集的:31名工人被诊断患有肝癌(病例),38名工人没有癌症(对照组)。一位独立的病理学家检查了这些癌症病例的所有肝组织,并进行免疫组化以确认诊断(血管肉瘤、肝细胞癌或胆管癌)。第三组由36名患肝癌但没有生物样本的工人组成。辐射剂量水平,以及性别和年龄分布,在三种类型的肝脏肿瘤和对照组之间进行了统计比较。在发生肝血管肉瘤的工人中,女性占多数(13人中有9人,占69%),而在肝细胞癌(9人中有9人,占100%)和胆管癌(9人中有8人,占89%)中,男性占多数。在患有肝癌但没有生物样本的工人组(36,61%中的22人)和没有肝癌的工人组(38,79%中的30人)中也观察到男性优势。职业差异很明显,具有生物样本的血管肉瘤患者占钚冶金厂工人(队列中对钚暴露程度最高的职业)的最大比例(9 / 13),而其余(4 / 13)发生在放射化工厂工人中。与其他组相比,有生物标本发生血管肉瘤的工人肝脏吸收的外源剂量累积量最大、范围最广,肝脏吸收的239Pu剂量最高。患有肝癌的具有生物样本的女性也受到了239Pu的最高累积剂量,在某些情况下超过了1 Gy。我们对组织学、性别、职业和剂量模式的观察为与钚暴露有关的肝脏恶性肿瘤,特别是血管肉瘤的异常模式提供了可能的线索。
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引用次数: 0
Understudied Populations in Radiation Exposure Research: Needs, Challenges, and Mitigation Strategies. 辐射暴露研究中未充分研究的人群:需求、挑战和缓解策略。
IF 2.7 3区 医学 Q2 BIOLOGY Pub Date : 2025-08-01 DOI: 10.1667/RADE-24-00263.1
Lanyn P Taliaferro, Jeffrey C Buchsbaum, Andrea L DiCarlo, Cinnamon A Dixon, Francesca Macchiarini, Merriline M Satyamitra, Mercy PrabhuDas, Michael W Rudokas

This workshop examined the effects of ionizing radiation on certain understudied populations, including pregnant/lactating, in utero, pediatric, and geriatric individual. Research using animal models has revealed significant age- and condition-related differences in radiation-induced injuries, highlighting the need for tailored triage and treatment strategies. Historical data from Hiroshima, Nagasaki, and Chernobyl further support these findings, demonstrating that radiation effects lead to wide-ranging issues with unique profiles during pregnancy, childhood and elderly age. While some research has been conducted on these groups, ethical and logistical challenges make it difficult to study these populations extensively. Therefore, developing alternative approaches that offer promising avenues for further research is critical. Radiation-induced biomarkers and biodosimetry also show age-related differences, including distinctive metabolic disruptions, necessitating further validation of biodosimetry tools. These findings emphasize the importance of considering age, sex, and demographic factors in preclinical and clinical radiation research to develop treatments that improve outcomes of understudied populations after a radiological or nuclear public health emergency.

本次研讨会研究了电离辐射对某些未充分研究的人群的影响,包括孕妇/哺乳期、子宫内、儿科和老年人群。使用动物模型的研究揭示了辐射损伤的显着年龄和条件相关差异,突出了量身定制的分类和治疗策略的必要性。来自广岛、长崎和切尔诺贝利的历史数据进一步支持了这些发现,表明辐射效应导致怀孕、童年和老年期间的各种独特问题。虽然对这些群体进行了一些研究,但伦理和后勤方面的挑战使对这些群体进行广泛研究变得困难。因此,开发为进一步研究提供有希望的途径的替代方法至关重要。辐射诱导的生物标志物和生物剂量测定也显示出与年龄相关的差异,包括独特的代谢中断,需要进一步验证生物剂量测定工具。这些发现强调了在临床前和临床放射研究中考虑年龄、性别和人口统计学因素的重要性,以开发治疗方法,改善放射或核公共卫生紧急事件后未充分研究人群的预后。
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引用次数: 0
PNA-FISH-based Chromosome Aberration Frequency and Serum IL-6 as Predictive Biomarkers for Radiation Therapy-induced Pneumonitis in Lung Cancer Patients. 基于pna - fish的染色体畸变频率和血清IL-6作为肺癌患者放射治疗性肺炎的预测性生物标志物
IF 2.7 3区 医学 Q2 BIOLOGY Pub Date : 2025-08-01 DOI: 10.1667/RADE-25-00013.1
Gloriamaris Loy-Caraos, Nobuki Imano, Ikuno Nishibuchi, Yuji Murakami, Nafiseh Mirkatouli, Seiko Hirota, Shinji Yoshinaga, Yoshitaka Kamimura, Yuri Kawashima, Jiying Sun, Satoshi Tashiro

Accurate prediction of symptomatic radiation therapy-induced pneumonitis (RT-IP) remains an important clinical challenge. Currently, mean lung dose and volume of the lungs receiving a 20 Gy threshold of ≤20 Gy and ≤35%, respectively, are utilized to reduce the incidence of pneumonitis to 20%. However, its occurrence is not entirely predictable even at the recommended threshold levels. Hence, in this study, we aimed to evaluate several biological markers, specifically chromosome aberrations by peptide nucleic acid fluorescence in situ hybridization (PNA-FISH), γH2AX, serum IL-6, and IL-17, as potential predictors of symptomatic (grade ≥2) radiation therapy-induced pneumonitis. We prospectively enrolled patients with locally advanced lung cancer. Peripheral blood samples were collected from eleven patients before, during (2 Gy, 20 Gy, 60/66 Gy), and one month after chemoradiotherapy. We then compared these biomarkers between overreactors (grade ≥2 RT-IP) and non-overreactors (grade 0 to 1 RT-IP). Our findings show that chromosome aberration frequency, serum IL-6, and IL-17 after 20 Gy are higher in overreactors than in non-overreactors. Moreover, overreactors accumulated more complex aberrations, such as tricentrics, quadricentrics, and quintacentrics. While chromosome aberration frequency correlated with mean lung dose and IL-17, a pneumonitis marker, IL-6 correlated with the irradiated volume after 20 Gy. Receiver operating characteristic curve analysis further showed that chromosome aberration frequency and IL-6 have the highest specificity for predicting grade ≥2 RT-IP among the assays. In conclusion, we demonstrated the superior predictive capability of PNA-FISH-based chromosome aberration frequency and serum IL-6 for radiation therapy-induced pneumonitis in lung cancer patients. This supports the usefulness of these biomarkers for predicting radiation therapy-induced pneumonitis.

准确预测症状性放射治疗性肺炎(RT-IP)仍然是一个重要的临床挑战。目前,采用20 Gy阈值≤20 Gy的平均肺剂量和肺体积分别为≤20 Gy和≤35%,将肺炎的发病率降低到20%。然而,即使在推荐的阈值水平上,其发生也不是完全可预测的。因此,在这项研究中,我们旨在评估几种生物标志物,特别是通过肽核酸荧光原位杂交(PNA-FISH)染色体异常、γ - h2ax、血清IL-6和IL-17,作为症状性(≥2级)放射治疗引起的肺炎的潜在预测因素。我们前瞻性地招募了局部晚期肺癌患者。11例患者分别于放化疗前、期间(2 Gy、20 Gy、60/66 Gy)和放化疗后1个月采集外周血标本。然后,我们比较了这些生物标志物在过度反应器(≥2级RT-IP)和非过度反应器(0至1级RT-IP)之间的差异。研究结果表明,20 Gy后,过度反应组的染色体畸变频率、血清IL-6和IL-17均高于非过度反应组。此外,过反应堆积累了更复杂的畸变,如三心、四心和五心。染色体畸变频率与平均肺剂量和IL-17(肺炎标志物)相关,而IL-6与20 Gy后的辐照体积相关。受试者工作特征曲线分析进一步表明,染色体畸变频率和IL-6对预测≥2级RT-IP的特异性最高。总之,我们证明了基于pna - fish的染色体畸变频率和血清IL-6对肺癌患者放射治疗性肺炎的优越预测能力。这支持了这些生物标志物在预测放射治疗引起的肺炎方面的有效性。
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引用次数: 0
Computational Modeling to Advance Novel Medical Isotopes for Radiotheranostics: A DOE-NIH Joint Workshop Executive Summary. 计算建模推进新型放射治疗医学同位素:DOE-NIH联合研讨会执行摘要。
IF 2.5 3区 医学 Q2 BIOLOGY Pub Date : 2025-07-01 DOI: 10.1667/RADE-25-00MR1.1
Jeffrey C Buchsbaum, Henry F VanBrocklin, Reinier Hernandez, Ellen M O'Brien, Heather M Hennkens, Dmitri G Medvedev, Roger W Howell, Freddy E Escorcia, Yuni K Dewaraja, Abhinav K Jha, Anuj J Kapadia, Greeshma Agasthya, Arman Rahmim, Babak Saboury, Kristian Myhre, Sandra Davern

The DOE-NIH Joint Workshop on Computational Modeling to Advance Novel Medical Isotopes for Radiotheranostics, held on September 27, 2024, brought together experts from government, academia, and industry to address critical challenges in radionuclide production and clinical translation. The workshop emphasized interdisciplinary collaboration, particularly between the Department of Energy (DOE) and the National Institutes of Health (NIH), to strengthen the domestic isotope supply, streamline regulatory pathways, and further integrate computational tools into radiopharmaceutical therapy (RPT). Key discussions explored the role of AI-driven modeling, machine learning, and digital twin technologies in optimizing dosimetry, dynamically personalizing treatments, and reducing time to clinical adoption. Advances in predictive computational modeling were highlighted as essential for improving radionuclide yield, purity, and synthesis efficiency. Regulatory considerations and equitable access were central themes, with participants advocating for harmonized global standards, adaptive trial designs, and expanded infrastructure for clinical implementation. DOE computational and production infrastructure was emphasized. Future priorities identified include increased investment in radionuclide production infrastructure, expanded workforce development in radiopharmaceutical sciences and computational modeling, and the creation of robust public-private partnerships. The workshop concluded that continued strategic collaboration and sustained resources will be vital for advancing next-generation radiotheranostics, ensuring safe and effective therapies accessible to all patients.

2024年9月27日举行的DOE-NIH计算建模推进放射肿瘤学新型医用同位素联合研讨会汇集了来自政府、学术界和工业界的专家,以解决放射性核素生产和临床转化方面的关键挑战。讲习班强调跨学科合作,特别是能源部与美国国立卫生研究院之间的合作,以加强国内同位素供应,简化监管途径,并进一步将计算工具纳入放射性药物治疗。重点讨论了人工智能驱动的建模、机器学习和数字孪生技术在优化剂量学、动态个性化治疗和缩短临床采用时间方面的作用。预测计算模型的进步被强调为提高放射性核素产量、纯度和合成效率的必要条件。监管方面的考虑和公平获取是中心主题,与会者倡导统一的全球标准、适应性试验设计和扩大临床实施的基础设施。强调DOE计算和生产基础设施。确定的未来优先事项包括增加对放射性核素生产基础设施的投资,扩大放射性制药科学和计算建模方面的劳动力发展,以及建立强有力的公私伙伴关系。研讨会的结论是,持续的战略合作和持续的资源对于推进下一代放射治疗至关重要,确保所有患者都能获得安全有效的治疗。
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引用次数: 0
Characterization of Two Stable Biodosimeters for Absorbed Ionizing Radiation Dose Estimation in Multiple Combined Injury Models. 用于多种复合损伤模型中吸收电离辐射剂量估计的两种稳定生物剂量计的特性。
IF 2.7 3区 医学 Q2 BIOLOGY Pub Date : 2025-07-01 DOI: 10.1667/RADE-24-00261.1
Le Ma, Zhihe Hu, Yan Chen, Zhuo Cheng, Chunmeng Shi

Radiation damage and deposition caused by radiological or nuclear public health incidents (e.g., accidents or attacks) may lead to acute radiation syndrome and other complications. Accurate and effective radiation dose assessment is necessary for triaging irradiated patients and determining treatment plans. However, there is no systematic evaluation of whether radiation biodosimetry is affected by comorbidities. The weighted gene co-expression network analysis (WGCNA) and differentially expressed genes (DEG) co-analysis of the RNA-sequencing data in human peripheral blood after irradiation from the Gene Expression Omnibus (GEO) database identified seven radiation-specific genes, including five upregulated genes and two downregulated genes. Five radiation-specific genes (CCNG1, CDKN1A, GADD45A, GZMB, PHLDA3) showed a strong linear correlation with the total-body X-ray radiation model. The above five genes were used to validate further several radiation combined injury models, including infection, trauma, and burns, while considering different sexes and ages in animal studies on the radiation response from 0 to 10 Gy. The receiving operator characteristic (ROC) curve analysis revealed that the CCNG1 and CDKN1A genes performed the best in radiation dose-response across both mice and humans. Moreover, the CCNG1 protein could accurately predict the absorbed doses for up to 28 days after exposure (>95%). Our findings suggested that the CCNG1 and CDKN1A mRNA performed optimally in radiation dose response, independent of trauma, burns, age, and sex. Additionally, the CCNG1 protein revealed a strong linear correlation between radiation dose and time postirradiation. Our study demonstrated the potential feasibility of using CCNG1 and CDKN1A as injury biomarkers in radiation accident management.

放射性或核公共卫生事件(例如事故或袭击)造成的辐射损伤和沉积可能导致急性辐射综合征和其他并发症。准确有效的辐射剂量评估对于鉴别受照患者和确定治疗方案是必要的。然而,目前还没有系统的评价放射生物剂量学是否受到合并症的影响。加权基因共表达网络分析(WGCNA)和差异表达基因(DEG)联合分析来自基因表达Omnibus (GEO)数据库的辐照后人外周血rna测序数据,鉴定出7个辐射特异性基因,包括5个上调基因和2个下调基因。5个辐射特异性基因(CCNG1、CDKN1A、GADD45A、GZMB、PHLDA3)与全身x射线辐射模型呈强线性相关。在0 ~ 10 Gy辐射应答的动物实验中,考虑不同性别和年龄,利用上述5个基因进一步验证了感染、创伤和烧伤等几种辐射复合损伤模型。ROC曲线分析显示,CCNG1和CDKN1A基因在小鼠和人的辐射剂量反应中表现最好。此外,CCNG1蛋白可以准确预测暴露后长达28天的吸收剂量(>95%)。我们的研究结果表明,CCNG1和CDKN1A mRNA在辐射剂量反应中表现最佳,与创伤、烧伤、年龄和性别无关。此外,CCNG1蛋白在辐射剂量和辐射后时间之间显示出很强的线性相关性。我们的研究证明了使用CCNG1和CDKN1A作为辐射事故管理中损伤生物标志物的潜在可行性。
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Radiation research
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