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Advances in research on the molecular mechanisms of miRNAs in radiation responses mirna在辐射应答中的分子机制研究进展
Q1 Health Professions Pub Date : 2025-08-01 Epub Date: 2025-06-30 DOI: 10.1016/j.radmp.2025.06.002
Xinyi Yang, Wentao Hu, Guangming Zhou
MicroRNAs (miRNAs), a class of non-coding RNA molecules, play key roles in post-transcriptional regulation of gene expression in various biological processes such as cell differentiation, stress responses, and disease progression. Recent studies have highlighted the mechanisms underlying the dynamic regulation of miRNAs in modulating cellular responses to radiation, along with their potential for clinical applications. Radiation exposure alters the expression of miRNAs, depending on radiation dose, radiation type, and cell specificity. In contrast, miRNAs affect cellular radiosensitivity and the repair of radiation-induced damage by regulating DNA repair, oxidative stress responses, cell cycle progression, and apoptosis pathways. In the context of radiotherapy, specific miRNAs can enhance tumor radiosensitivity or mediate radioresistance by targeting specific genes, serving as new targets for optimizing the efficacy of radiotherapy. In addition, miRNAs, combined with metabolomics and long non-coding RNA (lncRNA) analyses, hold multidimensional potential as biomarkers of radiation injury. However, it is necessary to address challenges posed by the multi-target nature, tissue specificity, and clinical translation bottlenecks of miRNAs using technologies such as single-cell sequencing and gene editing. This paper reviews the molecular mechanisms of miRNAs involved in radiation responses and aims to provide a theoretical basis and propose research directions to enhance the understanding of miRNAs in radiation biology and to promote their clinical applications.
MicroRNAs (miRNAs)是一类非编码RNA分子,在细胞分化、应激反应和疾病进展等多种生物过程中对基因表达的转录后调控起着关键作用。最近的研究强调了mirna在调节细胞对辐射反应中的动态调节机制,以及它们在临床应用中的潜力。辐射暴露会改变mirna的表达,这取决于辐射剂量、辐射类型和细胞特异性。相反,mirna通过调节DNA修复、氧化应激反应、细胞周期进程和凋亡途径,影响细胞放射敏感性和辐射诱导损伤的修复。在放疗背景下,特异性mirna通过靶向特异性基因增强肿瘤放射敏感性或介导放射耐药,成为优化放疗疗效的新靶点。此外,结合代谢组学和长链非编码RNA (lncRNA)分析,mirna作为辐射损伤的生物标志物具有多方面的潜力。然而,有必要利用单细胞测序和基因编辑等技术来解决mirna的多靶点性质、组织特异性和临床翻译瓶颈所带来的挑战。本文综述了mirna参与辐射反应的分子机制,旨在为加强对mirna在辐射生物学中的认识和促进其临床应用提供理论依据和研究方向。
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引用次数: 0
Effect and mechanism of dihydromyricetin protection against radiation-induced intestinal injury 二氢杨梅素对辐射致肠道损伤的保护作用及机制
Q1 Health Professions Pub Date : 2025-08-01 Epub Date: 2025-07-17 DOI: 10.1016/j.radmp.2025.07.001
Yanli Li , Lixing Wang , Xiao Sun , Zhiyun Wang , Feifei Xu , Hongying Wu , Bohai Lyu , Yiliang Li , Wenfeng Gou , Qian Zhao , Wenbin Hou

Objective

To investigate the protective effects of dihydromyricetin (DHM) against radiation-induced intestinal injury (RIII) and its underlying mechanism by both in vivo and in vitro experiments.

Methods

Sixty male mice were randomly divided into 6 groups: control group, whole-abdominal irradiation (WAI)+0.5% sodium carboxymethyl cellulose (CMCNa) group, WAI ​+ ​DHM (50 ​mg/kg) group, WAI ​+ ​DHM (100 ​mg/kg) group, WAI ​+ ​DHM (200 ​mg/kg) group, and WAI ​+ ​amifostine (100 ​mg/kg) group. An animal model of RIII was then established by administering 12 ​Gy abdominal local irradiation to all groups. The protective effects of DHM was evalauted by hematoxylin and eosin staining (HE), villin staining, and the FITC-dextran method. The in vitro radioprotective effects of DHM was further evaluated by colony formation assay. Flow cytometry was used to analyze cell cycle distribution, apoptosis, and reactive oxygen species (ROS) levels. Western blot assay was used to examine the expression of proteins related to apoptosis, ferroptosis, ROS, DNA damage, and autophagy. Additionally, immunofluorescence staining was performed to detect γ-H2AX foci formation as a marker of DNA double-strand breaks. Finally, the effect of DHM on colon cancer radiosensitivity was tested by in vitro and in vivo colony formation and tumor-bearing experiments.

Results

In the RIII model, DHM showed radioprotective effects by increasing colon length, ameliorating villus injury, promoting crypt cell proliferation, and mitigating mucosal barrier damage (P ​< ​0.05). In vitro experiment indicated that DHM significantly reduced radiation-induced apoptosis (control: 4.27 ​± ​0.61, DHM: 3.46 ​± ​1.31, IR: 23.46 ​± ​0.89, IR ​+ ​DHM: 12.47 ​± ​0.36, P ​< ​0.001), ROS accumulation (P ​< ​0.05), and DNA damage (P ​< ​0.001). The radioprotective effects of DHM might be closely associated with autophagy regulation and Nrf2 pathway activation. Moreover, DHM showed antitumor activity against colon cancer cells without conferring radioprotective effects on them.

Conclusions

DHM can effectively alleviate RIII indicated by both in vivo and in vitro experiments, suggesting its potential to be used as a radioprotective agent.
目的通过体内和体外实验,探讨二氢杨梅素(DHM)对放射性肠损伤(RIII)的保护作用及其机制。方法雄性小鼠60只,随机分为6组:对照组、全腹照射(WAI)+0.5%羧甲基纤维素钠(CMCNa)组、WAI + DHM (50 mg/kg)组、WAI + DHM (100 mg/kg)组、WAI + DHM (200 mg/kg)组、WAI +氨磷汀(100 mg/kg)组。各组腹腔局部照射12 Gy,建立RIII动物模型。采用苏木精伊红染色(HE)、绒毛蛋白染色、fitc -葡聚糖法评价DHM的保护作用。通过菌落形成实验进一步评价DHM的体外防辐射作用。流式细胞术分析细胞周期分布、凋亡和活性氧(ROS)水平。Western blot检测细胞凋亡、铁下垂、ROS、DNA损伤和自噬相关蛋白的表达。此外,免疫荧光染色检测γ-H2AX灶形成,作为DNA双链断裂的标志。最后,通过体外、体内集落形成和荷瘤实验,检测DHM对结肠癌放射敏感性的影响。结果在RIII模型中,DHM表现出增加结肠长度、改善绒毛损伤、促进隐窝细胞增殖、减轻粘膜屏障损伤等放射保护作用(P < 0.05)。体外实验表明,DHM显著降低辐射诱导的细胞凋亡(对照组:4.27±0.61,DHM: 3.46±1.31,IR: 23.46±0.89,IR + DHM: 12.47±0.36,P < 0.001)、ROS积累(P < 0.05)和DNA损伤(P < 0.001)。DHM的辐射防护作用可能与自噬调节和Nrf2通路激活密切相关。此外,DHM对结肠癌细胞具有抗肿瘤活性,但不具有放射防护作用。结论dhm体内和体外实验均显示其能有效缓解RIII,具有作为放射性防护剂的应用潜力。
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引用次数: 0
A Beclin1 knockout mouse model mimicking acute radiation syndrome 模拟急性辐射综合征的Beclin1基因敲除小鼠模型
Q1 Health Professions Pub Date : 2025-08-01 Epub Date: 2025-07-03 DOI: 10.1016/j.radmp.2025.06.004
Wen Wei , Lei Li , Zhenzhen Liu , Xueqin Gao , Xueqing Wang , Jianrong Wang , Yixuan Fang , Na Yuan

Objective

To determine the role of the Beclin-1 (Becn1) protein in radiation-exposed mice.

Methods

A gene targeting strategy was employed to generate Becn1-floxed mice, which were then crossed with Ubc-iCre mice to create preconditional gene knockout mice (also referred to as Becn1f/f;Ubc-iCre mice). Then, tamoxifen (TMXF) induction was used to generate Becn1 knockout mice. Both Becn1 knockout and lethally irradiated mice were euthanized a day before their respective median survival time. Their organs and tissues including the heart, liver, spleen, lung, kidney, and intestine were collected for examination. Furthermore, the Becn1 knockout and lethally irradiated mice were compared through genetic, histological, and functional analyses.

Results

Mice subjected to systemic Becn1 gene knockout and those exposed to a lethal dose of γ-ray irradiation exhibited similar phenotypes, including reduced survival time (median survival: 8–9 d for KO vs. 8–11 d for irradiated), morphological and pathological changes in various tissues and organs, hematopoietic system disruptions, and DNA damage. Hematoxylin and eosin (H&E)-stained sections showed analogous pathological changes in both the Becn1 knockout and lethally irradiated mice, such as the disrupted splenic architecture with decreased white pulp, degenerating thymic follicles, significantly reduced nucleated cells within the femur, and extensively denuding intestinal villi. These mice demonstrated impaired proliferation and differentiation capacities of hematopoietic stem and progenitor cells (HSPCs), presenting similar DNA damage indicators, such as heightened reactive oxygen species (ROS) levels and increased γ-H2AX expression in the bone marrow, heart, spleen, and thymus. Notably, the Becn1 protein in the mice underwent rapid degradation within 6 ​h after radiation exposure.

Conclusion

Whole-body biallelic deletion of Becn1 in adult mice mimics the effects of lethal radiation, indicating that Becn1 is a hyperradiosensitive protein.
目的探讨Beclin-1 (Becn1)蛋白在辐射暴露小鼠中的作用。方法采用sa基因靶向策略制备Becn1-floxed小鼠,与Ubc-iCre小鼠杂交,制备条件基因敲除小鼠(又称Becn1f/f;Ubc-iCre小鼠)。然后用他莫昔芬(TMXF)诱导产生Becn1敲除小鼠。Becn1基因敲除小鼠和受致命辐射的小鼠在各自的中位生存时间前一天被安乐死。取其心、肝、脾、肺、肾、肠等脏器组织进行检查。此外,通过遗传、组织学和功能分析比较Becn1敲除小鼠和致死辐照小鼠。结果全身Becn1基因敲除的小鼠与暴露于致死剂量γ射线照射的小鼠表现出相似的表型,包括生存时间缩短(KO组中位生存时间为8-9天,而照射组中位生存时间为8-11天)、各组织器官形态和病理改变、造血系统破坏和DNA损伤。苏木精和伊红(H&;E)染色切片显示Becn1基因敲除和致死照射小鼠的类似病理变化,如脾脏结构破坏,白色髓减少,胸腺滤泡变性,股骨内有核细胞明显减少,肠绒毛广泛脱落。这些小鼠的造血干细胞和祖细胞(HSPCs)增殖和分化能力受损,出现类似的DNA损伤指标,如骨髓、心脏、脾脏和胸腺中活性氧(ROS)水平升高和γ-H2AX表达增加。值得注意的是,小鼠的Becn1蛋白在辐射照射后6小时内迅速降解。结论成年小鼠Becn1的全身双等位基因缺失模拟了致死辐射的效应,表明Becn1是一种高辐射敏感蛋白。
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引用次数: 0
Expert consensus on radiotherapy for oligometastatic esophageal cancer (2025 edition) 少转移性食管癌放疗专家共识(2025版)
Q1 Health Professions Pub Date : 2025-06-01 Epub Date: 2025-05-30 DOI: 10.1016/j.radmp.2025.05.001
Radiation Oncology Physician Branch, Chinese Medical Doctor Association , Radiation Oncology Branch, Chinese Medical Association, Professional Commitee of Radiation Oncology, China Anti-Cancer Association, Expert Committee of Esophageal Cancer, Chinese Cancer Radiotherapy Alliance, Radiotherapy Sub-Committee, Professional Commitee of Elderly Oncology, Gerontological Society of China
Approximately 40% of esophageal cancer patients have metastatic disease at the time of initial diagnosis. Although immunotherapy has changed the treatment pattern of advanced, recurrent, or metastatic esophageal cancer, the options for systemic treatment for these patients are still limited, and the prognosis is poor. Oligometastasis is an intermediate stage between locoregional and widespread systemic metastasis. Some studies have shown that combining systemic treatment with local treatment, such as radiotherapy, may improve the survival of patients with oligometastasis in various solid tumors, including esophageal cancer. At present, there is still a lack of data support from large randomized clinical trials on the timing, dose, and technique of radiotherapy for oligometastatic esophageal cancer. Based on recent studies on oligometastatic esophageal cancer, this consensus was jointly developed after in-depth discussions and multiple revisions by experts from the following organizations: Radiation Oncology Treatment Physician Branch, Chinese Medical Doctor Association; Branch of Radiation Oncology Therapy, Chinese Medical Association; Professional Committee of Radiotherapy for Cancer, Chinese Anti-cancer Association; Expert Committee of Esophageal Cancer, Chinese Cancer Radiotherapy Alliance. This consensus provides a relatively clear definition and classification of oligometastatic esophageal cancer. It summarizes common problems in radiotherapy based on current medical evidence to provide reference and academic guidance for the clinical practice of radiotherapy for oligometastatic esophageal cancer.
大约40%的食管癌患者在最初诊断时有转移性疾病。尽管免疫疗法已经改变了晚期、复发或转移性食管癌的治疗模式,但对这些患者进行全身治疗的选择仍然有限,且预后较差。少转移是介于局部转移和广泛全身转移之间的中间阶段。一些研究表明,全身治疗与局部治疗(如放疗)相结合,可提高包括食管癌在内的各种实体肿瘤少转移患者的生存率。目前,对于少转移性食管癌的放疗时机、剂量和技术,仍缺乏大型随机临床试验的数据支持。根据近年来对食管癌少转移的研究,经以下组织专家的深入讨论和多次修订,共同形成了这一共识:中华医师协会放射肿瘤学治疗医师分会;中华医学会肿瘤放射治疗分会;中国抗癌协会肿瘤放疗专业委员会;中国肿瘤放疗联盟食管癌专家委员会。这一共识为少转移性食管癌提供了一个相对清晰的定义和分类。结合现有医学证据,总结放疗中常见问题,为食管癌少转移性放疗的临床实践提供参考和学术指导。
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引用次数: 0
Protective effects of dihydromyricetin against radiation-induced injury to the hematopoietic system 二氢杨梅素对辐射致造血系统损伤的保护作用
Q1 Health Professions Pub Date : 2025-06-01 Epub Date: 2025-05-06 DOI: 10.1016/j.radmp.2025.04.004
Xiao Sun , Feifei Xu , Zhiyun Wang , Wenfeng Gou , Yanli Li , Hongying Wu , Yiliang Li , Wenbin Hou
<div><h3>Objective</h3><div>To investigate the potential protective effects of dihydromyricetin (DHM), a primary bioactive compound derived from <em>Ampelopsis grossedentata</em>, against radiation-induced hematopoietic damage.</div></div><div><h3>Methods</h3><div>The <em>in virto</em> antioxidant capacity of DHM was evaluated using the 1,1-diphenyl-2-picrylhydrazyl (DPPH) and 2,2ʹ-azino-bis(3-ethylbenzthiazoline-6-sulfonic acid) (ABTS) assays. Survival rate and hematopoietic damage experiments were conducted on 130 mice. To assess the protective effects of DHM, a lethal dose of 7.5 ​Gy was delivered to 60 mice, and their 30-d survival rates were assessed and survival time were recorded. The mice were divided into 6 groups in survival analysis: DHM-only (200 ​mg/kg), IR, IR ​+ ​low-dose DHM (50 ​mg/kg), IR ​+ ​moderate-dose DHM (100 ​mg/kg), IR ​+ ​high-dose DHM (200 ​mg/kg), and IR ​+ ​amifostine (200 ​mg/kg). Subsequently, a hematopoietic injury model was established by subjecting 70 mice to whole-body irradiation (WBI) at a dose of 4 ​Gy. The mice were divided into 7 groups in the hematopoietic damage experiment: control, DHM-only (200 ​mg/kg), IR, IR ​+ ​low-dose DHM (50 ​mg/kg), IR ​+ ​moderate-dose DHM (100 ​mg/kg), IR ​+ ​high-dose DHM (200 ​mg/kg), and IR ​+ ​amifostine (200 ​mg/kg), with 10 mice in each group. The effects of DHM on body weights, blood routine indices, femoral nucleated cell counts, organ indices, and splenic nodules were analyzed. Using hematoxylin and eosin (H&E) staining, the effects of DHM on the spleen and bone marrow were examined. Furthermore, the antioxidant effects of DHM were evaluated by measuring biochemical markers including glutathione (GSH) and superoxide dismutase (SOD).</div></div><div><h3>Results</h3><div>DHM exhibited strong <em>in vitro</em> antioxidant activity (92.17 ​% in the ABTS assay and 90.75% in the DPPH assay). It significantly improved both the survival time and rates of mice exposed to irradiation at a lethal dose (20% for the IR ​+ ​low-dose DHM group, 40% for the IR ​+ ​moderate-dose DHM group, and 50% for the IR ​+ ​high-dose DHM group; <em>P</em> ​< ​0.05). In the hematopoietic injury experiment, DHM greatly improved blood routine indices, including the white blood cell count and the lymphocyte percentage (<em>P</em> ​< ​0.01). Moreover, DHM considerably increased organ indices, the number of splenic nodules, and the nucleated cell count in the femoral bone marrow. H&E staining revealed that DHM significantly alleviated radiation-induced damage to the spleen and bone marrow. Additionally, DHM treatment greatly enhanced the hepatic GSH and SOD levels of the irradiated mice, reaching 219.01 μmol/g prot and 199.53 U/mg prot, respectively (<em>P</em> ​< ​0.05).</div></div><div><h3>Conclusions</h3><div>Owing to its free radical scavenging potential, DHM can enhance the survival rates of mice exposed to radiation at a lethal dose and mitigate radiation-induced damage to the he
目的研究从蛇麻中提取的主要生物活性物质二氢杨梅素(DHM)对辐射诱导的造血损伤的保护作用。方法采用1,1-二苯基-2-吡啶肼(DPPH)和2,2 -二氮基-二(3-乙基苯并噻唑-6-磺酸)(ABTS)法测定DHM的体外抗氧化能力。对130只小鼠进行了存活率和造血损伤实验。为评价DHM的保护作用,采用7.5 Gy致死剂量给药60只小鼠,观察其30 d存活率和存活时间。将小鼠分为6组进行生存分析:单剂量DHM (200 mg/kg)、IR、IR +低剂量DHM (50 mg/kg)、IR +中剂量DHM (100 mg/kg)、IR +高剂量DHM (200 mg/kg)、IR +氨磷汀(200 mg/kg)。随后,通过对70只小鼠进行4 Gy剂量的全身照射(WBI),建立了造血损伤模型。造血损伤实验将小鼠分为对照组、单用DHM (200 mg/kg)、IR、IR +低剂量DHM (50 mg/kg)、IR +中剂量DHM (100 mg/kg)、IR +高剂量DHM (200 mg/kg)、IR +氨磷汀(200 mg/kg) 7组,每组10只。分析丹参对大鼠体重、血常规指标、股核细胞计数、脏器指标及脾结节的影响。采用苏木精和伊红(H&;E)染色法观察DHM对脾和骨髓的影响。此外,通过测定谷胱甘肽(GSH)和超氧化物歧化酶(SOD)等生化指标,评价DHM的抗氧化作用。结果dhm具有较强的体外抗氧化活性(ABTS为92.17%,DPPH为90.75%)。它显著提高了致死剂量照射小鼠的存活时间和存活率(IR +低剂量DHM组为20%,IR +中剂量DHM组为40%,IR +高剂量DHM组为50%;P & lt;0.05)。在造血损伤实验中,DHM显著改善了血常规指标,包括白细胞计数和淋巴细胞百分比(P <;0.01)。此外,DHM显著增加器官指数、脾结节数量和股骨髓有核细胞计数。H&;E染色显示DHM明显减轻了辐射引起的脾和骨髓损伤。此外,DHM处理显著提高了辐照小鼠肝脏GSH和SOD水平,分别达到219.01 μmol/g prot和199.53 U/mg prot (P <;0.05)。结论DHM具有清除自由基的能力,可提高致死剂量辐射小鼠的存活率,减轻辐射对造血系统的损伤。本研究为中药在辐射防护中的应用提供了有价值的参考。
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引用次数: 0
Dosimetric performance of HyperArc and VMAT techniques using full or ipsilateral arcs for unilateral temporal lobe tumor radiotherapy HyperArc和VMAT技术在单侧颞叶肿瘤放射治疗中的剂量学性能
Q1 Health Professions Pub Date : 2025-06-01 Epub Date: 2025-04-25 DOI: 10.1016/j.radmp.2025.04.002
Hongtao Chen, Lijun Wang, Zhuangling Li, Shihai Wu, Zihuang Li

Objective

To assess the dosimetric performance of HyperArc and volumetric modulated arc radiotherapy (VMAT) techniques, using either full or ipsilateral arcs, for the radiotherapy of unilateral temporal lobe tumor, in order to quantify and analyze differences among these planning approaches using various dosimetric parameters.

Methods

This retrospective study reviewed 30 patients with unilateral temporal lobe tumors treated with radiotherapy in the Department of Radiation Oncology, Shenzhen People's Hospital from August 2020 to December 2023. Using the Eclipse treatment plan system with the Truebeam machine model, HyperArc and VMAT plans were designed with full or ipsilateral arcs, respectively Dosimetric parameters for the planning target volume (PTV) and organs at risk (OARs) were computed and analyzed. Additionally, the monitor units (MU) of four types of plans were calculated for consideration of rays utilization and delivery efficiency.

Results

HyperArc demonstrated superior dosimetric performance for PTV and OARs compared to VMAT (P ​< ​0.05), with exceptions noted for the low dose volume (V5 Gy) of the healthy brain and mean dose of ipsilateral cochlea. Ipsilateral arcs and full arcs showed similar efficacy in sparing OARs adjacent to PTV. Furthermore, full arcs improved PTV conformity compared with ipsilateral arcs (P ​< ​0.05), while ipsilateral arcs reduced the dose to contralateral OARs, mean dose and the middle-to-low dose volume of the healthy brain (P ​< ​0.05). Regarding MU, HyperArc (full) plans exhibited the minimum values among the four plan types, with overall MU for HyperArc plans being less than those for VMAT.

Conclusions

This study not only highlights the outstanding performance of the HyperArc technique with respect to VMAT but also underscores the advantages of employing ipsilateral arcs over full arcs in the radiotherapy of unilateral temporal lobe tumor. Additionally, the HyperArc technique demonstrated higher efficiency of ray utilization and delivery. The findings of this study can aid in selecting appropriate techniques and guiding arcs arrangements for the radiotherapy of unilateral temporal lobe tumor.
目的评价使用全侧或同侧弧线的超弧线和体积调制弧线放疗(VMAT)技术在单侧颞叶肿瘤放疗中的剂量学性能,以量化和分析不同剂量学参数下这两种方案的差异。方法回顾性分析2020年8月至2023年12月深圳人民医院放射肿瘤科30例单侧颞叶肿瘤放疗患者的临床资料。采用Eclipse治疗计划系统和Truebeam机器模型,设计全侧或同侧弧形的HyperArc和VMAT计划,分别计算和分析计划靶体积(PTV)和危险器官(OARs)的剂量学参数。此外,考虑到射线的利用和输送效率,计算了四种计划的监测单位(MU)。结果与VMAT相比,shyperarc对PTV和OARs的剂量学性能更好(P <;0.05),但健康脑的低剂量体积(V5 Gy)和同侧耳蜗的平均剂量除外。同侧弧线和全弧线在保护PTV附近的桨叶方面显示出相似的效果。此外,与同侧弧线相比,全弧线改善了PTV一致性(P <;0.05),而同侧弧线降低了对侧OARs的剂量、平均剂量和健康脑的中低剂量体积(P <;0.05)。在四种方案类型中,HyperArc (full)方案的MU值最小,HyperArc方案的总体MU值小于VMAT方案。结论本研究不仅强调了HyperArc技术在VMAT方面的突出表现,而且强调了在单侧颞叶肿瘤的放射治疗中,采用同侧弧线优于全弧线的优势。此外,HyperArc技术显示出更高的射线利用和输送效率。本研究结果可为单侧颞叶肿瘤的放射治疗选择合适的技术和指导弧线排列提供依据。
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引用次数: 0
A meta-analysis of the diverse invasion and migration responses of lung cancer cells to photon irradiation 肺癌细胞对光子照射的侵袭和迁移反应的荟萃分析
Q1 Health Professions Pub Date : 2025-06-01 Epub Date: 2025-05-02 DOI: 10.1016/j.radmp.2025.04.006
Yan Zhang , Qibin Fu , Xiaorui Huang , Tuchen Huang

Objective

To systematically review the relevant literature on the effects of photons on the invasion and migration of lung cancer cells through a meta-analysis, in order to quantitatively evaluate the effects of radiation-related factors and cellular biological factors on the invasion and migration responses.

Methods

The type of radiation, energy, dose, and subtype of lung cancer cells were recorded, as well as biological endpoints, such as invasion and migration. Quantitative comparisons of various studies were conducted through the inclusion of effect size (ES) indicators. The influence of various physical and biological factors on the response to radiation-induced metastasis was clarified by subgroup analysis and One-way analysis of variance.

Results

In terms of radiation types, the promotion effect induced by γ-rays can reach as high as 90%, while X-rays exhibited both promotion (33%) and inhibition effects (55%). For X-rays, the probability of inhibition gradually increased with the increase in dose, ranging from 10% at low doses (0< D ​≤ ​0.5 ​Gy), to 52​% at medium doses (0.5 ​Gy ​< ​D ​≤ ​6 ​Gy), and to 70% at high doses (6 ​Gy ​< ​D ​< ​20 ​Gy). Additionally, from low energy (100–250 ​kV) to high energy (4–10 ​MV), the inhibition rate decreased from 58% to 48%, while the probability of promotion slightly increased from 27% to 31%. Low-energy X-rays with high linear energy transfer (LET) and high relative biological effectiveness (RBE) exhibited a higher proportion of their inhibitory effect than high-energy X-rays.

Conclusion

The γ-rays exhibited more consistent effects than X-rays, especially the promoting effects. However, X-rays showed diverse effects, such as inhibitory effects and promoting effects. Furthermore, for X-rays, the probability of inhibition was related to the dose and energy. These research findings indicated that the quantities related to radiation type, energy and dose, such as LET and RBE, may play a significant role in influencing the different responses of lung cancer cells to photons. This work can enhance the understanding of the impact of photons on cancer metastasis.
目的通过荟萃分析系统梳理光子对肺癌细胞侵袭和迁移影响的相关文献,定量评价辐射相关因素和细胞生物学因素对肺癌细胞侵袭和迁移反应的影响。方法记录肺癌细胞的辐射类型、能量、剂量、亚型及侵袭、迁移等生物学终点。通过纳入效应量(effect size, ES)指标对各研究进行定量比较。通过亚组分析和单因素方差分析明确了各种物理和生物因素对辐射诱导转移反应的影响。结果从辐射类型上看,γ射线的促进作用高达90%,x射线的促进作用为33%,抑制作用为55%。对于x射线,抑制的概率随着剂量的增加而逐渐增加,低剂量时为10% (0<;D≤0.5 Gy),中等剂量(0.5 Gy <;D≤6 Gy),高剂量(6 Gy <;D & lt;20 Gy)。从低能量(100 ~ 250 kV)到高能量(4 ~ 10 MV),抑制率从58%下降到48%,促进率从27%略微上升到31%。具有高线性能量转移(LET)和高相对生物效应(RBE)的低能x射线比高能x射线表现出更高的抑制作用。结论γ射线比x射线具有更一致的作用,尤其是促进作用。然而,x射线表现出不同的作用,如抑制作用和促进作用。此外,对于x射线,抑制的可能性与剂量和能量有关。这些研究结果表明,与辐射类型、能量和剂量相关的量,如LET和RBE,可能在影响肺癌细胞对光子的不同反应中起重要作用。这项工作可以提高对光子对癌症转移影响的认识。
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引用次数: 0
Radiation-induced cellular senescence and adaptive response: mechanistic interplay and implications 辐射诱导的细胞衰老和适应性反应:机制相互作用和影响
Q1 Health Professions Pub Date : 2025-06-01 Epub Date: 2025-05-23 DOI: 10.1016/j.radmp.2025.05.002
Haiying Wang, Weijin Zou, Yi Cao
Cellular responses to radiation exposure involve complex and dynamic signaling networks that coordinately regulate cell fate. Senescent cells exhibit irreversible growth arrest and functional alterations, while adaptive response confers cellular protection against subsequent radiation insults. The intricate interplay between the two processes influences radiation resistance and genomic stability, with implications for understanding molecular mechanisms of radiotherapy and cellular stress responses. This review systematically investigates the molecular triggers and signaling pathways underlying radiation-induced cellular senescence and adaptive response, and elucidates the molecular interactions between these phenomena. The findings have significant implications for understanding of cellular stress responses, optimizing radiotherapy protocols, and mitigating radiation-induced cellular dysfunction.
细胞对辐射暴露的反应涉及复杂和动态的信号网络,协调调节细胞的命运。衰老细胞表现出不可逆的生长停滞和功能改变,而适应性反应赋予细胞对随后的辐射损伤的保护。这两个过程之间复杂的相互作用影响辐射抗性和基因组稳定性,对理解放射治疗和细胞应激反应的分子机制具有重要意义。本文系统地探讨了辐射诱导的细胞衰老和适应性反应的分子触发和信号通路,并阐明了这些现象之间的分子相互作用。这些发现对于理解细胞应激反应、优化放疗方案和减轻辐射诱导的细胞功能障碍具有重要意义。
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引用次数: 0
Prediction of recurrence risk of cervical cancer after radiotherapy using multi-sequence MRI radiomics 应用多序列MRI放射组学预测宫颈癌放疗后复发风险
Q1 Health Professions Pub Date : 2025-06-01 Epub Date: 2025-04-16 DOI: 10.1016/j.radmp.2025.04.001
Jie Chen , Lou Liu , Yi Fu, Lu Zhang, Shuyue Li, Juying Zhou, Chenying Ma

Objective

To predict the recurrence risk of cervical cancer after radiotherapy using multi-sequence magnetic resonance imaging (MRI) radiomics.

Methods

A total of 90 cervical cancer patients treated in the First Affiliated Hospital of Soochow University from January 2018 to January 2023 were enrolled in this retrospective study, comprising 29 cases with recurrence and 61 cases without recurrence. The cohort was divided into a training set of 60 cases and a test set of 30 cases. Tumor regions of interest (ROI) were delineated using MRI radiomics scans before and after treatment, and image features were extracted to build predictive models. Ten models were used to predict recurrence risk in the test set, named as combined model T1-weighted imaging (T1WI) sequence, combined model fast gradient-recalled echo (FGRE) sequence, combined model T2 fat suppression sequence, combined model-epi sequence, FGRE sequence-T1WI sequence model, FGRE sequence-T2 fat suppression sequence, FGRE sequence-epi sequence model, T2 fat suppression sequence-T1WI sequence model, T2 fat suppression sequence-epi sequence model and the combined multi-sequence model.

Results

In the training set, compared with the combined multi-sequence model, the receiver operating characteristic (ROC) curves of the T1WI sequence, FGRE sequence, and T2 fat suppression sequence combined with the T1WI sequence model were significantly different (Z ​= ​2.25, 2.66,2.54, P ​< ​0.05). In the test set, the ROC curve of the T1WI sequence model also showed a statistically significant difference from the combined model (Z ​= ​2.21, P < ​0.05). The T1WI sequence, FGRE sequence, T2 fat suppression sequence, EPI sequence, and the combined model were all effective in predicting post-radiotherapy cervical cancer recurrence [area under curve (AUC) ​= ​0.731, 0.705, 0.823, 0.754, 0.871, P ​< ​0.05]. Compared with the single-sequence models, the combined multi-sequence model showed the highest AUC value, accuracy, and precision in the ROC curve (AUC ​= ​0.854, P ​< ​0.05).

Conclusion

Multi-sequence MRI radiomics could effectively predict the risk of cervical cancer recurrence after radiotherapy, and the combined multi-sequence model demonstrates enhanced predictive performance.
目的应用多序列磁共振成像(MRI)放射组学技术预测宫颈癌放疗后复发风险。方法回顾性分析2018年1月至2023年1月苏州大学第一附属医院收治的90例宫颈癌患者,其中复发29例,未复发61例。该队列分为训练组60例和测试组30例。在治疗前后使用MRI放射组学扫描描绘肿瘤感兴趣区域(ROI),并提取图像特征以建立预测模型。使用10个模型预测测试集中的复发风险,分别为组合模型t1加权成像(T1WI)序列、组合模型快速梯度回忆回波(FGRE)序列、组合模型T2脂肪抑制序列、组合模型-epi序列、FGRE序列-T1WI序列模型、FGRE序列-T2脂肪抑制序列、FGRE序列-epi序列模型、T2脂肪抑制序列-T1WI序列模型。T2脂肪抑制序列-epi序列模型及多序列组合模型。结果在训练集中,与多序列联合模型相比,T1WI序列、FGRE序列和T2脂肪抑制序列与T1WI序列模型联合的受试者工作特征(ROC)曲线差异有统计学意义(Z = 2.25、2.66、2.54,P <;0.05)。在检验集中,T1WI序列模型的ROC曲线与组合模型的差异也有统计学意义(Z = 2.21, P <;0.05)。T1WI序列、FGRE序列、T2脂肪抑制序列、EPI序列及联合模型预测放疗后宫颈癌复发均有效[曲线下面积(AUC) = 0.731、0.705、0.823、0.754、0.871,P <;0.05]。与单序列模型相比,多序列组合模型在ROC曲线上的AUC值、准确度和精密度最高(AUC = 0.854, P <;0.05)。结论多序列MRI放射组学可有效预测宫颈癌放疗后复发风险,多序列联合模型预测效果更佳。
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引用次数: 0
Comprehensive physical evaluation of potential CT contrast agents: Integrating Monte Carlo transport simulation and radiation shielding Analysis 综合物理评价潜在的CT造影剂:综合蒙特卡罗传输模拟和辐射屏蔽分析
Q1 Health Professions Pub Date : 2025-06-01 Epub Date: 2025-05-02 DOI: 10.1016/j.radmp.2025.04.005
Yadong Zhang, Jinjia Cao, Yulong Zhang, Xiaochang Zheng, Wei Chen, Yanjun Wang

Objective

To perform a comprehensive physical-level assessment of 13 contrast agents, including those with potential applications in CT imaging, focusing on their radiation shielding characteristics and transport behaviors—such as energy deposition, collision frequency, and attenuation performance—under low-energy X-ray conditions.

Methods

A dual-method framework was adopted. Geant4 Monte Carlo simulations were used to construct an X-ray tube model and simulate contrast agent interactions in a breast-equivalent water phantom, enabling analysis of microscopic radiation transport parameters including energy deposition, track length, and collision frequency. In parallel, Phy-X/PSD software was used to calculate macroscopic attenuation indices, including the linear attenuation coefficient (LAC), mass attenuation coefficient (MAC), mean free path (MFP), half-value layer (HVL), and exposure buildup factor (EBF), over a wide photon energy range.

Results

The study revealed a strong consistency between radiation shielding metrics and transport characteristics across the same energy ranges. For instance, iothalamate meglumine exhibited the highest energy deposition (0.085 60 ​MeV), shortest MFP (1.13 ​cm), and highest collision frequency (5.24 ​× ​108), indicating excellent attenuation potential in the low-energy CT range. Gadolinium- and iron-based agents, while traditionally used in MR imaging, showed distinctive and stable transport behavior at medium-to-high energies, suggesting promising utility in CT or dual-modality applications.

Conclusions

These findings highlight the importance of integrating microscopic transport analysis with macroscopic shielding evaluation to fully characterize contrast agent performance. The study provides a validated theoretical foundation for contrast agent screening and optimization in X-ray imaging, and supports future research into clinical applicability and biological safety of emerging contrast materials.
目的对13种造影剂(包括在CT成像中具有潜在应用价值的造影剂)在低能x线条件下的辐射屏蔽特性和传输行为(如能量沉积、碰撞频率和衰减性能)进行综合物理水平评估。方法采用双法框架。使用Geant4蒙特卡罗模拟构建了x射射管模型,并模拟了乳房等效水模中造影剂的相互作用,从而分析了微观辐射传输参数,包括能量沉积、轨迹长度和碰撞频率。同时,利用Phy-X/PSD软件计算了较宽光子能量范围内的宏观衰减指标,包括线性衰减系数(LAC)、质量衰减系数(MAC)、平均自由程(MFP)、半值层(HVL)和曝光累积因子(EBF)。结果研究表明,在相同能量范围内,辐射屏蔽指标与输运特性之间具有很强的一致性。例如,碘甲酸盐聚苯胺表现出最高的能量沉积(0.085 60 MeV),最短的MFP (1.13 cm)和最高的碰撞频率(5.24 × 108),表明在低能CT范围内具有良好的衰减潜力。传统上用于MR成像的钆基和铁基试剂在中高能量下表现出独特而稳定的输运行为,这表明在CT或双模态应用中有很好的应用前景。结论这些发现强调了将微观输运分析与宏观屏蔽评估结合起来全面表征造影剂性能的重要性。本研究为x射线成像造影剂筛选和优化提供了验证的理论基础,为未来新兴造影剂的临床适用性和生物安全性研究提供了支持。
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引用次数: 0
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Radiation Medicine and Protection
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