Jen Y M, Hendry J H
Cancer Research Campaign Department of Radiobiology, Paterson Institute for Cancer Research, Christie Hospital and Holt Radium Institute, Manchester, UK.
Br J Radiol. 1991 Feb;64(758):142-8. doi: 10.1259/0007-1285-64-758-142.
Although the difference in sensitivity to the changes in dose fraction size between early-responding and late-responding tissues is well established, the underlying mechanisms in terms of target-cell responses are not yet clearly identified for any tissue. The radiosensitivity of mouse kidney cells after in situ single-dose, 2, 8, and 16 fraction X-irradiations was measured in primary culture using a clonogenic assay. The assay was made 12 h after single doses or 12 h after the last dose of the multifraction regimens. When analysed using the linear-quadratic model, as predicted the individual alpha components for all the different fractionation schedules were not significantly different, and the changes in the beta values were consistent with those expected on the basis of the reciprocal fraction numbers. When all four data sets were integrated to derive a common alpha/beta ratio, the result was 4.4 +/- 1.3 (1SE) Gy, or 2.8 +/- 0.9 Gy (a better fit) if the single-dose data set was excluded. These values fall into the range reported for kidney using assays of tissue function at long times after irradiation. Hence, it has been shown for the first time that the fractionation sensitivity of a late-responding organ is mimicked by that of a clonogenic cell population in that organ. The evidence also suggests that the time available prior to fixation of potentially lethal damage does not influence the low alpha/beta ratio observed for the kidney.
尽管早反应组织和晚反应组织对剂量分割大小变化的敏感性差异已得到充分证实,但就靶细胞反应而言,任何组织的潜在机制尚未明确确定。使用克隆形成试验在原代培养中测量了小鼠肾细胞在原位单剂量、2次、8次和16次分割X射线照射后的放射敏感性。该试验在单剂量照射后12小时或多分割方案的最后一次剂量照射后12小时进行。当使用线性二次模型进行分析时,正如预期的那样,所有不同分割方案的个体α组分没有显著差异,并且β值的变化与基于倒数分割次数预期的变化一致。当整合所有四个数据集以得出共同的α/β比值时,结果为4.4±1.3(1个标准误差)Gy,如果排除单剂量数据集,则为2.8±0.9 Gy(拟合度更好)。这些值落在使用照射后长时间组织功能测定法报告的肾脏的值范围内。因此,首次表明晚反应器官的分割敏感性可由该器官中克隆形成细胞群体的分割敏感性模拟。证据还表明,潜在致死性损伤固定之前的可用时间不会影响观察到的肾脏低α/β比值。