Seed T M, Kaspar L V
Biological and Medical Research Division, Argonne National Laboratory, Illinois 60439.
Leuk Res. 1990;14(4):299-307. doi: 10.1016/0145-2126(90)90156-4.
Hematopoietic patterns have been assessed in chronic 60Co gamma irradiated dogs during preclinical phases of evolving aplastic anemia (AA) or myeloproliferative disease (MPD), principally myeloid leukemia. Within the AA-prone dog, a singular phase of progressive decline in blood levels of granulocytes and monocytes was noted along with a similar reduction in marrow progenitors committed to granulocyte/monocyte differentiation (CFU-GM). Measured radioresistance of the preAA CFU-GM in vitro, relative to control CFU-GM from nonirradiated animals, revealed only slightly increased resistance to gamma rays, but significantly increased resistance to fission neutrons. Within the MPD-prone dogs, four preclinical phases (i.e. suppression, partial recovery, accommodation, and preleukemic transition) preceding development of overt MPD were evidenced by the monitored change in blood granulocyte/monocyte counts and marrow progenitor levels. Analysis of radioresistance of preMPD CFU-GM revealed marked changes with time of exposure and, in turn, with preclinical phase transitions. Gamma ray resistance increased in the initial phases of exposure, with maximal levels occurring during the middle phase of exposure (accommodation, phase III) followed by a tailing off of resistance at later times. Resistance to fission neutrons by preMPD CFU-GM was observed as well, but somewhat later in the exposure course and at a much lower, more consistent level. These differential patterns of radioresistance expressed by marrow CFU-GM of chronically irradiated MPD-prone dogs to gamma rays and fission neutrons gave rise to preclinical phase-specific 'relative biological effectiveness' (RBE) values. From these observations, we conclude that: (i) CFU-GM of MPD-prone dogs acquire and maintain marked radioresistance to low linear energy transfer (LET) gamma rays, but only marginally elevated radioresistance to high-LET fission neutrons during the course of chronic gamma ray exposure; and (ii) CFU-GM of the AA-prone dog, in contrast, acquire little change in resistance to gamma rays, but, surprisingly, marked resistance to neutrons relative to progenitors from nonirradiated controls. These results support the concept that acquired radioresistance of vital granulocyte/monocyte lineage-committed hematopoietic progenitors is temporally, perhaps causally, linked to the processes mediating hematopoietic recovery and accommodation under chronic irradiation, and in turn to preclinical events of evolving MPD. In addition, the marked differential responses of progenitors to gamma and neutron irradiation in vitro might suggest differences in the nature of cellular lesions elicited by chronic gamma irradiation, in vivo.
在再生障碍性贫血(AA)或骨髓增殖性疾病(MPD,主要是髓系白血病)临床前阶段,对长期接受60Coγ射线照射的犬的造血模式进行了评估。在易患AA的犬中,观察到粒细胞和单核细胞血液水平呈单一阶段的逐渐下降,同时致力于粒细胞/单核细胞分化的骨髓祖细胞(CFU-GM)也有类似减少。相对于未受照射动物的对照CFU-GM,体外测量的AA前期CFU-GM的辐射抗性显示,其对γ射线的抗性仅略有增加,但对裂变中子的抗性显著增加。在易患MPD的犬中,明显的MPD发生之前的四个临床前阶段(即抑制、部分恢复、适应和白血病前期转变)可通过监测血液中粒细胞/单核细胞计数和骨髓祖细胞水平的变化得到证实。对MPD前期CFU-GM辐射抗性的分析显示,其抗性随暴露时间以及临床前阶段转变而发生显著变化。在暴露的初始阶段,γ射线抗性增加,在暴露的中期阶段(适应期,III期)达到最高水平,随后在后期抗性逐渐下降。也观察到MPD前期CFU-GM对裂变中子的抗性,但在暴露过程中出现得稍晚,且水平低得多且更稳定。长期受照射的易患MPD的犬的骨髓CFU-GM对γ射线和裂变中子所表现出的这些不同的辐射抗性模式产生了临床前阶段特异性的“相对生物效应”(RBE)值。基于这些观察结果,我们得出以下结论:(i)易患MPD的犬的CFU-GM在慢性γ射线暴露过程中获得并维持了对低线性能量传递(LET)γ射线的显著辐射抗性,但对高LET裂变中子的辐射抗性仅略有提高;(ii)相比之下,易患AA的犬的CFU-GM对γ射线的抗性变化不大,但令人惊讶的是,相对于未受照射对照的祖细胞,其对中子具有显著抗性。这些结果支持这样一种概念,即重要的粒细胞/单核细胞系定向造血祖细胞获得的辐射抗性在时间上,也许在因果关系上,与慢性照射下介导造血恢复和适应的过程相关,进而与正在发展的MPD的临床前事件相关。此外,祖细胞在体外对γ射线和中子照射的明显不同反应可能表明体内慢性γ射线照射引起的细胞损伤性质存在差异。