Columbia University Medical Center, New York, New York.
Radiat Res. 2019 May;191(5):439-446. doi: 10.1667/RR15283.1. Epub 2019 Feb 25.
After a planned or unplanned radiation exposure, determination of absorbed dose has great clinical importance, informing treatment and triage decisions in the exposed individuals. Biodosimetry approaches allow for determination of dose in the absence of physical measurement apparatus. The current state-of-the-art biodosimetry method is based on the frequency of induced dicentric chromosomes in peripheral blood T cells, which is proportional to the absorbed radiation dose. Since dose-response curves used for obtaining absorbed dose for humans are based on data sourced from studies, a concerning discrepancy may be present in the reported dose. Specifically, T-cell survival after irradiation is much higher than that measured in humans and, in addition, is not dose dependent over some dose ranges. We hypothesized that these differences may lead to inappropriately inflated dicentric frequencies after irradiation when compared with irradiation of the same samples. This may lead to underestimation of the dose. To test this hypothesis, we employed the humanized mouse model, which allowed direct comparison of cell depletion and dicentric frequencies in human T cells irradiated and . The results showed similar dicentric chromosome induction frequencies measured and when assessed 24 h postirradiation despite the differences in cell survival. These results appear to validate the use of data for the estimation of the absorbed dose in human radiation biodosimetry.
在计划或非计划的辐射暴露后,吸收剂量的确定具有重要的临床意义,可为受照射个体的治疗和分诊决策提供信息。 生物剂量测定方法可在没有物理测量仪器的情况下确定剂量。 目前最先进的生物剂量测定方法基于外周血 T 细胞中诱导的双着丝粒染色体的频率,其与吸收的辐射剂量成正比。 由于用于为人体获得吸收剂量的剂量反应曲线基于源自研究的数据,因此在报告剂量时可能存在令人担忧的差异。 具体而言, 照射后 T 细胞的存活率远高于人类测量的值,并且在某些剂量范围内,其不依赖于剂量。 我们假设与相同样本的 照射相比,这些差异可能导致 照射后双着丝粒频率不适当增加。 这可能导致对 剂量的低估。 为了验证这一假设,我们使用了人源化小鼠模型,该模型允许直接比较人类 T 细胞在 和 照射后的细胞耗竭和双着丝粒频率。 尽管细胞存活率存在差异,但结果显示,24 小时后照射后测量的双着丝粒染色体诱导频率相似。 这些结果似乎验证了使用 数据来估算人体辐射生物剂量测定中的吸收剂量。