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本文引用的文献

1
Low-dose radiations derived from cone-beam CT induce transient DNA damage and persistent inflammatory reactions in stem cells from deciduous teeth.锥形束CT产生的低剂量辐射会在乳牙干细胞中引发短暂的DNA损伤和持续的炎症反应。
Dentomaxillofac Radiol. 2019 Jan;48(1):20170462. doi: 10.1259/dmfr.20170462. Epub 2018 Aug 31.
2
Estimation of the radiation dose for pediatric CBCT indications: a prospective study on ProMax3D.用于儿科锥形束 CT 适应证的辐射剂量估算:ProMax3D 的前瞻性研究。
Int J Paediatr Dent. 2018 May;28(3):300-309. doi: 10.1111/ipd.12355. Epub 2018 Jan 22.
3
Cone-beam CT in paediatric dentistry: DIMITRA project position statement.锥形束CT在儿童牙科中的应用:迪米特拉项目立场声明。
Pediatr Radiol. 2018 Mar;48(3):308-316. doi: 10.1007/s00247-017-4012-9. Epub 2017 Nov 15.
4
Evidence of genotoxicity and cytotoxicity of X-rays in the oral mucosa epithelium of adults subjected to cone beam CT.成年人锥形束 CT 照射后口腔黏膜上皮的致基因突变毒性和细胞毒性的证据。
Dentomaxillofac Radiol. 2018 Feb;47(2):20170160. doi: 10.1259/dmfr.20170160. Epub 2017 Nov 13.
5
Does smoking habit increase the micronuclei frequency in the oral mucosa of adults compared to non-smokers? A systematic review and meta-analysis.吸烟习惯是否会使成年人的口腔黏膜微核率高于不吸烟者?系统评价和荟萃分析。
Clin Oral Investig. 2018 Jan;22(1):81-91. doi: 10.1007/s00784-017-2246-4. Epub 2017 Oct 24.
6
Functional Gene Analysis Reveals Cell Cycle Changes and Inflammation in Endothelial Cells Irradiated with a Single X-ray Dose.功能基因分析揭示单次X射线照射后内皮细胞的细胞周期变化及炎症反应。
Front Pharmacol. 2017 Apr 25;8:213. doi: 10.3389/fphar.2017.00213. eCollection 2017.
7
MTH1, an 8-oxo-2'-deoxyguanosine triphosphatase, and MYH, a DNA glycosylase, cooperate to inhibit mutations induced by chronic exposure to oxidative stress of ionising radiation.MTH1(一种8-氧代-2'-脱氧鸟苷三磷酸酶)和MYH(一种DNA糖基化酶)共同作用,以抑制因长期暴露于电离辐射的氧化应激而诱导产生的突变。
Mutagenesis. 2017 May 1;32(3):389-396. doi: 10.1093/mutage/gex003.
8
Radiation Sensitivity of Human CD34(+) Cells Versus Peripheral Blood T Lymphocytes of Newborns and Adults: DNA Repair and Mutagenic Effects.新生儿和成人外周血T淋巴细胞与人类CD34(+)细胞的辐射敏感性:DNA修复和诱变效应
Radiat Res. 2016 Jun;185(6):580-90. doi: 10.1667/RR14109.1. Epub 2016 May 19.
9
Higher Initial DNA Damage and Persistent Cell Cycle Arrest after Carbon Ion Irradiation Compared to X-irradiation in Prostate and Colon Cancer Cells.与X射线照射相比,碳离子照射后前列腺癌细胞和结肠癌细胞的初始DNA损伤更高且细胞周期持续停滞。
Front Oncol. 2016 Apr 13;6:87. doi: 10.3389/fonc.2016.00087. eCollection 2016.
10
Radiation dose of cone-beam computed tomography compared to conventional radiographs in orthodontics.正畸治疗中锥束计算机断层扫描与传统X线片的辐射剂量比较
J Orofac Orthop. 2016 Jan;77(1):9-15. doi: 10.1007/s00056-015-0002-4. Epub 2016 Jan 8.

方法验证:评估 CBCT 检查后口腔颊黏膜细胞和唾液中的体内细胞和亚细胞变化。

Method validation to assess in vivo cellular and subcellular changes in buccal mucosa cells and saliva following CBCT examinations.

机构信息

Morphology Group, Biomedical Research Institute, Hasselt University, Diepenbeek, Belgium.

Belgian Nuclear Research Centre, Radiobiology Unit, SCK•CEN, Mol, Belgium.

出版信息

Dentomaxillofac Radiol. 2019 Sep;48(6):20180428. doi: 10.1259/dmfr.20180428. Epub 2019 Apr 5.

DOI:10.1259/dmfr.20180428
PMID:30912976
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6747439/
Abstract

OBJECTIVES

Cone-beam CT (CBCT) is a medical imaging technique used in dental medicine. However, there are no conclusive data available indicating that exposure to X-ray doses used by CBCT are harmless. We aim, for the first time, to characterize the potential age-dependent cellular and subcellular effects related to exposure to CBCT imaging. Current objective is to describe and validate the protocol for characterization of cellular and subcellular changes after diagnostic CBCT.

METHODS

Development and validation of a dedicated two-part protocol: 1) assessing DNA double strand breaks (DSBs) in buccal mucosal (BM) cells and 2) oxidative stress measurements in saliva samples. BM cells and saliva samples are collected prior to and 0.5 h after CBCT examination. BM cells are also collected 24 h after CBCT examination. DNA DSBs are monitored in BM cells via immunocytochemical staining for γH2AX and 53BP1. 8-oxo-7,8-dihydro-2'-deoxyguanosine (8-oxo-dG) and total antioxidant capacity are measured in saliva to assess oxidative damage.

RESULTS

Validation experiments show that sufficient BM cells are collected (97.1 ± 1.4 %) and that γH2AX/53BP1 foci can be detected before and after CBCT examination. Collection and analysis of saliva samples, either sham exposed or exposed to IR, show that changes in 8-oxo-dG and total antioxidant capacity can be detected in saliva samples after CBCT examination.

CONCLUSION

The DIMITRA Research Group presents a two-part protocol to analyze potential age-related biological differences following CBCT examinations. This protocol was validated for collecting BM cells and saliva and for analyzing these samples for DNA DSBs and oxidative stress markers, respectively.

摘要

目的

锥形束 CT(CBCT)是一种应用于牙科医学的医学成像技术。然而,目前尚无确凿的数据表明 CBCT 所使用的 X 射线剂量是无害的。我们首次旨在描述和验证用于描述与 CBCT 成像相关的潜在年龄相关细胞和亚细胞变化的方案。目前的目标是描述和验证用于描述与 CBCT 成像相关的潜在年龄相关细胞和亚细胞变化的方案。

方法

开发和验证一个专用的两部分方案:1)评估颊黏膜(BM)细胞中的 DNA 双链断裂(DSB),2)评估唾液样本中的氧化应激测量。在 CBCT 检查前和检查后 0.5 小时采集 BM 细胞和唾液样本。在 CBCT 检查后 24 小时还采集 BM 细胞。通过免疫细胞化学染色检测 BM 细胞中的 γH2AX 和 53BP1 来监测 DNA DSB。通过测量唾液中的 8-氧代-7,8-二氢-2'-脱氧鸟苷(8-氧代-dG)和总抗氧化能力来评估氧化损伤。

结果

验证实验表明,可以收集到足够的 BM 细胞(97.1±1.4%),并且可以在 CBCT 检查前后检测到 γH2AX/53BP1 焦点。收集和分析 sham 暴露或暴露于 IR 的唾液样本表明,在 CBCT 检查后可以在唾液样本中检测到 8-氧代-dG 和总抗氧化能力的变化。

结论

DIMITRA 研究小组提出了一个两部分方案,用于分析 CBCT 检查后潜在的与年龄相关的生物学差异。该方案已通过收集 BM 细胞和唾液以及分析这些样本中的 DNA DSB 和氧化应激标志物进行了验证。