Department of Biochemistry and Biophysics, Perelman School of Medicine; Department of Chemistry, School of Arts and Sciences.
Department of Radiation Oncology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Int J Radiat Oncol Biol Phys. 2022 Jul 1;113(3):624-634. doi: 10.1016/j.ijrobp.2022.03.016. Epub 2022 Mar 18.
PURPOSE: Radiation therapy delivered at ultrafast dose rates, known as FLASH RT, has been shown to provide a therapeutic advantage compared with conventional radiation therapy by selectively protecting normal tissues. Radiochemical depletion of oxygen has been proposed to underpin the FLASH effect; however, experimental validation of this hypothesis has been lacking, in part owing to the inability to measure oxygenation at rates compatible with FLASH. METHODS AND MATERIALS: We present a new variant of the phosphorescence quenching method for tracking oxygen dynamics with rates reaching up to ∼3.3 kHz. Using soluble Oxyphor probes we were able to resolve, both in vitro and in vivo, oxygen dynamics during the time of delivery of proton FLASH. RESULTS: In vitro in solutions containing bovine serum albumin the O depletion g values (moles/L of O depleted per radiation dose, eg, µM/Gy) are higher for conventional irradiation (by ∼13% at 75 µM [O]) than for FLASH, and in the low-oxygen region (<25 µM [O]) they decrease with oxygen concentration. In vivo, depletion of oxygen by a single FLASH is insufficient to achieve severe hypoxia in initially well-oxygenated tissue, and the g values measured appear to correlate with baseline oxygen levels. CONCLUSIONS: The developed method should be instrumental in radiobiological studies, such as studies aimed at unraveling the mechanism of the FLASH effect. The FLASH effect could in part originate from the difference in the oxygen dependencies of the oxygen consumption g values for conventional versus FLASH RT.
目的:超快剂量率的放射治疗(FLASH RT)已被证明与传统放射治疗相比具有治疗优势,其通过选择性保护正常组织来实现。据推测,放射化学耗氧是产生 FLASH 效应的基础;然而,由于无法以与 FLASH 兼容的速率测量氧合作用,该假说的实验验证一直缺乏。
方法和材料:我们提出了一种新的磷光猝灭法变体,用于以高达约 3.3 kHz 的速率跟踪氧动力学。使用可溶的 Oxyphor 探针,我们能够在体外和体内解决质子 FLASH 输送过程中的氧动力学问题。
结果:在含有牛血清白蛋白的溶液中进行的体外实验中,与 FLASH 相比,常规照射时的耗氧 g 值(每辐射剂量耗氧的摩尔数/每 Gy,例如,µM/Gy)更高(在 75 µM [O]时约高 13%),而在低氧区(<25 µM [O]),它们随氧浓度降低而降低。在体内,单次 FLASH 耗氧不足以使最初氧合良好的组织产生严重缺氧,且测量的 g 值似乎与基线氧水平相关。
结论:该方法对于放射生物学研究,如旨在揭示 FLASH 效应机制的研究,将具有重要作用。FLASH 效应可能部分源于传统和 FLASH RT 的氧消耗 g 值的氧依赖性差异。
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