Jose Solomon Raj, Timothy Peace Balasingh, Suganthy J, Backianathan Selvamani, Amirtham Soosai Manickam, Rani Sandya, Singh Rabi
Department of Radiotherapy, Christian Medical College Vellore, Vellore, India.
Department of Radiation Oncology, Christian Medical College Vellore, Vellore, India.
Rep Pract Oncol Radiother. 2024 Jun 6;29(2):164-175. doi: 10.5603/rpor.99678. eCollection 2024.
Gamma-H2AX immunofluorescence assay has gained popularity as a DNA double strand break marker. In this work, we have investigated the potential use of gamma H2AX immunofluorescence assay as a biological dosimeter for estimation of dose in our institution.
Seven healthy individuals were selected for the study and the blood samples collected from the first five individuals were irradiated to low doses (0-10 cGy) and high doses (50-500 cGy) in a telecobalt unit. All the samples were processed for gamma-H2AX immunofluorescence assay and the dose-response calibration curves for low and high doses were determined. In order to validate the determined dose-response calibration curves, the blood samples obtained from the sixth and seventh subjects were delivered a test dose of 7.5 cGy and 250 cGy. In addition, time and cost required to complete the assay were also reported.
The goodness of fit (R) values was found to be 0.9829 and 0.9766 for low and high dose-response calibration curves. The time required to perform the gamma-H2AX immunofluorescence assay was found to be 7 hours and 30 minutes and the estimated cost per sample was 5000 rupees (~ 60 USD).
Based on this study we conclude that the individual dose-response calibration curves determined with gamma-H2AX immunofluorescence assay for both low and high dose ranges of gamma radiation can be used for biological dosimetry. Further, the gamma-H2AX immunofluorescence assay can be used as a rapid cost-effective biodosimetric tool for institutions with an existing confocal microscope facility.
γ-H2AX免疫荧光检测作为一种DNA双链断裂标记物已受到广泛关注。在本研究中,我们探讨了γ-H2AX免疫荧光检测在我院作为生物剂量计用于剂量估算的潜在用途。
选取7名健康个体进行研究,采集前5名个体的血液样本,在远距离钴治疗机中分别接受低剂量(0 - 10 cGy)和高剂量(50 - 500 cGy)照射。所有样本均进行γ-H2AX免疫荧光检测,并确定低剂量和高剂量的剂量-反应校准曲线。为验证所确定的剂量-反应校准曲线,对第6和第7名受试者的血液样本分别给予7.5 cGy和250 cGy的测试剂量。此外,还报告了完成该检测所需的时间和成本。
低剂量和高剂量反应校准曲线的拟合优度(R)值分别为0.9829和0.9766。进行γ-H2AX免疫荧光检测所需时间为7小时30分钟,每个样本的估计成本为5000卢比(约60美元)。
基于本研究,我们得出结论,通过γ-H2AX免疫荧光检测确定的γ射线低剂量和高剂量范围内的个体剂量-反应校准曲线可用于生物剂量测定。此外,对于拥有共聚焦显微镜设备的机构,γ-H2AX免疫荧光检测可作为一种快速且经济高效的生物剂量测定工具。