Department of Radiation Oncology, University of California, Irvine, CA 92697, USA.
Department of Radiation Oncology, Stanford University School of Medicine, Stanford, CA 94305, USA.
Radiother Oncol. 2024 Dec;201:110534. doi: 10.1016/j.radonc.2024.110534. Epub 2024 Sep 16.
BACKGROUND AND PURPOSE: Ultra-high dose-rate radiotherapy (FLASH) has been shown to mitigate normal tissue toxicities associated with conventional dose rate radiotherapy (CONV) without compromising tumor killing in preclinical models. A prominent challenge in preclinical radiation research, including FLASH, is validating both the physical dosimetry and the biological effects across multiple institutions. MATERIALS AND METHODS: We previously demonstrated dosimetric reproducibility of two different electron FLASH devices at separate institutions using standardized phantoms and dosimeters. In this study, tumor-free adult female mice were given 10 Gy whole brain FLASH and CONV irradiation at both institutions and evaluated for the reproducibility and temporal evolution of multiple neurobiological endpoints. RESULTS: FLASH sparing of behavioral performance on novel object recognition (4 months post-irradiation) and of electrophysiologic long-term potentiation (LTP, 5 months post-irradiation) was reproduced between institutions. Differences between FLASH and CONV on the endpoints of hippocampal neurogenesis (Sox2, doublecortin), neuroinflammation (microglial activation), and electrophysiology (LTP) were not observed at early times (48 h to 2 weeks), but recovery of immature neurons by 3 weeks was greater with FLASH. CONCLUSION: In summary, we demonstrated reproducible FLASH sparing effects on the brain between two different beams at two different institutions with validated dosimetry. FLASH sparing effects on the endpoints evaluated manifested at later but not the earliest time points.
背景与目的:超高压率放射疗法(FLASH)已被证明可减轻常规剂量率放射疗法(CONV)相关的正常组织毒性,同时不影响肿瘤杀伤,这在临床前模型中得到了证实。在临床前放射研究中,包括 FLASH,一个突出的挑战是跨多个机构验证物理剂量学和生物学效应。
材料与方法:我们之前使用标准化的体模和剂量计在两个不同的机构展示了两种不同的电子 FLASH 设备的剂量学重现性。在这项研究中,无肿瘤的成年雌性小鼠在两个机构接受 10Gy 全脑 FLASH 和 CONV 照射,并评估多个神经生物学终点的重现性和时间演变。
结果:在机构之间重现了行为表现(照射后 4 个月)和电生理长时程增强(LTP,照射后 5 个月)对新物体识别的 FLASH 保护。在海马神经发生(Sox2、双皮质素)、神经炎症(小胶质细胞激活)和电生理(LTP)等终点上,FLASH 和 CONV 之间的差异在早期(48 小时至 2 周)没有观察到,但 3 周时 FLASH 恢复的未成熟神经元更多。
结论:总之,我们在两个不同的机构和两个不同的光束之间展示了具有验证剂量学的大脑中可重现的 FLASH 保护效应。在评估的终点上,FLASH 保护效应表现出较晚但不是最早的时间点。
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