低传能线密度质子辐照中肿瘤相对生物效应的评估
Assessment of Tumor Relative Biological Effectiveness in Low-LET Proton Irradiation.
作者信息
Lin Ying-Chun, Mo Jiamin, Lee Yuan-Hao
机构信息
Department of Radiation Oncology, China Medical University Hospital, Taichung 40402, Taiwan.
School of Medicine, College of Medicine, China Medical University, Taichung 40402, Taiwan.
出版信息
Biomedicines. 2025 Jul 25;13(8):1823. doi: 10.3390/biomedicines13081823.
: Within the range of spread-out Bragg peak (SOBP), LET (linear energy transfer) gradually increases from proton beam entrance point toward the beam exit direction. While it is expected that the change in LET would lead to correspondent change in RBE (relative biological effectiveness) on many human cell lines, the incomplete cell killing due to low LET can result in tumor recurrence. Hence, this study aimed to assess the RBE on different cancer cell lines along low-LET proton SOBP. : The clonogenicity of A549 and Panc-1 cells after irradiation was evaluated for investigating cell radiosensitivity in response to different types of radiation. The isoeffect doses of 6-MV photon and low-LET proton beams that resulted in equivalent cell surviving fractions at proton dose of 2 or 4 Gy were compared. : Ratios of α/β of A549 and Panc-1 cells from photon irradiation are 51.69 and -0.7747, respectively; RBE (2 Gy proton SOBP) on A549 and Panc-1 cells are 0.7403 ± 0.3324 and 1.0986 ± 0.3984, respectively. In addition, the change in RBE with proton LET was in a cell-specific and dose-dependent manner (LET-RBE linear correlations: A549 cells [ = 0.4673, = 0.2430] vs. Panc-1 cells at 4 Gy [ = 0.7085, = 0.0492]; Panc-1 cells at 2 Gy [ = -0.4123, = 0.3100] vs. 4 Gy [ = 0.7085, = 0.0492]). : Compared with A549 cells, Panc-1 cells present greater resistance to low-LET proton beams. In addition, currently employed generic RBE value at 1.1 for proton therapy neglected the variation in cell-/tumor-specific radiobiological responses toward different dose levels of proton beams.
在扩展布拉格峰(SOBP)范围内,传能线密度(LET)从质子束入射点向束流出口方向逐渐增加。虽然预计LET的变化会导致许多人类细胞系的相对生物学效应(RBE)发生相应变化,但低LET导致的细胞杀伤不完全可能导致肿瘤复发。因此,本研究旨在评估沿低LET质子SOBP对不同癌细胞系的RBE。:评估A549和Panc-1细胞照射后的克隆形成能力,以研究细胞对不同类型辐射的放射敏感性。比较了在质子剂量为2或4 Gy时导致等效细胞存活分数的6-MV光子和低LET质子束的等效应剂量。:光子照射下A549和Panc-1细胞的α/β比值分别为51.69和-0.7747;A549和Panc-1细胞上的RBE(2 Gy质子SOBP)分别为0.7403±0.3324和1.0986±0.3984。此外,RBE随质子LET的变化呈细胞特异性和剂量依赖性(LET-RBE线性相关性:4 Gy时A549细胞[r = 0.4673,p = 0.2430]与Panc-1细胞对比[r = 0.7085,p = 0.0492];2 Gy时Panc-1细胞[r = -0.4123,p = 0.3100]与4 Gy时对比[r = 0.7085,p = 0.0492])。:与A549细胞相比,Panc-1细胞对低LET质子束具有更大的抗性。此外,目前质子治疗中采用的通用RBE值1.1忽略了细胞/肿瘤对不同剂量水平质子束的放射生物学反应差异。
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