Stone H B
Int J Radiat Oncol Biol Phys. 1984 Jul;10(7):1053-61. doi: 10.1016/0360-3016(84)90177-9.
Leg contracture, defined as the difference in extensibility of the control and irradiated hind legs of mice, was found to correlate with single doses of radiation from about 20 to 80 Gy. The time of development of the early phase of the response coincided with that reported for the appearance of the acute skin response, and in some cases, partially reversed as this reaction healed. The contracture then progressed again at a moderate rate through 90 days, and then more slowly through one year. Skin contraction, measured by decrease in intertattoo distance, was assayed in the same mice. It followed the same time course as leg contracture, but had a different dose-response relationship. Maximal contraction occurred following doses of 30 Gy or more, reaching this level sooner following higher doses. The early reactions in individual mice were not reliable in predicting late response for either assay. To determine the contribution of skin contraction to the overall leg contracture response, mice were sacrificed and the leg contracture measured before and after the removal of the skin of the leg. After doses of up to 30 Gy, little contracture remained from skinning the leg, indicating that skin contraction was largely responsible for leg contracture in this dose range. After doses of about 45 Gy and above, some contracture remained in the skinned legs, although less than in intact legs. This indicated that injury to the deeper tissues of the leg as well as to the skin was responsible for contracture at these higher doses. There was little or no enhancement of either skin contraction or leg contracture by the hypoxic cell sensitizers metronidazole or misonidazole.
腿部挛缩被定义为小鼠对照后腿与受照射后腿伸展性的差异,发现其与约20至80 Gy的单次辐射剂量相关。反应早期阶段的发展时间与报道的急性皮肤反应出现时间一致,在某些情况下,随着这种反应的愈合会部分逆转。然后挛缩在90天内以中等速度再次进展,之后在一年中进展更为缓慢。通过测量纹身间距减小来测定同一小鼠的皮肤收缩情况。它与腿部挛缩遵循相同的时间进程,但具有不同的剂量反应关系。30 Gy或更高剂量后出现最大收缩,更高剂量后更快达到这一水平。对于这两种测定,个体小鼠的早期反应在预测晚期反应方面并不可靠。为了确定皮肤收缩对整体腿部挛缩反应的贡献,处死小鼠并在去除腿部皮肤前后测量腿部挛缩。高达30 Gy剂量后,腿部去皮后几乎没有剩余挛缩,表明在该剂量范围内皮肤收缩在很大程度上导致了腿部挛缩。约45 Gy及以上剂量后,去皮腿部仍有一些挛缩,尽管比完整腿部少。这表明在这些较高剂量下,腿部深层组织以及皮肤的损伤导致了挛缩。缺氧细胞增敏剂甲硝唑或米索硝唑对皮肤收缩或腿部挛缩几乎没有增强作用。