Mahmood U, Alfieri A A, Ballon D, Traganos F, Koutcher J A
Department of Medical Physics, Memorial Sloan Kettering Cancer Center, New York, NY 10021.
Cancer Res. 1995 Mar 15;55(6):1248-54.
Radiation-induced metabolic changes previously observed in tumors using phosphorus nuclear magnetic resonance spectroscopy include changes in the relative amounts of the phospholipid precursors phosphoethanolamine and phosphocholine, increases in membrane catabolites, and increases in energy status. To elucidate the degree to which these in vivo alterations are a result of intrinsic cellular changes versus radiation-induced systemic effects, the Radiation-Induced Fibrosarcoma-1 tumor model was studied before and over the course of 7 days after a single dose of 17 Gy. In vivo studies were performed with tumors implanted in C3H/He mice; in vitro studies used cells that were perfused in agarose gel threads after being grown, radiated, and maintained in monolayer. The statistically significant increases in the downfield component of the phosphomonoester peak, which consists primarily of phosphoethanolamine, compared to the upfield component, phosphocholine, were qualitatively similar in vivo and in vitro post radiation. Statistically significant increases in the membrane catabolite glycerophosphocholine, a phosphodiester, were also observed in both tumors and cell culture after irradiation, with a greater percentage change in vitro. This suggests that changes in the phosphomonoester and phosphodiester concentrations are primarily an intrinsic effect of radiation on cellular metabolism, modulated to a lesser degree by systemic effects. In contrast, the statistically significant increases in energy status after the 17-Gy dose showed markedly different temporal responses in the two systems. Therefore, energy status changes observed in vivo are due largely to systemic changes, such as changes in blood flow. Flow cytometry data obtained from the cultured cells showed a sustained increase in the G2-M fraction starting at 24 h, the first time point measured after irradiation, which continued for the 7 days studied post radiation. These data indicate that the in vivo changes detected by nuclear magnetic resonance in phospholipid precursors and catabolites occur directly at the cellular level and may reflect cell death or growth inhibition after antineoplastic therapy.
先前利用磷核磁共振波谱在肿瘤中观察到的辐射诱导代谢变化包括磷脂前体磷酸乙醇胺和磷酸胆碱相对含量的变化、膜分解代谢产物的增加以及能量状态的增加。为了阐明这些体内改变在多大程度上是内在细胞变化而非辐射诱导的全身效应的结果,在单次给予17 Gy剂量之前及之后的7天内,对辐射诱导纤维肉瘤-1肿瘤模型进行了研究。体内研究使用植入C3H/He小鼠体内的肿瘤;体外研究使用在单层培养、辐射并维持后灌注到琼脂糖凝胶线中的细胞。与上游成分磷酸胆碱相比,主要由磷酸乙醇胺组成的磷酸单酯峰的下游成分在辐射后体内和体外均有统计学显著增加,且定性相似。在照射后的肿瘤和细胞培养物中还观察到膜分解代谢产物甘油磷酸胆碱(一种磷酸二酯)有统计学显著增加,体外的变化百分比更大。这表明磷酸单酯和磷酸二酯浓度的变化主要是辐射对细胞代谢的内在效应,全身效应的调节作用较小。相比之下,17 Gy剂量后能量状态的统计学显著增加在两个系统中表现出明显不同的时间反应。因此,体内观察到的能量状态变化很大程度上归因于全身变化,如血流变化。从培养细胞获得的流式细胞术数据显示,从照射后测量的第一个时间点24小时开始,G2-M期细胞比例持续增加,并在辐射后研究的7天内持续存在。这些数据表明,通过核磁共振在磷脂前体和分解代谢产物中检测到的体内变化直接发生在细胞水平,可能反映了抗肿瘤治疗后的细胞死亡或生长抑制。