RRC ID 83556
Author Nagano T, Matsuya Y, Kaida A, Nojima H, Furuta T, Sato K, Yoshimura R, Miura M.
Title In vitro and in silico study of biological effects on cancer cells in the presence of metallic materials during radiotherapy.
Journal J Radiat Res
Abstract X-ray therapy aims to eliminate tumours while minimizing side effects. Intense mucositis is sometimes induced when irradiating the oral cavity with a dental metal crown (DMC). However, the underlying mechanisms of such inducing radiosensitization by DMC remain uncertain. This study explored the radiosensitizing mechanisms around DMCs in an interdisciplinary approach with cell experiments and Monte Carlo simulation with the PHITS code. Clonogenic survival and nuclear 53BP1 foci of a cell line derived from cervical cancer cells (HeLa cells) were measured post-irradiation with therapeutic X-rays near high-Z materials such as Pb or Au plates, and the experimental sensitizer enhancement ratio (SER) was obtained. Meanwhile, the dose enhancement ratio (DER) and relative biological effectiveness for DNA damage yields were calculated using the PHITS code, by considering the corresponding experimental condition. The experiments show the experimental SER values for cell survival and 53BP1 foci near metals are 1.2-1.4, which agrees well with the calculated DER values. These suggest that the radiosensitizing effects near metal are predominantly attributed to the dose increase. In addition, as a preclinical evaluation, the spatial distributions of DER near DMC are calculated using Computed Tomography Digital Imaging and Communications in Medicine (CT-DICOM) data and a simple tooth model. As a result, the DER values evaluated using the CT-DICOM data were lower than those from a simple tooth model. These findings highlight the challenge of evaluating radiosensitizing effects near DMCs using Digital Imaging and Communications in Medicine (DICOM) images due to volume-averaging effects and emphasize the need for a high-resolution (<1 mm) dose assessment method unaffected by these effects.
Volume 65(5)
Pages 628-639
Published 2024-9-24
DOI 10.1093/jrr/rrae062
PII 7738501
PMID 39174316
PMC PMC11420842
MeSH Cell Survival* / radiation effects Computer Simulation* DNA Damage Dose-Response Relationship, Radiation HeLa Cells Humans Metals* / chemistry Monte Carlo Method Radiotherapy Tumor Suppressor p53-Binding Protein 1 / metabolism
IF 1.95
Resource
Human and Animal Cells HeLa/Fucci(SA)5#16(RCB4917)