质子超高剂量率效应在展宽布拉格峰处的验证研究

Verification Study on Biological Effect of Ultra-high Dose Rate Proton at Spread-out Bragg Peak

  • 摘要: 超高剂量率(FLASH)的辐照在临床实践上被认为具备正常组织保护效应,为更好地结合质子布拉格峰展宽与超高剂量率辐照两种优势技术,研究质子FLASH效应在展宽布拉格峰处是否有效,本研究利用中国原子能科学研究院的100 MeV质子对人正常肝细胞WRL68与人肝癌细胞Hep G2进行不同剂量率下的布拉格峰展宽辐照,并在不同的时间点后分别以CCK8法检测细胞增殖,以流式细胞术检测细胞周期阻滞与凋亡率,并用荧光法检测细胞中的活性氧(ROS)含量。结果表明,在展宽布拉格峰处同等辐照剂量下,质子FLASH照射大幅提高了正常肝细胞的增殖活力,降低了细胞凋亡率;对于肝癌细胞,质子FLASH照射降低了细胞增殖活力,细胞凋亡率显著升高;在周期阻滞模式方面,常规剂量率辐照更易引起严重的G2/M期阻滞,而FLASH辐照在早期表现为S期阻滞,其后随时间向G2/M期阻滞转移,肝癌细胞相较于正常细胞转移更迟;在FLASH照射下,两细胞中的ROS含量均表现为随时间振荡的变化趋势,而常规剂量率下则呈现随时间下降的趋势。以上结果表明,FLASH的正常组织保护效应在质子展宽布拉格峰区依然有效,同时维持了癌细胞杀伤效能,其作用机制可能与ROS含量的振荡变化相关,相关的信号通路可能包括p53等。研究在细胞层次证实了质子FLASH技术在展宽布拉格峰辐照模式下仍极具临床应用潜力。

     

    Abstract: Proton irradiation with an ultra-high dose rate, known as FLASH, is considered to have a protective effect on normal tissues in clinical practice. To better combine the advantageous technologies of spread-out Bragg peak (SOBP) and ultra-high dose rate irradiation, and to verify whether the proton FLASH effect is effective at the SOBP, 100 MeV protons from the China Institute of Atomic Energy were utilized to conduct SOBP irradiation on human normal liver cells WRL68 and human hepatocellular carcinoma cells Hep G2 at different dose rates. By adjusting the flow intensity of the particle beam output by the accelerator, the conventional dose rate was 0.8 Gy/min, while the FLASH dose rate was 40 Gy/s. At various time points post-irradiation, the CCK8 method was employed to detect cell proliferation, flow cytometry was used to assess cell cycle arrest and apoptosis rate, and the fluorescence method was utilized to measure the content of reactive oxygen species (ROS) in different cells. The experimental results indicate that, at the same irradiation dose at the spread-out Bragg peak, proton FLASH irradiation significantly increases the proliferation activity of normal liver cells and reduces the apoptosis rate. Conversely, for hepatocellular carcinoma cells, proton FLASH irradiation decreases cell proliferation activity and significantly increases the apoptosis rate. Regarding the cell cycle arrest pattern, irradiation at the conventional dose rate is more likely to cause severe G2/M phase arrest, whereas FLASH irradiation exhibites S phase arrest initially, which then shiftes to G2/M phase arrest over time. This shift occurres later in hepatocellular carcinoma cells compared to normal cells. Under FLASH irradiation, the ROS content in both types of cells exhibites an oscillatory trend over time, whereas under the conventional dose rate, it shows a decreasing trend over time. These findings suggest that the protective effect of FLASH on normal tissues remains effective in the region of the SOBP of protons, and it maintains nearly equivalent efficacy in eliminating cancer cells. It also broadens the window of differential responses of the two types of cells over time, which is of great significance in clinical treatment. When combined with the analysis of biological effect indicators, its mechanism of action may be related to the oscillatory changes in the ROS content. The relevant signaling pathways include p53 and others. This study confirms that the proton FLASH irradiation still holds great potential for clinical application in the irradiation mode of the SOBP at the cellular level.

     

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