Elsevier

Surface Science

Volume 603, Issues 10–12, 1 June 2009, Pages 1953-1960
Surface Science

Advances in radiation biology: Radiosensitization in DNA and living cells

https://doi.org/10.1016/j.susc.2008.10.049Get rights and content

Abstract

One fundamental goal of radiation biology is the evolution of concepts and methods for the elaboration of new approaches and protocols for the treatment of cancers. In this context, the use of fast ions as ionizing particles offers the advantage of optimizing cell killing inside the tumor whilst preserving the surrounding healthy tissues. One extremely promising strategy investigated recently is the addition of radiosensitizers in the targeted tissue. The optimization of radiotherapy with fast ions implies a multidisciplinary approach to ionizing radiation effects on complex living systems, ranging from studies on single molecules to investigations of entire organisms.

In this article we review recent studies on ion induced damages in simple and complex biological systems, from DNA to living cells. The specific aspect of radiosensitization induced by metallic atoms is described. As a fundamental result, the addition of sensitizing compounds with ion irradiation may improve therapeutic index in cancer therapy. In conclusion, new perspectives are proposed based on the experience and contribution of different communities including Surface Sciences, to improve the development of radiation biology.

Introduction

Radiation biology concerns the understanding and control of the consequences of radiation exposure of living organisms. Different radiation sources and advanced techniques are used to explore various aspects of modern radiation biology and clinical applications in radiotherapy. It is widely accepted that the early spatial distribution of energy deposition following ionizing radiation action on biomolecular architectures is decisive for the prediction and control of damage in cells and tissues. A fundamental understanding of the basic mechanisms (see Scheme 1) underlying radiation damage in DNA and in living cells, ranging from the early stage processes over DNA lesions, cell signaling, genomic instability, and apoptosis should have in the near future many practical consequences.

Up to now, X-rays and accelerated electron beams are the standard ionizing radiations currently used for cancer radiotherapy applied to millions of patients around the world. It is generally easy to kill cells by application of ionizing radiation. The fundamental problem in radiation based cancer therapies is the optimization of the cell killing inside the tumor whilst at the same time preserving the surrounding healthy tissues. In this context, new protocols have been developed with the purpose of focusing and maximizing the energy deposition of the ionizing particles into the volume of the tumor. Here, one extremely promising strategy is the use of fast ions as ionizing particles. The implementation of radiation therapy using ions as ionizing particles is a quickly developing field of investigation. Even though they are still emerging techniques, proton and hadron therapies represent promising methods for the specific treatment of deeply seated tumors and radioresistant cancers [1], [2], [3]. The unique potential of this approach lies in the specific physical properties of fast atomic ions when penetrating matter. In particular, the variation of the Linear Energy Transfer (LET) of the incident particles with the penetration depth exhibits a strong enhancement at the end of the particle tracks (i.e. the Bragg peak). This characteristic property offers the advantage of delivering the dose into a relatively well-defined volume, making it possible to preserve the healthy tissue located around the solid tumor (Fig. 1).

Another possible strategy to enhance cell killing is the use of radiosensitizers, i.e. the administration of chemical or pharmacological agents to the tumor. Recently, the application of heavy metal loaded salts to DNA or living cells has been proposed for irradiation by either X-ray or γ-ray [4], [5]. Encouraging results have for instance been obtained in the treatment of gliomas at a preclinical level using a combination of chemotherapy with cis-platinum, and radiotherapy using monochromatic X-rays [6].

This article outlines a possible strategy to fulfill the understanding of radiation damage and in particular of radiosensitization mechanisms when fast ions are used as ionizing radiation. This research consists of a multidisciplinary activity with the contribution of groups exhibiting different scientific background, from physic (including Surface Science) to biology. These aspects are successively addressed in the paper.

In the first part, a study concerning the effects induced by the direct interaction of ions with DNA lyophilized at surfaces and irradiated in vacuum, is reported.

The second and third parts, introduce the basis concerning the effects of radiation and radiosensitization in biological conditions, on DNA and living cells, respectively. First, experiments of irradiation performed on DNA in solution, underline the role of water radicals in the degradation of biological molecules. Our work focuses on the radiosensitization induced by heavy metal compounds (platinum salts). In a second step, these effects are extrapolated to living cells. These preliminary results demonstrate clearly that the association of irradiation by fast ions with the addition of high-Z atom radiosensitizers is a very promising method for improving the treatments of cancer.

It is the aim of this article to show that a better understanding of the fundamental processes of ion induced radiation damage at a molecular level is a necessary step for the optimization of radiotherapy with fast ions. This new approach of the radiation biology emerges with the collaborative work of different communities. It therefore opens new perspectives in different disciplines. In the last section, some challenges are submitted to the Surface Science community in particular. As an end point, this research aims at the development of new concepts, protocols and methods for medical purposes.

Section snippets

Ion induced damage in lyophilized DNA

When living systems are exposed to ionizing radiation, damage in nuclear DNA is generally considered as the most dramatic effect for the cells [7], [8], [9], [10]. Induction of double strand breaks in the helix (DSB) is believed to be at the origin of the cell death induction. This DNA damage is expected to be dependent on the incident ionizing particles. In particular, it is known that atomic ion beams are more efficient than either X-rays or γ-rays to induce double strand breaks in cellular

Ion induced damage in hydrated DNA: radiosensitization

Fast ions are used as efficient ionizing particles in cancer treatments. The molecular effects of ions interacting with the biological matter are characterized in DNA solvated in Tris-EDTA (ethylenediaminetetraacetic acid) solution (see Scheme 4, Scheme 5). In these biological-like conditions, solvent mediated processes (indirect process), related to the production of water radicals are present (see Scheme 1) [23], [24]. A large number of studies can be found in the literature where

Ion induced damage in living cells: radiosensitization

These experiments aim at the assessment whether an enhancement of the death rate occurs upon exposure to fast atomic ions, when cells are loaded with platinum containing molecules. Experiments on living cells incubated with platinum salts have been performed. Thanks to the very low toxicity of the terpiridyne platinum chloride (PtTC), the specific role of platinum atoms in the induction of cells death could be investigated. The cell Surviving Fractions (SF) are reported in Fig. 7 for cells

Conclusions and perspectives

Radiation biology is a challenging and broad field of interdisciplinary research that benefits from the most recent progresses in physics, physical-chemistry, molecular biology, as well as genomic and proteomic. One challenge of radiation biology is the complete understanding of the fundamental spatio-temporal events triggered by an initial energy deposition inside confined clusters of ionization and evolving over several orders of magnitude, typically from femtosecond and sub-micrometric

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