CHEN Gang,MA Chuang,XU Wan-long,BAI Jing-ping.The biological effect of spinal intensity modulated radiation therapy on bone tissue at different doses in Beagles[J].Chinese Journal of Radiological Medicine and Protection,2013,33(4):368-372
The biological effect of spinal intensity modulated radiation therapy on bone tissue at different doses in Beagles
Received:January 15, 2013  
DOI:10.3760/cma.j.issn.0254-5098.2013.04.008
KeyWords:Intensity modulated radiation therapy  Spine  Apoptosis  Dose  Vascular endothelial growth factor
FundProject:国家自然科学基金(81060182);新疆维吾尔自治区科技支疆项目(2013911129);新疆维吾尔自治区自然科学基金(2012211B34)
Author NameAffiliationE-mail
CHEN Gang Department of Orthopaedic, First Affiliated Hospital, Xinjiang Medical University, Urumqi 830011, China  
MA Chuang Department of Orthopaedic, First Affiliated Hospital, Xinjiang Medical University, Urumqi 830011, China  
XU Wan-long 新疆自治区人民医院关节外科  
BAI Jing-ping 新疆医科大学附属肿瘤医院骨与软组织肿瘤科  
白靖平 新疆医科大学附属肿瘤医院骨与软组织肿瘤科 xjbonetumor@126.com 
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Abstract::
      Objective To explore a safe dose range of spinal IMRT by comparing the cell damage in Beagles at different dose levels. Methods Thirty Beagles were randomly divided into 5 groups. The Beagle clinical model of tumor was established in the ninth and tenth thoracic spine. The Beagles were subjected to IMRT with the total doses of 0, 40, 50, 60, 70 Gy, respectively. The samples of spine were taken out from the same locum of the ninth and tenth thoracic spine at 3 month after radiation. All the samples were observed by the hematoxylin-eosin staining, and the VEGF expression in spine was evaluated by immunohistochemistry. Terminal deoxynucleatidyl transferase mediated dUTP nick and labeling (TUNEL) technique was used to examine the apoptotic cells in the spine. Results The osteocytes in the spine showed reversible injury in 40 Gy group, and cell apoptosis in 50, 60, 70 Gy groups. Compared with 40 Gy group,the rates of lacuna were increased in 50, 60, 70 Gy groups(F=2.57, P<0.05),as well as the cell apoptotic rates(F=3.52, P<0.05) and the expression of VEGF (F=3.64, P<0.05), but there were no significant differences among 50, 60, 70 Gy groups (P>0.05). Conclusions The late radiotherapy response of the spine was obviously observed at 3 month after radiation, especially at 50 Gy.
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