CHI Cui-ping,TIAN Rong,LIU Hui-fang,WANG Hai-yan,WEI Jin-ping,GUO Jian-ping,GUO Feng-ling,LI Shu-fang.Follow-up study of biological indicators in three accidently-exposed patients[J].Chinese Journal of Radiological Medicine and Protection,2013,33(5):480-483
Follow-up study of biological indicators in three accidently-exposed patients
Received:March 21, 2013  
DOI:10.3760/cma.j.issn.0254-5098.2013.05.006
KeyWords:Accidental exposure  Gene expression profile  CD4+/CD8+ ratio  Lymphocyte subpopulations  Albumin
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Author NameAffiliation
CHI Cui-ping China Institute for Radiation Protection, Taiyuan 030006, China 
TIAN Rong China Institute for Radiation Protection, Taiyuan 030006, China 
LIU Hui-fang China Institute for Radiation Protection, Taiyuan 030006, China 
WANG Hai-yan China Institute for Radiation Protection, Taiyuan 030006, China 
WEI Jin-ping China Institute for Radiation Protection, Taiyuan 030006, China 
GUO Jian-ping China Institute for Radiation Protection, Taiyuan 030006, China 
GUO Feng-ling China Institute for Radiation Protection, Taiyuan 030006, China 
LI Shu-fang China Institute for Radiation Protection, Taiyuan 030006, China 
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Abstract::
      Objective To identify the candidate biomarkers for early diagnosis or the therapeutic targets in late ionizing radiation injury by analyzing the lymphocyte subgroups, serum protein levels and gene expression profiles in the peripheral blood of three60Co γ-ray accidentally-exposed patients during three years after irradiation. Methods Flow cytometry and agarose gel electrophoresis were used to investigate lymphocyte subgroups and serum protein levels, respectively. Gene expression profiles were obtained by using whole genome gene expression chip assay. Results Three-years after irradiation, the percentage of CD4+ T lymphocytes declined and the percentage of CD8+ T lymphocytes increased so that the ratio of CD4+ to CD8+ decreased, meanwhile, the serum albumin level declined whereas beta globulin increased in the patient peripheral blood. In addition, the expressions of 285 genes were up-regulated while those of 446 genes were down-regulated in the irradiated patient samples, where the expressions of KDR, CEACAM8 and OSM were further confirmed by real-time RT-PCR. Conclusions The changes of the percentage of CD4+ T cells and the ratio of CD4+/CD8+ T cells in peripheral blood may be useful as biomarkers of late radiation injury.
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