Issues journals

Medical Radiology and Radiation Safety. 2025. Vol. 70. № 5

DOI:10.33266/1024-6177-2025-70-5-5-10

S.M. Rodneva, L.P. Sycheva, D.V. Guryev

Cytogenetic Effects In Mammalian Cells Exposed To Tritium Compounds

A.I. Burnazyan Federal Medical Biophysical Center, Moscow, Russia

Contact person: Sofya Mikhailovna Rodneva, e-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

 

CONTENT

 

Introduction

1. Induction of chromosomal aberrations in stimulated and unstimulated human peripheral blood lymphocytes by exposure to tritiated water (HTO);

2. Induction of micronuclei in peripheral blood lymphocytes when exposed to tritium

3. Assessment of the relative biological effectiveness of tritium in cytogenetic studies 

Conclusion

Keywords: tritium, chromosomal aberrations, lymphocytes, micronuclei, RBE

For citation: Rodneva SM, Sycheva LP, Guryev DV. Cytogenetic Effects In Mammalian Cells Exposed To Tritium Compounds. Medical Radiology and Radiation Safety. 2025;70(5):5–10. (In Russian). DOI:10.33266/1024-6177-2025-70-5-5-10

 

References

1. Gueguen Y., Priest N.D., Dublineau I., Bannister L., Benderitter M., Durand C., et al. in Vivo Animal Studies Help Achieve International Consensus on Standards and Guidelines for Health Risk Estimates for Chronic Exposure to Low Levels of Tritium in Drinking Water. Environ Mol Mutagen. 2018;59;7:586-94. doi: 10.1002/EM.22200. PMID: 30151952.

2. Tanaka К., Sawada S., Kamada N. Relative Biological Effectiveness and Dose Rate Effect of Tritiatcd Water on Chromosomes in Human Lymphocytes and Bone Marrow Cells. Mutat Res. 1994;323;1-2:53-61. doi: 10.1016/0165-7992(94)90045-0. PMID: 7508567.

3. Bocian E., Ziemb-Zak В., Rosiek О., Sablinski J. Chromosome Aberrations in Human Lymphocytes Exposed to Tritiated Water in Vitro. Curr Top Radiat Res Q. 1978;12;1-4:168-81. PMID: 639545.

4. Prosser J.S., Lloyd D.C., Edwards A.A., Stather J.W. The Introduction of Chromosome Aberrations in Human Lymphocytes by Exposure to Tritiated Water in Vitro. Radiat Prot Dosim. 1983;4;1:21-26. doi: 10.1093/oxfordjournals.rpd.a081989.

5. Vulpis N. The Induction of Chromosome Aberrations in Human Lymphocytes by in Vitro Irradiation with Beta Particles from Tritiated Water. Radiat Res. 1984;97;3:511-18. doi: 10.2307/3576141. PMID: 6729027.

6. Balakrishnan S., Rao B.S. Cytogenetic Effects of Tritiated Water (НТО) in Human Peripheral Blood Lymphocytes in Vitro. Int J Hum Genet. 2004;4:237-42. doi: 10.1080/09723757.2004.11885900.

7. Snigireva G., Khaimovich T., Nagiba V. Estimation of Relative Biological Effectiveness of Tritium According to Chromosome Aberration Frequency in Human Blood Lymphocytes. Biophysics. 2011;56:364-70. doi: 10.1134/S0006350911020291.

8. Deng B., Hou J., Quan Yi., Dong L., Tan Z. Cytogenetic Effects of Low-Dose Tritiated Water in Human Peripheral Blood Lymphocytes – Experimental Studies on the Relative Biological Effectiveness and Chromosome Aberration Rate and CBMN in Human Blood Lymphocyte Irradiated by Tritium Low Dose Tritium β-Rays and 60Co γ-Rays. Open Journal of Clinical Diagnostics. 2015;5;4:125-35. doi: 10.4236/ojcd.2015.54021.

9. Scarpa G., Vulpis N., De Santis M.E., Vulpis G.  The Dose Absorbed by Lymphocytes Irradiated in Vitro with Tritiated Water. Phys Med Biol. 1981;26:1137-44. doi: 10.1088/0031-9155/26/6/012. PMID: 7323151.

10. Dewey W.C., Humphrey R.M., Jones B.A. Comparisons of Tritiated Thymidine, Tritiated Water, and Cobalt-60 Gamma Rays in Inducing Chromosomal Aberrations. Rad Res. 1965;24;2:214-38. doi: 10.2307/3571572. PMID: 14282679.

11. Bond V.P., Feinendegen L.E. Intranuclear 3H-Thymidine: Dosimetric Radiological and Radiation Protection Aspects. Health Phys. 1966;12;8:1007-20. doi: 10.1097/00004032-196608000-00002. PMID: 5338817.

12. Brewen J.G., Olivieli G. The Kinetics of Chromatid Aberrations Induced in Chinese Hamster Cells by Tritium-Labeled Thymidine. Radiat Res. 1966;28:779-92. PMID: 5920291.

13. Wang H.C., Fedoroff S. The Effect of Tritiated Thymidine on Human Chromosomes in Vitro. 1971;7;2:74-9. URL: https://www.jstor.org/stable/4291586.

14. Hori Т.A., Nakai S. Unusual Dose-Response of Chromosome Aberrations Induced in Human Lymphocytes by Very Low Dose Exposure to Tritium. Mutation Res. 1978;50;1:101-10. doi: 10.1016/0027-5107(78)90065-9; PMID: 642962.

15. Huang С., Ninan T., Petricciani С. Extensive Chromosome Aberrations Caused by [3H] Thymidine Incorporation in a Diploid Monkey Cell Line DBS-FRhL-2.  In Vitro. 1975;11;4:234-8. doi: 10.1007/BF02616339. PMID: 1176159.

16. Ueno A.М., Furuno-Fukushi I., Matsudaira H. Induction of Cell Killing, Micronuclei, and Mutation to 6-Thioguanine Resistance after Exposure to Low-Dose-Rate Gamma Rays and Tritiated Water in Cultured Mammalian Cells (L5178Y). Radiat Res. 1982;91;3:447-56. doi: 10.2307/3575884. PMID: 7122826.

17. Muller W.U., Streffer C., Molls M., et al. Radiotoxicities of [3H]Thymidine and of [3H]Arginine Compared in Mouse Embryos in Vitro. Radiat Res. 1987;110;2:192-8. doi: 10.2307/3576898. PMID: 3575650.

18. Straume T., Carsten A.L. Tritium Radiobiology and Relative Biological Effectiveness. Health Physics. 1993;65;6:657-72. doi: 10.1097/00004032-199312000-00005. PMID: 8244712.

19. Little M.P., Lambert B.E. Systematic Review of Experimental Studies of Relative Biological Effectiveness of Tritium. Rad Environm Bioph. 2008;47;1:71-93. doi: 10.1007/s00411-007-0143-y. PMID: 18071729.

20. CNSC. Tritium Studies Project Synthesis Report. Canadian Nuclear Safety Commission, 2011. INFO-0800. Revision 1. URL: https://www.nrc.gov/docs/ML1029/ML102990116.pdf.

21. UNSCEAR. Sources, Effects and Risks of Ionizing Radiation. United Nations Scientific Committee on the Effects of Atomic Radiation. UNSCEAR 2016. Report to the General Assembly, with Scientific Annexes. Annex C, Biological Effects of Selected Internal Emitters – Tritium. United Nations, New York. URL: https://www.unscear.org/unscear/en/publications/2016.html.

22. Chopra C., Heddle J.A. Cytogenetic Measurements of the Relative Biological Effectiveness of Tritium. A Research Report Prepared for the Atomic Energy Control Board. Ottawa, Canada INFO-0287, 1988. URL: https://inis.iaea.org/collection/NCLCollectionStore/_Public/22/068/22068753.pdf.  

 

 

 PDF (RUS) Full-text article (in Russian)

 

Conflict of interest. The authors declare no conflict of interest.

Financing. The study was carried out within the framework of the state contract, No. H.2z.217.08.24.2199, research topic «Zalp».

Contribution. Article was prepared with equal participation of the authors.

Article received: 20.05.2025. Accepted for publication: 25.06.2025.

 

 

Medical Radiology and Radiation Safety. 2025. Vol. 70. № 5

DOI:10.33266/1024-6177-2025-70-5-11-17

E.A. Mysina, D.D. Kolmanovich, N.R. Popova, B.A. Bokl, 
N.A. Pivovarov, N.N. Chukavin, I.V. Savintseva, D.A. Vinnik, A.L. Popov

3D Cell Spheroid as a Relevant Experimental Model for Screening Potential Nanoradiosensitizers

Institute of Theoretical and Experimental Biophysics, Pushchino, Russia

Contact person: A.L. Popov, e-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

 

Abstract

Purpose: Cell monolayer (2D culture) has been used to screen biological activity of various biomolecules, nanoconjugates, and other therapeutic agents. However, 2D cell culture cannot fully imitate real physiological structures and states of the human body, in particular, the organization and microenvironment of a solid tumor. This imposes significant limitations on current translational studies of the biological effect of new therapeutic drugs and approaches to tumor radiation therapy. To overcome these limitations, models based on 3D cell spheroids are developed and put into practice. These models allow the most reliable imitation of the structure and state of a solid tumor, including the formation of 3D intercellular matrix, characteristic zonation, and corresponding gene expression.

Purpose of the investigation: To create an experimental model of a 3D spheroid formed on the basis of mouse breast cancer cells EMT6/P line and validate the model under X-ray exposure for screening potential nanoradiosensitizers.

Material and methods: The EMT6/P cell line (mouse carcinoma) was used to form a 3D cell spheroid and evaluate the biological effect of X-ray radiation on it. Cell spheroids were prepared using the "hanging drop" method. An RUT-15 X-ray machine was used to irradiate the spheroids. The radiation doses varied from 0 to 10 Gy. After irradiation, cell viability was analyzed by flow cytometry. Staining was performed with a set of fluorescent dyes Annexin V-FITC/propidium iodide. The migration activity of irradiated spheroid cells was assessed by confluent analysis after transferring the spheroid to adhesive plastic.

Results: A dose-dependent decrease in cell migration activity was shown after X-ray irradiation in the dose range of 1–10 Gy. It has been established that doses of 6–8 Gy are optimal for the analysis of potential radiosensitizers by assessing the migration activity of cells. Using citrate-stabilized cerium oxide (CeO2) nanoparticles as an example, the possibility of using this model for rapid screening of nanomaterials with radiosensitizing action is demonstrated.

Conclusion: A method for forming 3D cell spheroids from EMT6/P cells has been developed and validated. The optimal dose of X-ray irradiation of the resulting cell spheroid has been selected for rapid screening of potential radiosensitizers. The functionality and reproducibility of the developed experimental model have been confirmed.

Keywords: 3D cell spheroid, solid tumor model, X-ray irradiation, radiosensitization

For citation: Mysina EA, Kolmanovich DD, Popova NR, Bokl BA, Pivovarov NA, Chukavin NN, Savintseva IV, Vinnik DA, Popov AL. 3D Cell Spheroid as a Relevant Experimental Model for Screening Potential Nanoradiosensitizers. Medical Radiology and Radiation Safety. 2025;70(5):11–17. (In Russian). DOI:10.33266/1024-6177-2025-70-5-11-17

 

References

1. Sung H., Ferlay J., Siegel R.L., Laversanne M., Soerjomataram I., Jemal A., Bray F. Global Cancer Statistics 2020: Globocan Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA. A Cancer Journal for Clinicians. 2021. Vol. 71. Global Cancer Statistics 2020;3:209-249.

2. Kapałczyńska M., Kolenda T., Przybyła W., Zajączkowska M., Teresiak A., Filas V., Ibbs M., Bliźniak R., Łuczewski Ł., Lamperska K. 2D and 3D Cell Cultures - a Comparison of Different Types of Cancer Cell Cultures. Archives of Medical Science: AMS. 2018;14;4:910-919.

3. Zhang C., Sui Y., Liu S., Yang M. In Vitro and in Vivo Experimental Models for Cancer Immunotherapy Study. Current Research in Biotechnology. 2024;7:100210.

4. Baker B.M., Chen C.S. Deconstructing the Third Dimension ‒ How 3D Culture Microenvironments Alter Cellular Cues. Journal of Cell Science. 2012;125;13:3015-24. doi: 10.1242/jcs.079509. 

5. Gunti S., Hoke A.T.K., Vu K.P., London N.R. Organoid and Spheroid Tumor Models: Techniques and Applications. Cancers. 2021;13;4:874. doi: 10.3390/cancers13040874

6. Rofstad E.K. Growth and Radiosensitivity of Malignant Melanoma Multicellular Spheroids Initiated Directly from Surgical Specimens of Tumours in Man. British Journal of Cancer. 1987; 54;4:569-578.

7. Rofstad E.K., Wahl A., Brustad T. Radiation Response of Human Melanoma Multicellular Spheroids Measured as Single Cell Survival, Growth Delay, and Spheroid Cure: Comparisons with the Parent Tumor Xenograft. International Journal of Radiation Oncology*Biology*Physics. 1986;
12;6:975-982.

8. Wheldon T.E., Livingstone A., Wilson L., O’Donoghue J., Gregor A. The Radiosensitivity of Human Neuroblastoma Cells Estimated from Regrowth Curves of Multicellular Tumour Spheroids. The British Journal of Radiology. 1985;58;691:661-664.

9. Wei Q., Xu W., Han M., Dong Q., Fu Z., Diao, Liu H., Xu J., Jiang H., Zheng S., Gao J.-Q., Jiang H. Doxorubicin-Mediated Radiosensitivity in Multicellular Spheroids from a Lung Cancer Cell Line is Enhanced by Composite Micelle Encapsulation. International Journal of Nanomedicine. 2012;7:2661-2671.

10. Brüningk S.C., Rivens I., Box C., Oelfke U., Ter Haar G. 3D Tumour Spheroids for the Prediction of the Effects of Radiation and Hyperthermia Treatments. Scientific Reports. 2020;10;1:1653.

11. Bromma K., Beckham W., Chithrani D.B. Utilizing Two-Dimensional Monolayer and Three-Dimensional Spheroids to Enhance Radiotherapeutic Potential by Combining Gold Nanoparticles and Docetaxel. Cancer Nanotechnology. 2023;14;1:80.

12. Higashi Y., Matsumoto K., Saitoh H., Shiro A., Ma Y., Laird M., Chinnathambi S., Birault A., Doan T.L.H., Yasuda R., Tajima T., Kawachi T., Tamanoi F. Iodine Containing Porous Organosilica Nanoparticles Trigger Tumor Spheroids Destruction Upon Monochromatic X-Ray Irradiation: DNA Breaks and K-Edge Energy X-Ray. Scientific Reports. 2021;11;1:14192.

13. Tang J.L.Y., Moonshi S.S., Ta H.T. Nanoceria: an Innovative Strategy for Cancer Treatment. Cellular and Molecular Life Sciences: CMLS. 2023;80;2:46.

14. Ivanova O.S., Shekunova T.O., Ivanov V.K., Shcherbakov A.B., Popov A.L., Davydova G.A., Selezneva I.I., Kopitsa G.P., Tret’yakov Yu.D. One-Stage Synthesis of Ceria Colloid Solutions for Biomedical Use. Doklady Chemistry. 2011;437;2:103-106.

15. Li Y.Q., Guo Y.P., Jay V., Stewart P.A., Wong C.S. Time Course of Radiation-Induced Apoptosis in the Adult Rat Spinal Cord. Radiotherapy and Oncology. 1996;39;1:35-42.

16. Zamyatina E.A., Goryacheva O.A., Popov A.L., Popova N.R. Novel Pyrroloquinoline Quinone-Modified Cerium Oxide Nanoparticles and Their Selective Cytotoxicity Under X-Ray Irradiation. Antioxidants. 2024;13;12:1445.

17. Mysina E., Vinnik D., Pivovarov N., Popova N., Chukavin N., Popov A. Nanoceria Inhibit the Cell Migration from 3D Tumor Spheroid Formed From 4T1 Human Breast Cancer Cells. Biology and Life Sciences, 2025;16;2 (Print).

18. Hirschhaeuser F., Menne H., Dittfeld C., West J., Mueller-Klieser W., Kunz-Schughart L.A. Multicellular Tumor Spheroids: An Underestimated Tool is Catching up Again. Journal of Biotechnology. 2010;148;1:3-15.

19. Wojtkowiak J.W., Verduzco D., Schramm K.J., Gillies R.J. Drug Resistance and Cellular Adaptation to Tumor Acidic PH Microenvironment. Molecular Pharmaceutics. 2011;8;6:2032-2038.

20. West C.M., Sutherland R.M. The Radiation Response of a Human Colon Adenocarcinoma Grown in Monolayer, as Spheroids, and in Nude Mice. Radiation Research. 1987;112;1:105-115.

21. Schwachöfer J.H.M., Hoogenhout J., Kal H.B. The Radiation Response of a Human Lung Adenocarcinoma Grown in Monolayer, as Spheroids, and in Nude Mice. Lung Cancer. 1991;7;4:213-223.

22. Kornienko A.I., Teplonogova M.A., Shevelyova M.P., Popkov M.A., Popov A.L., Ivanov V.E., Popova N.R. Novel Flavin Mononucleotide-Functionalized Cerium Fluoride Nanoparticles for Selective Enhanced X-Ray-Induced Photodynamic Therapy. Journal of Functional Biomaterials. 2024;15;12:373.

23. Kolmanovich D.D., Romanov M.V., Khaustov S.A., Ivanov V.K., Shemyakov A.E., Chukavin N.N., Popov A.L. Proton Beam-Induced Radiosensitizing Effect of Ce0.8Gd0.2O2-x Nanoparticles Against Melanoma Cells in Vitro. Nanosystems: Physics, Chemistry, Mathematics. 2024;15;5:675-682.

 

 

 PDF (RUS) Full-text article (in Russian)

 

Conflict of interest. The authors declare no conflict of interest.

Financing. The article was prepared as part of the RSCF grant No 22-73-10231, https://rscf.ru/project/22-73-10231/.

Contribution. E.A. Mysina – work with spheroids (cultivation, irradiation, viability analysis), D.D. Kolmanovich – flow cytometry and data analysis, N.R. Popova – scientific text editing, B.A. Bokle – collection and analysis of literary material, N.A. Pivovarov– collection and analysis of literary material, N.N. Chukavin – scientific text editing, I.V. Savintseva– cell culture, D.A. Vinnik – spheroid irradiation, A.L. Popov – research design development, scientific guidance.

Article received: 20.05.2025. Accepted for publication: 25.06.2025.

 

Medical Radiology and Radiation Safety. 2025. Vol. 70. № 5

DOI:10.33266/1024-6177-2025-70-5-23-27

M.A. Ignatov1, 2, A.K. Chigasova1, 2, 3, A.A. Osipov2, N.Yu. Vorobyeva1, 2,
Yu.A. Fedotov1, 2, Dn.M. Alekseev1, T.I. Gimadova1, А.N. Bashkov1,
Yu.D. Udalov1,  A.N. Osipov1, 2 

Changes in the Number of Dna Repair Protein Foci in Tomography-Irradiated Human Mesenchymal Stem Cells

1 A.I. Burnazyan Federal Medical Biophysical Center, Moscow, Russia

2 N.N. Semenov Federal Research Center for Chemical Physics, Moscow, Russia 

3 Institute of Biochemical Physics, Moscow, Russia

Contact person: A.N. Osipov, e-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

 

Abstract

Purpose: Comparative analysis of changes in the number of γH2AX, 53BP1 and pATM foci in human mesenchymal stem/stromal cells (MSCs) after irradiation during single and five-time sequential computed tomography (CT). Additionally, as a positive control, changes in these parameters were studied after irradiation of cells using an X-ray machine at a dose of 2000 mGy.

Material and methods: A primary culture of human MSCs was obtained from the collection of BioloT LLC (Russia). A TOSHIBA AQUILION 64 computed tomograph (Japan) was used for cell irradiation. Dosimetric monitoring was carried out using the thermoluminescent method with aluminophosphate dosimeters and magnesium borate-based dosimeters. For comparative studies and obtaining a positive control, a RUST-M1 X-ray biological unit (Russia) equipped with two X-ray emitters (dose 2000 mGy, dose rate 0.85 Gy/min) was used. Immunocytochemical staining using antibodies to γH2AX, 53BP1 and pATM was used for quantitative assessment of γH2AX, 53BP1 and pATM foci. Statistical significance was assessed using analysis of variance (ANOVA).

Results: The studies showed that irradiation of MSCs during CT (absorbed doses during single CT approximetly 88 mGy) causes a statistically significant increase in the number of foci of the proteins γH2AX, 53BP1 and pATM, recorded 0.5 h after irradiation. However, no statistically significant increase in the number of residual γH2AX, 53BP1 and pATM foci was observed 24 h after irradiation compared to the control values. In general, a comprehensive assessment of the number of γH2AX, 53BP1 and pATM protein foci can be recommended for early biodosimetry of irradiation during CT.

Keywords: computed tomography, x-ray radiation, low doses, mesenchymal stem cells, DNA repair, γH2AX, 53BP1, pATM

For citation: Ignatov MA, Chigasova AK, Osipov AA, Vorobyeva NYu, Fedotov YuA, Alekseev DnM, Gimadova TI, Bashkov АN, Udalov YuD, Osipov AN. Changes in the Number of Dna Repair Protein Foci in Tomography-Irradiated Human Mesenchymal Stem Cells. Medical Radiology and Radiation Safety. 2025;70(5):23–27. (In Russian). DOI:10.33266/1024-6177-2025-70-5-23-27

 

References

1. Han M.A., Kim J.H. Diagnostic X-Ray Exposure and Thyroid Cancer Risk: Systematic Review and Meta-Analysis. Thyroid. 2018;28;2:220-8. doi: 10.1089/thy.2017.0159.

2. Krille L., Dreger S., Schindel R, Albrecht T, Asmussen M, Barkhausen J, et al. Risk of Cancer Incidence before the Age of 15 Years after Exposure to Ionising Radiation from Computed Tomography: Results from a German Cohort Study. Radiat Environ Biophys. 2015;54;1:1-12. doi: 10.1007/s00411-014-0580-3.

3. Kim E.E., Cenzer I., Graham F.J., Kang J., Lee S.J., Rustagi A.S. Time to Benefit for Lung Cancer Screening: a Systematic Review and Survival Meta-Analysis. Am J Prev Med. 2025:107736. doi: 10.1016/j.amepre.2025.107736.

4. Ostrowski M., Marjanski T., Rzyman W. Low-Dose Computed Tomography Screening Reduces Lung Cancer Mortality. Adv Med Sci. 2018;63;2:230-6. doi: 10.1016/j.advms.2017.12.002.

5. Bushmanov A., Vorobyeva N., Molodtsova D., Osipov A.N. Utilization of DNA Double-Strand Breaks for Biodosimetry of Ionizing Radiation Exposure. Environmental Advances. 2022:8. doi: 10.1016/j.envadv.2022.100207.

6. Mah L.J., El-Osta A., Karagiannis T.C. Gamma H2ax: a Sensitive Molecular Marker of DNA Damage and Repair. Leukemia. 2010;24;4:679-86. doi: 10.1038/leu.2010.6.

7. Pustovalova M.V., Nekrasov V.D., Andreev E.V., Fadeikina I.N., Leonov S.V., Nechaev A.N., et al. Synthesized Using β-Cyclodextrin Silver and Gold Nanoparticles as Radiosensitizers in Breast Cancer Radiotherapy. Medical Radiology and Radiation Safety. 2025;70;2:35-9. doi: 10.33266/1024-6177-2025-70-2-35-39.

8. Jakl L., Markova E., Kolarikova L., Belyaev I. Biodosimetry of Low Dose Ionizing Radiation Using DNA Repair Foci in Human Lymphocytes. Genes (Basel). 2020;11:1. doi: 10.3390/genes11010058.

9. Płódowska M., Krakowiak W., Węgierek-Ciuk A., Lankoff A., Szary K., Lis K., et al. Hypothermia Differentially Modulates the Formation and Decay of NBS1, γH2AX and 53BP1 Foci in U2OS Cells Exposed to Gamma Radiation. Scientific Reports. 2022;12:1. doi: 10.1038/s41598-022-09829-y.

10. Osipov A., Chigasova A., Yashkina E., Ignatov M., Vorobyeva N., Zyuzikov N., et al. Early and Late Effects of Low-Dose X-ray Exposure in Human Fibroblasts: DNA Repair Foci, Proliferation, Autophagy, and Senescence. International Journal of Molecular Sciences. 2024;25:15. doi: 10.3390/ijms25158253.

11. Chigasova A.K., Pustovalova M.V., Osipov A.A., Korneva S.A., Eremin P.S., Yashkina E.I., et al. Post-Radiation Changes in The Number of Phosphorylated H2ax and Atm Protein Foci in Low Dose X-Ray Irradiated Human Mesenchymal Stem Cells. Medical Radiology and Radiation Safety. 2024;69;1:15-9. doi: 10.33266/1024-6177-2024-69-1-15-19.

12. Korneva S.A., Chigasova A.K., Osipov A.A., Ignatov M.A., Vorobyova N.Y., Saburov V.O., et al. Post-Irradiation Changes in the Number of γH2ax and Patm Protein Foci in Human Mesenchymal Stem Cells Irradiated with 14.1 MeV Neutrons. Medical Radiology and Radiation Safety. 2025;70;3:11-5. doi: 10.33266/1024-6177-2025-70-3-11-15.

13. Osipov A.A., Chigasova A.K., Yashkina E.I., Ignatov M.A., Vorobyеva N.Y., Osipov A.N. Link between Cellular Senescence and Changes in The Number and Size of Phosphorylated Histone H2ax Foci in Irradiated Human Fibroblasts. Medical Radiology and Radiation Safety. 2024;69;3:13-8. doi: 10.33266/1024-6177-2024-69-3-13-18.

14. Noubissi F.K., McBride A.A., Leppert H.G., Millet L.J., Wang X., Davern S.M. Detection and Quantification of Gamma-H2AX Using a Dissociation Enhanced Lanthanide Fluorescence Immunoassay. Sci Rep. 2021;11;1:8945. doi: 10.1038/s41598-021-88296-3.

15. Prabhu K.S., Kuttikrishnan S., Ahmad N., Habeeba U., Mariyam Z., Suleman M., et al. H2AX: A Key Player in DNA Damage Response and a Promising Target for Cancer Therapy. Biomed Pharmacother. 2024;175:116663. doi: 10.1016/j.biopha.2024.116663.

16. Rass E., Willaume S., Bertrand P. 53BP1: Keeping it Under Control, Even at a Distance from DNA Damage. Genes (Basel). 2022;13:12. doi: 10.3390/genes13122390.

17. Lei T., Du S., Peng Z., Chen L. Multifaceted Regulation and Functions of 53BP1 in NHEJ‑Mediated DSB Repair (Review). Int J Mol Med. 2022;50:1. doi: 10.3892/ijmm.2022.5145.

18. Bartova E., Legartova S., Dundr M., Suchankova J. A Role of the 53BP1 Protein in Genome Protection: Structural and Functional Characteristics of 53BP1-Dependent DNA Repair. Aging (Albany NY). 2019;11;8:2488-511. doi: 10.18632/aging.101917.

19. Shibata A., Jeggo P.A. ATM’s Role in the Repair of DNA Double-Strand Breaks. Genes (Basel). 2021;12:9. doi: 10.3390/genes12091370.

20. Marechal A., Zou L. DNA Damage Sensing by the ATM and ATR Kinases. Cold Spring Harb Perspect Biol. 2013;5:9. doi: 10.1101/cshperspect.a012716.

21. Phan L.M., Rezaeian A.H. ATM: Main Features, Signaling Pathways, and Its Diverse Roles in DNA Damage Response, Tumor Suppression, and Cancer Development. Genes (Basel). 2021;12:6. doi: 10.3390/genes12060845.

22. Osipov A., Chigasova A., Belov O., Yashkina E., Ignatov M., Fedotov Y., et al. Dose Threshold for Residual γH2AX, 53BP1, pATM and p-p53 (Ser-15) Foci in X-ray Irradiated Human Fibroblasts. International Journal of Radiation Biology. 2025;101;3:254-63. doi: 10.1080/09553002.2024.2445581.

23. Gimadova T.I., Keirim-Markus I.B. Experience in Individual Skin Dosimetry at Workplaces and Associated Problems. Radiation Protection Dosimetry. 1991;39;1-3:161-4. doi: 10.1093/oxfordjournals.rpd.a081137.

24. Смирнов В.П., Боженко В.К., Гимадова Т.И., Грабовский Е.В., Грицук А.Н., Иванов А.В. и др. Летальная доза для мышей при облучении импульсным тормозным излучением сверхвысокой мощности дозы на установке Ангара-5-1 // Физика плазмы. 2018. Т.44. №12. С. 1030-5 [Smirnov V.P., Bozhenko V.K., Gimadova T.I., Grabovsky E.V., Gritsuk A.N., Ivanov A.V., et al. Lethal Dose for Mice Irradiated with Pulsed Bremsstrahlung Radiation of Ultra-High Dose Rate at the Angara-5-1 Facility. Fizika Plazmy = Plasma Physics. 2018;44;12:1030-5 (In Russ.)].  doi: 10.1134/s0367292118120132.

25. Osipov A.N., Pustovalova M., Grekhova A., Eremin P., Vorobyova N., Pulin A., et al. Low Doses of X-Rays Induce Prolonged and ATM-independent Persistence of Gamma H2AX foci in Human Gingival Mesenchymal Stem Cells. Oncotarget. 2015;6;29:27275-87. doi: 10.18632/oncotarget.4739.

26. Ingram S.P., Warmenhoven J.W., Henthorn N.T., Chadiwck A.L., Santina E.E., McMahon S.J., et al. A computational Approach to Quantifying Miscounting of Radiation-Induced Double-Strand Break Immunofluorescent Foci. Commun Biol. 2022;5;1:700. doi: 10.1038/s42003-022-03585-5.

27. Pustovalova M., Аstrelina T.A., Grekhova A., Vorobyeva N., Tsvetkova A., Blokhina T., et al. Residual Gamma H2AX foci Induced by Low Dose X-Ray Radiation in Bone Marrow Mesenchymal Stem Cells do not Cause Accelerated Senescence in the Progeny of Irradiated Cells. Aging (Albany NY). 2017;9;11:2397-410. doi: 10.18632/aging.101327.

 

 

 PDF (RUS) Full-text article (in Russian)

 

Conflict of interest. The authors declare no conflict of interest.

Financing. The research was supported by the Russian Science Foundation (project No. 23-14-00078).

Contribution. Article was prepared with equal participation of the authors.

Article received: 20.05.2025. Accepted for publication: 25.06.2025.

 

Medical Radiology and Radiation Safety. 2025. Vol. 70. № 5

DOI:10.33266/1024-6177-2025-70-5-18-22

A.Yu. Bushmanov, V.Yu. Soloviev, V.V. Zorin, O.V. Nikitenko, T.M. Bychkova,
A.O. Lebedev, A.A. Ivanov , Yu.A. Zrilova, T.A. Astrelina, V.A. Brunchukov,
L.M. Rozhdestvenskyj, Yu.A. Fedotov, T.I. Gimadova, L.Yu. Mershin, A.S. Kretov,
T.G. Shlyakova, A.N. Osipov

Evaluation of the Effectiveness of the Drug Indralin in the Irradiation of Small, Medium and Large Laboratory Animals with Gamma Radiation

A.I. Burnazyan Federal Medical Biophysical Center, Moscow, Russia

Contact person: V.Yu. Soloviev, e-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

 

ABSTRACT

Purpose: Evaluation of the effectiveness of the drug indralin in experiments with small, medium and large laboratory animals.

Material and methods: The objects of the study were outbred male mice of the ICR (CD-1) SPF category, rabbits of the “Soviet Chinchilla” breed, mini-pigs of the Svetlogorsk breed and beagle dogs. The experimental animals were kept in conventional conditions, on standard granulated feed and tap drinking water. During the studies, the radionuclide installation GUT200M (60Co) and the installation for generating bremsstrahlung X-rays based on the pulsed linear resonance electron accelerator ILU-14 were used as radiation sources. Mice, mini-pigs and dogs were irradiated using the GUT200M (60Co) installation, rabbits – using the ILU-14 installation. The radiation dose was controlled by thermoluminescent dosimeters in the individual dosimetry support mode. The biological effect was assessed in terms of 30-day survival for mice and rabbits and 45-day survival for large laboratory animals (mini-pigs and dogs). At the first stage, the dose-effect relationship was assessed for all experimental animals, and the irradiation conditions that ensured 80-90% mortality of animals were assessed. At the second stage, the effectiveness of indralin was assessed.

Results: The following estimates were obtained: LD50/30: mice – 7.9±0.2, rabbits – 9.6±0.3; LD50/45: mini-pigs – 2.7±0.2 Gy, dogs – 2.4±0.3 Gy; LD84/30: mice – 8.7±0.4 Gy, rabbits – 10.0±0.2 Gy; LD84/45: mini-pigs – 3.1±0.2 Gy, dogs – 3.2±0.2 Gy. In the experiment on mice: when irradiated at doses of 8.7 and 10.3 Gy, there were no surviving mice in the control, while when using indralin, the proportion of surviving animals was 68 % and 38 %, respectively. In the experiment on mini-pigs: in the control 9 % survived, with indralin – 75 %; for dogs: in the control 14 % survived, with indralin – 86 %. In the experiment on rabbits, the positive effect was insignificant: there were no survivors in the control, while when using indralin at a dose of 21 mg/kg, the proportion of survivors was 15 %, and at a dose of 37.5 mg/kg – 25 %.

Conclusion: In an experiment on small, medium and large laboratory animals, the high efficiency of the drug indralin was confirmed when used in regulated doses 10–15 minutes before irradiation.

Keywords: X-rays, laboratory animals, survival, radioprotective drugs, indralin

For citation: Bushmanov AYu, Soloviev VYu, Zorin VV, Nikitenko OV, Bychkova TM, Lebedev AO, Ivanov AA, Zrilova YuA, Astrelina TA, Brunchukov VA, Rozhdestvenskyj LM, Fedotov YuA, Gimadova TI, Mershin LYu, Kretov AS, Shlyakova TG, Osipov AN. Evaluation of the Effectiveness of the Drug Indralin in the Irradiation of Small, Medium and Large Laboratory Animals with Gamma Radiation. Medical Radiology and Radiation Safety. 2025;70(5):18–22. (In Russian). DOI:10.33266/1024-6177-2025-70-5-18-22

 

References

1. Vasin M.V. Classification of Radiation Protection Agents as a Reflection of the Current State and Prospects for the Development of Radiation Pharmacology. Radiatsionnaya Biologiya. Radioekologiya = Radiation Biology. Radioecology. 2013;53;5:459-467 (In Russ.). doi: 10.7868/S0869803113050160.

2. Il’in L.A., Rudnyy N.M., Suvorov N.N., Chernov G.A., Antipov V.V., Vasin M.V. Davydov B.I., Mikhaylov P.P. Indralin – Radioprotektor Ekstrennogo Deystviya. Protivoluchevyye Svoystva. Farmakologiya, Mekhanizm Deystviya, Klinika = Indralin – Emergency Radioprotector. Antiradiation Properties. Pharmacology, Mechanism of Action, Clinical Features. Moscow, Minzdrav RF Publ., 1994. 436 p. (In Russ.).

3. Vasin M.V., Il’in L.A., Ushakov I.B. Phenomenon of Radiation Protection by Indralin in Large Animals (Dogs) and its Extrapolation to Humans. Meditsinskaya Radiologiya i Radiatsionnaya Bezopasnost’ = Medical Radiology and Radiation Safety. 2022;67;3:5-12 (In Russ.). doi:10.33266/1024-6177-2022-67-3-5-12

4. Vasin M.V., Kovtun V.Yu., Ushakov I.B., Afanas’yev R.V., Mirzoyan R.S., Ganshina T.S., Semenova L.A., Koroleva L.V., Galkin A.A. Sposob Snizheniya Nezhelatel’nykh Pobochnykh Effektov Preparata B-190 = Method for Reducing Unwanted Side Effects of the drug B-190. Patent RU2575576C2. Published 20.02.2016. Bulletin No. 5 (In Russ.).

 

 

 PDF (RUS) Full-text article (in Russian)

 

Conflict of interest. The authors declare no conflict of interest.

Financing. The study had no sponsorship.

Contribution. Article was prepared with equal participation of the authors.

Article received: 20.05.2025. Accepted for publication: 25.06.2025.

 

Medical Radiology and Radiation Safety. 2025. Vol. 70. № 5

DOI:10.33266/1024-6177-2025-70-5-28-35

E.A. Kodintseva1, A.А. Akleyev2

The Contribution of Effector Cells of the Innate and Adaptive Immunity to the Pathogenesis of Radiation-Induced Carcinogenesis. Review (Part 2)

1 Urals Research Center for Radiation Medicine, Chelyabinsk, Russia

2 Southern-Urals State Medical University, Chelyabinsk, Russia

Contact person: E.A. Kodintseva, e-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

 

CONTENTS

 

Background

1. Cooperation of innate and adaptive immunity cells in pathogenesis in carcinogenesis

2. Neutrophilic granulocytes and cytotoxic T-lymphocytes

3. Neutrophils and antigen-presenting cells

4. Associations of immunocompetent cells with circulating tumor cells

5. Neutrophils and natural killers

6. Tumor microenvironment and angiogenesis

7. Effect of ionizing radiation on innate immunity cells in the tumor microenvironment

8. Ionizing radiation effects modulating the tumor microenvironment

9. The effect of radiation treatment on macrophages and myeloid-derived suppressor cells of the tumor microenvironment

Conclusion

 

Keywords: peripheral blood cells, radiation exposure, carcinogenesis, innate immunity, adaptive immunity, intercellular cooperation, radiosensitivity

For citation: Kodintseva EA, Akleyev AА. The Contribution of Effector Cells of the Innate and Adaptive Immunity to the Pathogenesis of Radiation-Induced Carcinogenesis. Review (Part 2). Medical Radiology and Radiation Safety. 2025;70(5):28–35. (In Russian). DOI:10.33266/1024-6177-2025-70-5-28-35

 

References

1 Lee M.S., Kim Y.J. Signaling Pathways Downstream of Pattern-Recognition Receptors and their Cross Talk. Annual Review Biochemistry. 2007;76:447-480. doi: 10.1146/annurev.biochem.76.060605.122847.

2. Свитич О.А., Филина А.Б., Давыдова Н.В., Ганковская Л.В., Зверев В.В. Роль факторов врожденного иммунитета в процессе опухолеобразования // Медицинская иммунология. 2018. Т.20. №2. С. 151-162 [Svitich O.A., Filina A.B., Davydova N.V., Gankovskaya L.V., Zverev V.V. The Role of Innate Immunity Factors in the Process of Tumor Formation. Meditsinskaya Immunologiya = Medical Immunology. 2018;20;2:151-162 (In Russ.)]. doi: 10.15789/1563-0625-2018-2-151-162.

3. Wang L., Lankhorst L., Bernards R. Exploiting Senescence for the Treatment of Cancer. Nature Reviews Cancer. 2022;22:340-355. doi: 10.1038/s41568-022-00450-9.

4. Jarosz-Biej M., Smolarczyk R., Cicho´n T., Kułach N. Tumor Microenvironment as a “Game Changer” in Cancer Radiotherapy. International Journal of Molecular Sciences. 2019;20;13:1-19. doi: 10.3390/ijms20133212.

5. Cui Y., Guo G. Immunomodulatory Function of the Tumor Suppressor p53 in Host Immune Response and the Tumor Microenvironment. International Journal of Molecular Sciences. 2016;17:1942. doi: 10.3390/ijms17111942.

6. Albini A., Bruno A., Noonan D.M., Mortara L. Contribution to Tumor Angiogenesis from Innate Immune Cells within the Tumor Microenvironment: Implications for Immunotherapy. Frontiers in Immunology. 2018;9:527. doi: 10.3389/fimmu.2018.00527.

7. El Alaoui-Lasmaili K., Faivre B. Antiangiogenic Therapy: Markers of Response, “Normalization” and Resistance. Critical Reviews in Oncology/Hematology. 2018;128:118-129. doi: 10.1016/j.critrevonc.2018.06.001.

8. Klein D. The Tumor Vascular Endothelium as Decision Maker in Cancer Therapy. Frontiers in Oncology. 2018;8:367. doi: 10.3389/fonc.2018.00367.

9. Shevtsov M., Sato H., Multhoff G., Shibata A. Novel Approaches to Improve the Efficacy of Immuno-Radiotherapy. Frontiers in Oncology. 2019;9:156. doi: 10.3389/fonc.2019.00156.

10. Ballesteros I., Rubio-Ponce A., Genua M., Lusito E., Kwok I., Fernández-Calvo G., Khoyratty T.E., van Grinsven E., González-Hernández S., Nicolás-Ávila J.Á., Vicanolo T., Maccataio A., Benguría A., Li J.L., Adrover J.M., Aroca-Crevillen A., Quintana J.A., Martín-Salamanca S., Mayo F., Ascher S., Barbiera G., Soehnlein O., Gunzer M., Ginhoux F., Sánchez-Cabo F., Nistal-Villán E., Schulz C., Dopazo A., Reinhardt C., Udalova I.A., Ng L.G., Ostuni R., Hidalgo A. Co-Option of Neutrophil Fates by Tissue Environments. Cell. 2020;183:1282-1297. doi: 10.1016/j.cell.2020.10.003.

11. Guo B., Oliver T.G. Partners in Crime: Neutrophil–CTC Collusion in Metastasis. Trends in Immunology. 2019;40;7:556-559. doi: 10.1016/j.it.2019.04.009.

12. Jaeger B.N., Donadieu J., Cognet C., Bernat C., Ordoñez-Rueda D., Barlogis V., Mahlaoui N., Fenis A., Narni-Mancinelli E., Beaupain B., Bellanné-Chantelot C., Bajénoff M., Malissen B., Malissen M., Vivier E., Ugolini S. Neutrophil Depletion Impairs Natural Killer Cell Maturation, Function, and Homeostasis. Journal of Experimental Medicine. 2012;209:565-580. doi: 10.1084/jem.20111908.

13. Shaul M.E. Fridlender Z.G. Tumour-Associated Neutrophils in Patients with Cancer. Nature Reviews Clinical Oncology. 2019;16:601-620. doi: 10.1038/s41571-019-0222-4.

14. Valayer A., Brea D., Lajoie L., Avezard L., Combes-Soia L., Labas V., Korkmaz B., Thibault G., Baranek T., Si-Tahar M. Neutrophils can Disarm NK Cell Response through Cleavage of NKp46. Journal of Leukocyte Biology. 2017;101:253-259. doi: 10.1189/jlb.3AB0316-140RR.

15. Liang W., Ferrara N. The Complex Role of Neutrophils in Tumor Angiogenesis and Metastasis. Cancer Immunology Research. 2016;4:83-91. doi: 10.1158/2326-6066.CIR-15-0313.

16. Li P., Lu M., Shi J., Hua L., Hua L., Gong Z., Li Q., Shultz L.D., Ren G. Dual Roles of Neutrophils in Metastatic Colonization are Governed by the Host NK Cell Status. Nature Communications. 2020;11:4387. doi: 10.1038/s41467-020-18125-0.

17. Jensen K.N., Omarsdottir S.Y., Reinhardsdottir M.S., Hardardottir I., Freysdottir J. Docosahexaenoic acid Modulates NK Cell Effects on Neutrophils and their Crosstalk. Frontiers in Immunology. 2020;11:570380. doi: 10.3389/fimmu.2020.570380.

18. Tsai C.Y., Hsieh S.C., Liu C.W., Lu C.S., Wu C.H., Liao H.T., Chen M.H., Li K.J., Shen C.Y., Kuo Y.M., Yu C.L. Cross-Talk among Polymorphonuclear Neutrophils, Immune, and Non-Immune Cells via Released Cytokines, Granule Proteins, Microvesicles, and Neutrophil Extracellular Trap Formation: a Novel Concept of Biology and Pathobiology for Neutrophils. International Journal of Molecular Sciences. 2021;22:3119. doi: 10.3390/ijms22063119.

19. Khatami M. Chronic Inflammation: Synergistic Interactions of Recruiting macropHages (TAMs) and Eosinophils (Eos) with Host Mast Cells (MCs) and Tumorigenesis in CALTs. M-CSF, Suitable Biomarker for Cancer Diagnosis! Cancers (Basel). 2014;6:297-322. doi: 10.3390/cancers6010297.

20. Engblom C., Pfirschke C., Pittet M.J. The Role of Myeloid Cells in Cancer Therapies. Nature Reviews Cancer. 2016;16;7:447-462. doi: 10.1038/nrc.2016.54.

21. Hekim N., Cetin Z., Nikitaki Z., Cort A., Saygili E.I. Radiation Triggering Immune Response and Inflammation. Cancer Letters. 2015;368:156-163. doi: 10.1016/j.canlet.2015.04.016.

22. Chajon E., Castelli J., Marsiglia H., De Crevoisier R. The Synergistic Effect of Radiotherapy and Immunotherapy: a Promising but not Simple Partnership. Critical Reviews in Oncology/Hematology. 2017;111:124-132. doi: 10.1016/j.critrevonc.2017.01.017.

23. McKelvey K.J., Hudson A.L., Back M., Eade T., Diakos C.I. Radiation, Inflammation and the Immune Response in Cancer. Mammalian Genome. 2018;29:843-865. doi: 10.1007/s00335-018-9777-0.

24. Manda K., Glasow A., Paape D., Hildebrandt G. Effects of Ionizing Radiation on the Immune System with Special Emphasis on the Interaction of Dendritic and T Cells. Frontiers in Oncology. 2012;2:102. doi: 10.3389/fonc.2012.00102.

25. Persa E., Balogh A., Safrany G., Lumniczky K. The Effect of Ionizing Radiation on Regulatory T Cells in Health and Disease. Cancer Letters. 2015;368:252-261. doi: 10.1016/j.canlet.2015.03.003.

26. Rubner Y., Wunderlich R., Rühle P.F., Kulzer L., Werthmöller N., Frey B., Weiss E.M., Keilholz L., Fietkau R., Gaipl U.S. How Does Ionizing Irradiation Contribute to the Induction of Anti-Tumor Immunity? Frontiers in Oncology. 2012;2:75. doi: 10.3389/fonc.2012.00075.

27. Deloch L., Derer A., Hartmann J., Frey B., Fietkau R., Gaipl U.S. Modern Radiotherapy Concepts and the Impact of Radiation on Immune Activation. Frontiers in Oncology. 2016;6:141. doi: 10.3389/fonc.2016.00141.

28. Frey B., Rückert M., Deloch L., Rühle P.F., Derer A., Fietkau R., Gaipl U.S. Immunomodulation by Ionizing Radiation-Impact for Design of Radio-Immunotherapies and for Treatment of Inflammatory Diseases. Immunological Reviews. 2017;280:231-248. doi: 10.1111/imr.12572.

29. Walle T., Martinez Monge R., Cerwenka A., Ajona D., Melero I., Lecanda F. Radiation Effects on Antitumor Immune Responses: Current Perspectives and Challenges. Therapeutic Advances in Medical Oncology. 2018;10:1758834017742575. doi: 10.1177/1758834017742575.

30. Carvalho H.A., Villar R.C. Radiotherapy and Immune Response: the Systemic Effects of a Local Treatment. Clinics. 2018;73:557. doi: 10.6061/clinics/2018/e557s.

31. Bernier J. Immuno-Oncology: Allying Forces of Radio- and Immuno-Therapy to Enhance Cancer Cell Killing. Critical Reviews in Oncology/Hematology. 2016;108:97-108. doi: 10.1016/j.critrevonc.2016.11.001.

32. Herrera F.G., Bourhis J., Coukos G. Radiotherapy Combination Opportunities Leveraging Immunity for the Next Oncology Practice. CA: a Cancer Journal for Clinicians. 2017;67:65-85. doi: 10.3322/caac.21358.

33. Gandhi S., Chandna S. Radiation-Induced Inflammatory Cascade and its Reverberating Crosstalks as Potential Cause of Post-Radiotherapy Second Malignancies. Cancer Metastasis Reviews. 2017;36:375-393. doi: 10.1007/s10555-017-9669-x.

34. Ma Y., Pitt J.M., Li Q., Yang H. The Renaissance of Anti-Neoplastic Immunity from Tumor Cell Demise. Immunological Reviews. 2017;280:194-206. doi: 10.1111/imr.12586.

35. Bockel S., Durand B., Deutsch E. Combining Radiation Therapy and Cancer Immune Therapies: from Preclinical Findings to Clinical Applications. Cancer Radiotherapie. 2018;22:567-580. doi: 10.1016/j.canrad.2018.07.136. 

36. Arnold K.M., Flynn N.J., Raben A., Romak L., Yu Y., Di-
cker A.P., Mourtada F., Sims-Mourtada J. The Impact of Radiation on the Tumor Microenvironment: Effect of Dose and Factionation Schedules. Cancer Growth and Metastasis. 2018;11:1179064418761639. doi: 10.1177/1179064418761639.

37. Tsoutsou P.G., Zaman K., Martin Lluesma S., Cagnon L., Kandalaft L., Vozenin M.C. Emerging Opportunities of Radiotherapy Combined with Immunotherapy in the Era of Breast Cancer Heterogeneity. Frontiers in Oncology. 2018;8:609. doi: 10.3389/fonc.2018.00609.

38. Jeong H., Bok S., Hong B.J., Choi H.S., Ahn G.O. Radiation-Induced Immune Responses: Mechanisms and Therapeutic Perspectives. Blood Research. 2016;51:157-163. doi: 10.5045/br.2016.51.3.157.

39. Nguyen H.Q., To N.H., Zadigue P., Kerbrat S., De La Taille A., Le Gouvello S., Belkacemi Y. Ionizing Radiation-Induced Cellular Senescence Promotes Tissue Fibrosis after Radiotherapy. A Review. Critical Reviews in Oncology/Hematology. 2018;129:13-26. doi: 10.1016/j.critrevonc.2018.06.012.

40. Meziani L., Deutsch E., Mondini M. Macrophages in Radiation Injury: a New Therapeutic Target. Oncoimmunology. 2018;7:1494488. doi: 10.1080/2162402X.2018.1494488.

41. Crittenden M.R., Cottam B., Savage T., Nguyen C., Newell P., Gough M.J. Expression of NF-κB p50 in Tumor Stroma Limits the Control of Tumors by Radiation Therapy. PLoS One. 2012;7:9295. doi: 10.1371/journal.pone.0039295.

42. Tsai C.S., Chen F.H., Wang C.C., Huang H.L., Jung S.M., Wu C.J., Lee C.C., McBride W.H., Chiang C.S., Hong J.H. Macrophages from Irradiated Tumors Express Higher Levels of iNOS, Arginase-I and COX-2, and Promote Tumor Growth. International Journal of Radiation Oncology, Biology, Physics. 2007;68;2:499-507. doi: 10.1016/j.ijrobp.2007.01.041.

43. Okubo M., Kioi M., Nakashima H., Sugiura K., Mitsudo K., Aoki I., Taniguchi H., Tohnai I. M2-Polarized Macrophages Contribute to Neovasculogenesis, Leading to Relapse of Oral Cancer Following Radiation. Scientific Reports. 2016;6:27548. doi: 10.1038/srep27548.

44. Balachandran V.P., Beatty G.L., Dougan S.K. Broadening the Impact of Immunotherapy to Pancreatic Cancer: Challenges and Opportunities. Gastroenterology. 2019;156;7:2056-2072. doi: 10.1053/j.gastro.2018.12.038.

45. Pinto Т.A., Pinto L.M., Cardoso P.A., Monteiro C., Pinto T.M., Maia F.A., Castro P., Figueira R., Monteiro A., Marques M., Mareel M., Dos Santos S.G., Seruca R., Barbosa A.M., Rocha S., Oliveira J.M. Ionizing Radiation Modulates Human Macrophages Towards a Pro-Inflammatory Phenotype Preserving their Pro-Invasive and Pro-Angiogenic Capacities. Scientific Reports. 2016;6:18765. doi: 10.1038/s41598-022-08498-1.

46. Prakash H., Klug F., Nadella V., Mazumdar V., Schmitz-Winnenthal H., Umansky L. Low Doses of Gamma Irradiation Potentially Modifies Immunosuppressive Tumor Microenvironment by Retuning Tumor-Associated Macrophages: Lesson from Insulinoma. Carcinogenesis. 2016;37;3:301-313. doi: 10.1093/carcin/bgw007.

47. Wu Q., Allouch A., Paoletti A., Leteur C., Mirjolet C., Martins I., Voisin L., Law F., Dakhli H., Mintet E., Thoreau M., Muradova Z., Gauthier M., Caron O., Milliat F., Ojcius D.M., Rosselli F., Solary E., Modjtahedi N., Deutsch E., Perfettini J.L. NOX2-Dependent ATM Kinase Activation Dictates Pro-Inflammatory Macrophage Phenotype and Improves Effectiveness to Radiation Therapy. Cell Death and Differentiation. 2017;24;9:1632-1644. doi: 10.1038/cdd.2017.91.

48. Pinto A.T., Pinto M.L., Velho S., Pinto M.T., Cardoso A.P., Figueira R., Monteiro A., Marques M., Seruca R., Barbosa M.A., Mareel M., Oliveira M.J., Rocha S. Intricate Macrophage-Colorectal Cancer Cell Communication in Response to Radiation. PLoS ONE. 2016;11;8:160891. doi: 10.1371/journal.pone.0160891.

49. Klug F., Prakash H., Huber P.E., Seibel T., Bender N., Halama N., Pfirschke C., Voss R.H., Timke C., Umansky L., Klapproth K., Schäkel K., Garbi N., Jäger D., Weitz J., Schmitz-Winnenthal H., Hämmerling G.J., Beckhove P. Low-Dose Irradiation Programs Macrophage Differentiation to an iNOS+/M1 Phenotype that Orchestrates Effective T Cell Immunotherapy. Cancer Cell. 2013;24;5:589-602. doi: 10.1016/j.ccr.2013.09.014.

50. Tsukimoto M., Homma T., Mutou Y., Kojima S. 0.5 Gy Gamma Radiation Suppresses Production of TNF-Alpha through Up-Regulation of MKP-1 in Mouse Macrophage RAW264.7 Cells. Radiation Research. 2009;171;2:219-224. doi: 10.1667/RR1351.1.

51. Beyranvand Nejad E., Welters M.J., Arens R., van der Burg S.H. The Importance of Correctly Timing Cancer Immunotherapy. Expert Opinion on Biological Therapy. 2017;17:87-103. doi: 10.1080/14712598.2017.1256388.

52. Wang S.J., Haffty B. Radiotherapy as a Тew Player in Immuno-Oncology. Cancers (Basel). 2018;10:515. doi: 10.3390/cancers10120515.

53. Schaue D., McBride W.H. Opportunities and Challenges of Radiotherapy for Treating Cancer. Nature Reviews Clinical Oncology. 2015;12:527-540. doi: 10.1038/nrclinonc.2015.120.

54. Ostrand-Rosenberg S., Horn L.A., Ciavattone N.G. Radiotherapy Both Promotes and Inhibits Myeloid-Derived Suppressor Cell Function: Novel Strategies for Preventing the Tumor-Protective Effects of Radiotherapy. Frontiers in Oncology. 2019;9:215. doi: 10.3389/fonc.2019.00215

55. Rückert M., Deloch L., Fietkau R., Frey B., Hecht M., Gaipl U.S. Immune Modulatory Effects of Radiotherapy as Basis for Well-Reasoned Radioimmunotherapies. Strahlentherapie Und Onkologie. 2018;194:509-519. doi: 10.1007/s00066-018-1287-1.

56. Barker H.E., Paget J.T., Khan A.A., Harrington K.J. The Tumour Microenvironment after Radiotherapy: Mechanisms of Resistance and Recurrence. Nature Reviews Cancer. 2015;15:409-425. doi: 10.1038/nrc3958.

57. Shi X., Shiao S.L. The Role of Macrophage Phenotype in Regulating the Response to Radiation Therapy. Translational Research. 2018;191:64-80. doi: 10.1016/j.trsl.2017.11.002.

58. Wennerberg E., Lhuillier C., Vanpouille-Box C., Pilones K.A., García-Martínez E., Rudqvist N.P., Formenti S.C., Demaria S. Barriers to Radiation-Induced in Situ Tumor Vaccination. Frontiers in Immunology. 2017;8:229. doi: 10.3389/fimmu.2017.00229.

59. Shen M.J., Xu L.J., Yang L., Tsai Y., Keng P.C., Chen Y., Lee S.O., Chen Y. Radiation Alters PD-L1/NKG2D Ligand Levels in Lung Cancer Cells and Leads to Immune Escape from NK Cell Cytotoxicity Via IL-6-MEK/Erk Signaling Pathway. Oncotarget. 2017;8;46:80506-80520. doi: 10.18632/oncotarget.19193.

60. Jeong S.K., Kim J.S., Yoon S.O., Park Y.S., Kim S.D., Yoon S.O., Han D.H., Lee K.Y., Jeong M.H., Jo W.S. DOI Tumor Associated Macrophages Provide the Survival Resistance of Tumor Cells to Hypoxic Microenvironmental Condition through IL-6 Receptor-Mediated Signals. Immunobiology. 2017;222;1:55-65. doi: 10.1016/j.imbio.2015.11.010.

 

 

 PDF (RUS) Full-text article (in Russian)

 

Conflict of interest. The authors declare no conflict of interest.

Financing. The research work was carried out within the framework of the state assignment of the Federal Medical and Biological Agency of Russia on the topic ‘Study of the functional state of effector cells of human antitumour immunity during the implementation of carcinogenic effects of chronic radiation exposure’ (Agreement on granting a subsidy from the federal budget for financial provision of the state assignment for public services (works) No. 388-03-2025-085 dated 24 January 2025).

Contribution. All authors confirm that their authorship meets the international ICMJE criteria. Kodintseva Е.А. – conceived and designed the study, prepared the first draft of the article, read and approved the final version before publication. Akleуev А.А. – conceived and designed the study, scientific editing, read and approved the final version before publication.

Article received: 20.05.2025. Accepted for publication: 25.06.2025.