Basics of Radiation Biology

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Basics of Radiation Biology Sally A. Amundson Columbia University Center for Radiological Research http://www.cmcr.columbia.edu/ Overview Radiation damage to cells DNA Effects of radiation damage on cells Cell cycle arrest DNA repair Cell death / apoptosis Detecting radiation damage Cytogenetic assays Protein phosphorylation Changes in gene expression Changes in cellular metabolism 1

Radiation causes cellular damage Ionizing radiation removes electrons from matter, causing molecular bonds to break. ionizing radiation cell surface ceramide PKC activation NFκB DNA cytokine receptors caspases DNA-PK cytokines and bystander signals plasma membrane ATM MAPK (p38, JNK) c-abl p53 Radiation damage can occur throughout the cell signaling cascades communicate radiation damage ionizing radiation DNA damage nucleus Radiation causes cellular damage Radiation can damage any part of the cell, but most cellular and molecular components can be replaced. DNA RNA Protein DNA damage is the most critical. Need DNA to make everything else in the cell. 2

Types of radiation DNA damage Abasic Site Oxidative Base Damage Types of DNA damage cont. Double-strand breaks are thought to be responsible for most cell killing due to ionizing radiation Double-strand Break (DSB) Single-strand Break (SSB) 3

Cells can detect DSB P H2AX P P ATM MRN The MRN complex (Mre11, Rad50, Nbs1) recruits and activates ATM, which initiates damage signaling and DNA repair. Ku70/80 also binds broken DNA ends, activates DNA-PKcs Recruits other proteins to signal damage and initiate repair of the break. Signaling from damage 4

Some common p53-activated genes STRESS p53 Cell Cycle Apoptosis DNA Repair Senescence Anti-angiogenesis Other CIP1/WAF1 BAX XPC CIP1/WAF1 VEGF MDM2 ClnG BCL-X DDB2 type I PACAP IL-8 FRA1 ClnD1 PAG608 GADD45A HIF1α ATF3 WIP1 FAS/APO1 PCNA MMP2 14-3-3σ EGF-R KILLER/DR5 p53r2 BAI-1 Rb Rb TRUNDD TSP1 & 2 c-myc BTG2 TRID ninjurin PCNA SIAH MAP4 GADD45A IGF-BP3 amyloid 14-3-3σ PIG1 to PIG14 PIR121 TGF α 14-3-3σ WIG1 SIAH MAP4 IGF-ß TSP1 & 2 PIG1 to PIG14 bfgf inhibin-ß GML GML The mammalian cell cycle Cyclins: made and degraded each cell cycle Cyclin-dependent kinases: drive cell division Radiation exposure triggers checkpoints that halt cell cycle progression. 5

G1 arrest DNA damage P P CDKN1A ATM p53 p21 Wild-type Untreated Irradiated p21 binds to G1 cyclin/cdk complexes and inhibits kinase activity p53-/- or p21-/- Arrest can be transient or permanent G 1 G 2 G 1 G 2 Homologous recombination Repair of DSB Non-Homologous End joining (NHEJ) Most accurate Most common 6

Incorrect repair - mutation Hprt mutants per 10 6 cells Mutation type point Partial gene del. Total gene deletion Multiple loci del. Spont. 2.3 2.2 0.5.05 2 Gy gamma 2.8 8 8.8 5.5 Incorrect repair - cytogenetic damage Translocation: not lethal, but may activate an oncogene Dicentric and fragment: usually lethal 7

Translocation in Chronic Myeloid Leukemia Multiplex FISH Paint each chromosome a different color Combined FITC SPECTRUM O TEXAS RED Cy5 DEAC 8

Two break stable aberrations Inter-arm (translocation) mfish Two break stable aberrations Inter-arm (pericentric inversion) mband 9

Two break stable aberrations Intra-arm (paracentric inversion) Cell killing - clonogenic survival 10

Radiation survival curves n 10 0 Survival 10-1 10-2 10-3 Dose (Gy) Repair deficient cells Low dose-rate protects cells Low Dose-rate Acute exposure 11

Cell killing by radiation Apoptosis Complex genetic program triggering cellular suicide, or programmed cell death. Necrosis Rapid depletion of ATP, breakdown of cell membrane, inflammation, nuclei shrink and condense, random degradation of DNA Mitotic catastrophe Abnormal mitosis with cytogenetic damage, conflicting signals, checkpoint failure Hallmarks of apoptosis Programmed Cell Death Chromatin condensation Phosphatidylserine translocates from inner to outer cell membrane Loss of mitochondrial membrane potential Caspase activation, protein cleavage DNA laddering - nucleosome fragments 12

p53-dependent apoptotic pathway Cytochrome c pro-apoptotic BAX Puma Noxa P p53 BCL2 BCL-xl mitochondrion anti-apoptotic Pro-caspase Apaf-1 Apoptosome Pro-caspase Caspase 9 Caspase 3 Cleavage of apoptotic substrates Application to Biodosimetry Cellular responses to radiation provide opportunities for biodosimetry. The larger the dose, the greater the biological response Needed in the event of large-scale radiological event Medical Triage Active reassurance - reduce panic Detection of radiation damage to cells can be translated into an estimate of exposure Cytogenetics Protein phosphorylation Gene expression Metabolic changes 13

Cytogenetics - Dicentrics Assayed in peripheral lymphocytes Cytogenetics - Dicentrics Gold standard for radiation biodosimetry Specific for radiation damage Stable to about 6 months after exposure Informative for doses 0.2-5 Gy Used for biodosimetry in many accidents (Chernobyl, Goiânia, Istanbul, Bangkok etc.) 14

Cytogenetics - Micronuclei Simpler assay with great automation potential Stable to about 6 months after exposure Informative for doses 0.3-5 Gy International standards for scoring Micronuclei Cytoplasmic bridges Cytogenetics - PCC Premature Chromatin Condensation Informative for doses 0.2-10 Gy Potential for automation Without cell division Requires fusion with mitotic cells to force condensation of chromatin With cell division Condense chromosomes using Calyculin A 15

Protein phosphorylation Phospho-γH2AX forms foci in irradiated cells Linear over broad dose range Informative for first day after exposure Can be automated for high-throughput does not require cell division γ-h2ax foci per cell P H2AX P P ATM MRN Rothkamm & Lobrich (2003) PNAS 100:5057 Gene expression Potential new approach Informative for doses 0.2-8 Gy Useful in first 2-3 days after exposure Specificity for radiation needs testing Amundson et al., (2000) Radiation Research, 154 (3): 342-346 16

Gene expression Treat cells or whole animals Prepare microarray Control Extract RNA γ-ray treated Incorporate fluorochrome in cdna by RT reaction Cy5 Hybridize together Cy3 Long oligos or cdnas CIP1/WAF1 Wash and Scan cmyc Screening with microarrays allows rapid discovery of potential radiation exposure markers Gene expression Advanced nanofluidics are being developed for self-contained biochips for rapid radiation dose assessment in emergencies 17

Metabolomics Potentially most rapid and least invasive Cellular changes in response to radiation result in changes in metabolism Results in changes in small molecules secreted in urine, saliva, sweat etc. Specificity for radiation specificity and dose dependence need testing Isoprostane concentration (ng/ml) Urinary isoprostane Urine Saliva Before RT Immediately after RT 24 hours after RT Sweat Metabolomics Marker discovery and testing using UPLC-MS(TOF) Current technology could easily be adapted to rapidly screen for a radiation signature 18

Summary of biological effects Radiation causes damage to all cellular molecules, but DNA damage is most critical DNA damage starts signaling cascades that result in Cell cycle arrest DNA repair Apoptosis or other cell death Radiation damage can be detected by Cytogenetics Changes in gene expression Changes in protein expression or phosphorylation Changes in metabolic products 19