X-ray Sensitivity of E. Coli as Modified by Oxygen Tension

Therapeutic Modification of Hypoxia

Regions of reduced oxygenation (hypoxia) are a characteristic feature of virtually all animal and human solid tumours. Numerous preclinical studies, both in vitro and in vivo, have shown that decreasing oxygen concentration induces resistance to radiation. Importantly, hypoxia in human tumours is a negative indicator of radiotherapy outcome. Hypoxia also contributes to resistance to other cancer therapeutics, including immunotherapy, and increases malignant progression as well as cancer cell dissemination. Consequently, substantial effort has been made to detect hypoxia in human tumours and identify realistic approaches to overcome hypoxia and improve cancer therapy outcomes. Hypoxia-targeting strategies include improving oxygen availability, sensitising hypoxic cells to radiation, preferentially killing these cells, locating the hypoxic regions in tumours and increasing the radiation dose to those areas, or applying high energy transfer radiation, which is less affected by hypoxia. Despite numerous clinical studies with each of these hypoxia-modifying approaches, many of which improved both local tumour control and overall survival, hypoxic modification has not been established in routine clinical practice. Here we review the background and significance of hypoxia, how it can be imaged clinically and focus on the various hypoxia-modifying techniques that have undergone, or are currently in, clinical evaluation.

Bacteria Inactivation via X-ray-Induced UVC Radioluminescence: Toward in Situ Biofouling Prevention in Membrane Modules

Germicidal UVC radiation is a highly effective, chemical-free tool for bacteria inactivation, but its application is limited to reactors and open areas that can accommodate lamps/LEDs and wiring. A relevant example of problematic bacterial colonization within UV-inaccessible confines where chemical techniques have found only limited success is biofouling of feed channels in high-pressure membrane elements for water treatment. Herein we demonstrate a unique method of generating UV internally using embedded radioluminescent (RL) particles excited by an external X-ray source. We further show that the magnitude of the emitted UV intensity and required X-ray dose rates are likely within effective and practical ranges for future application to antibiofouling technology. Assessment of three Pr³⁺-activated RL phosphor candidates revealed LaPO₄:Pr³⁺ to have the most favorable luminescence properties, achieving over 2-log inactivation of E. coli in a thin water film with a 74 Gy dose of 150 kVp X-rays. The effect of UVC RL resulted in a doubling of inactivation rates over X-ray irradiation alone. Further efforts targeting membrane applications, which included X-ray penetration modeling, RO membrane UVC tolerance, and economic analysis, suggested that UVC RL shows promise for application to bacteria control in seawater RO.

Anemia may influence the outcome of patients undergoing neo-adjuvant treatment of rectal cancer

BACKGROUND

We hypothesized that anemia could represent one of the major factors influencing the outcome of patients undergoing neo-adjuvant treatment of rectal cancer.

PATIENTS AND METHODS

This analysis included all the consecutive patients who underwent neo-adjuvant treatment (chemotherapy and/or radiotherapy) before surgery for rectal cancer in three oncology/radiotherapy departments from June 1996 to December 2003.

RESULTS

Three hundred and seventeen patients were eligible for our analysis. Median age at diagnosis was 64 years (range 26-88 years); male/female ratio was 184/133. Two hundred and eighty-five patients (89.9%) were diagnosed with adenocarcinoma, while 32/317 (10.1%) with mucinous adenocarcinoma. Neo-adjuvant treatments carried out were as follows: radiotherapy alone in 75/317 patients (23.7%), radiotherapy plus chemotherapy in 242/317 patients (76.3%). At univariate and multivariate analysis, only the hemoglobin (Hb) level (group 1: < or=12 g/dl versus group 2: >12 g/dl) resulted in a significant factor for disease-free survival. The role of the Hb level seemed to be confirmed further by the clinical downstaging obtained in approximately 55% of patients in group 2, in comparison with 35% of the patients achieving a significant downstaging in group 1.

CONCLUSION

Our results indicated that anemia could represent an important parameter able to influence the outcome in patients receiving neo-adjuvant treatment of rectal cancer.

Radiotherapy-associated anemia: the scope of the problem

The impact of anemia on cancer patients undergoing chemotherapy is well established, but only recently has the prevalence of anemia in patients receiving radiotherapy received much attention. Many cancer patients present with anemia prior to radiotherapy, and even more experience anemia or a worsening of anemia at some point during treatment. However, the problem of anemia is often ignored because patients may experience only functional anemia, defined as a hemoglobin level less than 12 g/dl. Unless physiologic anemia (hemoglobin = 8 g/dl) is discovered, efforts to correct anemia are often not made. Because hemoglobin levels <12 g/dl seem to be associated with tumor hypoxia and poorer outcomes of radiotherapy in a number of patient populations, ignoring even modest anemia can result in decreased locoregional control, overall survival, and quality of life (QOL). Because increasing hemoglobin levels 1-2 g/dl is usually easily accomplished, there exists the potential for improving outcomes by paying greater attention to this problem. This article focuses on the prevalence of anemia, particularly functional anemia, and discusses the impact of anemia on locoregional control, overall survival, and QOL.

Tumor hypoxia and anemia: impact on the efficacy of radiation therapy

The adverse effects of tumor hypoxia and anemia on the efficacy of radiation therapy have been increasingly recognized. In vitro data indicate that radiation therapy under hypoxic conditions is approximately one third as effective as that under normoxic conditions. There is accumulating clinical evidence of significantly reduced local-regional tumor control and overall survival in anemic patients receiving radiotherapy for head and neck, respiratory tract, pelvic, or genitourinary cancers. In our own study using intraarterial high-dose cisplatin and radiation therapy, we observed that pretreatment hemoglobin level was significantly predictive of complete response (CR) at primary and nodal sites, local-regional failure-free survival, and overall survival by multivariate analyses. With the general lack of success in overcoming the effects of tumor hypoxia through such measures as hyperbaric oxygen and radiosensitizing agents, the focus of clinical research has shifted to directly correcting anemia. A planned randomized trial by the Radiation Therapy Oncology Group will assess the effects of correction of anemia with epoetin alfa on local-regional tumor control and survival in anemic head and neck cancer patients receiving radiation therapy.

Isolation and characterization of coliforms from glacial ice and water in Canada's High Arctic

Ellesmere Island is the northern most member of the Canadian Arctic Archipelago with over one-third of the land mass covered by ice. A joint services expedition to the island's Blue Mountains offered a unique opportunity for microbiological studies of resident bacteria in an environment uninhabited by man. Over 100 samples of water and ice were collected from stream, lake and glacier and the filtrate cultured under canvas. Bacterial growth was harvested onto swabs for transport back to the UK and 50 coliforms chosen at random for identification and antibiotic susceptibility testing. Most of the glacial strains were capsulated, pigmented and some over 2000 years old. Genera such as Serratia, Enterobacter, Klebsiella and Yersinia were found; speciation was inconclusive and some organisms remain unidentified. Ampicillin resistance was evident in 80% of water isolates as opposed to 30% of the glacial organisms, but the isolates were generally exquisitely susceptible to antibiotics. The facility for ampicillin resistance did not appear to be transferable. Plasmid DNA was found in 33% of the glacial organisms and over 50% of the water isolates. Similar profiles were identified within and apparently between species and required plasmid restriction analysis to help establish identity. Plasmid-free Serratia spp. were subjected to genomic fingerprinting. Indistinguishable patterns were found within sets of isolates both widely spaced by distance and collection date and it was postulated that coliforms able to survive an Arctic environment had spread extensively throughout the expedition area. In conclusion, this study contributes towards knowledge of naturally occurring antibiotic resistance, confirms the presence of plasmids and genotypic data provided evidence that potentially ancient organisms from glaciers can be cultured from water samples significantly distant.

Modification of the response to 8 MeV electrons of auxotrophic strains of Escherichia coli by amino-acid deprivation and rifampicin

An investigation has been made of the possibility that the accumulation of RNA enriched in messenger can influence the survival of bacteria after exposure to 8 MeV electrons. The multiple amino-acid auxotroph E. coli CP79 RCrel accumulates RNA during inhibition of protein synthesis, and the proportion of RNA present as messenger increases by a factor of 3 during a 2-hour period of amino-acid deprivation. Amino-acid withdrawal led to changes in the shape of the survival curve, which also occurred in strain CP78 RCstr, which synthesizes very little RNA when deprived of amino acids. We conclude that accumulation of RNA enriched in messenger plays little or no part in modification of the survival of irradiated bacteria. We show that rifampicin, an inhibitor of RNA synthesis, increases the sensitivity of both strains equally.

Effect of low level X radiation on the antigenicity of Escherichia coli

The biologic effects of low level X radiation (10 to 1,000 rads) were investigated by studying alterations in antigenicity of Escherichia coli. Antigen-antibody reactions were studied by immunodiffusion and immunoelectrophoresis to measure subtle changes to the radiation. A gradual change was observed in antigen-antibody patterns through the various levels of radiation.

Effects of oxygen on aerosolized Serratia marcescens

Suspensions of Serratia marcescens (ATCC strain 14041) in water were aerosolized in a rotating drum in the presence of various concentrations of oxygen. The colony-forming ability of aerosolized organisms was rapidly destroyed by contact with 0.25% or more oxygen at 40% relative humidity (RH) and 25 C, but was almost unimpaired for at least 5 hr in nitrogen containing not more than 10 ppm of oxygen. Completely hydrated organisms were insensitive to oxygen at pressures up to 100 psi for 4 hr. No loss in viability occurred in aerosols of washed cells in air at 97% RH. It is proposed that dehydration of the aerosolized cell results in sensitization to lethal effects of oxygen, but is not the primary cause of death. Mn(++), Co(++), glycerol, and thiourea enhanced the biological stability of aerosols in air. Numerous similarities between the effects of oxygen in this system and in systems using freeze-dried or irradiated organisms or cell-free enzymes support the hypothesis that closely related mechanisms are involved.

Carbohydrate and lipid content of radiation-resistant and -sensitive strains of Escherichia coli

Woodside, E. E. (U.S. Army Medical Research Laboratory, Fort Knox, Ky.), and W. Kocholaty. Carbohydrate and lipid content of radiation-resistant and -sensitive strains of Escherichia coli. J. Bacteriol. 87:1140-1146. 1964.-Total lipid contents of acetate minimal medium cultures of Escherichia coli, strains B, B/r, and B(s), were not significantly different when identical pretreatment and extraction procedures were compared. Wide variations in intracellular hexose and pentose derivatives of E. coli B, B/r, and B(s) were induced by changes in carbon and nitrogen sources and by changes in the growth phases. The three strains produced more intracellular carbohydrate when grown in nutrient broth-glucose medium than when grown in unsupplemented nutrient broth. Acetate minimal medium cultures of the radiation-sensitive mutant, E. coli B(s), contained the least, and the radiation-resistant mutant, E. coli B/r the largest, amounts of intracellular hexoses. Environmental conditions which increased the radiation resistance of E. coli B/r were similar to the environmental conditions which favored increased intracellular hexose accumulation. After X ray of E. coli B/r, considerable amounts of hexoses and pentoses were released into the growth medium. Alterations in hexose distribution patterns of X-rayed E. coli B/r preceded alterations in pentose distribution patterns. Prolonged postirradiation incubation resulted in a net synthesis of extracellular hexose, with concomitant loss of intracellular hexose accumulation.