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Giovanetti A, Marconi R, Awad N, Abuzied H, Agamy N, Barakat M, Bartoleschi C, Bossi G, Canfora M, Elsaid AA, Ioannilli L, Ismail HM, Issa YA, Novelli F, Pardini MC, Pioli C, Pinnarò P, Sanguineti G, Tahoun MM, Turchi R, Strigari L. Validation of a biomarker tool capable of measuring the absorbed dose soon after exposure to ionizing radiation. Sci Rep 2021; 11:8118. [PMID: 33854097 PMCID: PMC8047015 DOI: 10.1038/s41598-021-87173-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2020] [Accepted: 03/19/2021] [Indexed: 01/17/2023] Open
Abstract
A radiological or nuclear attack could involve such a large number of subjects as to overwhelm the emergency facilities in charge. Resources should therefore be focused on those subjects needing immediate medical attention and care. In such a scenario, for the triage management by first responders, it is necessary to count on efficient biological dosimetry tools capable of early detection of the absorbed dose. At present the validated assays for measuring the absorbed dose are dicentric chromosomes and micronuclei counts, which require more than 2–3 days to obtain results. To overcome this limitation the NATO SPS Programme funded an Italian–Egyptian collaborative project aimed at validating a fast, accurate and feasible tool for assessing the absorbed dose early after radiation exposure. Biomarkers as complete blood cell counts, DNA breaks and radio-inducible proteins were investigated on blood samples collected before and 3 h after the first fraction of radiotherapy in patients treated in specific target areas with doses/fraction of about: 2, 3.5 or > 5 Gy and compared with the reference micronuclei count. Based on univariate and multivariate multiple linear regression correlation, our results identify five early biomarkers potentially useful for detecting the extent of the absorbed dose 3 h after the exposure.
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Affiliation(s)
- Anna Giovanetti
- Division of Health Protection Technologies, ENEA-Italian National Agency for New Technologies, Energy and Sustainable Economic Development, 00123, Rome, Italy.
| | - Raffaella Marconi
- Scientific Direction, National Institute for Infectious Diseases "Lazzaro Spallanzani" IRCCS, 00149, Rome, Italy
| | - Noha Awad
- Epidemiology Department, High Institute of Public Health, Alexandria University, Alexandria, 21561, Egypt
| | - Hala Abuzied
- Alexandria University Cancer Research Cluster, Alexandria, 21561, Egypt
| | - Neveen Agamy
- Nutrition Department, High Institute of Public Health, Alexandria University, Alexandria, 21561, Egypt
| | - Mohamed Barakat
- Alexandria University Cancer Research Cluster, Alexandria, 21561, Egypt
| | - Cecilia Bartoleschi
- Division of Health Protection Technologies, ENEA-Italian National Agency for New Technologies, Energy and Sustainable Economic Development, 00123, Rome, Italy
| | - Gianluca Bossi
- Oncogenomic and Epigenetic Unit, Department of Diagnostic Research and Technological Innovation, IRCCS - Regina Elena National Cancer Institute, 00144, Rome, Italy
| | - Marco Canfora
- Clinical Trial Center, Biostatistics and Bioinformatics, IRCCS Regina Elena National Cancer Institute, 00144, Rome, Italy
| | - Amr A Elsaid
- Oncology Department, Faculty of Medicine, Alexandria University, Alexandria, 21561, Egypt
| | - Laura Ioannilli
- Department of Biology, University of Rome "Tor Vergata", 00133, Rome, Italy
| | - Horeya M Ismail
- Alexandria University Cancer Research Cluster, Alexandria, 21561, Egypt
| | - Yasmine Amr Issa
- Medical Biochemistry Department, Faculty of Medicine, University of Alexandria, Alexandria, 21561, Egypt
| | - Flavia Novelli
- Division of Health Protection Technologies, ENEA-Italian National Agency for New Technologies, Energy and Sustainable Economic Development, 00123, Rome, Italy
| | - Maria Chiara Pardini
- Division of Health Protection Technologies, ENEA-Italian National Agency for New Technologies, Energy and Sustainable Economic Development, 00123, Rome, Italy
| | - Claudio Pioli
- Division of Health Protection Technologies, ENEA-Italian National Agency for New Technologies, Energy and Sustainable Economic Development, 00123, Rome, Italy
| | - Paola Pinnarò
- Departments of Radiation Oncology, IRCCS - Regina Elena National Cancer Institute, 00144, Rome, Italy
| | - Giuseppe Sanguineti
- Departments of Radiation Oncology, IRCCS - Regina Elena National Cancer Institute, 00144, Rome, Italy
| | - Mohamed M Tahoun
- Epidemiology Department, High Institute of Public Health, Alexandria University, Alexandria, 21561, Egypt
| | - Riccardo Turchi
- Department of Biology, University of Rome "Tor Vergata", 00133, Rome, Italy
| | - Lidia Strigari
- IRCCS Azienda Ospedaliera Universitaria di Bologna, 40138, Bologna, Italy
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Zhang XH, Hu XD, Zhao SY, Xie LH, Miao YJ, Li Q, Min R, Liu PD, Zhang HQ. Methemoglobin-Based Biological Dose Assessment for Human Blood. HEALTH PHYSICS 2016; 111:30-36. [PMID: 27218292 DOI: 10.1097/hp.0000000000000522] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Methemoglobin is an oxidative form of hemoglobin in erythrocytes. The authors' aim was to develop a new biological dosimeter based on a methemoglobin assay. Methemoglobin in peripheral blood (of females or males) that was exposed to a Co source (0.20 Gy min) was quantified using an enzyme-linked immunosorbent assay. The dose range was 0.5-8.0 Gy. In a time-course experiment, the time points 0, 0.02, 1, 2, 3, 7, 15, 21, and 30 d after 4-Gy irradiation of heparinized peripheral blood were used. Methemoglobin levels in a lysed erythrocyte pellet from the irradiated blood of females and males increased with the increasing dose. Methemoglobin levels in female blood irradiated with γ-doses more than 4 Gy were significantly higher than those in male samples at the same doses. Two dose-response relations were fitted to the straight line: one is with the correlation coefficient of 0.98 for females, and the other is with the correlation coefficient of 0.99 for males. The lower limit of dose assessment based on methemoglobin is about 1 Gy. Methemoglobin levels in blood as a result of auto-oxidation increase after 7-d storage at -20 °C. The upregulation of methemoglobin induced by γ-radiation persists for ∼3 d. The absorbed doses that were estimated using the two dose-response relations were close to the actual doses. The results suggest that methemoglobin can be used as a rapid and accurate biological dosimeter for early assessment of absorbed γ-dose in human blood.
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Affiliation(s)
- Xiao-Hong Zhang
- *Department of Nuclear Science and Engineering, Nanjing University of Aeronautics and Astronautics, Nanjing 210006, P.R. China; †Clincal Laboratory, Jiangsu Province Hospital of Traditional Chinese Medicine, Nanjing, Jiangsu 210029, P.R. China; ‡Division of Radiation Medicine, Department of Naval Medicine, Second Military Medical University, Shanghai 200433, P.R. China; §Jiangsu Laboratory for Biomaterials and Devices, Southeast University, Nanjing 210018, P.R. China
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