Radiotoxicity after iodine-131 MIBG therapy using the micronucleus assay
Project/Area Number |
17591251
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Research Category |
Grant-in-Aid for Scientific Research (C)
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Allocation Type | Single-year Grants |
Section | 一般 |
Research Field |
Radiation science
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Research Institution | University of Toyama |
Principal Investigator |
WATANABE Naoto University of Toyama, Radiology, Associate Professor (40210926)
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Co-Investigator(Kenkyū-buntansha) |
KINUYA Seigo Kanazawa University, School of Medicine, Professor (20281024)
OGAWA Shinichi Toyama University, Hospital Radiology, Instructor (60377265)
野村 邦紀 富山大学, 附属病院, 講師 (40251904)
横山 邦彦 金沢大学, 医学部附属病院, 講師 (60230661)
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Project Period (FY) |
2005 – 2007
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Project Status |
Completed (Fiscal Year 2007)
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Budget Amount *help |
¥3,940,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥240,000)
Fiscal Year 2007: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2006: ¥700,000 (Direct Cost: ¥700,000)
Fiscal Year 2005: ¥2,200,000 (Direct Cost: ¥2,200,000)
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Keywords | I-131 MIBG therapy / Micronucleus assay / Lymphocyte / Radiotoxicity / I-131MIBG治療 / MIBG治療 / 放射線組織障害 / 照射量推定 |
Research Abstract |
The purpose of the present study was to evaluate the degree of cytological radiation damage to lymphocytes after I-131 Metaiodobenzylguanidine (MIBG) therapy using the cytokinesis-blocked micronucleus assay. The chromosomal damage to lymphocytes induced by I-131 in vivo should result in augmentation of the cells with micronuclei. Methods: We studied 18 patients with pheochromocytoma (17/18) or ganglioneuroma (1/18), who were treated initially with 7.4 GBq of I-131-MIBG. Isolated lymphocytes collected from patients 10 days after the therapy were harvested and treated according to the cytokinesis-blocked method of Fenech and Morley. Serial blood samples were obtained periodically only from two patients for two years after therapy. Micronucleus number of micronulei per 500 binucleated cells was scored by visual inspection. As controls, lymphocytes from the same patients before the therapy were also studied. In an in vitro study, lymphocytes from eight normal volunteers were exposed to doses varying from 0.5 to 2 Gy and studied with the same method. Results: The mean number (mean±SD) of micronuclei after treatment was significantly increased (p<0.001) as compared to control subjects (46.1±7.7 vs. 9.6±2.6). Internal radiation absorbed doses estimated for 18 patients were 1.5±0.3 Gy in this external irradiation study. The frequency of micronuclei post-administration of I-131-MIBG gradually decreased to near baseline (ie pre-therapy) levels by two years. Conclusions: The relatively low frequency of lymphocyte micronuclei induced by I-131-MIBG in vivo and recovery of increasing frequency of lymphocyte micronuclei after therapy supported the contention that short-term non-stochastic damage of this therapy with 7.4 GBq of I-131-MIBG in pheochromocytoma or ganglioneuroma patients is limited and reversible.
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Report
(4 results)
Research Products
(2 results)