Mechanisms of FLASH effect

被引:30
作者
Lin, Binwei [1 ,2 ]
Huang, Dan [3 ]
Gao, Feng [1 ]
Yang, Yiwei [4 ]
Wu, Dai [4 ]
Zhang, Yu [1 ]
Feng, Gang [1 ]
Dai, Tangzhi [1 ]
Du, Xiaobo [1 ]
机构
[1] Mianyang Cent Hosp, Natl Hlth Commiss NHC Key Lab Nucl Technol Med Tra, Dept Oncol, Mianyang, Peoples R China
[2] Chongqing Med Univ, Coll Biomed Engn, State Key Lab Ultrasound Med & Engn, Chongqing, Peoples R China
[3] Mianyang Cent Hosp, Dept Radiol, Mianyang, Peoples R China
[4] China Acad Engn Phys, Inst Appl Elect, Mianyang, Peoples R China
来源
FRONTIERS IN ONCOLOGY | 2022年 / 12卷
关键词
FLASH radiotherapy; conventional dose-rate radiotherapy; mechanism; oxygen; radiobiology; HIGH-DOSE-RATE; BLOOD-BRAIN-BARRIER; RADIATION-THERAPY; IRRADIATION; RADIOTHERAPY; CELLS; TOXICITY; OUTCOMES; PULSES; RATES;
D O I
10.3389/fonc.2022.995612
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
FLASH radiotherapy (FLASH-RT) is a novel radiotherapy technology defined as ultra-high dose rate (>= 40 Gy/s) radiotherapy. The biological effects of FLASH-RT include two aspects: first, compared with conventional dose rate radiotherapy, FLASH-RT can reduce radiation-induced damage in healthy tissue, and second, FLASH-RT can retain antitumor effectiveness. Current research shows that mechanisms of the biological effects of FLASH-RT are related to oxygen. However, due to the short time of FLASH-RT, evidences related to the mechanisms are indirect, and the exact mechanisms of the biological effects of FLASH-RT are not completely clear and some are even contradictory. This review focuses on the mechanisms of the biological effects of FLASH-RT and proposes future research directions.
引用
收藏
页数:8
相关论文
共 61 条
[41]   Long-term neurocognitive benefits of FLASH radiotherapy driven by reduced reactive oxygen species [J].
Montay-Gruel, Pierre ;
Acharya, Munjal M. ;
Petersson, Kristoffer ;
Alikhani, Leila ;
Yakkala, Chakradhar ;
Allen, Barrett D. ;
Ollivier, Jonathan ;
Petit, Benoit ;
Jorge, Patrik Goncalves ;
Syage, Amber R. ;
Nguyen, Thuan A. ;
Baddour, Al Anoud D. ;
Lu, Celine ;
Singh, Paramvir ;
Moeckli, Raphael ;
Bochud, Francois ;
Germond, Jean-Francois ;
Froidevaux, Pascal ;
Bailat, Claude ;
Bourhis, Jean ;
Vozenin, Marie-Catherine ;
Limoli, Charles L. .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 2019, 116 (22) :10943-10951
[42]   X-rays can trigger the FLASH effect: Ultra-high dose-rate synchrotron light source prevents normal brain injury after whole brain irradiation in mice [J].
Montay-Gruel, Pierre ;
Bouchet, Audrey ;
Jaccard, Maud ;
Patin, David ;
Serduc, Raphael ;
Aim, Warren ;
Petersson, Kristoffer ;
Petit, Benoit ;
Bailat, Claude ;
Bourhis, Jean ;
Brauer-Krisch, Elke ;
Vozenin, Marie-Catherine .
RADIOTHERAPY AND ONCOLOGY, 2018, 129 (03) :582-588
[43]   Mechanisms of inflammatory responses to radiation and normal tissues toxicity: clinical implications [J].
Najafi, Masoud ;
Motevaseli, Elahe ;
Shirazi, Alireza ;
Geraily, Ghazale ;
Rezaeyan, Abolhasan ;
Norouzi, Farzad ;
Rezapoor, Saeed ;
Abdollahi, Hamid .
INTERNATIONAL JOURNAL OF RADIATION BIOLOGY, 2018, 94 (04) :335-356
[44]   DNA strand break induction of aqueous plasmid DNA exposed to 30 MeV protons at ultra-high dose rate [J].
Ohsawa, Daisuke ;
Hiroyama, Yota ;
Kobayashi, Alisa ;
Kusumoto, Tamon ;
Kitamura, Hisashi ;
Hojo, Satoru ;
Kodaira, Satoshi ;
Konishi, Teruaki .
JOURNAL OF RADIATION RESEARCH, 2022, 63 (02) :255-260
[45]   Adaptive proton therapy [J].
Paganetti, Harald ;
Botas, Pablo ;
Sharp, Gregory C. ;
Winey, Brian .
PHYSICS IN MEDICINE AND BIOLOGY, 2021, 66 (22)
[47]   Radiotherapy for bone metastases of hepatocellular carcinoma: a hybrid systematic review with meta-analyses [J].
Rim, Chai Hong ;
Park, Sunmin ;
Yoon, Won Sup ;
Shin, In-Soo ;
Park, Hee Chul .
INTERNATIONAL JOURNAL OF RADIATION BIOLOGY, 2023, 99 (03) :419-430
[48]   Irradiation at Ultra-High (FLASH) Dose Rates Reduces Acute Normal Tissue Toxicity in the Mouse Gastrointestinal System [J].
Ruan, Jia-Ling ;
Lee, Carl ;
Wouters, Shari ;
Tullis, Iain D. C. ;
Verslegers, Mieke ;
Mysara, Mohamed ;
Then, Chee Kin ;
Smart, Sean C. ;
Hill, Mark A. ;
Muschel, Ruth J. ;
Giaccia, Amato J. ;
Vojnovic, Borivoj ;
Kiltie, Anne E. ;
Petersson, Kristoffer .
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 2021, 111 (05) :1250-1261
[49]   Reduced cognitive deficits after FLASH irradiation of whole mouse brain are associated with less hippocampal dendritic spine loss and neuroinflammation [J].
Simmons, Danielle A. ;
Lartey, Frederick M. ;
Schuler, Emil ;
Rafat, Marjan ;
King, Gregory ;
Kim, Anna ;
Ko, Ryan ;
Semaan, Sarah ;
Gonzalez, Selena ;
Jenkins, Melissa ;
Pradhan, Pooja ;
Shih, Zion ;
Wang, Jinghui ;
von Eyben, Rie ;
Graves, Edward E. ;
Maxim, Peter G. ;
Longo, Frank M. ;
Loo, Billy W., Jr. .
RADIOTHERAPY AND ONCOLOGY, 2019, 139 :4-10
[50]   In vivo validation and tissue sparing factor for acute damage of pencil beam scanning proton FLASH [J].
Sorensen, Brita Singers ;
Sitarz, Mateusz Krzysztof ;
Ankjaergaard, Christina ;
Johansen, Jacob ;
Andersen, Claus E. ;
Kanouta, Eleni ;
Overgaard, Cathrine ;
Grau, Cai ;
Poulsen, Per .
RADIOTHERAPY AND ONCOLOGY, 2022, 167 :109-115