Charlotte Thornberg

Radiation enteropathy and leucocyte-endothelial cell reactions in a refined small bowel model

BackgroundLeucocyte recruitment and inflammation are key features of high dose radiation-induced tissue injury. The inflammatory response in the gut may be more pronounced following radiotherapy due to its high bacterial load in comparison to the response in other organs. We designed a model to enable us to study the effects of radiation on leucocyte-endothelium interactions and on intestinal microflora in the murine ileum. This model enables us to study specifically the local effects of radiation therapy.MethodA midline laparotomy was performed in male C57/Bl6 mice and a five-centimetre segment of ileum is irradiated using the chamber. Leucocyte responses (rolling and adhesion) were then analysed in ileal venules 2 – 48 hours after high dose irradiation, made possible by an inverted approach using intravital fluorescence microscopy. Furthermore, intestinal microflora, myeloperoxidase (MPO) and cell histology were analysed.ResultsThe highest and most reproducible increase in leucocyte rolling was exhibited 2 hours after high dose irradiation whereas leucocyte adhesion was greatest after 16 hours. Radiation reduced the intestinal microflora count compared to sham animals with a significant decrease in the aerobic count after 2 hours of radiation. Further, the total aerobic counts, Enterobacteriaceae and Lactobacillus decreased significantly after 16 hours. In the radiation groups, the bacterial count showed a progressive increase from 2 to 24 hours after radiation.ConclusionThis study presents a refinement of a previous method of examining mechanisms of radiation enteropathy, and a new approach at investigating radiation induced leucocyte responses in the ileal microcirculation. Radiation induced maximum leucocyte rolling at 2 hours and adhesion peaked at 16 hours. It also reduces the microflora count, which then starts to increase steadily afterwards. This model may be instrumental in developing strategies against pathological recruitment of leucocytes and changes in intestinal microflora in the small bowel after radiotherapy.

Local radiotherapy of exposed murine small bowel: Apoptosis and inflammation

BackgroundPreoperative radiotherapy of the pelvic abdomen presents with complications mostly affecting the small bowel. The aim of this study was to define the features of early radiation-induced injury on small bowel.Methods54 mice were divided into two groups (36 irradiated and 18 sham irradiated). Animals were placed on a special frame and (in the radiated group) the exteriorized segment of ileum was subjected to a single absorbed dose of 19 or 38 Gy radiation using 6 MV high energy photons. Specimens were collected for histology, immunohistochemistry (IHC) and ELISA analysis after 2, 24 and 48 hours. Venous blood was collected for systemic leucocyte count in a Burker chamber.ResultsHistology demonstrated progressive infiltration of inflammatory cells with cryptitis and increased apoptosis. MIP-2 (macrophage inflammatory protein) concentration was significantly increased in irradiated animals up to 48 hours. No significant differences were observed in IL-10 (interleukin) and TNF-α (tumour necrosis factor) levels. IHC with CD45 showed a significant increase at 2 hours of infiltrating leucocytes and lymphocytes after irradiation followed by progressive decrease with time. Caspase-3 expression increased significantly in a dose dependent trend in both irradiated groups up to 48 hours.ConclusionAcute small bowel injury caused by local irradiation is characterised by increased apoptosis of crypt epithelial cells and by lymphocyte infiltration of the underlying tissue. The severity of histological changes tends to be dose dependent and may affect the course of tissue damage.

14C levels in the vicinity of two swedish nuclear power plants and at two clean-air sites in Southernmost Sweden

(super 14) C is one of the radionuclides that are produced to different degrees by neutron-induced reactions in all types of nuclear reactors. Part of the (super 14) C created is continuously released into the surrounding environment during normal operation as airborne effluents in various chemical forms (such as CO (sub 2) , Co and hydrocarbons) through the ventilation system of the plant. Because of the biological importance of carbon and the long half-life of (super 14) C, it is of interest to measure the releases and their incorporation into living material. We report here on the (super 14) C activity concentrations in annual tree rings and the air around two Swedish nuclear power plants, as well as the background (super 14) C activity levels from two reference sites in southern Sweden from 1973-1996. We used both accelerator mass spectrometry (AMS) and decay counting in the investigation.

Increased 137Cs metabolism during pregnancy.

Abstract—A woman temporarily visiting the Brjansk area in southern Russia ingested, without her knowledge, 35.5 kBq of 137Cs in a single mushroom meal. Seven months later the woman became pregnant. Her total body content of 137Cs and 40K was measured regularly in a whole-body counter for three years following this intake. Data were thus available for the whole-body content for the periods before, during, and after pregnancy. Urine samples were collected regularly, and on two occasions breast milk was sampled. The 137Cs concentration in urine and breast milk was analyzed with a gamma-ray spectrometer. The body content of 137Cs decreased with a biological half-time of 107 d [95% confidence interval (CI): 106,109] before pregnancy, 58 d (95% CI: 53,64) during pregnancy, and 96 d (95% CI: 43,346) after the child was born. The ratio between the concentration of 137Cs in the urine (Bq/L urine) and in the body (Bq/kg body weight) increased during pregnancy from 18 ± 6% to 35 ± 6% (± 1 SD). The results show that there was a rapid decrease in the biological half-time of 137Cs at the beginning of the pregnancy and an increase after the child was born. The biological half-time during pregnancy was 54% of the half-time before pregnancy, which was reflected in the increased excretion of 137Cs in the urine. The ratio of the 137Cs concentration in breast milk to the whole body was 15% in the first month of breast-feeding. The effective dose, E, to the mother as a result from this intake was estimated to be 0.5 mSv, and the absorbed dose to the fetus was 0.06 mGy. These results are consistent with those reported elsewhere.

Technical evaluation of a laser-based optical surface scanning system for prospective and retrospective breathing adapted computed tomography

Abstract Background. For breathing adapted radiotherapy, the same motion monitoring system can be used for imaging and triggering of the accelerator. Purpose. To evaluate a new technique for prospective gated computed tomography (CT) and four-dimensional CT (4DCT) using a laser based surface scanning system (Sentinel™, C-RAD, Uppsala, Sweden). The system was compared to the AZ-733V respiratory gating system (Anzai Medical, Tokyo, Japan) and the Real-Time Position Management System (RPM™) (Varian Medical Systems, Palo Alto, CA, USA). Material and methods. Temporal accuracy was evaluated using a moving phantom programmed to move a platform along trajectories following a sin6(ωt) function with amplitudes from 6 to 20 mm and periods from 2 to 5 s during 120 s while the motion was recorded. The recorded data was Fourier transformed and the peak area at the fundamental and harmonic frequencies compared to data generated using the same sinusoidal function. For verification of the 4DCT reconstruction process, the phantom was programmed to move along a sinusoidal trajectory. Ten phase series were reconstructed. The distance from the couch to the platform was measured in each image. By fitting the function sin(ωt-φ) to the values measured in the images corresponding to each slice, the phase of each image was verified. Results and conclusion. In the recorded data, the peak area at the fundamental frequency covered on average 104 ± 4%, 102 ± 4% and 91 ± 27% of the peak area in the generated data for the Sentinel™, RPM™ and AZ-733V systems, respectively. All systems managed to resolve both harmonic frequencies. The second experiment showed that all images were sorted into the correct series using breathing data recorded by each system. The systems generated very similar results, however, it is preferable to use the same system both for imaging and treatment.

Environmental radiation protection studies related to nuclear industries, using AMS

14C is produced in nuclear reactors during normal operation and part of it is continuously released into the environment. Because of the biological importance of carbon and the long physical half-life of 14C it is of interest to study these releases. The 14C activity concentrations in the air and vegetation around some Swedish as well as foreign nuclear facilities have been measured by accelerator mass spectrometry (AMS). 59Ni is produced by neutron activation in the stainless steel close to the core of a nuclear reactor. The 59Ni levels have been measured in order to be able to classify the different parts of the reactor with respect to their content of long-lived radionuclides before final storage. The technique used to measure 59Ni at a small accelerator such as the Lund facility has been developed over the past few years and material from the Swedish nuclear industry has been analyzed.