低剂量碳离子束辐射增强AdCMV-p53转染对人非小细胞肺癌细胞的治疗效果

探讨低剂量碳离子束预辐照对AdCMV-p53转染非小细胞肺癌细胞的影响,观察了20和40MOIAdCMV-p53转染经12C6+束流或γ射线预辐照的H1299细胞后,外源性p53的表达、细胞周期、细胞凋亡和细胞存活等.结果显示,经碳离子束预辐照后AdCMV-p53转染细胞p53阳性细胞所占比例高达90%多,明显高于γ射线预辐射后AdCMV-p53转染细胞p53阳性率.低剂量碳离子预辐照明显阻止AdCMV-p53转染细胞G0/G1阻滞的发生,促进G2/M阻滞和细胞凋亡的发生.碳离子束辐射诱导AdCMV-p53转染组相对生物学效应(RBE)比单纯碳离子束辐照组增加30%~60%,比单纯AdCMV-p53转染组增加20%~130%,比单纯γ辐射诱导AdCMV-p53转染组增加30%~70%.结论:低剂量碳离子束预照射明显增强外源性p53的表达和AdCMV-p53转染对非小细胞肺癌细胞的抑制.

p53腺病毒重组体转染对p53缺失肿瘤细胞辐射敏感性的影响

目的观察p53腺病毒重组体(AdCMV-p53)转染对p53缺失肿瘤细胞辐射敏感性的影响。方法用腺病毒重组体(AdCMV-p53/GFP)转染经0、0.25、0.5、1.0、1.5、2.0Gyγ射线辐射的H1299(nullp53)和PC-3(nullp53)细胞,用流式细胞分析法检测外源性p53表达,用克隆形成法检测肿瘤细胞增殖能力。结果辐射联合AdCMV-p53转染组p53阳性细胞所占比例均明显高于单纯辐射组、单纯AdCMV-p53转染组和辐射联合AdCMV-GFP转染组同种细胞p53阳性率(P<0.05);AdCMV-p53转染不仅明显提高肿瘤细胞辐射敏感性,而且与肿瘤细胞组织来源有关。结论p53腺病毒重组体转染对p53基因缺失肿瘤细胞低剂量辐射敏感性的增强作用与肿瘤细胞来源的组织器官和细胞类型有关。

P53及其相关蛋白对X射线照射肝癌细胞周期的调节

X射线照射人肝癌细胞HepG2,照射后细胞存活随照射剂量增大明显下降。流式细胞术分析,不同剂量组照射后24h均发生G2期阻滞。照射后不同时间组的细胞周期分布也有不同,照射后12h,有显著的S期延迟。Western Blot显示照射后24hP53,MDM2,P21蛋白表达上升,并有时间效应:P53在照射后24h之内始终维持较高表达,MDM2和P21分别在照射后6和12h的表达最高。X射线照射通过影响P53及其相关蛋白的表达影响细胞周期。

辐射诱导促进AdCMV-p53转染前列腺癌细胞

用腺病毒重组体(AdCMV-p53/GFP)转染经0.5,1.0和2.0Gyγ射线辐射处理的前列腺癌细胞[PC-3(nullp53)],用克隆形成法检测细胞增殖能力,用流式细胞分析法测定腺病毒重组体转染率和外源性p53蛋白表达。结果提示,辐射诱导使腺病毒重组体转染PC-3细胞提高7%—39%。辐射联合AdCMV-p53转染组p53表达水平提高18.5%—35.4%。与单纯AdCMV-p53转染组和单纯辐射组相比,辐射联合AdCMV-p53转染组细胞存活率分别降低25%—64%和22%—65%。

辐射联合p53腺病毒重组体转染对肿瘤细胞的影响

以绿色荧光蛋白腺病毒重组体(Replication deficient adenovirus green fluorescence protein recombinant,AdCMV-GFP)为对照,用p53腺病毒重组体(Replication deficient adenovirus p53 recombinant,AdCMV-p53)转染经0、0.25、0.5、1.0、1.5和2.0Gyγ射线预辐射的HepG2(wtp53)、Hela(wtp53,wtP53低水平表达)和HT-29(mtp53,mtP53过表达)细胞,用克隆形成法检测肿瘤细胞存活,探讨AdCMV-p53转染对p53基因状态与功能不同肿瘤细胞辐射敏感性的影响。结果显示,AdCMV-p53转染不仅明显提高肿瘤细胞辐射敏感性,而且与肿瘤细胞内在p53基因状态与功能有关。

碳离子辐射对人肝癌细胞SMMC-7721细胞周期和P53、MDM2及P21表达的影响

研究12C6+离子辐照对体外培养人肝癌细胞SMMC-7721细胞周期和P53、MDM2及P21表达的影响。采用0、1.0、2.0、4.0、6.0Gy12C6+离子束辐照细胞,用克隆形成法观察细胞存活情况;同时在辐照24h后用流式细胞仪检测细胞周期的变化,Western-blot检测细胞中P53、MDM2及P21蛋白表达情况。结果发现,重离子辐照后细胞存活率显著下降;1.0Gy、4.0Gy和6.0Gy照射组发生G0/G1期阻滞,而2.0Gy照射组出现G2/M期阻滞;Western-blot结果显示细胞辐照后MDM2的57kD蛋白表达水平无明显变化,而76kD蛋白表达水平随辐照剂量逐渐上升;P53和P21蛋白表达水平随辐照剂量增高。以上结果提示不同剂量的12C6+离子束照射可激活SMMC-7721细胞不同的细胞周期检测点,其中G0/G1期阻滞与P53和P21蛋白以及MDM2截短体76kD蛋白的表达水平升高有关。

p53基因转导联合放射治疗恶性肿瘤的研究进展

肿瘤治疗是目前医学研究的重点方向,其方法包括传统的放疗、化疗、手术以及目前热门的各种基因治疗等,各有其优缺点。而p53基因治疗与放射治疗方法的结合越来越受到重视。综述了近年来p53基因转导联合放射治疗恶性肿瘤的研究结果以及可能的作用机理及进展。

辐射诱导增强p53重组腺病毒转染对人结直肠癌细胞的抑制

探讨了辐射诱导对p53重组腺病毒载体转染p53突变型结直肠癌细胞(HT-29细胞系)的影响。以复制缺陷型重组腺病毒载体(AdCMV-GFP)为对照,用复制缺陷型p53重组腺病毒载体(AdCMV-p53)转染经0.5、1.0、2.0Gyγ射线照射的HT-29细胞,用流式细胞分析法检测细胞凋亡和p53蛋白表达,并用克隆形成法测定细胞增殖能力。结果表明,0.5Gy辐射诱导明显提高了AdCMV-p53转染对HT-29细胞的抑制,促进细胞凋亡。0.5Gy辐射诱导对AdCMV-p53转染HT-29细胞的抑制杀伤的增强作用最强,0.5Gy辐射诱导及40MOI和80MOIAdCMV-p53转染对肿瘤的抑制率比同等剂量下单纯转染组分别提高约50%和20%,比0.5Gy单纯辐照组提高40%。因此,0.5Gy辐射诱导可有效增加低于80MOIAdCMV-p53转染对HT-29细胞的抑制作用。辐射诱导AdCMV-p53转染HT-29细胞以最大辐射剂量不超过1.0Gy及AdCMV-p53转染量低于80MOI为宜。

辐射诱导p53腺病毒重组体转染对结直肠癌细胞周期的影响

以复制缺陷型重组腺病毒载体(AdCMV-GFP)为对照,用复制缺陷型p53重组腺病毒载体 (AdCMV-p53)转染经0．5、1．0、2．0Gyγ射线照射的HT-29细胞,克隆形成法检测对细胞的抑制作用,流式细胞分析法检测细胞周期和细胞凋亡,探讨辐射诱导对AdCMV-p53转染p53突变型结直肠癌细胞(HT-29细胞系)细胞周期的影响。结果显示,0．5-1．0Gy辐射诱导明显增强40 MOI AdCMV-p53转染对HT-29细胞的抑制。与AdCMV-p53转染对照相比,1 d后,辐射诱导转染组G0／G1期细胞减少5%-15％,S期细胞增加 2%-19％,2．0Gy辐射诱导80 MOI AdCMV-p53转染组G2/M期细胞增加12％;3d后,0．5、1．0Gy辐射诱导40 MOI AdCMV-p53转染组G2／M期细胞分别增加10%-13％。辐射诱导AdCMV-p53转染组细胞凋亡与辐射诱导剂量和AdCMV-p53转染剂量相关。以上结果表明,辐射诱导加速AdCMV-p53转染细胞由G0／G1期到S期的进程,促进S期阻滞和G2/M期阻滞发生。

辐射介导自杀基因和p53及其靶基因靶向治疗

由于临床治疗剂量对正常组织造成严重损伤,使得放疗存在一些不足。刚刚兴起的肿瘤基因治疗同样存在一些弊端,如对肿瘤组织缺乏特异性,治疗基因表达水平有限,有潜在的生物危险性等。在一定程度上,辐射靶向诱导自杀基因和p53基因及p53靶基因靶向基因治疗可弥补以上两种疗法的不足。该治疗方法不仅可以弥补单独放疗或单独基因治疗的不足,而且可在降低各自治疗剂量的基础上提高疗效。目前已有几种符合要求的表达载体进入临床试验。着重介绍了离子辐射介导自杀基因或p53基因及p53靶基因的辐射靶向基因治疗的研究进展。

Pre-irradiation with low-dose C-12(6+) beam significantly enhances the efficacy of AdCMV-p53 gene therapy in human non-small lung cancer

The combination of ionizing radiation and gene therapy has been investigated. However, there are very few reports about the combination of heavy-ion irradiation and gene therapy. To determine if the pre-exposure to low-dose heavy ion beam enhances the suppression of AdCMV-p53 on non-small lung cancer (NSLC), the cells pre-irradiated or non-irradiated were infected with 20, 40 MOI of AdCMV-p53. Survival fraction and the relative biology effect (RBE) were determined by clonogenic assay. The results showed that the proportions of p53 positive cells in C-12(6+) beam induced AdCMV-p53 infected cells were more than 90%, which were significantly more than those in gamma-ray induced AdCMV-p53 infected cells. The pre-exposure to low-dose 12C6+ beam significantly prevented the G(0)/G(1) arrest and activated G(2)/M checkpoints. The pre-exposure to C-12(6+) beam significantly improved cell to apoptosis. RBEs for the C-12(6+)+ AdCMV-p53 infection groups were 30%-60%,20% -130% and 30%-70% more than those for the C-12(6+)_irradiated only, AdCMV-p53 infected only, and gamma-irradiation induced AdCMVp53 infected groups, respectively. The data suggested that the pre-exposure to low-dose C-12(6+) beam significantly promotes exogenous p53 expression in NSLC, and the suppression of AdCMV-p53 gene therapy on NSLC.

Adenovirus-mediated p53 gene transfer sensitizes hepatocellular carcinoma cells to heavy-ion radiation

Background. The purpose of this study was to investigate whether adenovirus-mediated p53 transfer could sensitize hepatocellular carcinoma to heavy-ion irradiation. Methods. HepG2 cells were preexposed to a C-12(6+) beam, and then infected with replication-deficient adenovirus recombinant vectors containing human wild-type p53 (AdCMV-p53) (C-12(6+) irradiation + AdCMV-p53 infection). The survival fraction was determined by clonogenic assay. The cell cycle, cell apoptosis, and p53 expression were monitored by flow cytometric analysis. Results. p53 expression in C-12(6+) irradiation + AdCMV-p53 infection groups was markedly higher than that in C-12(6+) irradiation only groups (P < 0.05), suggesting that the preexposure to the C-12(6+) beam promoted the expression of exogenous p53 in HepG2 cells infected with AdCMV-p53 only. The G(1)-phase arrest and cell apoptosis in the C-12(6+) irradiation + AdCMV-p53 infection groups were significantly more than those in the C-12(6+) irradiated groups (P < 0.05). The survival fractions of the C-12(6+) irradiation + AdCMV-p53 infection groups decreased by 30%-49% compared with those of the C-12(6+) beam-irradiated only groups (P < 0.05). Conclusions. Adenovirus-mediated p53 gene transfer can promote G(1)-phase arrest and cell apoptosis, thus sensitizing hepatocellular carcinoma cells to heavy-ion irradiation.

Effect of p53 on lung carcinoma cells irradiated by carbon ions or X-rays

The study is to investigate the feasibility and advantages of heavy ion beams on radiotherapy. The cellular cycle and apoptosis, cell reproductive death and p53 expression evaluated with flow cytometry, clonogenic survival assays and Western blot analysis were examined in lung carcinoma cells after exposure to 89.63 MeV/u carbon ion and 6 MV X-ray irradiations, respectively. The results showed that the number colonyforming assay of A549 was higher than that of H1299 cells in two radiation groups; A549 cellular cycle was arrested in G(2)/M in 12 It and the percentage of apoptosis ascended at each time point of carbon ion radiation with doses, the expression of p53 upregulated with doses exposed to X-ray or carbon ion. The cell number in G(2)/M of H1299 and apoptosis were increasing at all time points with doses in C-12(6+) ion irradiation group. The results suggested that the effects of carbon ions or X rays irradiation on lung carcinoma cells were different, C-12(6+) ion irradiation could have more effect on upregulating the expression of p53 than X-ray, and the upregulated expression of p53 might produce the cellular cycle G(2)/M arrested, apoptosis increasing; and p53 gene might affect the lung cancer cells radiosensitivity.

High-efficiency transfer and expression of AdCMV-p53 in human hepatocellular carcinoma cells induced by low-dose carbon-ion radiation

Objective To investigate whether the irradiation with C-beam could enhance adenovirus-mediated transfer and expression of p53 in human hepatocellular carcinoma. Materials and methods HepG2 cells were exposed to C-beam or gamma-ray and then infected with replicationdeficient adenovirus recombinant vectors containing human wild-type p53 or green fluorescent protein, respectively. The transfer efficiency and expression level of the exogenous gene were detected by flow cytometric analysis. Cell survival fraction was detected by clonogenic assay. Results The transfer frequency in C-beam or gamma-irradiated groups increased by 50-83% and 5.7-38.0% compared with the control, respectively (P < 0.05). Compared with C-beam alone, p53 alone, and gamma-ray with p53, the percentages of p53 positive cells for 1 Gy C-beam with p53 increased by 56.0-72.0%, 63.5-82.0%, and 31.3-72.5% on first and third day after the treatments, respectively (P < 0.05). The survival fractions for the 2Gy C-bearn and AdCMV-p53 infection groups decreased to similar to 2%. Conclusion C-beam irradiation could significantly promote AdCMV-green fluorescent protein transfer and expression of p53.

辐射联合p53基因转导对人黑色素瘤细胞系生物学效应的研究

恶性黑色素瘤具有早期高度转移潜能，尽管常常检测到野生型p53基因，却对常规放化疗高度抗拒，因此，寻求有效治疗黑色素瘤的方法十分重要。本文就如何将放射治疗与基因治疗有机结合、外源性p53对不同p53状态的黑色素瘤细胞生长抑制和辐射增敏作用，以及外源性P53蛋白对不同传能线密度（LET）射线辐照诱导肿瘤细胞死亡途径的影响做了一些粗浅研究。 首先，采用复制缺陷的重组腺病毒载体(AdCMV-p53)介导人野生型p53基因转染1 Gy X-射线预辐照的黑色素瘤细胞系A375(wt p53)和WM983a(mu p53)，RT-PCR检测mRNA水平，流式细胞仪测定细胞周期阻滞及外源性P53蛋白表达情况,克隆形成率测定辐射后细胞存活率。用携带报道基因的复制缺陷重组腺病毒载体AdCMV-GFP（绿色荧光蛋白）作为对照。结果显示1 Gy X-射线辐照可明显增加AdCMV-p53对A375和WM983a细胞系的基因转导效率，转导的外源性野生型P53可在两种细胞中高效表达，并诱导细胞周期G1期阻滞；单纯转导p53对A375(wt p53)细胞无明显诱导凋亡和生长抑制效应，但可部分诱导WM983a(mu p53)细胞凋亡；而转导p53基因48小时后给予X-射线辐射，两种细胞克隆存活率较其对照组均明显减低；外源性p53基因对WM983a(mu p53)细胞的辐射增敏作用较A375(wt p53)细胞明显。这些结果表明小剂量辐射既可有效增加腺病毒介导的p53转导，又不会对患者产生明显副作用。而且，外源性野生型p53可明显增加黑色素瘤细胞系A375(wt p53)和WM983a(mu p53)的辐射敏感性。提示p53是基因治疗黑色素瘤较好的侯选基因，也为临床上放疗联合基因治疗恶性黑色素瘤提供了实验室依据。 其次，观察了外源性P53蛋白对不同传能线密度（LET）射线辐照诱导肿瘤细胞凋亡和坏死的影响，并探讨其可能的机理。人黑色素瘤细胞系A375（wild-type p53）经携带人野生型p53基因的腺病毒载体（AdCMV-p53）感染后分别给予X-射线和碳离子束照射，采用克隆形成法测定细胞辐射敏感性，Hoechst33258和吖啶橙-溴化乙锭双染，荧光显微镜下观察细胞凋亡和死亡。结果发现：（1）高LET射线辐照时，A375细胞和转导人野生型p53基因的A375细胞（A375/p53）的辐射敏感性没有明显差异；（2）虽然辐射诱导细胞凋亡比例的增加依赖于LET，但是无论高LET或低LET，外源性P53蛋白均可有效诱导细胞凋亡。（3）高LET射线辐照时，A375细胞的坏死细胞明显高于A375/p53细胞。提示尽管高LET射线辐射对A375和A375/p53细胞的存活无明显影响，但是对细胞凋亡的诱导却部分依赖于P53蛋白的功能，提示P53蛋白可能在调节细胞死亡类型中发挥重要作用。这对临床应用高LET射线辐射联合p53基因治疗恶性黑色素瘤有一定参考意义