MicroRNAs与结直肠癌辐射敏感性的关系及作用机制

结直肠癌目前是世界第三大肿瘤,手术治疗后约50%的患者会复发和转移,目前美国国立综合癌症网络（NCCN）肿瘤学临床实践指南推荐常规接受适型外照射治疗。由于放疗将显著增加不良反应,如何最大程度减小辐射剂量,提高辐射敏感性至关重要。近年来人们不仅发现了microRNAs参与了结直肠癌的发病和演进,而且越来越多的证据表明,microRNAs在结直肠癌的辐射敏感性中发挥了重要的作用。辐射引起的DNA损伤反应包括ATM的激活,组蛋白修饰和染色质重塑,细胞周期停滞,损伤修复和凋亡等系列过程,microRNAs可以通过作用于任何一个环节调节DNA损伤修复过程,从而调控肿瘤的辐射敏感性。本综述重点阐述microRNAs影响DNA损伤修复的作用机制,并展望了microRNAs通过影响肿瘤辐射敏感性在临床上的应用。     

染色质结构影响肿瘤细胞辐射敏感性的研究进展

染色质结构修饰在DNA复制、转录、修复和重组的过程中发挥重要作用。近年来研究表明,染色质结构修饰不仅影响电离辐射后的DNA损伤的产生并且还参与多个DNA损伤反应（DDR）的信号通路。本文就染色质结构及其在DNA损伤修复中的作用,特别是特征性染色质结构、组蛋白修饰对肿瘤细胞辐射敏感性的影响进行了综述。     

组蛋白去乙酰酶阻滞剂的放射增敏作用

放射治疗是肿瘤的重要治疗手段之一,辐射可以导致细胞DNA双链断裂。细胞主要通过同源重组修复和非同源末端连接修复方式修复DNA双链断裂。随着对双链DNA损伤修复机制认识的深化,组蛋白去乙酰酶（HDAC）阻滞剂成为提高放射敏感性的一种新策略。HDAC可分为4类。HDAC阻滞剂可非特异性地或特异性地阻滞这4类HDAC,使组蛋白乙酰化水平提高,染色体解螺旋,核小体结构改变。一方面使DNA更易受到辐射的影响;另一方面通过降低E2F1转录因子活性抑制损伤修复蛋白Ku80、Rad51等的表达,使其不能募集DNA损伤修复蛋白,且不能形成相应的蛋白复合物,使同源重组修复和非同源末端连接修复作用延缓,在伴有或不伴有肿瘤细胞凋亡增加的情况下,提高放射敏感性。现已有一些临床试验在进行中,并取得了初步的结果。     

PARP抑制剂3-AB的辐射致敏作用及其机制

多聚（ADP-核糖）聚合酶[poly（ADP-ribose）polymerase，PARP]是广泛存在于细胞内的一种具有蛋白修饰和核苷酸聚合作用的聚合酶，在多种有害因素造成细胞DNA断裂损伤修复过程中发挥重要作用。3-氨基苯甲酰胺（3-aminobenzamide，3-AB）是一种PARP特异性抑制剂，有报道证实，通过3-AB对PARP的抑制作用可以改变细胞对辐射引起的双链断裂的修复，引起一系列生理生化改变，而细胞对于电离辐射的敏感性也可由于PARP的活性而被改变。     

辐射敏感性影响因素研究

辐射敏感性受到许多因素的影响。以生殖细胞损伤、细胞遗传学损伤、细胞凋亡、DNA损伤和修复作为观察终点,结果显示辐射敏感性存在着年龄差别,遗传因素、性别、生活习惯(如吸烟)、小剂量照射等因素对辐射敏感性也存在不同程度的影响。     

辐射敏感性影响因素研究

辐射敏感性受到许多因素的影响。以生殖细胞损伤、细胞遗传学损伤、细胞凋亡、DNA损伤和修复作为观察终点，结果显示辐射敏感性存在着年龄差别，遗传因素、性别、生活习惯(如吸烟)、小剂量照射等因素对辐射敏感性也存在不同程度的影响。     

DNA双链断裂残留损伤与癌细胞辐射敏感性研究

目的 了解不同组织来源癌细胞株和人体肿瘤组织原代细胞的DNA双链断裂损伤修复的个体差异性,探寻预测癌细胞辐射敏感性的生物指标。方法 ⁶⁰Co γ射线照射诱发DNA损伤,脉冲电场凝胶电泳检测DNA双链断裂损伤修复,细胞克隆形成能力法检测细胞辐射敏感性。结果 8个不同组织来源癌细胞株的辐射敏感性有较大的差异(D₀为0.65~2.15 Gy),不同细胞株20 Gy γ射线照射诱发产生的DNA双链断裂原初损伤有一定的差别,但与细胞辐射抗性无相关性。辐射敏感细胞SX-10的DNA双链断裂修复缺陷发生在早期快速修复相,而A2780细胞的修复缺陷是发生在晚期慢速修复相。20 Gy照射修复2 h后DNA双链断裂残留量与细胞辐射敏感性指标D₀或SF₂值有显著的相关性。不同个体患者脑肿瘤组织原代细胞之间,辐射诱发DNA双链断裂的修复反应存在明显差异,修复2 h后残留损伤的个体差异性分布类似于癌细胞株。结论 DNA双链断裂残留损伤与癌细胞辐射抗性有显著相关性,可作生物指标预测肿瘤组织细胞对放射治疗的反应性。     

AT细胞对电离辐射敏感原因的探讨

AT细胞具有对电离辐射和拟辐射物质的高敏感性以及DNA合成抑制市性，存在复杂的基因异质性，本从AT细胞的遗传学互补性分析，DNA损伤修复缺陷以及DNA拓扑酶学研究三方面对AT细胞辐射敏感性的分子机理等进行了讨论，认为DNA双链修复缺陷与重接忠实性下降可能是AT细胞电离辐射敏感性的原因。     

慧星电泳用于肿瘤细胞辐射敏感性检测的研究

目的：探讨彗星电泳方法检测肿瘤细胞对γ射线的辐射敏感性的可行性。方法：以自行设计的图像分析系统，用彗星电泳方法检测4种人肿瘤细胞受γ射线照射后细胞初始DNA损伤，以及细胞径30min修复时DNA损伤残余率；用细胞集落存活法检测2Gy γ射线照射后细胞存活率。结果：4种肿瘤细胞初始DNA损伤与辐射敏感性无关，2Gyγ射线照射后4种细胞存活率（SF2）与细胞经30min修复后的DNA损伤残余率相关明显（r=-0.87)，结论：本实验方法有可能成为一种快速、准确检测肿瘤细胞内在辐射敏感性的方法。     

AT细胞对电离辐射敏感原因的探讨

AT细胞具有对电离辐射和拟辐射物质的高敏感性以及DNA合成抑制抗性,存在复杂的基因异质性。本文从AT细胞的遗传学互补性分析、DNA损伤修复缺陷以及DNA拓扑酶学研究三方面对AT细胞辐射敏感性的分子机理等进行了讨论,认为DNA双链路复缺陷与重接忠实性下降可能足AT细胞电离辐射敏感性的原因。     

Cellular Responses to Ionizing Radiation: Effects of Interrupting DNA Repair with Chemical Agents

Summary

This review is concerned with the influence of different classes of chemical agents on cellular repair of DNA damage induced by ionizing radiation. Single-strand break rejoining is little affected by inhibitors of DNA synthesis; however, such inhibitors do lead to a persistence of double-strand breaks in the DNA, and this correlates with an enhancement of chromosome aberrations and cell killing. Experiments with antagonists of topoisomerase II suggest an intriguing role for this DNA unwinding enzyme in double-strand break repair. Interference with poly(ADP-ribose) synthesis, by means of the inhibitor 3-aminobenzamide, does not have a clear-cut effect on recovery from ionizing radiation damage. Various substances (for example, caffeine and trypsin) affect DNA repair via a modulation of the cell cycle, altering the time available to the cell for repairing potentially lethal DNA damage before such damage is ‘fixed’ by the process of DNA replication. Finally, disturbing cellular energy metabolism, and depressing the level of ATP, can inhibit the repair of radiation damage.     

Inhibition of repair of X-ray-induced DNA double-strand breaks in human lymphocytes exposed to sodium butyrate

Purpose : Sodium butyrate is known to inhibit histone deacetylase enzymes and to enhance the frequencies of X-ray-induced dicentrics and rings in human lymphocytes. In this study an investigation was made of the mechanisms underlying this enhancement by assessing the effect of sodium butyrate on the extent of X-ray-induced DNA damage and its repair in human peripheral blood lymphocytes. Methods and materials : Unstimulated G 0 lymphocytes were pre-treated for 24h with sodium butyrate at a final concentration of 5 mM, irradiated with different doses of X-rays and then analysed for different endpoints either immediately or after different repair periods. The frequencies of DNA strand breaks were determined biochemically using nucleoid sedimentation, alkaline elution and immunochemical analysis as well as cytogenetically using the premature chromosome condensation (PCC) technique. Results : The results show that sodium butyrate pre-treatment does not lead to a significant increase of DNA double- or single-strand breaks nor to an increase of alkali labile base damage in G 0 lymphocytes. Moreover, sodium butyrate treatment had no effect on the initial frequency of chromosome breaks. However, PCC analysis clearly showed that the presence of sodium butyrate post-irradiation severely inhibited DNA double-strand break (DSB) repair, which most likely accounts for the increase in X-ray-induced chromosome aberrations. Conclusions : Sodium butyrate treatment leading to changes in histone acetylation and increased accessibility of chromatin had no effect on the initial levels of X-ray-induced DNA damage. However, sodium butyrate may affect either the chromatin configuration or the enzymatic activities that play a key role in the repair of DSB.     

Inhibition of repair of X-ray-induced DNA double-strand breaks in human lymphocytes exposed to sodium butyrate

PURPOSE: Sodium butyrate is known to inhibit histone deacetylase enzymes and to enhance the frequencies of X-ray-induced dicentrics and rings in human lymphocytes. In this study an investigation was made of the mechanisms underlying this enhancement by assessing the effect of sodium butyrate on the extent of X-ray-induced DNA damage and its repair in human peripheral blood lymphocytes. METHODS AND MATERIALS: Unstimulated G0 lymphocytes were pretreated for 24h with sodium butyrate at a final concentration of 5 mM, irradiated with different doses of X-rays and then analysed for different endpoints either immediately or after different repair periods. The frequencies of DNA strand breaks were determined biochemically using nucleoid sedimentation, alkaline elution and immunochemical analysis as well as cytogenetically using the premature chromosome condensation (PCC) technique. RESULTS: The results show that sodium butyrate pretreatment does not lead to a significant increase of DNA double- or single-strand breaks nor to an increase of alkali labile base damage in G0 lymphocytes. Moreover, sodium butyrate treatment had no effect on the initial frequency of chromosome breaks. However, PCC analysis clearly showed that the presence of sodium butyrate post-irradiation severely inhibited DNA double-strand break (DSB) repair, which most likely accounts for the increase in X-ray-induced chromosome aberrations. CONCLUSIONS: Sodium butyrate treatment leading to changes in histone acetylation and increased accessibility of chromatin had no effect on the initial levels of X-ray-induced DNA damage. However, sodium butyrate may affect either the chromatin configuration or the enzymatic activities that play a key role in the repair of DSB.     

Detection of single-strand breaks and base damage in DNA of blood cells from leukaemia patients receiving chemo- and radiotherapy.

Chemotherapy combined with total-body irradiation (TBI), a conditioning regimen for bone-marrow transplantation (BMT), causes lesions in the cellular DNA of the patients treated. To understand possible consequences of the DNA damage induced during such treatment, information is required about the nature of the damage, the level of induction and its persistence, and about the importance of the various lesions for cell-lethality and/or mutation induction. Recently, we developed a sensitive immunochemical method to quantify single-strand breaks (SSB) in the DNA of mammalian cells. In addition, a modification of the so-called alkaline elution technique was introduced which allows quantification of SSB together with base damage (SSB+BD). These methods have now been applied successfully to study the in vivo induction and repair of DNA damage in WBC of leukaemia patients who prior to BMT were treated with cyclophosphamide (CY) and received TBI. SSB and SSB+BD were determined after two treatments with CY (60 mg kg-1) followed by TBI (4.5-8.6Gy). The CY treatments gave rise to rather persistent SSB. In addition to these, radiation-induced SSB and SSB+BD could be detected shortly after TBI. However, 105 min after TBI, these SSB could be observed no longer, as a result of rapid repair.     

Enhanced cellular radiosensitivity induced by cofilin-1 over-expression is associated with reduced DNA repair capacity

Abstract

Purpose: A previous report has indicated that over-expression of cofilin-1 (CFL-1), a member of the actin depolymerizing factor (ADF)/cofilin protein family, enhances cellular radiosensitivity. This study explores the involvement of various DNA damage responses and repair systems in the enhanced cellular radiosensitivity as well as assessing the role of CFL-1 phosphorylation in radiosensitivity.

Materials and methods: Human non-small lung cancer H1299 cells harboring a tet-on gene expression system were used to induce exogenous expression of wild-type CFL-1. Colony formation assays were used to determine cell survival after γ-ray exposure. DNA damage levels were determined by Comet assay. DNA repair capacity was assessed by fluorescence-based DNA repair analysis and antibody detection of various repair proteins. The effects of CFL-1 phosphorylation on radiation responses were explored using two mutant CFL-1 proteins, S3D and S3A. Finally, endogenous CFL-1 phosphorylation levels were investigated using latrunculin A (LA), cytochalasin B (CB) and Y27632.

Results: When phosphorylatable CFL-1 was expressed, radiosensitivity was enhanced after exposure to γ-rays and this was accompanied by DNA damage. Phosphorylated histone H2AX (γ-H2AX) and p53-binding protein-1 (53BP1) foci, as well as Chk1/2 phosphorylation, were apparently suppressed, although ataxia telangiectasia mutated (ATM) kinase activation was apparently unaffected. In addition, two radiation-induced double-strand break (DSB) repair systems, namely homologous recombination repair (HRR) and non-homologous end joining (NHEJ), were suppressed. Moreover, over-expression of CFL-1 S3D and CFL-1 S3A both enhanced radiosensitivity. However, enhanced radiosensitivity and reduced γ-H2AX expression were only detected in cells treated with LA which increased endogenous phospho-CFL-1, and not in cells treated with Y27632, which dephosphorylates CFL-1.

Conclusion: CFL-1 over-expression enhances radiosensitivity and this is associated with reduced DNA repair capacity. Although phosphorylated CFL-1 seems to be involved in radiosensitivity, further studies are required to address the importance of CFL-1 activity to the regulation of radiosensitivity.     

Differences in repair of radiation induced damage in two human tumor cell lines as measured by cell survival and alkaline DNA unwinding

We studied the relationship between the repair of radiation induced DNA strand breaks and cellular repair kinetics in two human tumor cell lines, NB-100 (neuroblastoma) and HN-1 (squamous cell carcinoma). Damage was quantified using the fluorometric analysis of DNA unwiding (FADU) for DNA damage, and cell survival was assessed using a clonogenic assay. In plateau phase cells repair of sublethal damage was virtually absent in NB-100 after 4 Gy (recovery ratio 1.0), whereas HN-1 cells did show sublethal damage repair (recovery ratio 1.4). Repair of potentially lethal damage was more pronounced in NB-100 cells (recovery ratio 2.3) than in HN-1 cells (recovery ratio 1.7) after 4 Gy. Graded doses of X-rays induced comparable levels of DNA damage in both tumor cell lines. However, in HN-1 cells more DNA strand breaks were repaired after 4 Gy, leaving about 25% of the initial damage unrepaired, whereas in NB-100 about 50% was unrepaired. This higher fraction of unrepaired DNA damage correlated well with the degree of sublethal damage repair which was lower in NB-100 than in HN-1 cell, but it did not correlate with the repair of potentially lethal damage, which was higher in NB-100 than in HN-1. Since the level of damage remaining post-irradiation may be the critical variable for survival, the FADU technique can contribute in elucidating the relationship between radiosensitivity and DNA damage repair capacity.     

The molecular genetics of the incision step in the DNA excision repair process

This review describes the evolution of research into the genetic basis of how different organisms use the process of excision repair to recognize and remove lesions from their cellular DNA. One particular aspect of excision repair, DNA incision, and how it is controlled at the genetic level in bacteriophage, bacteria, S. cerevisae, D. melanogaster, rodent cells and humans is examined. In phage T4, DNA is incised by a DNA glycosylase-AP endonuclease that is coded for by the denV gene. In E. coli, the products of three genes, uvrA, uvrB and uvrC, are required to form the UVRABC excinuclease that cleaves DNA and releases a fragment 12-13 nucleotides long containing the site of damage. In S. cerevisiae, genes complementing five mutants of the RAD3 epistasis group, rad1, rad2, rad3, rad4 and rad10 have been cloned and analyzed. Rodent cells sensitive to a variety of mutagenic agents and deficient in excision repair are being used in molecular studies to identify and clone human repair genes (e.g. ERCC1) capable of complementing mammalian repair defects. Most studies of the human system, however, have been done with cells isolated from patients suffering from the repair defective, cancer-prone disorder, xeroderma pigmentosum, and these cells are now beginning to be characterized at the molecular level. Studies such as these that provide a greater understanding of the genetic basis of DNA repair should also offer new insights into other cellular processes, including genetic recombination, differentiation, mutagenesis, carcinogenesis and aging.