Radiation Environment and Medicine
Online ISSN : 2432-163X
Print ISSN : 2423-9097
ISSN-L : 2423-9097
Regular Article
Apoptotic Induction Mechanism of X-ray Irradiation Combined with Hydrogen Peroxide
Satoshi FujitaYoichiro HosokawaRyo SagaEichi TsurugaKazuhiko OkumuraKentaro OhuchiMorio Ochi
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JOURNAL FREE ACCESS

2019 Volume 8 Issue 2 Pages 85-93

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Abstract

Kochi oxydol-radiation therapy for unresectable carcinomas (KORTUC) is a clinical therapy, that combines X-ray irradiation and localized hydrogen peroxide. However few studies have reported the basic biological mechanism of action of KORTUC. Therefore we examined the effects of using a combination of hydrogen peroxide and X-ray irradiation on cell death. Cell viability of DU145, SAS, and HL60 cells decreased upon X-ray irradiation combined with exposure to hydrogen peroxide, compared to that on X-ray irradiation alone. DNA fragmentation of HL60 cells increased when cells were exposed to the combination treatment in comparison to X-ray irradiation, and apoptosis was considered to have increased. Abasic sites by DNA oxidative damage were observed early during X-ray irradiation, but no such increase was observed with hydrogen peroxide treatment. Caspase-3 and caspase-9 activities increased with all the three types of treatment, whereas caspase-8 showed high activity on treatment with hydrogen peroxide and the combination. The appearance of Bax and cytochrome c on X-ray irradiation and western blot analysis indicated the involvement of caspase-9 activation. Thus, cytochrome c was released via Bax, and the pathway leading directly from caspase-8 to caspase-3 was inferred to be induced with hydrogen peroxide treatment. The results suggested that hydrogen peroxide treatment induces apoptosis through a cascade that is different from that induced by irradiation, and combination with hydrogen peroxide is considered to enhance the effect of irradiation.

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© 2019 Hirosaki University Press.
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