Sensitive immunodetection of radiotoxicity after iodine-131 therapy for thyroid cancer using γ-H2AX foci of DNA damage in lymphocytes

Mariko Doai*, Naoto Watanabe, Tomoko Takahashi, Mitsuru Taniguchi, Hisao Tonami, Kuniyoshi Iwabuchi, Daiki Kayano, Makoto Fukuoka, Seigo Kinuya

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

25 Scopus citations

Abstract

Purpose: The purpose of our study was to evaluate the degree of radiotoxicity to lymphocytes in thyroid cancer after iodine-131(I-131) therapy using γ-H2AX foci immunodetection. Methods: This study focused on 15 patients who underwent I-131 therapy for differentiated thyroid cancer after surgery. All patients received 3.7 GBq of I-131. Venous blood samples were collected from each patient before therapy and 4 days thereafter. Lymphocytes were isolated from the blood samples and subjected to γ-H2AX immunofluorescence staining. Results: The number (mean ± SD) of foci per lymphocyte nucleus was 0.41 ± 0.51 before and 6.19 ± 1.80 after radioiodine therapy, and this difference was statistically significant (P = 0.001 < 0.05). Absorbed doses estimated for the 15 patients were 0.77 ± 0.31 Gy applying standard line in vitro external radiation doses. Conclusion: γ-H2AX foci immunodetection in lymphocytes may detect radiation-induced DNA damage associated with I-131 therapy for thyroid cancer, and may facilitate estimation of the radiation doses absorbed with this therapy.

Original languageEnglish
Pages (from-to)233-238
Number of pages6
JournalAnnals of Nuclear Medicine
Volume27
Issue number3
DOIs
StatePublished - 2013/04

Keywords

  • DNA damage
  • Radioiodine-131 therapy
  • Radiotoxicity
  • γ-H2AX

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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