title: Enhanced ultrasound-induced apoptosis and cell lysis by a hypotonic medium.
abstract: OBJECTIVE
  To test the hypothesis that non-lethal hypotonia will enhance ultrasound-induced cell killing in vitro and that the mechanism is mechanical in nature.
  
  
  METHODS
  Hypotonic RPMI medium (146 mOsm) was used to induce non-lethal osmotic swelling of human myelomonocytic leukaemia U937 cells. Hypotonia for 10 min was started just before exposure to 1 MHz ultrasound at 0.5 or 1.0 Wcm(-2) for 10 min, or 5 min before exposure to 2.0 Wcm(-2) for 1 min. Surviving intact cells were then determined by the trypan blue dye exclusion test immediately after treatment. After 6-h incubation of the treated cells, early apoptosis and secondary necrosis were measured using a flow cytometer. Intracellular free calcium ion imaging by Fura-2 fluorescence and cellular ion scanning using a secondary ion mass spectrometer were also performed.
  
  
  RESULTS
  Enhancement of ultrasound-induced cell lysis was observed at all intensities, and most prominently at 2.0 Wcm(-2), while apoptosis induction was significantly enhanced at intensities of 0.5 and 1.0 Wcm(-2), but not at 2.0 Wcm(-2). The enhanced cell lysis is attributed to the increased susceptibility of the cells to mechanical damage. This is consistent with previous reports describing the effects of mechanical stresses on cell membranes. Cellular ion scanning images also suggest that hypotonia has an effect on the membrane damage-and-repair mechanism of the cells.
  
  
  CONCLUSIONS
  The results support the hypothesis that non-lethal hypotonia can enhance ultrasound-induced cell killing. These findings also suggest the 'sonomechanical' nature of the effects on the cells.
authors.affiliation: Department of Radiological Sciences, Faculty of Medicine, Toyama Medical and Pharmaceutical University, Toyama 930-0194, Japan.
authors.forename: L B
authors.initials: LB
authors.lastname: Feril
authors.forename: T
authors.initials: T
authors.lastname: Kondo
authors.forename: K
authors.initials: K
authors.lastname: Takaya
authors.forename: P
authors.initials: P
authors.lastname: Riesz
mesh_terms: D017209:Apoptosis; D002118:Calcium / Q000378:metabolism; D002468:Cell Physiological Phenomena; D002470:Cell Survival; D003470:Culture Media / Q000494:pharmacology; D004247:DNA / Q000528:radiation effects*; D004578:Electron Spin Resonance Spectroscopy; D005434:Flow Cytometry; D006801:Humans; D007477:Ions; D013058:Mass Spectrometry; D009123:Muscle Hypotonia; D009336:Necrosis; D009995:Osmosis; D013997:Time Factors; D020298:U937 Cells; D014465:Ultrasonics
chemical_list: D003470:Culture Media; D007477:Ions; D004247:DNA; D002118:Calcium