A radiation damage repair model for normal tissues.
A cellular Monte Carlo model describing radiation damage and repair in normal epithelial tissues is presented. The deliberately simplified model includes cell cycling, cell motility and radiation damage response (cell cycle arrest and cell death) only. Results demonstrate that the model produces a stable equilibrium system for mean cell cycle times in the range 24-96 h. Simulated irradiation of these stable equilibrium systems produced a range of responses that are shown to be consistent with experimental and clinical observation, including (i) re-epithelialization of radiation-induced lesions by a mixture of cell migration into the wound and repopulation at the periphery; (ii) observed radiosensitivity that is quantitatively consistent with both rate of induction of irreparable DNA lesions and, independently, with the observed acute oral and pharyngeal mucosal reactions to radiotherapy; (iii) an observed time between irradiation and maximum toxicity that is consistent with experimental data for skin; (iv) quantitatively accurate predictions of low-dose hyper-radiosensitivity; (v) Gomperzian repopulation for very small lesions ( approximately 2000 cells) and (vi) a linear rate of re-epithelialization of 5-10 microm h(-1) for large lesions (>15 000 cells).
Partridge
Mike
M
The Institute of Cancer Research, Downs Road, Sutton, SM2 5PT, UK.
D002453:Cell Cycle / Q000528:radiation effects*; D002465:Cell Movement / Q000528:radiation effects*; D002470:Cell Survival / Q000528:radiation effects; D004260:DNA Repair; D004847:Epithelial Cells / Q000528:radiation effects*; D006801:Humans; D008954:Models, Biological; D009010:Monte Carlo Method; D011829:Radiation Dosage; D011836:Radiation Tolerance / Q000528:radiation effects*; D013997:Time Factors; D014022:Tissue Survival / Q000528:radiation effects*; D014945:Wound Healing