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In This Article

  • Summary
  • Abstract
  • Introduction
  • Protocol
  • Representative Results
  • Discussion
  • Acknowledgements
  • Materials
  • References
  • Reprints and Permissions

Summary

Clinical linear accelerators can be used to determine biologic effects of a wide range of dose rates on cancer cells. We discuss how to set up a linear accelerator for cell-based assays and assays for cancer stem-like cells grown as tumorspheres in suspension and cell lines grown as adherent cultures.

Abstract

Radiation therapy remains one of the cornerstones of cancer management. For most cancers, it is the most effective, nonsurgical therapy to debulk tumors. Here, we describe a method to irradiate cancer cells with a linear accelerator. The advancement of linear accelerator technology has improved the precision and efficiency of radiation therapy. The biological effects of a wide range of radiation doses and dose rates continue to be an intense area of investigation. Use of linear accelerators can facilitate these studies using clinically relevant doses and dose rates.

Introduction

Radiotherapy is an effective treatment for many types of cancer1,2,3,4. Extra high dose rate irradiation is relatively new in radiation therapy and is made possible by recent technological advances in linear accelerators5. Clinical advantages of extra high dose rate over standard dose rate irradiation include shortened treatment time and improved patient experience. Linear accelerators also provide a clinical setting for cell culture based radiation biology studies. The biological and therapeutic implications of radia....

Protocol

1. Cell preparation for suspension cell culture

  1. Culture glioma stem-like cells in stem cell culture media at approximately 5 x 106 cell/10 cm plates in a cell culture incubator with 5% CO2, 95% relative humidity at 37 °C.
    NOTE: The cell culture condition is the same throughout all the procedures. The media used in the protocol are complete media.
  2. Two days before scheduled irradiation, collect glioma stem-like cells from the culture plate with a sterile 5 mL pipette .......

Representative Results

To investigate the cell cycle effect of standard dose rate and extra high dose rate irradiation by a linear accelerator, three samples of glioma stem-like cells were prepared using this protocol and collected 24 h after irradiation17: one control sample that was not irradiated (Figure 2A), one sample irradiated with 400 MU/min (monitor unit, 4.2 Gy/min standard dose rate, Figure 2B) to 4 Gy, and another s.......

Discussion

Radiotherapy is an integral part of cancer management. Ongoing efforts seek to improve the efficacy and efficiency of radiation treatment. Advancements in linear accelerator technology have provided the opportunity to treat patients with unprecedented accuracy and safety. Because most patients are treated with high energy X-rays from linear accelerators, studies examining the biologic effects of a large range of dose rates performed on linear accelerators may be readily applied to patients. There have been several report.......

Acknowledgements

We thank the Cleveland Clinic Department of Radiation Oncology for use of the linear accelerators. We thank Dr. Jeremy Rich for his generous gift of glioma stem-like cells. This research was supported by the Cleveland Clinic.

....

Materials

NameCompanyCatalog NumberComments
Material
glioma stem-like cell 4121gift from Dr. Jeremy Rich
293 cellsATCCCRL-1573
neuron stem cell culture mediaThermo Fisher Scientific21103049NeurobasalTM media
DMEMThermo Fisher Scientific10569044
Fetal Bovine SerumThermo Fisher Scientific16000044
Penicillin/StreptomycinThermo Fisher Scientific15140-122
Recombinant Human EGF ProteinR&D Systems236-EG-01M
Recombinant Human FGF basicR&D Systems4114-TC-01M
B-27â„¢ SupplementThermo Fisher Scientific17504044
Sodium PyruvateThermo Fisher Scientific11360070
L-GlutamineThermo Fisher Scientific25030164
Tripsin-EDTAThermo Fisher25200056
extracellular proten matrixCorning354277MatrigelTM
EthanolFisher chemicalA4094
Equipment
10 cm cell culture dishDenvilleT1110
3.5 cm cell culture dishUSA Scientific Inc.CC7682-3340
22x22mm glass cover slipelectron microscopy sciences72210-10
15 ml centrifuge tubeThomas Scientific1159M36
50 ml centrifuge tubeThomas Scientific1158R10
5 ml PipetteFisher Scientific14-955-233
pipet aidFisher Scientific13-681-06
Vortex mixerFisher Scientific02-215-414
CentrifugeEppendorf5810R
Linear AcceleratorVariann/a
water equivalent materialSun Nuclear corporation557Solid waterTM
Reagent preparation
DMEM media10% fetal bovine serum (FBS), 2 mM L-glutamine, 100 units/mL penicillin G, 100 µg/mL streptomycin in 500 ml DMEM media
stem cell culture media10 ml B27 supplement, 20 µg hFGF, 20 µg hEGF, 2 mM L-glutamine, 100 units/mL penicillin G, 100 µg/mL streptomycin in 500 ml Neurobasal media

References

  1. Stupp, R., et al. Radiotherapy plus concomitant and adjuvant temozolomide for glioblastoma. The New England Journal of Medicine. 352 (10), 987-996 (2005).
  2. Stupp, R., et al.

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