Monte Carlo Simulation of the Effects of Radiation Quality and Oxygen on Clustered DNA Lesions Robert D. Stewart,, Ph.D. Associate Professor, Medical Physics University of Washington Medical Center Department of Radiation Oncology 1959 NE P Pacific ifi S Street Seattle, WA 98195-6043 206-598-7951 office 206-598-6218 fax trawets@uw.edu Presented at the 2011 Joint AAPM/COMP Meeting in Vancouver, Canada Symposium: Predicting and Exploiting the Effects of Radiation Quality in Ion Therapy Date : Tuesday August 2, 2011 Time: 4:30-6:00 4:30 6:00 pm Location: Ballroom A © University of Washington Department of Radiation Oncology © University of Washington Department of Radiation Oncology Learning Objectives To review, review understand and quantify the effects of radiation quality and oxygen on the induction of clustered DNA lesions by ionizing radiation Highlight the close relationship between Double Strand B k (DSB) Induction Break I d ti andd Reproductive R d ti Cell C ll Death D th Presenter has no conflicts of interest to disclose Slide 2 Slide 3 © University of Washington Department of Radiation Oncology Clustered DNA lesions Groups of several DNA lesions within one or two turns of the DNA are termed clustered DNA lesions* lesions* + = lesion = damage to the sugar, base or phosphate group of a single nucleotide * Clustered DNA lesions are also referred to as locally multiply damaged sites (LMDS), multiply damaged sites (MDS) or just “clusters clusters” Interesting Trivia: Over 1012 (!) possible types of clustered DNA lesion, i.e., the number of possible ways a 10 bp segment of DNA (20 nucleotides) nucleotides) 20 12 single- and can be damaged is on the order of 4 = 10 possible types of cluster. Most of the DNA clusters formed by ionizing radiation, including singledouble--strand breaks, are composed of 3 or more individual lesions. double © University of Washington Department of Radiation Oncology Monte Carlo Damage Simulation (MCDS) Developed to simulate number and smallsmall-scale spatial distribution of lesions forming clusters (“nucleotide-level (“ maps”) ”) R.D. R D Stewart Stewart, V.K. V K Yu, Yu A.G. A G Georgakilas, Georgakilas C. C Koumenis, Koumenis J.H. J H Park, Park D.J. D J Carlson, Carlson Monte Carlo Simulation of the Effects of Radiation Quality and Oxygen Concentration on Clustered DNA Lesions. Accepted Radiat. Res. July 6, 2011. Y Hsiao and R.D. Stewart, Monte Carlo Simulation of DNA Damage Induction by X-rays and Selected Radioisotopes. Phys. Med. Biol. 53, 233-244 (2008) V.A. Semenenko k and d R.D. Stewart. Fast Monte Carlo l simulation i l i off DNA damage d formed f d by b electrons l andd light li h ions. i Phys. h Med. Biol. 51(7), 1693-1706 (2006). V.A. Semenenko and R.D. Stewart. A fast Monte Carlo algorithm to simulate the spectrum of DNA damages formed by ionizing radiation. Radiat Res. 161(4), 451-457 (2004). As of January 2011, the MCDS has been cited or used in at least 28 peer peer-reviewed reviewed studies. studies Additional Information and Software Available at http://faculty.washington.edu/trawets/mcds/ “trawets” = “stewart” backwards Slide 4 Slide 5 © University of Washington Department of Radiation Oncology Physics → Chemistry → Biology Chemical 10-3 s Repair 1 Gy ~ 1 in 106 O2 fixation Ionization Excitation Radiation Correct Repair 102 s 104 s Enzymatic Repair (BER, NER, NHEJ, …)) 10-6 s 10-18 to 10-10 s DNA A damage 103 s 105 s Incorrect or Incomplete Repair Cell Death O2 fixation and chemical repair occur on very (! (!) different time scales than biochemical repair and cell death 104 s 105 s Small-- and largeSmall large-scale mutations (point mutations and chromosomal aberrations)) Slide 6 © University of Washington Department of Radiation Oncology MCDS – General Features and Capabilities (1) Spatial maps of the nucleotides forming many types of clustered DNA lesion • SSB, DSB, and individual or clustered base damages • Information about cluster complexity Simple DSB (2 ( lesions)) C Complex l DSB (5 ( llesions) i ) Individual particles or arbitrary mixtures of charged particles up to and including 56Fe (new in 2011) • Simulate damage from neutral particles using the distribution of secondary charged particles (e.g., see Hsaio and Stewart, PMB 53, 233-244, 2008) Slide 7 © University of Washington Department of Radiation Oncology MCDS – General Features and Capabilities (2) Simulates the effects on cluster formation of O2 fixation and chemical repair (new in 2011) – “oxygen effects”” 10-3 Chemical s Repair 1 Gy ~ 1 in 106 O2 fixation fi ti Ionization Excitation Radiation 10-18 to 10-10 s 10-6 s DNA damage Slide 8 © University of Washington Department of Radiation Oncology MCDS – General Features and Capabilities (3) Particle and Dosimetric Information (new in 2011) • Stopping power in water, CSDA range, absorbed dose per unit fluence, mean specific energy, energy imparted per radiation event, and lineal energy Particle Type e - 1 H 4 2+ He 12 6+ C 16 MeV MeV/u S - S rad (keV/μ m) 21.13 CSDA Range (μm) 2.56 x 10 -5 − 6.47 x 10 0.294 14.8 .8 -3 6.47 x 10 -2 7.35 x 10 1.23 . 3 34 2 34.2 2 x 10 0 28 0.28 186 6612 -3 -3 zF (Gy) MCDS Analytic -11 0.17 -4 0 29 0.29 2.70 21.13 . 3 < 10 0.14 5.32 5.3 < 10 1.53 5.08 8+ 38.1 2.38 711 42.03 6.01 5.86 10+ 78.4 1750 3.92 31.3 792 1148 73.14 963.7 6.60 9.35 6.50 9.34 O 20 Kinetic Energy Ne 56 26+ Fe Analytic Formula: z F = 0.204 [ S − Srad ] / ρ d 2 © University of Washington Department of Radiation Oncology Chemical Basis of the Oxygen Effect Competition between oxygen fixation and chemical repair is the prevailing hypothesis (von ( Sonntag 2006)) (1)) DNA + ionizing radiation → DNA lesion (biochemical ( repair required)) (2)) DNA + ionizing radiation → DNA DNA⋅⋅ (various)) Lesions and DNA radicals formed through direct and indirect interaction mechanisms (3)) DNA DNA⋅⋅ + O2 → DNA DNA--O2 (“oxygen oxygen fixation” fixation – biochemical repair required)) (4)) DNA DNA⋅⋅ + RSH → DNA (“chemical ( repair” – restoration of the DNA*) (5)) DNA DNA⋅⋅ → DNA lesion (biochemical ( repair required)) * Von Sonntag notes that donation of a proton to a DNA radical may or may not restore the original chemical structure of the DNA. But, the chemical repair process evidently converts the DNA radical (or ( cluster of radicals?)) into a form that is more amenable to biochemical repair and reduces the number of strand breaks. Clemens von Sonntag, Free-Radical-Induced DNA Damage and its Repair – A chemical perspective. Springer-Verlag, New York, NY (2006) Slide 9 Slide 10 © University of Washington Department of Radiation Oncology RBE,, HRF and LQ Survival Parameters RBE Relative Biological g Effectiveness (RBE RBE)) for the ith type of cluster Σi ( q ) RBEi ( q) = Σi ( q0 ) Hypoxia Reduction Factor (HRF (HRF)) for the ith type of cluster Σi ((100% O2 ) HRFi ([O2 ]) = Σi ([O2 ]) Σi = Measured M d or MC simulated i l t d number b off th the ith type t off cluster l t Gy G -1 Gbp Gb -1 (or per cellll) Trends in DSB induction with radiation quality and oxygen concentration are closely related and predictive of general trends in LinearLinear-Quadratic (LQ) survival parameters α and α/β (e.g., Carlson et al. 2008)) α ( q,[[O2 ]) = [θ + κ intra zF Σ dsb ( q,[[O2 ])] Σ dsb ( q,[[O2 ]) ⎛ α ⎞ θ + κ intra zF ( q) Σ dsb ( q,[[O2 ]) ⎜β ⎟ = κ inter Σ dsb ( q,[O2 ]) ⎝ ⎠q D.J. Carlson, R.D. Stewart, V.A. Semenenko and G.A. Sandison, Combined use of Monte Carlo DNA damage simulations and deterministic repair models to examine putative mechanisms of cell killing. Rad. Res. 169, 447-459 (2008) Slide 11 © University of Washington Department of Radiation Oncology RBE for DSB Induction 3.5 3.5 3.0 RBE for DSB Induction n High LET Electron 1 + H 4 He2+ Photon 1 + H 3 2+ 4 2+ He and He 12 6+ C 56 Fe26+ 2.5 Photons and electrons 1 + H 4 He2+ 12 6+ C 14 7+ N 16 8+ O 20 Ne10+ 56 Fe26+ 3.0 2.5 20 2.0 20 2.0 1.5 1.5 Low LET 1.0 1.0 C Comparison i to t ttrack k structure t t simulations i l ti C Comparison i to t PFGE measurements t 0.5 0.5 100 101 102 (Zeff /β)2 103 104 100 101 102 103 (Zeff /β)2 Many of the published experimental studies (symbols, right panel) detect a subset of the total number of DSB because not all DNA fragments counted 104 Slide 12 © University of Washington Department of Radiation Oncology HRF for DSB Induction 4.0 For low LET radiations, DSB induction is about 33-fold lower under maximallyy hypoxic yp conditions than in well oxygenated cells (i.e., ( HRF ≅ 3). ). HRF for DSB Indu uction 3.5 3.0 25 2.5 HRF decreases towards unity (O2 concentration has no effect)) as particle LET increases. Low LET 2.0 1.5 Filled symbols are data from PFGE experiments. Solid line is the MCDS predicted HRF for a range of particle types and energies. 1.0 High LET 0.5 Hypoxic (0.9-3% O2) Maximally hypoxic (< 10-3% O2) 0.0 100 101 102 103 2 (Zeff/β) 104 Slide 13 © University of Washington Department of Radiation Oncology HRF for Cell Survival and DSB Induction 4.0 Low LET Solid Black Line: HRF for DSB induction predicted by the MCDS (0% O2 concentration) i ) RT with 12C (RBE < 3 to 9) 3.5 HRF 3.0 Symbols: HRF derived from published clonogenic survival data (negligible O2 concentration) 2.5 Proton RT (RBE < 1.3 to 1.5) 2.0 α H = α A / HRFα (α / β ) H = (α / β ) A ⋅ HRFα / β Photons Ions 3 He - V79 3 He - HSG 12 C - V79 12 C - HSG 20 Ne - V79 20 Ne - HSG 1.5 1.0 HRFα ≅ HRFα / β High LET 0.5 100 101 102 (Zeff/β)2 103 104 Slide 14 © University of Washington Department of Radiation Oncology Effect of Oxygen Concentration on the HRF 40 4.0 60 Co and 10/15 MV X-rays 10 MV X-rays 60 Co 137 Cs 200 280 kV 200-280 kVp X X-rays 50 kVp X-rays 3.5 60Co HRF 3.0 Symbols: S b l HRF derived d i d from f published clonogenic survival data 29 kVp x-ray 2.5 Solid, dotted and dashed black lines: HRF for DSB induction ppredicted byy the MCDS for selected particle types 0.76 MeV p 2.0 8.3 MeV α 1.5 146.4 MeV 12C 1.0 0.5 10-4 10-3 10-2 10-1 100 101 Oxygen Concentration (%) 102 © University of Washington Department of Radiation Oncology Conclusions For the first time time,, possible to determine nucleotidenucleotide-level maps of cluster induction under reduced oxygen conditions • Good agreement with data from other published studies for a wide range of oxygen concentrations and ion types (e- to 56Fe) – (Zeff/β)2 in range from 1 to 10,000 RBE and HRF derived from clonogenic survival data in good d agreementt with ith RBE andd HRF for f DSB induction i d ti • Additional, albeit indirect, evidence to support the hypothesis that DSB are one of the most biologically g y significant g forms of clustered DNA lesion 12C ions much more effective at overcoming effects of hypoxia yp in RT than p protons ((or pphotons)) Slide 15 © University of Washington Department of Radiation Oncology Acknowledgements David J. J Carlson, Carlson Ph.D. Ph D Assistant Professor Professor, Department of Therapeutic Radiology, Yale School of Medicine Alexandros Georgakilas, g Ph.D. Associate Professor, Department Ph.D., p of Biology, East Carolina University Costas Koumenis, Ph.D., Ph.D. Associate Professor, Department of R di ti Oncology, Radiation O l University U i it off Pennsylvania P l i School S h l off Medicine M di i Vladimir A. Semenenko, Ph.D., Ph.D. Instructor, Medical College of Wisconsin Department of Radiation Oncology, Wisconsin, Oncology Milwaukee, Milwaukee WI Anshuman Panda Panda,, Ph.D. Student,, Purdue 2011 Joo Han Park, Park Ph.D. Student, Purdue 2011 Victor Yu – MS student, Purdue 2010 Slide 16