Evidence map›Paper›PMID 37793357›Full record

ArticleCytogenetic and genome research2023

Assessment of Micronuclei Frequency in the Peripheral Blood of Adult and Pediatric Patients Receiving Fractionated Total Body Irradiation.

Karthik Kanagaraj, Michelle A Phillippi, Pratyush Narayan, Barbara Szolc, Jay R Perrier, Amanda McLane, Suzanne L Wolden, Christopher A Barker, Qi Wang, Sally A Amundson and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Cytogenetic and genome research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
1.0field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 4 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 1 institution in 1 country.

Karthik KanagarajDepartment of Radiation Oncology, Center for Radiological Research, Columbia University Irving Medical Center, New York, New York, USA.
Michelle A PhillippiDepartment of Radiation Oncology, Center for Radiological Research, Columbia University Irving Medical Center, New York, New York, USA.
Pratyush NarayanDepartment of Radiation Oncology, Center for Radiological Research, Columbia University Irving Medical Center, New York, New York, USA.
Barbara SzolcDepartment of Radiation Oncology, Center for Radiological Research, Columbia University Irving Medical Center, New York, New York, USA.
Jay R PerrierDepartment of Radiation Oncology, Center for Radiological Research, Columbia University Irving Medical Center, New York, New York, USA.
Amanda McLaneDepartment of Radiation Oncology, Memorial Sloan-Kettering Cancer Center, New York, New York, USA.
Suzanne L WoldenDepartment of Radiation Oncology, Memorial Sloan-Kettering Cancer Center, New York, New York, USA.
Christopher A BarkerDepartment of Radiation Oncology, Memorial Sloan-Kettering Cancer Center, New York, New York, USA.
Qi WangDepartment of Radiation Oncology, Center for Radiological Research, Columbia University Irving Medical Center, New York, New York, USA.
Sally A AmundsonDepartment of Radiation Oncology, Center for Radiological Research, Columbia University Irving Medical Center, New York, New York, USA.
David J BrennerDepartment of Radiation Oncology, Center for Radiological Research, Columbia University Irving Medical Center, New York, New York, USA.
Helen C TurnerDepartment of Radiation Oncology, Center for Radiological Research, Columbia University Irving Medical Center, New York, New York, USA.
Memorial Sloan Kettering Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
Sample Engineering CoreU19AI067773 · NIAID · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI AMUNDSON, SALLY A. · 2005 to 2024
$105.4M
Development of FAST-DOSE assay system for the rapid assessment of acute radiation exposure, individual radiosensitivity and injury in victims for a large-scale radiological incidentU01AI148309 · NIAID · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI TURNER, HELEN C · 2020 to 2024
$3.2M
NCI NIH HHS P30 CA008748NIAID NIH HHS U01 AI148309NIAID NIH HHS U19 AI067773
6 · The paper itself

Abstract

The cytokinesis-block micronucleus (CBMN) assay is an established method for assessing chromosome damage in human peripheral blood lymphocytes resulting from exposure to genotoxic agents such as ionizing radiation. The objective of this study was to measure cytogenetic DNA damage and hematology parameters in vivo based on MN frequency in peripheral blood lymphocytes (PBLs) from adult and pediatric leukemia patients undergoing hematopoietic stem cell transplantation preceded by total body irradiation (TBI) as part of the conditioning regimen. CBMN assay cultures were prepared from fresh blood samples collected before and at 4 and 24 h after the start of TBI, corresponding to doses of 1.25 Gy and 3.75 Gy, respectively. For both age groups, there was a significant increase in MN yields with increasing dose (p < 0.05) and dose-dependent decrease in the nuclear division index (NDI; p < 0.0001). In the pre-radiotherapy samples, there was a significantly higher NDI measured in the pediatric cohort compared to the adult due to an increase in the percentage of tri- and quadri-nucleated cells scored. Complete blood counts with differential recorded before and after TBI at the 24-h time point showed a rapid increase in neutrophil (p = 0.0001) and decrease in lymphocyte (p = 0.0006) counts, resulting in a highly elevated neutrophil-to-lymphocyte ratio (NLR) of 14.45 ± 1.85 after 3.75 Gy TBI (pre-exposure = 4.62 ± 0.49), indicating a strong systemic inflammatory response. Correlation of the hematological cell subset counts with cytogenetic damage, indicated that only the lymphocyte subset survival fraction (after TBI compared with before TBI) showed a negative correlation with increasing MN frequency from 0 to 1.25 Gy (r = -0.931; p = 0.007). Further, the data presented here indicate that the combination of CBMN assay endpoints (MN frequency and NDI values) and hematology parameters could be used to assess cytogenetic damage and early hematopoietic injury in the peripheral blood of leukemia patients, 24 h after TBI exposure.

Indexed as

LeukemiaWhole-Body IrradiationAdultChildCytokinesisHumansLymphocytesMicronucleus TestsLeukemiaMicronucleusNeutrophil-to-lymphocyte ratioTotal body irradiation

Identifiers

PMID37793357
PMCPMC10946645
OpenAlexW4387357689

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.