Evidence map›Paper›PMID 41782029›Full record

ArticleRadiation oncology (London, England)2026

Local FLASH radiation exhibits a double-edged effect on the mouse immune system.

Xiaohang Qin, Yinghui Li, Peimeng You, Yinuo Zhu, Jian Wang, Guangshan Wang, Cuimeng Tian, Feng-Ming Spring Kong, Hao Zha, Teng Ma and 1 more

Abstract read
In one paragraph

Article in Radiation oncology (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

11 authors.

Xiaohang QinSchool of Biomedical Engineering, Capital Medical University, Beijing, 100069, China.
Yinghui LiSchool of Biomedical Engineering, Capital Medical University, Beijing, 100069, China.
Peimeng YouSchool of Biomedical Engineering, Capital Medical University, Beijing, 100069, China.
Yinuo ZhuDepartment of Engineering Physics, Tsinghua University, Beijing, 100084, China.
Jian WangBeijing Huaqingjia High Energy Electron Technology Corporation Limited, Beijing, 100091, China.
Guangshan WangDepartment of Radiation Oncology, Beijing Chest Hospital, Capital Medical University, Beijing, 101149, China.
Cuimeng TianDepartment of Radiation Oncology, Beijing Chest Hospital, Capital Medical University, Beijing, 101149, China.
Feng-Ming Spring KongDepartment of Clinical Oncology, Hong Kong University Shenzhen Hospital, Shenzhen, 518053, China.
Hao ZhaDepartment of Engineering Physics, Tsinghua University, Beijing, 100084, China. zha_hao@mail.tsinghua.edu.cn.
Teng MaCancer Research Center, Beijing Tuberculosis and Thoracic Tumor Research Institute, Beijing Chest Hospital, Capital Medical University, Beijing, 101149, China. mateng82913@163.com.
Jian-Yue JinSchool of Biomedical Engineering, Capital Medical University, Beijing, 100069, China. jjin1@ccmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

PURPOSE/OBJECTIVE(S): This study aims to investigate the impact of partial blood volume FLASH irradiation on immune system in a mouse leg model. MATERIALS/

methodsThe right hind limbs of C57BL/6 N mice were irradiated in a single fraction with an electron beam using either 50 Gy/s (2 Gy, 5 Gy, 10 Gy, 20 Gy, delivery time 0.04 –0.4 s) or 10 Gy/s (5 Gy, 10 Gy, 15 Gy, 20 Gy, delivery time 0.5 –1.5 s). A total of 90 mice were used in the experiment, with five mice per dose/time group. T lymphocyte subsets (CD3+, CD4+, CD8+, naïve CD4+, and naïve CD8+) were analyzed in peripheral blood and spleen 1 and 4 days post-irradiation by flow cytometry.

resultsThe dose response curves for the subset reduction can be well described by a sigmoid curve for subsets in both peripheral blood and spleen 1 day post-irradiation. Generally, higher dose rate (50 Gy/s) irradiation induced much less subsets depletion than lower dose rate (10 Gy/s) in peripheral blood, consistent with the simulation result that local FLASH radiotherapy may preserve immune cells in peripheral blood. Interestingly, the non-irradiated spleen also displayed substantial subset depletions with an opposite dose rate-dependent behavior. We speculate that radiation-induced red blood cell senescent may be responsible for this interesting phenomenon.

conclusionThe opposing dose rate–dependent responses in peripheral blood and splenic lymphocyte depletion highlight a dual effect of local FLASH irradiation: higher dose rates may protect circulating immune cells, yet may also potentially enhance damage to the lymphocytes in the spleen.

Indexed as

Immune SystemSpleenT-Lymphocyte SubsetsAnimalsDose-Response Relationship, RadiationMaleMiceMice, Inbred C57BLDose-rate effectFLASHImmune injuryLymphocyte depletion

Identifiers

PMID41782029
PMCPMC13069716

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LicenceCC BY-NC-ND
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Registered trials

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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.