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Bertucci A, Wilkins RC, Lachapelle S, Turner HC, Brenner DJ, Garty G. Comparison of Isolated Lymphocyte and Whole Blood-Based CBMN Assays for Radiation Triage. Cytogenet Genome Res 2023; 163:110-120. [PMID: 37573770 PMCID: PMC10859551 DOI: 10.1159/000533488] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2023] [Accepted: 08/06/2023] [Indexed: 08/15/2023] Open
Abstract
Following a mass-casualty nuclear/radiological event, there will be an important need for rapid and accurate estimation of absorbed dose for biological triage. The cytokinesis-block micronucleus (CBMN) assay is an established and validated cytogenetic biomarker used to assess DNA damage in irradiated peripheral blood lymphocytes. Here, we describe an intercomparison experiment between two biodosimetry laboratories, located at Columbia University (CU) and Health Canada (HC) that performed different variants of the human blood CBMN assay to reconstruct dose in human blood, with CU performing the assay on isolated lymphocytes and using semi-automated scoring whereas HC used the more conventional whole blood assay. Although the micronucleus yields varied significantly between the two assays, the predicted doses closely matched up to 4 Gy - the range from which the HC calibration curve was previously established. These results highlight the importance of a robust calibration curve(s) across a wide age range of donors that match the exposure scenario as closely as possible and that will account for differences in methodology between laboratories. We have seen that at low doses, variability in the results may be attributed to variation in the processing while at higher doses the variation is dominated by inter-individual variation in cell proliferation. This interlaboratory collaboration further highlights the usefulness of the CBMN endpoint to accurately reconstruct absorbed dose in human blood after ionizing radiation exposure.
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Affiliation(s)
- Antonella Bertucci
- Center for Radiological Research, Columbia University, New York, NY, USA
- Currently at: Loma Linda University Medical Center, Loma Linda, CA, USA
| | - Ruth C. Wilkins
- Consumer and Clinical Radiation Protection Bureau, Health Canada, Ottawa, ON, Canada
| | - Sylvie Lachapelle
- Consumer and Clinical Radiation Protection Bureau, Health Canada, Ottawa, ON, Canada
| | - Helen C. Turner
- Center for Radiological Research, Columbia University, New York, NY, USA
| | - David J. Brenner
- Center for Radiological Research, Columbia University, New York, NY, USA
| | - Guy Garty
- Center for Radiological Research, Columbia University, New York, NY, USA
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Beaton-Green LA, Mayenburg JM, Marro L, Hassan EM, Cuadros Sanchez S, Darwish R, Lachapelle S, Adam N, Burtt JJ, Van Den Hanenberg C, Rodrigues MA, Wang Q, Brenner DJ, Turner HC, Wilkins RC. Application of the Cytokinesis-Block Micronucleus Assay for High-Dose Exposures Using Imaging Flow Cytometry. Cytogenet Genome Res 2023; 163:131-142. [PMID: 37527635 DOI: 10.1159/000532124] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2023] [Accepted: 07/20/2023] [Indexed: 08/03/2023] Open
Abstract
The cytokinesis-block micronucleus assay is a well-established method to assess radiation-induced genetic damage in human cells. This assay has been adapted to imaging flow cytometry (IFC), allowing automated analysis of many cells, and eliminating the need to create microscope slides. Furthermore, to improve the efficiency of assay performance, a small-volume method previously developed was employed. Irradiated human blood samples were cultured, stained, and analyzed by IFC to produce images of the cells. Samples were run using both manual and 96-well plate automated acquisition. Multiple parameter-based image features were collected for each sample, and the results were compared to confirm that these acquisition methods are functionally identical. This paper details the multi-parametric analysis developed and the resulting calibration curves up to 10 Gy. The calibration curves were created using a quadratic random coefficient model with Poisson errors, as well as a logistic discriminant function. The curves were then validated with blinded, irradiated samples, using relative bias and relative mean square error. Overall, the accuracy of the dose estimates was adequate for triage dosimetry (within 1 Gy of the true dose) over 90% of the time for lower doses and about half the time for higher doses, with the lowest success rate between 5 and 6 Gy where the calibration curve reached its peak and there was the smallest change in MN/BNC with dose. This work describes the application of a novel multi-parametric analysis that fits the calibration curves and allows dose estimates up to 10 Gy, which were previously limited to 4 Gy. Furthermore, it demonstrates that the results from samples acquired manually and with the autosampler are functionally similar.
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Affiliation(s)
- Lindsay A Beaton-Green
- Environmental and Radiation Health Sciences Directorate, Health Canada, Ottawa, Ontario, Canada
| | - Jessica M Mayenburg
- Environmental and Radiation Health Sciences Directorate, Health Canada, Ottawa, Ontario, Canada
| | - Leonora Marro
- Environmental and Radiation Health Sciences Directorate, Health Canada, Ottawa, Ontario, Canada
| | - Eman M Hassan
- Environmental and Radiation Health Sciences Directorate, Health Canada, Ottawa, Ontario, Canada
| | - Sarita Cuadros Sanchez
- Environmental and Radiation Health Sciences Directorate, Health Canada, Ottawa, Ontario, Canada
| | - Riham Darwish
- Environmental and Radiation Health Sciences Directorate, Health Canada, Ottawa, Ontario, Canada
| | - Sylvie Lachapelle
- Environmental and Radiation Health Sciences Directorate, Health Canada, Ottawa, Ontario, Canada
| | - Nadine Adam
- Environmental and Radiation Health Sciences Directorate, Health Canada, Ottawa, Ontario, Canada
| | - Julie J Burtt
- Environmental and Radiation Health Sciences Directorate, Health Canada, Ottawa, Ontario, Canada
| | - Cyndi Van Den Hanenberg
- Environmental and Radiation Health Sciences Directorate, Health Canada, Ottawa, Ontario, Canada
| | | | - Qi Wang
- Center for Radiological Research, Columbia University Medical Center, New York, New York, USA
| | - David J Brenner
- Center for Radiological Research, Columbia University Medical Center, New York, New York, USA
| | - Helen C Turner
- Center for Radiological Research, Columbia University Medical Center, New York, New York, USA
| | - Ruth C Wilkins
- Environmental and Radiation Health Sciences Directorate, Health Canada, Ottawa, Ontario, Canada
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Beaton-Green LA, Lachapelle S, Straube U, Wilkins RC. Evolution of the Health Canada astronaut biodosimetry program with a view toward international harmonization. Mutation Research/Genetic Toxicology and Environmental Mutagenesis 2015; 793:101-6. [DOI: 10.1016/j.mrgentox.2015.07.013] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/23/2015] [Accepted: 07/24/2015] [Indexed: 11/26/2022]
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Wilkins RC, Beaton-Green LA, Lachapelle S, Kutzner BC, Ferrarotto C, Chauhan V, Marro L, Livingston GK, Boulay Greene H, Flegal FN. Evaluation of the annual Canadian biodosimetry network intercomparisons. Int J Radiat Biol 2015; 91:443-51. [PMID: 25670072 PMCID: PMC4487546 DOI: 10.3109/09553002.2015.1012305] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
PURPOSE To evaluate the importance of annual intercomparisons for maintaining the capacity and capabilities of a well-established biodosimetry network in conjunction with assessing efficient and effective analysis methods for emergency response. MATERIALS AND METHODS Annual intercomparisons were conducted between laboratories in the Canadian National Biological Dosimetry Response Plan. Intercomparisons were performed over a six-year period and comprised of the shipment of 10-12 irradiated, blinded blood samples for analysis by each of the participating laboratories. Dose estimates were determined by each laboratory using the dicentric chromosome assay (conventional and QuickScan scoring) and where possible the cytokinesis block micronucleus (CBMN) assay. Dose estimates were returned to the lead laboratory for evaluation and comparison. RESULTS Individual laboratories performed comparably from year to year with only slight fluctuations in performance. Dose estimates using the dicentric chromosome assay were accurate about 80% of the time and the QuickScan method for scoring the dicentric chromosome assay was proven to reduce the time of analysis without having a significant effect on the dose estimates. Although analysis with the CBMN assay was comparable to QuickScan scoring with respect to speed, the accuracy of the dose estimates was greatly reduced. CONCLUSIONS Annual intercomparisons are necessary to maintain a network of laboratories for emergency response biodosimetry as they evoke confidence in their capabilities.
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Affiliation(s)
- Ruth C Wilkins
- Health Canada, Environmental Radiation and Health Sciences Directorate , Ottawa, ON , Canada
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Stricklin D, Wilkinson D, Arvidsson E, Prud’homme-Lalonde L, Thorleifson E, Mullins D, Lachapelle S. An initial limited biodosimetry inter-comparison exercise: FOI and DRDC Ottawa. RADIAT MEAS 2007. [DOI: 10.1016/j.radmeas.2007.05.043] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Wilkinson D, Segura T, Prud’homme-Lalonde L, Mullins D, Lachapelle S, Qutob S, Thorleifson E, Wilkins R, Morrison D, Dolling JA, Boreham D. Canadian biodosimetry capacity for response to radiation emergencies. RADIAT MEAS 2007. [DOI: 10.1016/j.radmeas.2007.05.034] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Indyk D, Belville R, Lachapelle S, Gordon G, Dewart T. A community-based approach to HIV case management: systematizing the unmanageable. Soc Work 1993; 38:380-387. [PMID: 8362273] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
This article presents an analysis and typology of community-based care for a young Hispanic mother with acquired immune deficiency syndrome (AIDS). It develops a conceptual framework that examines retrospectively the needs generated by AIDS over time, the appropriateness of the services, and an assessment of the interventions. Community-based case management can effectively address some of the diverse and changing needs of AIDS patients and their families, such as bridging service gaps and fortifying patient and system strengths while minimizing their weaknesses. Community-based case managers may also be better equipped than hospital case managers to work with difficult patients and coordinate community- and hospital-based care. Conclusions are presented regarding the definition and implementation of community-based, culturally sensitive, family-centered human immunodeficiency virus case management, as well as the importance and difficulty of developing relationships among the family, health care providers, and institutions within the community.
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Affiliation(s)
- D Indyk
- Mount Sinai School of Medicine, New York, NY 10028
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