Evaluation of proton beam radiation-induced skin injury in a murine model using a clinical SOBP

PLoS One. 2020 May 22;15(5):e0233258. doi: 10.1371/journal.pone.0233258. eCollection 2020.

Abstract

The purpose of this paper is to characterize the skin deterministic damage due to the effect of proton beam irradiation in mice occurred during a long-term observational experiment. This study was initially defined to evaluate the insurgence of myelopathy irradiating spinal cords with the distal part of a Spread-out Bragg peak (SOBP). To the best of our knowledge, no study has been conducted highlighting high grades of skin injury at the dose used in this paper. Nevertheless these effects occurred. In this regard, the experimental evidence of significant insurgence of skin injury induced by protons using a SOBP configuration will be shown. Skin damages were classified into six scores (from 0 to 5) according to the severity of the injuries and correlated to ED50 (i.e. the radiation dose at which 50% of animals show a specific score) at 40 days post-irradiation (d.p.i.). The effects of radiation on the overall animal wellbeing have been also monitored and the severity of radiation-induced skin injuries was observed and quantified up to 40 d.p.i.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Disease Models, Animal
  • Dose-Response Relationship, Radiation
  • Injury Severity Score
  • Mice
  • Proton Therapy / adverse effects*
  • Radiation Injuries / pathology*
  • Skin / radiation effects*

Grants and funding

The research was supported by the following grants: INFN CSN V - Call “MoVe-IT”; Italian Ministero dell’Istruzione, dell’Università e della Ricerca, PRIN 2017, Grant no.: 2017XKWWK9_004 to R.P. and G.R. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.