⁹⁹mTcO₄--, auger-mediated thyroid stunning: dosimetric requirements and associated molecular events

PLoS One. 2014 Mar 24;9(3):e92729. doi: 10.1371/journal.pone.0092729. eCollection 2014.

Abstract

Low-energy Auger and conversion electrons deposit their energy in a very small volume (a few nm3) around the site of emission. From a radiotoxicological point of view the effects of low-energy electrons on normal tissues are largely unknown, understudied, and generally assumed to be negligible. In this context, the discovery that the low-energy electron emitter, 99mTc, can induce stunning on primary thyrocytes in vitro, at low absorbed doses, is intriguing. Extrapolated in vivo, this observation suggests that a radioisotope as commonly used in nuclear medicine as 99mTc may significantly influence thyroid physiology. The aims of this study were to determine whether 99mTc pertechnetate (99mTcO4-) is capable of inducing thyroid stunning in vivo, to evaluate the absorbed dose of 99mTcO4- required to induce this stunning, and to analyze the biological events associated/concomitant with this effect. Our results show that 99mTcO4--mediated thyroid stunning can be observed in vivo in mouse thyroid. The threshold of the absorbed dose in the thyroid required to obtain a significant stunning effect is in the range of 20 Gy. This effect is associated with a reduced level of functional Na/I symporter (NIS) protein, with no significant cell death. It is reversible within a few days. At the cellular and molecular levels, a decrease in NIS mRNA, the generation of double-strand DNA breaks, and the activation of the p53 pathway are observed. Low-energy electrons emitted by 99mTc can, therefore, induce thyroid stunning in vivo in mice, if it is exposed to an absorbed dose of at least 20 Gy, a level unlikely to be encountered in clinical practice. Nevertheless this report presents an unexpected effect of low-energy electrons on a normal tissue in vivo, and provides a unique experimental setup to understand the fine molecular mechanisms involved in their biological effects.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Biological Transport
  • DNA Breaks, Double-Stranded / radiation effects
  • Electrons
  • Female
  • Gene Expression Regulation / radiation effects
  • Mice
  • RNA, Messenger / genetics
  • RNA, Messenger / metabolism
  • Radiometry
  • Sodium Pertechnetate Tc 99m / adverse effects*
  • Sodium Pertechnetate Tc 99m / metabolism
  • Symporters / genetics
  • Symporters / metabolism
  • Thyroid Gland / cytology
  • Thyroid Gland / metabolism
  • Thyroid Gland / radiation effects*
  • Tomography, Emission-Computed, Single-Photon
  • Tomography, X-Ray Computed

Substances

  • RNA, Messenger
  • Symporters
  • sodium-iodide symporter
  • Sodium Pertechnetate Tc 99m

Grants and funding

This work is supported by grants from the “Agence Nationale de la Recherche” (ANR). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.