Time and dose-related changes in the thickness of pig skin after irradiation with single doses of 90Sr/90Y beta-rays.

Time-related changes in pig skin thickness have been evaluated using a non-invasive ultrasound technique after exposure to a range of single doses of 90Sr/90Y beta-rays. The reduction in relative skin thickness developed in two distinct phases: the first was between 12 and 20 weeks postirradiation. No further changes were then seen until 52 weeks postirradiation when a second phase of skin thinning was observed. This was complete after 76 weeks and no further changes in relative skin thickness were seen in the maximum follow up period of 129 weeks. The timings of these phases of damage were independent of the radiation dose, however, the severity of both phases of radiation-induced skin thinning were dose related.

The relative biological effectiveness of fractionated doses of fast neutrons (42 MeVd----Be) for normal tissues. III. Effects on lung function.

The effect of single and fractionated doses of fast neutrons (42 MeVd----Be) on the early and late radiation responses of the pig lung have been assessed by the measurement of changes in lung function using a 133Xe washout technique. The results obtained for irradiation schedules with fast neutrons have been compared with those after photon irradiation. There was no statistically significant difference between the values for the relative biological effectiveness (RBE) for the early and late radiation response of the lung. The RBE of the neutron beam increased with decreasing size of dose/fraction with an upper limit value of 4.39 +/- 0.94 for infinitely small X-ray doses per fraction.

Age-related changes in the cell kinetics of rat foot epidermis.

The durations of the cell cycle and its component phases have been determined for the basal layer of the epidermis of the skin from the upper surface of the hind foot of the rat using single pulse [3H]-thymidine labelling and the percent labelled mitosis (PLM) technique. Rats of three age groups were used, namely 7, 14 and 52 weeks. The duration of DNA synthesis (Ts) and the G2 plus M phase (TG2 + M) were comparable in 7-week and 52-week-old rats (P greater than 0.1). The major difference between 7-week and 52-week-old rats was in the duration of the G1 phase (TG1). In 7-week-old rats TG1 was 15.0 +/- 0.8 h and in 52-week-old rats TG1 was 31.2 +/- 3.5 h. A consequence of this variation was that the overall duration of the cell cycle was longer in 52-week-old rats (53.9 +/- 5.3 h) than in 7-week-old rats (30.1 +/- 1.3 h). Difficulties were found in fitting a simple curve to the PLM data for 14-week-old rats. This suggests that the proliferative cell population of the epidermis of rats of this age group may be heterogeneous. A satisfactory fit to the data was obtained using a computer model which assumed that the proliferative population of the epidermis of 14-week-old rats was a mixture of cells with cell cycle parameters the same as those of the 7-week and the 52-week-old rats. These two sub-populations of relatively slowly and rapidly proliferating cells were present in the ratio of 2:1.

The cell kinetics of the epidermis and follicular epithelium of the rat: variations with age and body site.

The skin from rats of differing age was used to quantify variations in the cell kinetics of the epidermis and the follicular epithelium of different body sites. Four parameters were assessed, namely the basal cell density (BCD), the labelling index (LI), the duration of DNA synthesis (ts) and the basal cell turnover time (tT). The BCDs of the epidermis of the dorsum and the upper surface of the foot were similar in rats of 7, 14 and 52 weeks of age, but there was an indication of a progressive decline with increasing age in the BCD of the epidermis of the ear and tail. There were no age-related changes in the length of ts in any of the four body regions. The rate of cell proliferation, as indicated by the values of the LI and tT, was relatively rapid in the epidermis of the dorsum, foot and tail of rats aged 7 weeks (LI greater than 12%; tT less than 80 h). In rats aged 14 weeks this rate of proliferation was maintained in the epidermis of the dorsum. However, in the foot and tail the rate of cell proliferation was decreased (LI less than 10%; tT greater than 85 h). A fall in the rate of proliferation of the epidermis of the dorsum was only seen in 52-week-old animals. In these animals the rates of proliferation in the foot and tail were similar to those at the age of 14 weeks. In the epidermis of the ear there was no appreciable change in the rate of cell proliferation with age. The values of the cell kinetic parameters varied in the different body sites. For example, in 52-week-old animals values for tT were relatively short in the epidermis of the tail and foot and appreciably longer in the epidermis of the dorsum and ear. Considered overall, values for the cell kinetic parameters of the epidermis were comparable with those for the follicular epithelium. The only major differences between the epidermis and the follicular epithelium were in the upper surface of the foot at 7 weeks of age, and in the tail at 7 and 14 weeks of age, where the LI was higher and the tT shorter in the epidermis than in the follicular epithelium. The relevance of the observed age- and body-site-related variations in the cell kinetics of the epidermis are discussed in relation to previously described differential changes in the radiosensitivity of the skin in this strain of rat.

A quantitative assessment of changes in the dermal fibroblast population of pig skin after single doses of X-rays.

Investigations were carried out into the time- and dose-related changes in the density of fibroblasts in the dermis of irradiated pig skin. The time course of these changes in the density of fibroblast nuclei in the reticular dermis was studied from 6 to 104 weeks after irradiation with a single dose of 15.4 Gy of X-rays. The largest decrease in the number of fibroblasts occurred between 12 weeks and 26 weeks after irradiation; after this time there was only a slight fall in the fibroblast number until 104 weeks when the observations ceased. At 26 weeks and later times after irradiation the reduction in the density of fibroblast nuclei in the reticular dermis was dose-dependent for single doses in the range 8.0-20.7 Gy. The dose-response curve had an initial shoulder, after which the fall in the fibroblast nuclear density was linearly related to dose. Data obtained at other times, between 26 weeks and 104 weeks after irradiation, could be fitted by the same dose-response curve. The fall in the counts of fibroblast nuclei was compared with earlier studies in pig skin. The loss of fibroblasts occurred after an initial reduction in blood flow in the pig skin but was concomitant with the general reduction in dermal thickness.

The differential response of the skin in young and old rats to a combination of X-rays and 'wet' or 'dry' hyperthermia.

The left hind feet of groups of female rats aged 7, 14 and 52 weeks were irradiated at three dose levels of X-rays (20, 25 or 30 Gy). Hyperthermia (42.5 degrees C for 1 h) was carried out immediately following irradiation using either 'wet' or 'dry' heat, achieved by immersion in either water or fluorocarbon liquid. The results demonstrated that 'wet' heat produced a consistently greater enhancement of the irradiation damage than 'dry' heat. The thermal enhancement ratio for irradiation plus 'wet' heat was approximately 1.5 and for irradiation plus 'dry' heat it was in the range 1.17 to 1.39. Immersion of the feet in fluorocarbon liquid at 37 degrees C did not significantly modify the irradiation response of the skin. The lower thermal enhancement ratios obtained using immersion in fluorocarbon liquid at 42.5 degrees C are close to those obtained in large animal studies and also similar to the limited amount of data from clinical studies where microwave or ultrasound heating techniques were used. It has been demonstrated that there are large age-related differences in the response of the rat foot skin to irradiation alone. It has also been shown in the present study, using rats of the same age, that the response to irradiation plus hyperthermia was less age dependent. This finding may reflect the differing methods by which damage occurs in tissue after irradiation or hyperthermia.

Stromal damage in the mouse small intestine after Co60 gamma or D-T neutron irradiation.

Stromal constituents have been examined in mouse small intestine 3 1/2 days after irradiation with either 18-20 Gy gamma rays or 10 Gy neutrons. These doses were chosen for their equivalent effect on the number of intestinal crypts found after treatment. Despite the fact that the topography of the villi, as imaged by scanning electron microscopy, was altered by treatment, with gamma irradiated villi showing lateral or horizontal collapse while neutron irradiation produced conical villi, few changes were seen in the villous stromal compartments. There were, however, ultrastructural changes observed in the stroma of the pericryptal plate. Changes common to both radiation schedules included disorganisation of the subepithelial stroma and an increase in the number of irregular processes. Some changes after irradiation, however, were not identical in the two groups. Gamma irradiation resulted in pale, foamy cytoplasmic vesicles, the separation of smooth muscle cells and changes in the structure of the luminal aspect of arterial blood vessels while neutron irradiation produced dense cytoplasmic vesicles and electron dense bodies within the substance of peripheral nerve twigs. The fact that the variation in the topography of villi after the two types of radiation is matched by changes in the deep stroma rather than within the villi themselves indicates that the stromal pericryptal plate is of importance in the structure of the villus and the extent to which the villi have varied from the normal finger shaped structure.

Morphological differences in the response of mouse small intestine to radiobiologically equivalent doses of X and neutron irradiation.

A scale has been developed to describe the effects of radiation on small intestinal villi. The scale has been used to compare the damage done to the villi in the period 0-5 days after irradiation by X-irradiation or neutron irradiation, using 10 Gy X-rays and 5 Gy neutrons, doses which are radiobiologically equivalent when assessed by the microcolony assay method. Use of the scale indicates that the damage done to the villi by neutrons is greater than that produced by X-rays. This has implications for the interpretation of radiobiological equivalent doses (R.B.E.). Resin light microscopy and transmission electron microscopy (T.E.M.) have also been used to examine small intestinal damage after 10 Gy X-irradiation and 5 Gy neutron irradiation. Differences include variations in crypt shape, mitotic activity and the proportion of crypts which are heavily parasitised. As well as the differences in villous shape which have been reflected in the different values on the scoring system, there are also variations in the response of the constituent cells of the epithelial compartment of the villi. In general, the effect of the neutron irradiation is more severe than that of the X-rays, particularly as would be suggested by a simple quantitation of crypt regeneration.

Damage to the surface of the small intestinal villus: an objective scale of assessment of the effects of single and fractionated radiation doses.

Scanning electron microscopy has been used to compare damage to mouse small intestinal mucosa after irradiation with different doses of photons and neutrons. Various stages of the collapse of villous structure seen after radiation include the production of conical and rudimentary villi and a flattened mucosa. A scale is proposed to relate radiation to villous damage. Points from this scale are taken to produce comparative ratios for equivalent damage produced by different radiation conditions. RBE values are quoted for neutron. X and gamma radiation given as single or fractionated irradiation doses and as whole or partial body irradiation. The relationship between the stroma in intravillous pegs and that of the pericryptal compartment is explored.

Scanning electron microscopy, autolysis, and irradiation as techniques for studying small intestinal morphology.

Examination of autolysed control mouse small intestine using scanning electron microscopy has revealed details of the connective tissue components of the mucosa. The cores of the villi are seen collapsed across the intervillous basin. Crypts of Lieberkuhn are seen as tubular channels stretching down from the intervillous basin. Sometimes the crypts are split in two by a connective tissue septum. The mouths of the crypts of Lieberkuhn are, in general, arranged in double rows between the single rows of villi. The ratio of number of crypts to numbers of villi was calculated as 5.01:1. This is close to the figure of 4.53:1, as quoted by Smith & Jarvis (1980) who used differential interference contrast microscopy to investigate the crypt to villus ratio. After radiation, the severe drop in the number of crypt mouths can be clearly seen by the combination of autolysis and scanning electron microscopy: the rows of crypt mouths between the villi have been lost, and many crypt mouths have been occluded by stromal tissue. The arrangement of the crypt mouths and the observation of mucosal abnormalities after irradiation have led to the postulation that cells leaving the crypt mouths move in a spiral manner towards and then up the villous surface: this postulated movement might imply an asymmetry in some properties of enterocytes. The use of scanning electron microscopy in conjugation with autolysis and irradiation has thus forced a critical re-examination of the relationships between crypts and villi.

Multinucleate giant enterocytes in small intestinal villi after irradiation.

Scanning electron microscopy of the small intestine of the mouse 5 days after X- or neutron irradiation has revealed the formation of giant cells on the villus surface. Correlative light microscopy and transmission electron microscopy have shown that these giant cells are syncytial in nature. Characteristic features of lipid inclusions and apical microvilli suggest tha these syncytia are giant enterocytes. It has also been shown that these giant cells are in contact with the connective tissue core of the villus and have a close contact with the normal enterocytes, thus maintaining mucosal integrity. It is postulated that radiation damage has caused incomplete separation during mitosis and that attempted division occurs outside the crypts of Lieberkuhn.

Surface damage in the small intestine of the mouse after X - or neutron irradiation.

Damage after X-irradiation includes lateral villous collapse, progressing after 3 - 5 days to villi which sometimes show signs of vertical collapse. After neutron irradiation vertical villous collapse is established earlier, with less swelling of villous tips. It seems, therefore, that at radiobiologically equivalent doses, neutron and X-irradiation produce different levels of surface damage, with neutron irradiation being the more destructive. Early villous tip damage may perhaps be due to disruption of susceptible cells already at the extrusion zone, or to stromal damage.

The ultrastructure of some gastrointestinal lesions in experimental animals and man.

This has been a brief and necessarily selective review, covering only a few of the numerous experimental and diagnostic uses of electron microscopy in the field of gastroenterology. The roles of experimentalist and diagnostician have emerged in a kind of counterpoint. We have identified the contrasting themes of the controllable laboratory experiment and the uncontrollable experiment of disease; of the three-dimensional image of the surface scanning technique and the two-dimensional world of the thin section. There is harmony, also, in our common concern for morphology and our shared interest in any structural change. Altered morphology, whether in tissue architecture or cellular organisation, may offer a key to the better understanding of altered function. In the future, both the experimental and the diagnostic electron microscopist will come to rely more on correlative procedures, such as the re-processing of specimens for a second look with a different technique. Functional dividends are promised to the morphologist by advances in detector technology and associated techniques such as analytical microscopy. It remains to be seen whether medical benefits will accrue, in terms of a more precise diagnosis or a more effective prognosis in individual cases of human gastrointestinal disease.

An investigation of the alternating fractionation formula of the Cumulative Radiation Effect.

The alternating fractionation formula of the Cumulative Radiation Effect (CRE) system was investigated using the mouse intestinal crypt system as a method of assessment of the amount of radiation damage in a normal tissue. The experimental results revealed that the formula is correct in predicting an increased effect with alternating large and small sized fractions, when compared with a standard schedule where the fraction size was kept constant but achieved the same total dose. However, the results also demonstrated that the order in which the alternate fractions were administered affected the amount of radiation damage produced in the tissue. This observation is in contradiction to another prediction of the formula, that the order in which equal numbers of fractions of different magnitudes are administered, will have no effect on the biological end point. The formula, therefore, is only an approximate model of radiation damage in normal tissue and much more information is required before it can be improved upon.

Investigation of time-gap formulae on the CRE system using mouse tissue as a biological model.

The cumulative radiation effect (CRE) is one of several empirical scalar descriptions of biological effect which enable corrections to be made for gaps in radiotherapy treatment. Predictions of this theory were tested using mouse crypt regeneration and mouse skin as biological models. These experimental results are discussed in terms of the dependence of tissue regeneration potential during a gap on the biological effect achieved before the gap, and on gap length. A hypothesis is proposed to reconcile the apparent conflict between the two experiments. While the simple exponential gap formulation of the CRE is seen to be inadequate, insufficient data are available at present to modify it.

Lack of correlation between villus and crypt damage in irradiated mouse intestine.

It has been observed that scanning electron microscopy is a more sensitive indicator of mucosal damage at low radiation dose levels than conventional quantitative crypt counting techniques. Three different fractionation schedules were subjected to investigation by both of these methods to try to elucidate some features of irradiation damage to the whole of the intestinal mucosa, at dose levels commonly used in clinical practice. Despite variations in the qualitative observations, there was a marked difference in two of the schedules between damage expressed as crypt counts and that described by the qualitative techniques. In the first case high crypt numbers were associated with severe mucosal damage, whereas the second schedule produced a reduced crypt count in association with low damage to the surface mucosa. A third schedule produced results in which there was a general agreement between low crypt numbers and considerable surface mucosal damage. However, observations were made of mucosal formations not previously seen on damaged mucosal surfaces. These resembled the appearance normally associated with the gut of patients suffering from coeliac disease. Variations in the qualitative observations were seen in all the schedules so that their interpretation in terms of perturbation of cellular kinetics is difficult.