The radiation-induced
bystander effect is the phenomenon whereby cellular effects such
as sister chromosome aberrations, apoptosis, or transformations are
expressed in unirradiated neighboring cells near an irradiated cell
or cells. The bystander effect is generally believed to be due to
cell-to-cell communication. Since it is well known that an organism
is composed of different cell types interacting as functional units
to maintain normal tissue function, experimental models that maintain
tissue-like intercellular cell signaling and 3-D structure are essential
for proper understanding of the bystander effect. Our goal is to provide
users with an in-vivo-like multicellular system with preserved
3-D tissue microarchitecture and microenvironment.
In order to fulfill these requirements, yet maintain good reproducibility,
we use novel artificial human tissue systems, which are commercially
available (MatTek Corporation, Ashland, MA). Artificial tissues reconstruct
the normal tissue microarchitecture and preserve the in-vivo
differentiation pattern. They are mitotically and metabolically active
and release the relevant cytokines. Cells in these tissues also demonstrate
the presence of gap junctions.
Artificial
tissues are cultivated using an air-liquid interface tissue culture
technique (Fig. 1A). Tissue is grown on a semi-permeable membrane
and fed with a serum-free medium from below (Fig. 1B). The human
skin artificial tissue systems are cultivated on Millicell-CM culture
inserts (Millipore), using a 28 µm hydrophilic PTFE membrane. The
surface of the tissue is exposed to the air, which stimulates differentiation.
Artificial tissues consist of a few layers of cells. The diameter
of the MatTek tissues is about 8 mm, and their lifetime is 2 to 3
weeks depending on the tissue type.
Artificial tissues
are very stable and allow a high degree of reproducibility. This is
a crucial advantage
for microbeam experiments, which require a high degree of precision.
On the other hand this is a very flexible system because many parameters
including the type of cells, degree of differentiation and size can
be controlled. The system is also cost effective, compared to working
with primary explants, which requires an animal house.
We
have used a few types of artificial tissues for microbeam bystander
experiments. In this example we will concentrate on EpiDerm, which
is a human artificial skin system. EpiDerm consists of normal, human
epidermal keratinocytes, which have been cultured to form a multilayered,
differentiated model of the human epidermis. It closely resembles
human skin microarchitecture with in-vivo
like morphological
and growth characteristics, which are uniform and highly reproducible.
We are using three modifications of EpiDerm: EPI-200-3s, EPI-201 and
EPI-200. EPI-200-3s (Fig. 2A) is a non-differentiated model;
it consists of 1-2 cell layers and is not more than 10 mm
thick. EPI-201 (Fig. 2B) is an intermediately-differentiated
model; it consists of 3-5 cell layers and is 20-45 mm
thick. Finally, EPI-200 (Fig. 2C) is a differentiated model of
the epidermis; it consists of 10-12 cell layers and is 75-100 mm
thick.
Various degrees of
differentiation are important because we demonstrated the importance
of differentiation as a major component of the bystander response
in the urothelial explant model. On the other hand, both the EPI-200-3s
and EPI-201 models, if cultured, eventually form a system similar
to the fully differentiated EPI-200. This gives us the opportunity
to irradiate the undifferentiated EPI-200-3s model and study delayed
bystander effects 7 days later when a fully differentiated multilayer
structure would be formed - a study on the bystander response in the
progeny of irradiated cells.
Morphologically, EpiDerm
consists of basal, spinous, granular, and cornified layers analogous
to those found in an in-vivo
epidermis. The system is mitotically and metabolically active. Markers
of mature epidermis-specific differentiation such as pro-filaggrin,
K1/K10 cytokeratin pair, involucrin, and type I epidermal transglutaminase
are expressed in the EpiDerm system. Analysis of the tissue microstucture
has proved the presence of keratohyalin granules, tonofilament bundles,
desmosomes, and a multi-layered stratum corneum containing intercellular
lamellar lipid layers arranged in patterns characteristic of an
in-vivo
epidermis.
Microbeam Irradiation
The Columbia University
single-cell / single-particle microbeam
was used for tissue irradiation. We microbeam irradiated each tissue
sample in a known pattern, so that all the irradiated cells are in
one plane. Ten a-particles (~7.2 MeV) per
location were delivered every 20-100 µm along the irradiation plane.
A tissue sample is 8 mm in diameter. The human skin artificial tissue
system is cultivated on Millicell-CM culture inserts (Millipore),
using a 28 mm
hydrophilic PTFE membrane. The tissue samples are irradiated from
below through the membrane that forms the base of the culture insert.
After traversal of the membrane a 7.2 MeV a-particle
beam would have a remaining energy of about 2 MeV. This is enough
energy to traverse about 10-15 mm of tissue,
a range sufficient to target the basal cellular layers of EPI-200
and EPI-201 and to traverse all layers of EPI-200-3s artificial tissues.
In
order to maintain high precision, the culture insert is positioned
in a custom-designed holder (Fig. 3A) and held with a fixture
(Fig. 3B) to maintain stability. The holder is positioned on
the microbeam stage (Fig. 3C), and the tissue is irradiated from
below. The full microbeam cell dish assembly is represented in Fig.
3D. It is covered with a fixture to prevent contamination and drying-up
during irradiation. The irradiation is fully automated, with a user-friendly
interface to specify the number of protons per irradiation point and
the separation between the irradiation points along the line of irradiation.
Typical irradiation times vary from 1 to 4 minutes per tissue.
After
microbeam irradiation, each tissue was returned to a
multi-well dish
filled with fresh medium
and incubated at 37°C in a humidified atmosphere with 5% CO2,
prior to fixing for 3 days.
Paraffin Histological Section Preparation
After incubation
tissues were fixed in 10% neutral buffered formalin, paraffin embedded,
and cut in 5 mm segments along the X axis
(see Fig. 4) to prepare histological sections. We used vertical sectioning
to physically isolate tissue fragments which contained directly irradiated
cells from other fragments containing cells which had not been irradiated
but were at known distances from irradiated cells. Figure 4 demonstrates
our approach in detail.

Fig. 4.
After incubation, tissues were fixed in 10% neutral buffered
formalin, paraffin embedded, and cut in 5 mm
segments along the X axis to prepare histological sections.
Endpoints
After cutting and
mounting on slides, sections were stained for the endpoints of interest.
We performed a routine haemotoxylin-eosin (H&E) staining for every
series of slides to assess the tissue morphologically. The next step
was a quantitative assessment of the apoptosis contribution to the
bystander effect using a TUNEL enzymatic in-situ
labeling kit (DermaTACS) optimized for paraffin sections (Figs. 5,
6). The fraction of apoptotic cells is counted and the spatial distribution
recorded. We also studied bystander-induced differentiation under
in-situ conditions using immunohistochemical
markers such as pro-filaggrin, K1/K10 cytokeratin pair (data not shown).
Positive apoptotic cells appear bright blue (TACS Blue
Label) on the photograph below. The image in figure 5 was located
500-700 µm from the irradiated line. Figure 6 demonstrates that there
was an increased fraction of apoptotic cells versus control in the
EPI-200 human artificial tissues. The fraction of apoptotic cells
was measured at different distances, ranging from 200 to 1100 mm,
away from the line of irradiated cells (10 a-particles
every 100 mm) on day 3 after irradiation.
The average fraction of apoptosis for all layers in irradiated samples
is 3.7±0.6% versus 1.3±0.3% for all layers in control samples. Importantly,
there are no statistically significant variations in the expression
of bystander apoptosis over the 900 mm
distance. This suggests that the bystander response has a long range
and is propagated through 3-D tissues, possibly mediated by gap junctions.
Fig. 5. Bystander-induced
apoptosis in the artificial human skin system EPI-200 stained with
the DermaTACS apoptosis kit. Positive apoptotic cells appear blue.
Formalin fixed, paraffin embedded 5 µm histological sections are shown
as imaged through a transmission light microscope (600X).
Fig. 6. Fraction of apoptotic
cells (TUNEL assay) in unirradiated bystander cells at different
distances from irradiated cells in 3-D human artificial skin tissue
(EPI-200, 10 a-particles every 100 mm)
on day 3 after irradiation. Error bars represent standard deviations
of the means (SEM). Each point (and SEM) is derived from at least
3 repeat experiments.
Statistical Analysis
Each
experiment was performed with at least three different tissues and
repeated at least for 3 times. All individual tissues were number-coded
and scored blindly. The mean and standard deviation were calculated
for all endpoint-positive and control cases. Significance tests were
performed using the Student’s t test. In all statistical analyses,
P < 0.05 was considered as statistically significant.
Results
and Discussion
In addition to the
skin models already discussed, we have performed microbeam and broad-field
experiments with two other human artificial tissue systems: a reconstruction
of the tracheal/bronchial tissue of human respiratory tract EpiAirway
(AIR-110) and a
corneal model (OCL-200).
Human
artificial skin systems have been carefully characterized; we performed
extensive morphometric measurements and tested cultivation procedures
for these models. We have developed unique techniques for broad-field
and microbeam irradiations of human artificial tissue systems. The
nature of the bystander experiments also requires high precision in
positioning and registration of the samples during and post-irradiation.
We have designed, in collaboration with the Design
& Instrument Shop of the Center
for Radiological Research, a set of fixtures (Fig. 3),
used for microbeam and broad-field irradiation as well as for cultivation
and histological processing. In summary, we now have a well-tuned
methodology for microbeam-based bystander experiments on 3-D tissue
samples.
Reference
Belyakov
O.V., Mitchell S.A., Parikh D., Randers-Pehrson G., Marino S.A., Amundson
S.A., Geard C.R. and Brenner D.J. Biological effects in unirradiated
human tissue induced by radiation damage up to 1 mm away. Proc
Natl Acad Sci U S A 102:14203-14208 (2005).
[abstract]
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