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Metabolic oxidation/reduction reactions and cellular responses to ionizing radiation: A unifying concept in stress response biology
Abstract
Exposure of eukaryotic cells to ionizing radiation (IR) results in the immediate formation of free radicals that last a matter of milliseconds. It has been assumed that the subsequent alterations in multiple intracellular processes following irradiation is due to the initial oxidative damage caused by these free radicals. However, it is becoming increasingly clear that intracellular metabolic oxidation/reduction (redox) reactions can be affected by this initial IR-induced free radical insult and may remain perturbed for minutes, hours, or days. It would seem logical that these cellular redox reactions might contribute to the activation of protective or damaging processes that could impact upon the damaging effects of IR. These processes include redox sensitive signaling pathways, transcription factor activation, gene expression, and metabolic activities that govern the formation of intracellular oxidants and reductants. The physiological manifestations of these radiation-induced alterations in redox sensitive processes have been suggested to contribute to adaptive responses, bystander effects, cell cycle perturbations, cytotoxicity, heat-induced radiosensitization, genomic instability, inflammation, and fibrosis. While a great deal is known about the molecular changes associated with the initial production of free radicals at the time of irradiation, the contribution of perturbations in redox sensitive metabolic processes to biological outcomes following exposure to IR is only recently becoming established. This review will focus on evidence supporting the concept that perturbations in intracellular metabolic oxidation/reduction reactions contribute to the biological effects of radiation exposure as well as new concepts emerging from the field of free radical biology that may be relevant to future studies in radiobiology.
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“The generation of ROS is also an important mediator of the cellular alterations caused by radiation exposure (Diehn et al., 2009; Sonis, 2009; Spitz et al., 2004), including mucositis (Citrin et al., 2010; Cotrim et al., 2007; Cotrim et al., 2005).”
From mTOR inhibition prevents epithelial stem cell senescence and protects from radiation-induced mucositis (2012) · cites this paper as Spitz et al., 2004
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InfluentialMechanisms for Radioprotection by Melatonin; Can it be Used as a Radiation Countermeasure?
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PDGF-mimicking supramolecular nanofibers for ionizing radiation-induced injury repair
Shang, Y., Liu, H., Peng, R., Ren, C., Luo, X., Ma, C., Gao, Y., Wang, Z., Gao, J., Liu, J., et al. (2020) · Chemical Engineering Journal · doi:10.1016/j.cej.2020.128309 · Cited by 33
Goel, A., Spitz, D. R., & Weiner, G. J. (2011) · Journal of Cellular Biochemistry · doi:10.1002/jcb.23387 · Cited by 33
“) causing cytotoxicity by covalent alterations in DNA, proteins, and lipids [Spitz et al., 2004].”
BackgroundInfluentialEldridge, A., Fan, M., Woloschak, G. E., Grdina, D. J., Chromy, B. A., & Li, J. J. (2012) · Free Radical Biology and Medicine · doi:10.1016/j.freeradbiomed.2012.08.589 · Cited by 33
“MnSOD helps to eliminate free radicals in the mitochondria by converting superoxide anions to H2O2, which can then be detoxified by the catalase activity of peroxidase [13].”
BackgroundThe potential of ferroptosis combined with radiotherapy in cancer treatment
Lu, Z., Xiao, B., Chen, W., Tang, T., Zhuo, Q., & Chen, X. (2023) · Frontiers in Oncology · doi:10.3389/fonc.2023.1085581 · Cited by 35
“RT can cause oxidative damage to all cell compartments, including the lipid membrane (105, 106).”
BackgroundZhang, S., Song, C., Zhou, J., Ling, X., Meng, X., Liu, P., Cao, J., Zhang, X., Ding, W., & Wu, J. (2012) · Radiation Oncology · doi:10.1186/1748-717x-7-4 · Cited by 32
“Many of these signaling and gene expression pathways are involved in intracellular metabolic redox reactions to buffer the ROS [8].”
BackgroundInfluentialEl-Azime, A. S. A., Hussein, E. M., & Ashry, O. M. (2014) · International Journal of Radiation Biology · doi:10.3109/09553002.2014.926040 · Cited by 32
“Radiation damage is largely caused by the overproduction of reactive oxygen species (ROS) including Superoxide anion O2 -, hydroxyl radical (HO-), hydrogen peroxide (H2O2) that overwhelm the levels of antioxidants resulting in oxidative stress (Spitz et al. 2004) that are known to cause abnormal chemical reactions in…”
BackgroundRadiation Induced Bystander Effect: From in Vitro Studies to Clinical Application
Wideł, M. (2016) · International Journal of Medical Physics Clinical Engineering and Radiation Oncology · doi:10.4236/ijmpcero.2016.51001 · Cited by 31
Circular RNAs in the Regulation of Oxidative Stress
Zhang, Y., Chen, Y., Wan, Y., Zhao, Y., Wen, Q., Tang, X., Shen, J., Wu, X., Li, M., Li, X., et al. (2021) · Frontiers in Pharmacology · doi:10.3389/fphar.2021.697903 · Cited by 32
“These changes are not just restricted to the cells exposed to the ionizing radiations but instead also affect their offspring (Mothersill and Seymour, 2004; Spitz et al., 2004; Prise and O’Sullivan, 2009).”
BackgroundSridharan, V., Tripathi, P., Aykin‐Burns, N., Krager, K. J., Sharma, S., Moros, E. G., Melnyk, S. B., Pavliv, O., Hauer‐Jensen, M., & Boerma, M. (2015) · Radiation Research · doi:10.1667/rr13915.1 · Cited by 32
“This may lead to metabolic oxidative stress that contributes to the biological effects of radiation long after the time of exposure (30).”
Deoxycytidine Kinase Augments ATM-Mediated DNA Repair and Contributes to Radiation Resistance
Bunimovich, Y. L., Nair‐Gill, E., Riedinger, M., McCracken, M. N., Cheng, D., McLaughlin, J., Radu, C. G., & Witte, O. N. (2014) · PLoS ONE · doi:10.1371/journal.pone.0104125 · Cited by 32
“Ionizing radiation leads to oxidative stress through the formation of free radicals [49].”
BackgroundShuryak, I., & Brenner, D. J. (2009) · Journal of Theoretical Biology · doi:10.1016/j.jtbi.2009.08.003 · Cited by 32
“For example, oxidative stress triggered by even quite low doses of radiation can produce an alteration of the cellular redox balance, which lasts for substantial time after exposure and may contribute to bystander effects, genomic instability, modified gene expression, elevated mutagenesis rates, changes in cell survi…”
Saada, H. N., Said, U. Z., Mahdy, E.-S. M. E., Elmezayen, H. E., & Shedid, S. M. (2014) · International Journal of Radiation Biology · doi:10.3109/09553002.2014.934928 · Cited by 32
“If the damage is irreparable, then injury, mutagenesis, carcinogenesis, accelerated senescence and cell death can occur (Spitz et al. 2004).”
BackgroundThe biochemical changes in rats blood serum levels exposed to different gamma radiation doses
Abdel-Halim, K. Y. (2013) · African Journal of Pharmacy and Pharmacology · doi:10.5897/ajpp2013.3434 · Cited by 32
“If this damage is irreparable, then injury, mutagenesis, carcinogenesis, accelerated senescence, and cell death can occur (Spitz et al., 2004).”
BackgroundAykin‐Burns, N., Slane, B. G., Liu, A. T. Y., Owens, K. M., O'Malley, M. S., Smith, B. J., Domann, F. E., & Spitz, D. R. (2010) · Radiation Research · doi:10.1667/rr2220.1 · Cited by 34
Ibrahim, N. K. (2011) · doi:10.5281/zenodo.1329505 · Cited by 32
El‐Nashar, H. A. S., Eldahshan, O. A., Elshawi, O. E., & Singab, A. N. B. (2017) · Drug Development Research · doi:10.1002/ddr.21395 · Cited by 31
“CCl4 alone and in combination with IRR decreased (p 0.001) GSH concentrations as well as GPx, SOD, and CAT activities.”
BackgroundMethodInfluentialNeuroimaging in Pregnant Women
Chansakul, T., & Young, G. S. (2017) · Seminars in Neurology · doi:10.1055/s-0037-1608939 · Cited by 31
Natarajan, M., Gibbons, C. F., Mohan, S., Moore, S. R., & Kadhim, M. (2007) · British Journal of Radiology · doi:10.1259/bjr/15316848 · Cited by 31
“In addition, it has been shown previously that induced levels of TNFa in the culture medium are capable of inducing oxidative stress in target cells [26, 27].”
BackgroundLee, H. C., Her, N.-G., Kang, D., Jung, S. H., Shin, J., Lee, M. Y., Bae, I. H., Kim, Y.-N., Park, H. J., Ko, Y., et al. (2017) · Cell Death and Disease · doi:10.1038/cddis.2017.116 · Cited by 31
“Each cell determines whether the cell will die, repair the damage, or proceed through cellular division despite the damage after a critical period from radiation exposure.(20) On the molecular level, radiation-induced damage initiates a complex signaling cascade in cells, resulting in a variety of responses that inclu…”
BackgroundStudy on the oxidative stress status among cement plant workers
Pournourmohammadi, S., Khazaeli, P., Eslamizad, S., Tajvar, A., Mohammadirad, A., & Abdollahi, M. R. (2008) · Human & Experimental Toxicology · doi:10.1177/0960327108094956 · Cited by 31
Buonanno, M., Gonon, G., Pandey, B. N., & Azzam, E. I. (2022) · International Journal of Radiation Biology · doi:10.1080/09553002.2022.2078006 · Cited by 30
“Several mechanisms have been shown to mediate RIBE with intercellular communications and oxidative metabolism being extensively investigated (reviewed in Azzam et al. 2003b; Spitz et al. 2004; Pouget et al. 2018) (Figure 1 with focus on intercellular communications).”
BackgroundPiao, M. J., Kim, K. C., Chae, S., Keum, Y. S., Kim, H. S., & Hyun, J. W. (2013) · Biomolecules & Therapeutics · doi:10.4062/biomolther.2013.017 · Cited by 30
“ROS-scavenging agents, which include fl avonoids, act as radioprotectors (Spitz et al., 2004; Gudkov et al., 2006).”
BackgroundImplications of the Colonic Deposition of Free Hemoglobin-α Chain
Myers, J. N., Schäffer, M. W., Korolkova, O. Y., Williams, A. D., Gangula, P. R., & M’Koma, A. E. (2014) · Inflammatory Bowel Diseases · doi:10.1097/mib.0000000000000144 · Cited by 30
“The detrimental effects of reactive oxygen molecules have been well studied and established in the inflammation sequence.(83) However, the specific pathways leading to cellular damage are not completely elucidated and remain poorly defined, noncomprehensive, and impractical in clinical medicine and in therapeutic adva…”
BackgroundCurative role of pantothenic acid in brain damage of gamma irradiated rats
Shedid, S. M., Saada, H. N., Na, E., & Hammad, A. (2017) · Indian Journal of Clinical Biochemistry · doi:10.1007/s12291-017-0683-0 · Cited by 30
Ferroptosis: A New Promising Target for Ovarian Cancer Therapy
Zhao, H., Xu, Y., & Shang, H. (2022) · International Journal of Medical Sciences · doi:10.7150/ijms.76480 · Cited by 30
“Radiotherapy can induce oxidative damage and lipid peroxidation in all cellular compartments [75].”
BackgroundThe In Vivo Expression of Radiation-Induced Chromosomal Instability Has an Inflammatory Mechanism
Mukherjee, D., Coates, P. J., Lorimore, S. A., & Wright, E. G. (2011) · Radiation Research · doi:10.1667/rr2793.1 · Cited by 30
“In this study, the anti-inflammatory drug Celebrext reduced the persistent long-term inflammatory microenvironment in the bone marrow, supporting proposals for common inflammatory mechanisms underlying these various indirect in vivo consequences of radiation exposure (3, 6, 51).”
BackgroundLemon, J. A., Rollo, C. D., & Boreham, D. R. (2008) · Mutagenesis · doi:10.1093/mutage/gen036 · Cited by 33
“Following oxidative insults like radiation, cells may express elevated free radical production for weeks or even months (62).”
BackgroundInfluentialVellingiri, B., Sureshkumar, S., Subramaniam, M. D., Balasubramanian, B., Meyyazhagan, A., Karthickkumar, A., Prakash, V., Shafiahammedkhan, M., Sankar, K., Pappuswamy, M., et al. (2013) · Ecotoxicology and Environmental Safety · doi:10.1016/j.ecoenv.2013.09.036 · Cited by 30
“It has been clearly explained that the initial radiation-induced free-radical insult may also cause chromosome breaks and chromatid exchange and chromosomes may remain structurally perturbed for a long (Spitz et al., 2004).”
BackgroundWang, S.-H., Chen, Y., Hsiao, J., Tsai, F.-Y., Jiang, S. S., Lee, A. Y.-L., Tsai, H.-J., & Chen, Y. (2021) · Journal of Experimental & Clinical Cancer Research · doi:10.1186/s13046-021-01898-7 · Cited by 30
Engin, A. B., Ergün, M. A., Yurtçu, E., Kan, D., & Şahin, G. (2005) · Mutation Research/Genetic Toxicology and Environmental Mutagenesis · doi:10.1016/j.mrgentox.2005.05.005 · Cited by 29
PIXE analysis of trace elements in relation to chlorophyll concentration in Plantago ovata Forsk
Saha, P., Raychaudhuri, S. S., Chakraborty, A., & Sudarshan, M. (2009) · Applied Radiation and Isotopes · doi:10.1016/j.apradiso.2009.12.003 · Cited by 29
Giardi, M. T., Touloupakis, E., Bertolotto, D., & Mascetti, G. (2013) · International Journal of Molecular Sciences · doi:10.3390/ijms140817168 · Cited by 30
“It can also act indirectly through radiolysis of water, thereby generating reactive chemical species that may damage DNA, proteins and lipids [46].”
BackgroundLin, Y. H., Han, Y., Xu, J., Cao, L., Gao, J., Xie, N., Zhao, X., Jiang, H., & Chi, Z. (2010) · Cellular and Molecular Neurobiology · doi:10.1007/s10571-010-9524-x · Cited by 31
“Oxidative damage in mtDNA might influence the expression of these peptides and subsequently contribute to mitochondrial oxidative phosphorylation (OXPHOS) deficiency, which results in increased ROS production, thus a continuation of a vicious cycle (Wallace 1992; Spitz et al. 2004).”
BackgroundYanase, S., & Ishii, N. (2008) · Journal of Radiation Research · doi:10.1269/jrr.07043 · Cited by 29
Oxidative stress and low dose ionizing radiation.
Puthran, S. S., Sudha, K., Rao, G. M., & Shetty, B. (2009) · PubMed · Cited by 29
Metadata
- Authors
- Spitz, D. R., Azzam, E. I., Jian Li, J., & Gius, D.
- Affiliations
- University of Iowa (US)
- Rutgers New Jersey Medical School (US)
- National Institutes of Health (US)
- Corresponding author
- Spitz, Douglas R.
- Venue
- Cancer and Metastasis Reviews
- Published
- 2004-08
- Volume
- 23
- Issue
- 3-4
- Pages
- 311-322
- ISSN
- 0167-7659 (ISSN-L)
- 1573-7233
- OpenAlex
- W2023627397
- Cited by
- 710
- References
- 105
- Citations by year
- 2026: 19 · 2025: 24 · 2024: 21 · 2023: 33 · 2022: 27 · 2021: 41 · 2020: 47 · 2019: 46 · 2018: 50 · 2017: 41 · 2016: 38 · 2015: 21 · 2014: 33 · 2013: 47 · 2012: 43
- FWCI
- 2.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Cancer and Metastasis Reviews (publishedVersion)
- PubMed (publishedVersion)
- Rutgers University Community Repository (Rutgers University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Effects of Radiation Exposure
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Redox biology and oxidative stress
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Toxicology › Bioactive Compounds and Antitumor Agents
- Keywords
- ionizing radiation, redox signaling, free radicals, radiation-induced oxidative damage, radiation adaptive response, bystander effect, cell cycle disruption, radiosensitization, genomic instability, inflammation, fibrosis, transcription factor activation, gene expression
- MeSH terms
- Animals, Cell Communication, Humans, Oxidation-Reduction, Radiation, Ionizing, Signal Transduction, Oxidative Stress, Genomic Instability
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