Role of cellular immunity in malignant tumors development in individuals chronically ex-posed to ionising radiation

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UDC: 
612.017.11: 612.014.482
Authors: 

V.L. Rybkina, D.S. Oslina, T.V. Azizova, E.N. Kirillova, V.S. Makeeva

Organization: 

Southern Urals Biophysics Institute, 19 Ozerskoe shosse, Ozersk, 456780, Russian Federation

Abstract: 

Some long-term effects of radiation could be related to changes in the immune system resulting from radiation exposure. Immunity disorders caused by radiation can influence carcinogenesis.

Cellular immunity factors were investigated in peripheral blood of workers chronically exposed to occupational combined radiation (external gamma-rays and internal alpha-particles), with malignant
neoplasms diagnosed after blood samples were taken or without them, and in the control group.

The aim of this study was examine effects of radiation on the cellular immunity status in individuals chronically exposed to ionizing radiation who had malignant neoplasms developed after blood sampling.

The relative and absolute number of lymphocyte subpopulations (total T-cells, T-helpers, T-cytotoxic, total B-cells, NK-cells, NKT-cells and activated T-cells) was detected by flow cytofluorometry.
The absolute number of T-cells was significantly reduced in workers chronically exposed to occupational combined irradiation, with or without malignancies, compared to the control, which may contribute to tumor progression at an early stage of its onset. At the same time, workers without malignancies had a significant increase in the relative number of T-cytotoxic lymphocytes, which may be a factor preventing tumor development. A significant increase in the relative number of natural killer cells (NK cells) was detected in individuals with malignant neoplasms chronically exposed to occupational combined irradiation, compared with the control, which may indicate enhanced antitumor defense that developed in response to exposure to tumor antigens. In addition, a significant decrease in the absolute and relative number of T- and B-lymphocytes was found in the group of workers with malignant neoplasm, compared with the control. A significant increase in the relative number of T-helpers was found in both groups of workers. Since the role of T-helpers in the antitumor response is ambiguous, additional research on types of T-helpers is planned to clarify the results of the present study.

Keywords: 
occupational exposure, ionizing radiation, malignant neoplasms, innate immunity, adaptive immunity, antitumor immunity, T- and B-lymphocytes, T-helpers
Rybkina V.L., Oslina D.S., Azizova T.V., Kirillova E.N., Makeeva V.S. Role of cellular immunity in malignant tumors development in individuals chronically exposed to ionising radiation. Health Risk Analysis, 2024, no. 1, pp. 169–177. DOI: 10.21668/health.risk/2024.1.17.eng
References: 
  1. Jacob P., Ruhm W., Walsh L., Blettner M., Hammer G., Zeeb H. Is cancer risk of radiation workers larger than expected? Occup. Environ. Med., 2009, vol. 66, no. 12, pp. 789–796. DOI: 10.1136/oem.2008.043265
  2. Azzam E.I., Colangelo N., Domogauer J. D., Sharma N., de Toledo S.M. Is Ionizing Radia-tion Harmful at any Exposure? An Echo that Continues to Vibrate. Health Phys., 2016, vol. 110, no. 3, pp. 249–251. DOI: 10.1097/HP.0000000000000450
  3. Tang F.R., Loganovsky K. Low dose or low dose rate ionizing radiation-induced health ef-fect in the human. J. Environ. Radioact., 2018, vol. 192, pp. 32–47. DOI: 10.1016/j.jenvrad.2018.05.018
  4. Wakeford R. Radiation in the workplace – a review of studies of the risks of occupational exposure to ionising radiation. J. Radiol. Prot., 2009, vol. 29, no. 2A, pp. A61–A79. DOI: 10.1088/0952-4746/29/2A/S05
  5. Peters J.M., Gonzalez F.J. The Evolution of Carcinogenesis. Toxicol. Sci., 2018, vol. 165, no. 2, pp. 272–276. DOI: 10.1093/toxsci/kfy184
  6. Stewart F.A., Akleyev A.V., Hauer-Jensen M., Hendry J.H., Kleiman N.J., Macvittie T.J., Aleman B.M., Edgar A.B. [et al.]. ICRP publication 118: ICRP statement on tissue reactions and early and late effects of radiation in normal tissues and organs – threshold doses for tissue reactions in a radiation protection context. Ann. ICRP, 2012, vol. 41, no. 1–2, pp. 1–322. DOI: 10.1016/j.icrp.2012.02.001
  7. Effects of Ionizing Radiation – UNSCEAR Report, Volume II: Scientific Annexes, Annex C. Non-targeted and delayed effects of exposure to ionizing radiation, Annex D. Effects of ionizing radiation on the immune system. New York, United Nations Publ., 2009, 338 p.
  8. Chen D.S., Mellman I. Oncology meets immunology: the cancer-immunity cycle. Immunity, 2013, vol. 39, no. 1, pp. 1–10. DOI: 10.1016/j.immuni.2013.07.012
  9. Lumniczky K., Canduias S.M., Gaipl U.S., Frey B. Editorial: Radiation and the Immune System: Current Knowledge and Future Perspectives. Front. Immunol., 2018, vol. 8, pp. 1933. DOI: 10.3389/fimmu.2017.01933
  10. Akleev A.V., Ovcharova E.A. The immune status of chronic exposed people in later peri-ods. Meditsinskaya radiologiya i radiatsionnaya bezopasnost', 2007, vol. 52, no. 3, pp. 5–9 (in Russian).
  11. Zurochka A.V., Haidukov S.V., Kudryavtsev I.V., Chereshnev V.A. Protochnaya tsi-tometriya v meditsine i biologii [Flow cytometry in medicine and biology]. Ekaterinburg, RIO UrO RAN Publ., 2013, 552 p. (in Russian).
  12. Rybkina V.L., Bannikova M.V., Adamova G.V., Dörr H., Scherthan H., Azizova T.V. Im-munological markers of chronic occupational radiational exposure. Health Phys., 2018, vol. 115, no. 1, pp. 108–113. DOI: 10.1097/hp.0000000000000855
  13. Kirillova E.N., Drugova E.D., Muksinova K.N., Rybkina V.L., Zaharova M.L., Ezhova A.V., Uryadnitskaya T.I., Haritonov O.E. Mayak staff immune status after the late period of professional exposure. Immunologiya, 2007, vol. 28, no. 1, pp. 37–42 (in Russian).
  14. Kusunoki Y., Kyoizumi S., Yamaoka M., Kasagi F., Kodama K., Seyama T. Decreased proportion of CD4 T Cells in the blood of atomic bomb survivors with myocardial infarction. Radiat. Res., 1999, vol. 152, no. 5, pp. 539–543.
  15. Speiser D.E., Ho P.-C., Verdeil G. Regulatory circuits of T-cell function in cancer. Nat. Rev. Immunol., 2016, vol. 16, no. 10, pp. 599–611. DOI: 10.1038/nri.2016.80
  16. Donadon M., Hudspeth K., Simino M., Di Tomasso L., Preti M., Tentorio P., Roncalli M., Mavilio D., Torzilli G. Increased infiltration of natural killer and T-cells in colorectal liver metasta-ses improves patient overall survival. J. Gastrointest. Surg., 2017, vol. 21, no. 8, pp. 1226–1236. DOI: 10.1007/s11605-017-3446-6
  17. Oradovskaya I.V., Oprishchenko M.A., Leiko I.A., Ivanov V.V., Zabelov V.M., Luss L.V., Nikonova M.F., Chernetsova L.F. [et al.]. Immunnyi status personala ob"ekta unichtozheniya yadernogo oruzhiya (UYaO). Itogi chetyrekhletnego nablyudeniya [Immune status of personnel at a nuclear dismantlement facility (NDF). Results of four-year observation]. IV s"ezd po radiatsionnym issledovaniyam (radiobiologiya, radioekologiya, radiatsionnaya bezopasnost'): tezisy dokladov [IV Congress on Radiation Research (radiobiology, radioecology, radiation safety): abstracts of reports]. Moscow, 2001, 163 p. (in Russian).
  18. Shankaran V., Ikeda H., Bruce A.T., White J.M., Swanson P.E., Old L.J., Schreiber R.D. IFNgamma and lymphocytes prevent primary tumor development and shape tumor immunogenicity. Nature, 2001, vol. 410, no. 6832, pp. 1107–1111. DOI: 10.1038/35074122
  19. Gabrilovich D.I., Nagaraj S. Myeloid-derived suppressor cells as regulators of the immune system. Nat. Rev. Immunol., 2009, vol. 9, no. 3, pp. 162–174. DOI: 10.1038/nri2506
  20. Spiotto M.T., Rowley D.A., Schreiber H. Bystander elimination of antigen loss variants in established tumors. Nat. Med., 2004, vol. 10, no. 3, pp. 294–298. DOI: 10.1038/nm999
  21. Oradovskaya I.V. Immunologicheskii monitoring katastrofy v Chernobyle. Otdalennyi period (2001–2006 gg.): itogi mnogoletnikh nablyudenii [Immunological monitoring of the Chernobyl disaster. Long-term period (2001–2006): results of long-term observations]. Moscow, Meditsinskaya kniga Publ., 2007, 608 p. (in Russian).
  22. Matsushita H., Vesely M.D., Koboldt D.C., Rickert C.G., Uppaluri R., Magrini V.J., Arthur C.D., White J.M. [et al.]. Cancer exome analysis reveals a T-cell-dependent mechanism of cancer immunoediting. Nature, 2012, vol. 482, no. 7385, pp. 400–404. DOI: 10.1038/nature10755
  23. Fridman W.H., Pages F., Sautes-Fridman C., Galon J. The immune contexture in human tumours: impact on clinical outcome. Nat. Rev. Cancer, 2012, vol. 12, no. 4, pp. 298–306. DOI: 10.1038/nrc3245
  24. De Visser K.E., Korets L.V., Coussens L.M. De novo carcinogenesis promoted by chronic inflammation is B-lympocyte dependent. Cancer Cell, 2005, vol. 7, no. 5, pp. 411–423. DOI: 10.1016/j.ccr.2005.04.014
  25. Schioppa T., Moore R., Thompson R.G., Rosse E.C., Kulbe H., Nedospasov S., Mauri C., Coussens L.M., Balkwill F.R. B regulatory cells and the tumor-promoting actions of TNF-α during squamous carcinogenesis. Proc. Natl Acad. Sci. USA, 2011, vol. 108, no. 26, pp. 10662–10667. DOI: 10.1073/pnas.1100994108
  26. Olkhanud P.B., Damdinsuren B., Bodogai M., Gress L.E., Sen R., Wejksza K., Malchinkhuu E., Wersto R.P., Biragyn A. Tumor-evoked regulatory B cells promote brest cancer metastasis by converting resting CD4⁺ T cells to T-regulatory cells. Cancer Res., 2011, vol. 71, no. 10, pp. 3505–3515. DOI: 10.1158/0008-5472.CAN-10-4316
  27. Pylayeva-Gupta Y., Das S., Handler J.S., Hajdu C.H., Coffre M., Koralov S.B., Bar-Sagi D. IL-35 producing B-cells promote the development of pancreatic neoplasia. Cancer Discov., 2016, vol. 6, no. 3, pp. 247–255. DOI: 10.1158/2159-8290.CD-15-0843
  28. Andreu P., Johansson M., Affara N.I., Pucci F., Tan T., Junankar S., Korets L., Lam J. [et al.]. FcRγ activation regulates inflammation-associated squamous carcinogenesis. Cancer Cell, 2010, vol. 17, no. 2, pp. 121–134. DOI: 10.1016/j.ccr.2009.12.019
Received: 
05.11.2023
Approved: 
13.03.2024
Accepted for publication: 
20.03.2024

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