Organoids reveal that inherent radiosensitivity of small and large intestinal stem cells determines organ sensitivity Journal Article


Authors: Martin, M. L.; Adileh, M.; Hsu, K. S.; Hua, G.; Lee, S. G.; Li, C.; Fuller, J. D.; Rotolo, J. A.; Bodo, S.; Klingler, S.; Haimovitz-Friedman, A.; Deasy, J. O.; Fuks, Z.; Paty, P. B.; Kolesnick, R. N.
Article Title: Organoids reveal that inherent radiosensitivity of small and large intestinal stem cells determines organ sensitivity
Abstract: Tissue survival responses to ionizing radiation are nonlinear with dose, rather yielding tissue-specific descending curves that impede straightforward analysis of biologic effects. Apoptotic cell death often occurs at low doses, while at clinically relevant intermediate doses, double-strand break misrepair yields mitotic death that determines outcome. As researchers frequently use a single low dose for experimentation, such strategies may inaccurately depict inherent tissue responses. Cutting edge radiobiology has adopted full dose survival profiling and devised mathematical algorithms to fit curves to observed data to generate highly reproducible numerical data that accurately define clinically relevant inherent radiosensitivities. Here, we established a protocol for irradiating organoids that delivers radiation profiles simulating the organ of origin. This technique yielded highly similar dose-survival curves of small and large intestinal crypts in vivo and their cognate organoids analyzed by the single-hit multi-target (SHMT) algorithm, outcomes reflecting the inherent radiation profile of their respective Lgr5þ stem cell populations. As this technological advance is quantitative, it will be useful for accurate evaluation of intestinal (patho)physiology and drug screening. Significance: These findings establish standards for irradiating organoids that deliver radiation profiles that phenocopy the organ of origin. © 2019 American Association for Cancer Research.
Journal Title: Cancer Research
Volume: 80
Issue: 5
ISSN: 0008-5472
Publisher: American Association for Cancer Research  
Date Published: 2020-03-01
Start Page: 1219
End Page: 1227
Language: English
DOI: 10.1158/0008-5472.Can-19-0312
PUBMED: 31690670
PROVIDER: scopus
PMCID: PMC7056505
DOI/URL:
Notes: Article -- Source: Scopus
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MSK Authors
  1. Zvi Fuks
    427 Fuks
  2. Philip B Paty
    496 Paty
  3. Richard N Kolesnick
    299 Kolesnick
  4. Joseph Owen Deasy
    524 Deasy
  5. Jimmy A Rotolo
    35 Rotolo
  6. John David Fuller
    11 Fuller
  7. Maria Laura Martin
    14 Martin
  8. Sang Gyu   Lee
    20 Lee
  9. Mohammad   Adileh
    12 Adileh
  10. Christy Y Li
    3 Li
  11. Sahra Bodo
    5 Bodo
  12. Kuo Shun Hsu
    6 Hsu