Normal cellular radiosensitivity in an adult Fanconi anaemia patient with marked clinical radiosensitivity

被引:65
作者
Marcou, Y
D'Andrea, A
Jeggo, PA
Plowman, PN [1 ]
机构
[1] St Bartholomews Hosp, Dept Clin Oncol, London EC1A 7BE, England
[2] Harvard Univ, Childrens Hosp, Sch Med, Dana Farber Canc Inst,Dept Pediat Oncol, Boston, MA 02115 USA
[3] Univ Sussex, MRC, Cell Mutat Unit, Brighton BN1, E Sussex, England
关键词
Fanconi anaemia; severe acute reaction; cellular radiosensitivity;
D O I
10.1016/S0167-8140(01)00370-X
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background: Fanconi anaemia is a rare disease associated with cellular sensitivity to chemicals (e.g. mitomycin C and diepoxybutane); variable but mild cellular radiosensitivity has also been reported. Materials and methods: A 32-year-old patient with Fanconi anaemia and tonsillar carcinoma, treated by radiotherapy, was found to exhibit profound clinical radiosensitivity. Confluent, ulcerating oropharyngeal mucositis developed after a conventionally fractionated dose of 34 Gy and healing was incomplete by 2 months after cessation of therapy. Results: Cellular radiosensitivity assays and RPLD studies from this patient did not suggest any major detectable radiosensitivity. Conclusion: There is a discrepancy between the observed clinical radiosensitivity and the usual 'predictive' radiosensitivity assays in this patient with Fanconi anaemia. (C) 2001 Elsevier Science ireland Ltd. All rights reserved.
引用
收藏
页码:75 / 79
页数:5
相关论文
共 23 条
[1]   FANCONI-ANEMIA AND ITS VARIABILITY [J].
ALTER, BP .
BRITISH JOURNAL OF HAEMATOLOGY, 1993, 85 (01) :9-14
[2]  
Alter BP, 1996, AM J HEMATOL, V53, P99, DOI 10.1002/(SICI)1096-8652(199610)53:2<99::AID-AJH7>3.0.CO
[3]  
2-Z
[4]   COMPARATIVE HUMAN CELLULAR RADIOSENSITIVITY .1. THE EFFECT OF SV40 TRANSFORMATION AND IMMORTALIZATION ON THE GAMMA-IRRADIATION SURVIVAL OF SKIN DERIVED FIBROBLASTS FROM NORMAL INDIVIDUALS AND FROM ATAXIA-TELANGIECTASIA PATIENTS AND HETEROZYGOTES [J].
ARLETT, CF ;
GREEN, MHL ;
PRIESTLEY, A ;
HARCOURT, SA ;
MAYNE, LV .
INTERNATIONAL JOURNAL OF RADIATION BIOLOGY, 1988, 54 (06) :911-928
[5]  
AUERBACH AD, 1993, EXP HEMATOL, V21, P731
[6]   Relationship between in vitro chromosomal radiosensitivity of peripheral blood lymphocytes and the expression of normal tissue damage following radiotherapy for breast cancer [J].
Barber, JBP ;
Burrill, W ;
Spreadborough, AR ;
Levine, E ;
Warren, C ;
Kiltie, AE ;
Roberts, SA ;
Scott, D .
RADIOTHERAPY AND ONCOLOGY, 2000, 55 (02) :179-186
[7]   G2 CHROMOSOMAL RADIOSENSITIVITY IN FANCONIS ANEMIA [J].
BIGELOW, SB ;
RARY, JM ;
BENDER, MA .
MUTATION RESEARCH, 1979, 63 (01) :189-199
[8]   FIBROBLAST RADIOSENSITIVITY VERSUS ACUTE AND LATE NORMAL SKIN-RESPONSES IN PATIENTS TREATED FOR BREAST-CANCER [J].
BROCK, WA ;
TUCKER, SL ;
GEARA, FB ;
TURESSON, I ;
WIKE, J ;
NYMAN, J ;
PETERS, LJ .
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 1995, 32 (05) :1371-1379
[9]   In vitro radiosensitivity and normal tissue damage [J].
Brock, WA ;
Tucker, SL .
RADIOTHERAPY AND ONCOLOGY, 2000, 55 (02) :93-94
[10]   Drug sensitivity spectra in Fanconi anemia lymphoblastoid cell lines of defined complementation groups [J].
Carreau, M ;
Alon, N ;
Bosnoyan-Collins, L ;
Joenje, H ;
Buchwald, M .
MUTATION RESEARCH-DNA REPAIR, 1999, 435 (01) :103-109