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Effect of Radiation Exposures on Fetal Hematopoietic Cells

  • Radiation Biology and Stem Cells (CD Porada and PF Wilson Jr, Section Editors)
  • Published:
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Abstract

Purpose of this Review

It has generally been thought that fetuses are highly sensitive to radiation-induced cancer. Epidemiologic case-control studies indicated that X-ray exposures given to pregnant women (on the order of 1 cGy) could have increased the risk of developing childhood leukemia and solid cancers in the offspring. The authors wished to re-consider this observation.

Recent Findings

Atomic bomb survivors who were exposed in utero were found to show almost no increase in the frequency of translocations in their blood lymphocytes when the survivors were examined at around 40 years of age. Subsequent animal studies revealed that tissue stem cells in embryos/fetuses may or may not retain radiation-induced chromosome damage depending on the developmental stage at the time of irradiation.

Summary

Our data are compatible with the model that radiation effects can be recorded only when an exposure occurs after the stem cells have settled in their appropriate niche, and that a small fraction of fetal hematopoietic stem cells began making long-term contributions to the lymphoid cell pool in both mice and humans. It remains to be established whether or not the increased risk of childhood leukemia and other childhood cancers was caused by fetal X-ray exposures of about 1 cGy.

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References

Papers of particular interest, published recently, have been highlighted as: •• Of major importance

  1. Stewart A, Webb J, Hewitt D. A survey of childhood malignancies. Br Med J. 1958;1:1495–508.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Stewart A, Kneale GW. Radiation dose effects in relation to obstetric x-rays and childhood cancers. Lancet. 1970;1:1185–8.

    Article  CAS  PubMed  Google Scholar 

  3. Bithell JF, Stewart AM. Pre-natal irradiation and childhood malignancy: a review of British data from the Oxford survey. Br J Cancer. 1975;31:271–88.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Ozasa K, Shimizu Y, Suyama A, Kasagi F, Soda M, Grant EJ, et al. Studies of the mortality of atomic bomb survivors, report 14, 1950-2003: an overview of cancer and noncancer diseases. Radiat Res. 2012;177:229–43.

    Article  CAS  PubMed  Google Scholar 

  5. Grant EJ, Brenner A, Sugiyama H, Sakata R, Sadakane A, Utada M, et al. Solid cancer incidence among the life span study of atomic bomb survivors: 1958-2009. Radiat Res. 2017;187:513–37.

    Article  CAS  PubMed  Google Scholar 

  6. •• Hsu WL, Preston DL, Soda M, Sugiyama H, Funamoto S, Kodama K, et al. The incidence of leukemia, lymphoma and multiple myeloma among atomic bomb survivors: 1950-2001. Radiat Res. 2013;179:261–82. This is a summary paper which described risks for hematologic malignancies among A-bomb survivors.

    Article  CAS  Google Scholar 

  7. Wakeford R. Childhood leukaemia following medical diagnostic exposure to ionizing radiation in utero or after birth. Radiat Prot Dosim. 2008;132:166–74.

    Article  CAS  Google Scholar 

  8. Boice JD Jr, Miller RW. Childhood and adult cancer after intrauterine exposure to ionizing radiation. Teratology. 1999;59:227–33.

    Article  CAS  PubMed  Google Scholar 

  9. Schuz J, Deltour I, Krestinina LY, Tsareva YV, Tolstykh EI, Sokolnikov ME, et al. In utero exposure to radiation and haematological malignancies: pooled analysis of southern Urals cohorts. Br J Cancer. 2017;116:126–33. https://doi.org/10.1038/bjc.2016.373.

    Article  CAS  PubMed  Google Scholar 

  10. Doll R, Wakeford R. Risk of childhood cancer from fetal irradiation. Br J Radiol. 1997;70:130–9.

    Article  CAS  PubMed  Google Scholar 

  11. •• Brent RB. Carcinogenic risks of prenatal ionizing radiation. Semin Fetal Neonatal Med. 2014;19:203–13. https://doi.org/10.1016/j.siny.2013.11.009. This is a review paper regarding cancer risks of people who were exposed to radiation during fetal life.

    Article  PubMed  Google Scholar 

  12. •• Hamasaki K, Landes RD, Noda A, Nakamura N, Kodama Y. Irradiation at different fetal stages results in different translocation frequencies in adult mouse thyroid cells. Radiat Res. 2016;186:360–6. This study found that irradiation of mouse fetuses at an early developmental stage failed to record chromosome damage in thyroid epithelial cells, which is in contrast to the results following irradiation of mouse fetuses at later developmental stages.

    Article  CAS  PubMed  Google Scholar 

  13. Delongchamp R, Mabuchi K, Yoshimoto Y, Preston D. Cancer mortality among atomic bomb survivors exposed in utero or as young children, October 1950-May 1992. Radiat Res. 1997;147:385–95.

    Article  CAS  PubMed  Google Scholar 

  14. Ohtaki K, Kodama Y, Nakano M, Itoh M, Awa AA, Cologne J, et al. Human fetuses do not register chromosome damage inflicted by radiation exposure in lymphoid precursor cells except for a small but significant effect at low doses. Radiat Res. 2004;161:373–9.

    Article  CAS  PubMed  Google Scholar 

  15. Jablon S, Kato H. Childhood cancer in relation to prenatal exposure to A-bomb radiation. Lancet. 1970;2:1000–3.

    Article  CAS  PubMed  Google Scholar 

  16. Mori H, Colman SM, Xiao Z, Ford AM, Healy LE, Donaldson C, et al. Chromosome translocations and covert leukemic clones are generated during normal fetal development. Proc Natl Acad Sci U S A. 2002;99:8242–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Greaves MF, Wiemels J. Origins of chromosome translocation in childhood leukemia. Nat Rev Cancer. 2003;3(9):639–49.

    Article  CAS  PubMed  Google Scholar 

  18. Court Brown WM, Doll R. Leukemia in children and young adult life. Br Med J. 1961;1:981–8.

    Article  Google Scholar 

  19. Fraumeni JF Jr, Miller RW. Epidemiology of human leukemia: recent observations. J Natl Cancer Inst. 1967;38:593–605.

    PubMed  Google Scholar 

  20. Kinlen LJ. An examination, with a meta-analysis, of studies of childhood leukaemia in relation to population mixing. Br J Cancer. 2012;107:1163–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. Greaves M. A causal mechanism for childhood acute lymphoblastic leukaemia. Nat Rev Cancer. 2018;18:471–84. https://doi.org/10.1038/s41568-018-0015-6.

    Article  CAS  PubMed  Google Scholar 

  22. Buckton KE, Court Brown WM, Smith PG. Lymphocyte survival in men treated with X-rays for ankylosing spondylitis. Nature. 1967;214:470–3.

    Article  CAS  PubMed  Google Scholar 

  23. Nakano M, Kodama Y, Ohtaki K, Nakashima E, Niwa O, Toyoshima M, et al. Chromosome aberrations do not persist in the lymphocytes or bone marrow cells of mice irradiated in utero or soon after birth. Radiat Res. 2007;167:693–702.

    Article  CAS  PubMed  Google Scholar 

  24. •• Nakano M, Kodama Y, Ohtaki K, Nakamura N. Translocations in spleen cells from adult mice irradiated as fetuses are infrequent, but often clonal in nature. Radiat Res. 2012;178:600–3. This paper described that clonal translocations were detected in spleen cells of adult mice that were irradiated as fetuses, even though the frequency of translocations was quite low.

    Article  CAS  PubMed  Google Scholar 

  25. Ito M, Honda T. Cytogenetic study of in utero exposed individuals, part 2. J Nagasaki Med Assoc. 1986;61:369–72 in Japanese.

    Google Scholar 

  26. Nakano M, Kodama Y, Ohtaki K, Itoh M, Awa AA, Cologne J, et al. Estimating the number of hematopoietic or lymphoid stem cells giving rise to clonal chromosome aberrations in blood T lymphocytes. Radiat Res. 2004;161:273–81.

    Article  CAS  PubMed  Google Scholar 

  27. Nakamura N, Nakano M, Kodama Y, Ohtaki K, Cologne J, Awa AA. Prediction of clonal chromosome aberration frequency in human blood lymphocytes. Radiat Res. 2004;161(3):282–9.

    Article  CAS  PubMed  Google Scholar 

  28. Göthert JR, Gustin SE, Hall MA, Green AR, Gottgens B, Izon DJ, et al. In vivo fate-tracing studies using the Scl stem cell enhancer: embryonic hematopoietic stem cells significantly contribute to adult hematopoiesis. Blood. 2005;105:2724–32.

    Article  CAS  PubMed  Google Scholar 

  29. Tanaka Y, Hayashi M, Kubota Y, Nagai H, Sheng G, Nishikawa S, et al. Early ontogenic origin of the hematopoietic stem cell lineage. Proc Natl Acad Sci U S A. 2012;109:4515–20. https://doi.org/10.1073/pnas.1115828109.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Dobson RL, Kwan TC. The RBE of tritium radiation measured in mouse oocytes: increase at low exposure levels. Radiat Res. 1976;66:615–25.

    Article  CAS  PubMed  Google Scholar 

  31. Potten CS. Extreme sensitivity of some intestinal crypt cells to X and gamma irradiation. Nature. 1977;269:518–21.

    Article  CAS  PubMed  Google Scholar 

  32. Inouye M, Kameyama Y. Cell death in the developing rat cerebellum following X-irradiation of 3 to 100 rad: a quantitative study. J Radiat Res. 1983;24:259–69.

    Article  Google Scholar 

  33. Kameyama Y, Inoue M. Irradiation injury to the developing nervous system: Mechanisms of neuronal injury. Neurotoxicology. 1994;15:75–80.

    CAS  PubMed  Google Scholar 

  34. •• Nakano M, Nishimura M, Hamasaki K, Mishima S, Yoshida M, Nakata A, et al. Fetal irradiation of rats induces persistent translocations in mammary epithelial cells similar to the level after adult irradiation, but not in hematolymphoid cells. Radiat Res. 2014;181:172–6. This paper described that the frequency of translocations in mammary epithelial cells of rats irradiated as fetuses was the same as that irradiated as adults.

    Article  CAS  PubMed  Google Scholar 

  35. Mikkola HK, Orkin SH. The journey of developing hematopoietic stem cells. Development. 2006;133:3733–44.

    Article  CAS  PubMed  Google Scholar 

  36. Gao X, Xu C, Asada N, Frenette PS. The hematopoietic stem cell niche: from embryo to adult, vol. 145; 2018. p. 1–12.

    Google Scholar 

  37. Bowie MB, McKnight KD, Kent DG, McCaffrey L, Hoodless PA, Eaves CJ. Hematopoietic stem cells proliferate until after birth and show a reversible phase-specific engraftment defect. J Clin Invest. 2006;116:2808–16.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  38. Weissenborn U, Streffer C. Analysis of structural and numerical chromosome aberrations at the first and second mitosis after X irradiation of two-cell mouse embryos. Radiat Res. 1989;117:214–20.

    Article  CAS  PubMed  Google Scholar 

  39. •• Jacquet P, van Buul P, van Duijn-Goedhart A, Reynaud K, Buset J, Neefs M, et al. Radiation sensitivity of the gastrula-stage embryo: chromosome aberrations and mutation induction in lacZ transgenic mice: the roles of DNA double-strand break repair systems. Mutat Res Genet Toxicol Environ Mutagen. 2015;792:26–34. This paper showed that cells at early developmental stages are difficult to undergo exchange-type aberrations as compared with simple chromosome breaks.

    Article  CAS  PubMed  Google Scholar 

  40. Perini GF, Ribeiro GN, Pinto Neto JV, Campos LT, Hamerschlak N. BCL-2 as therapeutic target for hematological malignancies. J Hematol Oncol. 2018;11, 65. https://doi.org/10.1186/s13045-018-0608-2.

  41. Hauer J, Borkhardt A, Sanchez-Garcia I, Cobaleda C. Genetically engineered mouse models of human B-cell precursor leukemias. Cell Cycle. 2014;13:2836–46.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  42. Caughey RW, Michels KB. Birth weight and childhood leukemia: a meta-analysis and review of the current evidence. Int J Cancer. 2009;124:2658–70.

    Article  CAS  PubMed  Google Scholar 

  43. Tower RL, Spector LG. The epidemiology of childhood leukemia with a focus on birth weight and diet. Crit Rev Clin Lab Sci. 2007;44:203–42.

    Article  PubMed  Google Scholar 

  44. O’Neill KA, Murphy MF, Bunch KJ, Puumala SE, Carozza SE, Chow EJ, et al. Infant birthweight and risk of childhood cancer: international population-based case control studies of 40 000 cases. Int J Epidemiol. 2015;44:153–68.

    Article  PubMed  Google Scholar 

  45. Manson RR, MacMahon B. Prenatal X-ray exposure and cancer in children. In: Boice JD, Fraumeni JF, editors. Radiation carcinogenesis: epidemiology and biological significance. New York: Raven Press; 1984. p. 97–105.

    Google Scholar 

  46. Wakeford R, Bithell JF. Childhood cancer--the role of birthweight and antenatal radiography. Int J Epidemiol. 2015;44:1741–3.

    Article  PubMed  Google Scholar 

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Acknowledgements

The authors thank Dr. L. Kapp for his careful reading of the manuscript and an anonymous reviewer for valuable suggestions.

Funding

The Radiation Effects Research Foundation (RERF), Hiroshima and Nagasaki, Japan, is a public interest foundation funded by the Japanese Ministry of Health, Labor and Welfare (MHLW) and the US Department of Energy (DOE). This publication was supported by RERF Research Protocols 8-93 and 6-11. This work was supported in part by JSPS KAKENHI grant no. 24710067: Grant-in-Aid for Young Scientists (B) to KH.

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Correspondence to Nori Nakamura.

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Kanya Hamasaki and Nori Nakamura declare that they have no conflict of interest.

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All reported studies/experiments with human or animal subjects performed by the authors have been previously published and complied with all applicable ethical standards (including the Helsinki declaration and its amendments, institutional/national research committee standards, and international/national/institutional guidelines).

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This article is part of the Topical Collection on Radiation Biology and Stem Cells

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Hamasaki, K., Nakamura, N. Effect of Radiation Exposures on Fetal Hematopoietic Cells. Curr Stem Cell Rep 5, 92–99 (2019). https://doi.org/10.1007/s40778-019-00159-w

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