Pilot study of neurologic toxicity in mice after proton minibeam therapy

Sci Rep. 2020 Jul 9;10(1):11368. doi: 10.1038/s41598-020-68015-0.

Abstract

Proton minibeams (MBs) comprised of parallel planar beamlets were evaluated for their ability to spare healthy brain compared to proton broad beams (BBs). Juvenile mice were given partial brain irradiation of 10 or 30 Gy integral dose using 100 MeV protons configured either as BBs or arrays of 0.3-mm planar MBs spaced 1.0 mm apart on center. Neurologic toxicity was evaluated during an 8-month surveillance: no overt constitutional or neurologic dysfunction was noted for any study animals. Less acute epilation was observed in MB than BB mice. Persistent chronic inflammation was noted along the entire BB path in BB mice whereas inflammation was confined to just within the MB peak regions in MB mice. The potential neurologic sparing, possibly via reduced volume of chronic inflammation, offers a compelling rationale for clinical advancement of this proton technique.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Behavior Observation Techniques
  • Behavior, Animal / radiation effects
  • Brain / pathology
  • Brain / physiopathology
  • Brain / radiation effects*
  • Brain Neoplasms / radiotherapy*
  • Cognition / physiology
  • Cognition / radiation effects
  • Humans
  • Male
  • Mice
  • Neuropsychological Tests
  • Organ Sparing Treatments / adverse effects*
  • Organ Sparing Treatments / instrumentation
  • Organ Sparing Treatments / methods
  • Pilot Projects
  • Proton Therapy / adverse effects*
  • Proton Therapy / instrumentation
  • Proton Therapy / methods
  • Radiation Injuries, Experimental / diagnosis*
  • Radiation Injuries, Experimental / etiology
  • Radiation Injuries, Experimental / pathology
  • Radiation Injuries, Experimental / physiopathology
  • Radiotherapy Dosage