T H E EFFECT O F SINGLE AND DIVIDED DOSES O F HIGH INTENSITY X-RAYS ON T H E EGGS O F DROSOPHILA CHARLES PACKARD (From Colztmbia University, I n s t i t ~ ~ tofe Cancer Research, F. C . W o o d , Director) The many studies on the relation between the intensity of radiation and the magnitude of the biological reaction indicate that in a majority of cases high intensities and brief exposures are more effective than low intensities and correspondingly long exposures; and that single doses are more effective from the biological point of view than divided doses. The opinion is sometimes expressed or implied that experimental results which point to an opposite conclusion are probably wrong. In the literature, reviewed by Griffith and Zimmer ( 7 ) Pack and Quimby (16), and Schreiber (20), may be found many instances of experiments in which the same test objects and technic were used and yet the results were contradictory. Ascaris eggs, exposed in air, are reported to be less affected by divided doses than by a single massive dose (13, 81, and again to be more affected (23). Exposed in an atmosphere deprived of its oxygen, these eggs show a simple cumulative effect of repeated doses (8) ; that this treatment may produce a greater reaction than that which follows a single dose is also claimed ( 1 1). The behavior of tissue culture cells under different conditions of dosage is also under dispute. Faber (6) states that the mitotic rate is equally retarded whether the dose is given at high or low intensities or in fractions, while others (1, 22) believe that high intensities are the more effective and that divided doses produce a greater reaction than single large doses. Drosophila eggs, according to Sievert and Forssberg (2 I ) , respond equally to all intensities of x-rays within a very wide range; but Roesler and Henshaw (19) find that high intensities are more effective than low. Errors in technic may account for some of these conflicting results; but without doubt many of the observed differences are real, and may be related to differences in the physiological condition of the test objects at the time of exposure. A review of some of the physical and biological conditions which must be considered when carrying out experiments of this kind may make clear why uniformity in results cannot be expected. The terms " low " and " high " intensity are purely relative. What constitutes a low or subminimal intensity for any particular material cannot be predicted; it must be determined by experiment. Radiations received at the rate of 0.04 r/hour by the human skin are ineffective, no matter how long the exposure may be (15). At the other extreme are some Protozoa which are not injured by enormous doses repeated daily. As the intensity rises above a certain minimum, whose value varies widely in different kinds of cells and tissues, the effect produced often becomes proportional to the dose within a wide range of intensities and periods of exposure. The epilation dose 130 for the human skin is 300 r whether it is delivered at the rate of 5 or 500 r/min. (9). Pack and Quimby (16) report that the threshold skin dose produced by the beta rays of radium is approximately the same whether given in forty seconds or in four hours. Drosophila eggs respond equally to equal doses when the intensities lie between 5 and 30 r/min. More frequently, however, the effectiveness of radiations steadily increases with the intensity, as shown by Holthusen (9) for the skin erythema dose. This is true also for the fertilized egg of the chick ( 2 ) and some Protozoa (5). On the other hand, in another section of this paper is presented evidence that under certain conditions the reverse is true; high intensities may be less effective than low intensities. The terms " long " and " short " to designate the duration of exposure are highly elastic. The same number of minutes of irradiation may constitute a long dose for one kind of cell and a short one for another kind. For example, twenty minutes is a relatively long treatment for Drosophila eggs, for in this brief interval all of the cells normally divide once, and many divide a second time. The sensitivity also changes measurably in this space of time. But for adult tissues this length of exposure is short; during twenty minutes not a single cell may have entered mitosis, and the change in sensitivity is probably negligible. For Drosophila eggs exposed to low intensities the length of the exposure, within definite limits, makes no difference in the quantitative result. But this is not necessarily true for adult tissues. Pack and Quimby (16) show that if the duration of exposure to radiation of low intensity is comparable to the life span of the cell, that is, to the interval between successive mitoses, the effect produced on the human skin is smaller than that produced by a stronger source acting for a shorter time. Uniformity of results should not be expected even when different kinds of test objects are exposed to doses which are comparable in length and intensity. The biological condition of the cells, especially in respect to their rate and rhythm of mitosis, is a factor which in large measure controls the degree of reaction. In some test objects, such as developing Drosophila eggs, cell division is continuous in the sense that there is practically no intermitotic period of rest, the daughter cells at the conclusion of one division almost immediately preparing for the next. Under such conditions radiosensitivity remains constant and high. But the cells of tissue culture preparations divide slowly, perhaps once in two days. Actual mitosis requires about one hour and is followed by a long resting stage. The sensitivity of the individual cells exhibits a wide fluctuation. In other kinds of material, cell division is not constant but occurs in definite rhythms during which radiosensitivity rises. Langendorff (12) reports that in the mouse testis, spermatogonial divisions occur with greatest frequency at 2 P.M. and a t 5 A.M. Among plants this phenomenon has long been known. The cells of the onion root tip divide most actively at 10 A.M. and 11 P.M. Jiingling and Langendorff (10) find a maximum mitotic activity in bean seedlings between 3 and 9 P.M. during which interval about 14 per cent of the cells are in division. At other times the percentage falls considerably, although mitosis is never completely absent. Radiations alter this rhythm. Shortly after exposure there is an almost complete cessation of cell division. 132 CHARLES PACKARD This period is followed by two waves of mitotic activity occurring about sixty hours and one hundred and twenty hours after exposure. The amount of effect produced by equal doses of radiation depends largely on the relation between the time of exposure and these rhythms. If exposure is made in the morning, during the quiescent period, the effect is much smaller than if it is made in the afternoon, when cell division is at a maximum. Alberti and Politzer (1) also find that an initial irradiation of embryonic tissue from the salamander is followed by a mitosis-free interval during which the sensitivity is low. This is followed by a return of cell division and a rise in sensitivity. I n view of these facts it is evident that an experiment to test the effect of high or low intensities, or of divided doses, is of little value if only the physical conditions of dosage are considered. T h e biological condition of the test object a t the moment of exposure and the changes which it undergoes during and immediately after irradiation are of prime importance. Unless they are taken into account, the significance of the results may easily be misinterpreted. I n the following section data are presented which show that under certain conditions, high intensities are less effective on Drosophila eggs than low intensities, and that divided doses may produce an effect equal to or greater than that of a single dose. I n the latter respect the response is similar to that of bean rootlets and embryonic animal tissue. EXPERIMENTAL I n these experiments the term " low intensity " signifies an output of 10-30 r/min.; " high intensity" means 125-135 r/min. I n both series the voltage was 120 kv. For the low intensity tests the filtration was 0.25 mm. Cu and 1.0 mm. Al; for the high, 1.0 mm. Al. The half values are 0.32 mm. and 0.13 mm. Cu respectively. The difference in the wavelength of the two beams does not affect the biological results (17). Occasional tests with the low intensity beam, using the 1.0 mm. A1 filter, gave results identical with those obtained under the heavier filtration. Scattered radiation was practically absent; the eggs during exposure were supported on a strip of gauze held in place by a wooden frame not in the direct beam. A newly calibrated Victoreen dosimeter was used to determine dosage. The eggs were prepared for irradiation in precisely the same manner that has been followed in previous experiments (17). They are collected for two hours, transferred to slips of black filter paper, and exposed one hour after the end of the collection period. I n the first series of tests exposures were made in two ways. Several samples were given an initial dose of one minute or less; the beam was then interrupted while one or more slips of paper bearing eggs were removed. T h e remaining samples were then given a second dose, after which the beam was again interrupted and more samples taken. This procedure continued until all of the slips had been removed. T h e interval between successive exposures was not more than one half minute. In other tests the samples received the entire dose without interruption. T h e response of the eggs treated in these two ways is the same. The length of exposure in the low intensity tests varied from four to twenty minutes; in the high intensity tests, from forty-five seconds to four minutes. The criterion of effect is the percentage of eggs that hatch out as larvae two days after exposure. These larvae develop into apparently normal flies; the proportion that live and reproduce compares favorably with that observed in the untreated controls. This is true even when the eggs receive a dose sufficient to kill approximately 75 per cent of the sample. I t is evident, therefore, that the survival rate of the treated eggs is a valid criterion of effect. No attempt has been made to determine whether mutants have been produced by the treatment. The reaction of Drosophila eggs to beams of low intensity has been observed over a period of years (18). The total number of tests to determine the relation between the dose, measured in roentgens, and the percentage of survivors is now upwards of 250. The course of the survival curve is well established (Fig. 1). In Table I are presented some of these data, selected for comparison with the results of the high intensity experiments in which the dosage in roentgens is the same. Each figure is an average of six to fifteen separate determinations made during the past six years. The probable error of the means indicates the amount of variation which is expected. The number of tests to determine the quantitative effect of the high intensity beams now exceeds 200. The figures given in Table I under the heading High Intensity are averages of ten to twenty tests. The degree of 134 CHARLES PACKARD variation in this series is about the same as that found in the first. A comparison of the two series shows at once that, when equal doses are given, a larger proportion of eggs survive under the high intensity beams than under the low. The difference is very little for the smaller doses, but it becomes obvious with large doses. Statistical analysis shows that the two series are perfectly distinct. The difference between the average survival rates, in the case of the larger doses, divided by the probable error of the difference, results in factors of 7 or more. In other words, the possibility that the two series are the same is exceedingly remote. The high intensity beams are definitely less effective on Drosophila eggs than low intensities. TABLE I : Comparison of the Effects of Low and IZigh Intensity Beams on Drosophila Eggs High Intensity Percentage of Survival Low Intensity Percentage of Survival Dose (roentgens) -. 76.2 52.8 44.0 29.0 24.8 125 195 235 330 390 f 0.73 f 0.70 f 1.13 f 0.69 f 0.56 T,\r3~rr11: Effect of Two Doses of High Intensity X-rays Separated by Different Time Znterzlals High Intensity Percentage of Survival Dose (roentgens) I Single Exposure Five-minute Interval Ten-minute Interval Low Intensity Percentage of Survival 1 1 I Twenty- ~~~~~~~1 Single Exposure This result is contrary to that obtained by Sievert and Forssberg (21) and by Roesler and Henshaw (19), who also used these eggs. The former investigators tested the effect of intensities ranging from 5.5 to 24,000 r/min., and report that throughout this enormous range the effect of equal doses is about equal. There was some evidence that with the highest intensity fewer eggs were killed. Their average dose was 165 roentgens. From the curves shown in Fig. 1 it is evident that for this dose the difierence between t.he two series is not large. If tests are made only at this point the conclusion might be warranted that the two series are substantially the same. That they are really different but converging cannot be demonstrated unless other points along the curve are also determined. The results of Sievert and Forssberg, therefore, do not prove that high and low intensity beams are equally effective. Roesler and Henshaw (19) conclude that an intensity of 234 r/min. is more effective than a much lower intensity. Some of their experimental conditions, as they point out, were not the same as those used in the present investigation. Their results are not strictly comparable with those here described. The effect of divided doses of high intensity x-rays can be tested to only a limited extent on these eggs because their sensitivity changes rapidly and at a rate which is not constant (18). An experiment cannot safely be prolonged beyond twenty or thirty minutes. This brief interval, however, is long enough to allow all of the cells in each egg to divide at least once, and is biologically equivalent to the much longer periods required for a single mitosis in less rapidly dividing material. Two exposures, separated by intervals of five to twenty minutes can be given. The slips of paper with eggs are given an initial dose, then removed from the field. Subsequently some are given a second dose five minutes after the first dose was begun, and others are exposed ten or more minutes after the first exposure, the total dose for each lot of eggs being the same. The averaged results of a large number of such tests are given in Table 11. The total dose is shown in the first column; next is the percentage of survivals when this dose is given in one continuous exposure. Some of these figures appear also in Table I. I n the succeeding columns are given the percentages of survival of eggs exposed five, ten, and twenty minutes after the initial dose. In the last column appear, for comparison, the percentage survivals of eggs exposed to low intensity x-rays. I t will be seen that the reaction of eggs exposed after an interval of five minutes is not significantly different from that found in eggs given continuous irradiation. After a ten minute rest the eggs are definitely more sensitive, 136 CHARLES PACKARD as shown by the fact that fewer survive. After a lapse of twenty minutes the sensitivity has increased still more. The difference between these series becomes evident when the data are plotted as shown in Fig. 2, in which the logarithms of the percentage survivals are plotted against the doses. The evidence is clear that eggs can partially regain their sensitivity when the interval between two successive doses is sufficiently long. Thus the effect of divided doses on Drosophila eggs may be equal to that of a single large dose, or it may be greater, depending on the way in which the exposures are arranged. The smaller effectiveness of high intensity x-rays as coinpared with low intensity beams is clearly seen when the doses are comparatively large; 400 roentgens of the former result in a survival of 23 per cent of the eggs, while the same dose of the latter is followed by a survival of only 10 per cent. But small doses of both high and low intensities produce practically equal quantitative results. This indicates that under the former the eggs lose their sensitiveness more rapidly than under the latter. This reaction is undoubtedly associated with a decline in the rate of mitosis during exposure. A retard of cell division or its complete cessation is a common phenomenon which occurs even after small doses of x-rays. Langendorff (12) shows that the spermatogonial divisions in the mouse testis quickly cease following a dose of only 100 roentgens. For tissue cultures, 50-75 roentgens suflice (4). The retard begins almost as soon as irradiation commences and continues until shortly after it stops. This reaction is not necessarily a sign of serious injury; cell division may begin again at a rate which for a time exceeds the normal. However, if the exposure has been severe, the subsequent mitosis may be abnormal. I n this connection the fact is significant that high intensity rays are more effective in producing the retard in cell division than low intensities ( 3 ) . The sensitivity of cells declines during this period. Jiingling and Langendorff (10) report that if bean rootlets are exposed during a period of maximum cell division, and subsequently given a second dose during the time when the mitotic rate is declining, the effect of the two exposures is equal to that of a single large dose. But if the second is applied when mitosis is at a minimum, its effect is lost. Sensitivity is also at a minimum. I t is reasonable to conclude that these same phenomena occur also in Drosophila eggs, but a t a much quicker tempo. As soon as irradiation begins, mitosis quickly ceases. Under high intensities this reaction is more marked than under low intensities. As a result, the eggs under the former become less sensitive than under the latter. The difference becomes more and more obvious as the dose is prolonged. When irradition stops, cell division begins again, and with its return is associated a rise in sensitivity. If the second dose is administered during this period, the effect of the two is greater than that of a single large dose (10). Alberti and Politzer also show that embryonic tissue is more sensitive during the period of returning mitoses, which in this case are abnormal, than during the quiescent interval. These facts furnish an explanation for the behavior of Drosophila eggs exposed under similar circumstances. A return of cell division begins soon after the end of the first exposure, but sensitivity does not rise appreciably within the first five minutes. I t becomes apparent after ten minutes and is very marked after an interval of twenty minutes. The chief difference, therefore, between the reaction of these eggs and that of bean seedlings is the rate at which these changes take place. I t may be inferred that other test objects in which cell division is rapid may show the same kind of response under analogous conditions of exposure, if the intervals between successive irradiations are properly adjusted. These results are the opposite of those obtained in experiments on the human skin, which have established the fact that fractional doses are less effective in producing the erythema reaction than a single large dose. MacComb and Quimby ( 1 4 ) show that the threshold skin dose is 5 2 5 roentgens, delivered at the rate of 6 0 r/min. But it is 9 2 5 roentgens if five fractional doses are given in successive days. The response of the eggs and rootlets to fractional doses differs from that of the skin because the two types of material are in different physiological states at the time of exposure. I n both there is partial recovery, that is, a return toward the condition obtaining when the initial exposure was given. In the skin, the injured cell constituents presumably are repaired or replaced; in rapidly dividing cells or tissues, there is a more or less successful attempt to resume mitosis. Unless the initial dose has been severe, cell division returns to normal, although its rhythm may be altered. I n the skin, recovery is marked by a decrease in sensitivity, shown by the fact that the total number of roentgens delivered in fractional doses must be greater than that of a single dose to produce the same degree of reaction. On the other hand, the return of active mitosis in rootlets is accompanied by an increase in sensitivity. In these two types of material the physiological state at the time of the initial exposure was not the same; recovery toward the original condition proceeds in different directions. I t is to be expected, therefore, that the effect of radiations applied during this period should not be the same. High intensities (125-135 r/min.) are more effective than low intensities (10-30 r/min.) on developing Drosophila eggs. The difference is most clearly seen after large doses. When the high intensity dose is divided into two portions, the effect of the total dose may be equal to or greater than that of a single large dose, depending on the length of the interval between the two exposures. The response of Drosophila eggs to divided doses differs from that observed in the skin because the biological condition of the two test objects is not the same. 1 . ALBERTI, W., AND POLITZER, G.: Das zweckm%ssigc Interval bei mehrzeitiger Bestrahlung maligner Tumorcn, Strahlentherapie 2 1 : 535, 1926. 2. ANCEL,S., AND VINTEMBERGER, P . : Sur la radiosensibilitk des cellules en caryocinese, Compt. rend. Soc. de biol. 92: 986, 1925. 138 CHARLES PACKARD 3. CANTI,R. G.: Biological effects of radium irradiation, Acta Radiol. 10: 320, 1929. 4. Cox, S. F.: Tissue culture and its applications to radiological problems-time and intensity factors in dosage, Brit. J. Radiol. 4 : 111, 1931. 5. CROWTHER, J. A.: The action of X-rays on Colpidium colpoda, Proc. Roy. Soc. London, Ser. B, 100: 390, 1926. 6. FABER,A,: Roentgenbiologische Untersuchungen mit Gewebekulturen als lndicaior, Levin and Munksgaard, Copenhagen, 1936. 7. GRIFFITH, H. D., A N D ZIMMER,K. G.: The lime-intensity factor in relation to the genetic effects of radiation, Brit. J. Radiol. 8 : 40, 1935. 8. H O ~ T H U S EH N.,: Der Zeitfaktor bei der Rontgenbestrahlung, Strahlentherapie 2 1 : 2 75, 1926. 9. HOLTHUSEN, H . : Vergleichende Untersuchungen iiber die Wirkung von Rontgen- und Radiumstrahlen, Strahlentherapie 46 : 273, 1933. 10. J ~ ~ N G L I N C O., , AND LANGENDORFF, H.: Uber die Wirkung zeitlich verteilter Dosen auf den Kernteilungsablauf von Vicia faba equina, Strahlentherapie 44: 771, 1932. 11. KAHLSTORF,A. : Experimentelle Untersuchungen an Ascariseiern iiber die Wirkung der fraktionierten Rontgenbestrahlung, Strahlentherapie 31: 199, 1929. H.: Uber die Wirkung einzeitig verabreichter Rontgendosen auf die 12. LANGENDORFP, rhythmischen Verlauf der Spermatogonienteilungen in Miiusehoden, Strahlentherapie 55: 58, 1936. 13. LIECHTI,A.: tfber den Zeitfaktor der biologischen Strahlenwirkung, Strahlentherapie, 3 3 : 1, 1929. 14. MACCOMB, W. S., AND QUIMBY,E. H.: The rate of recovery of human skin from the effects of hard and soft roentgen rays or gamma rays, Radiology 27: 196, 1936. A , : Safety standards of protection against x-ray dangers, Radiology 15. MUTSCHELLER, 10: 468, 1928. 16. PACK, G. T . , A N D QUIMBY,E. H.: The time-intensity factor in irradiation. Am. J . Roentgenol. 28: 650, 1932. 17. PACKARD, C.: The biological effectiveness of high-voltage and low-voltage x-rays, Am. J. Cancer 1 6 : 1257, 1932. 18. PACKARD, C.: The relation between age and radiosensitivity of Drosophila eggs, Radiology 25: 223, 1935. 19. ROESLER,H., A N D HENSHAW, P. S.: The influence of the time factor in the irradiation of Drosophila eggs, Am. J. Cancer 16: 631, 1932. 20. SCHREIBER,H.: Strahlenbiologische Untersuchungen besonders in1 ultravioletten Spektralbezirk an Saccharomyces turbidans Hansen, Strahlentherapie 49: 541, 1934. 21. SIEVERT,R. M., AND FORSSBERC, A.: The time factor in the biological action of x-rays, Acta Radiol. 17 : 290, 1936. 22. SPEAR,F. G.: The effect of spaced radiation on tissue cultures in vitro, Proc. Roy. Soc. London, Ser. B 110: 224, 1932. 23. ZUPPINCER, A.: Radiobiologische Untersuchungen an Ascariseiern, Strahlentherapie 28: 639, 1928.
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