Leukemogenic Effect of Radioactive Phosphorus in Adult and Fetally Exposed BALB Mice* E. A. D. HOLMBERG, C. DOSNE DE PASQUALINI, E. ARINI, A. PAVLOVSKY, AND S. L. RABASAt (Seccion Leucemia Experimental, Instituto de Investigaciones Hematologicas, Academia Nacional de Medicina, Melo 3081 Buenos Aires, Argentina) SUMMARY The leukemogenic effect of radioactive phosphorus has been studied in adult females and fetally exposed males and females of the BALB strain of mice. The results obtained in this series of experiments indicate that fetally exposed fe males are more sensitive to the effect of the agent than males (46.5 and 10.8 per cent, respectively). It has been observed that the incidence of leukemia in fetally exposed females is negatively correlated with the dose. In males, on the other hand, there is no such cor relation and the over-all incidence is not increased (10.8 per cent). Adult and fetally exposed females submitted to sterilizing doses of @32 show the same incidence of leukemias (42 and 36.3 per cent, respectively). The experiments herein reported demonstrate that @32 is definitely leukemogenic. It is known that radiophosphorus kemia in mice (1, 4), but the available afford precise data on the subject. 12) have in rats studied the carcinogenic and described and squamous-cell observed @ The (F32) induces leu carded literature they does not Koletsky et al. (11, activity the appearance of this agent of osteosarcomas carcinomas, but no leukemias were in this species. use of @32 human final transformation patients, mainly of complete diseases autolysis or because in the first 5 months of All animals which survived more than 5 months and were not autolyzed of death at the time Table 2. All mice were observed killed either when until evident are included spontaneous signs death, of leukemia in or were present or at 2 years of age. in those vera, and its influence on the of this condition into leukemia have given rise to contradictory because life. were suffering from polycythemia either died of intercurrent A complete autopsy histologic examinations was performed in every animal were carried out routinely, and the publications (14, 15, 19—21). sections being stained with hematoxylin and eosin. The term “leukemia― is used in a broad sense, including leukemias as such, lymphosarcomas, and reticulum-cell on adult and fetally cx sarcomas, according to Dunn's classification (3). Radioactive phosphorus was administered as NaPO4 by the I.P. route, at the doses stated below. METHODS A group of pregnant mothers were given injections with This series of facts makes particularly rewarding a further experimental assessment of the leukemogenic effect of p32• The action of this isotope posed mice is described herein. MATERIAL AND 60 @c.in order to study, 24 hr. later, the uptake of Inbred BALB mice were used throughout these experi ments. The group of “adults― were females that had fetal tissues compared used was as follows. Each fetus been treated by injection with radioactive phosphorus when 3—5 months old. The group designated as “exposed and heated at 60°C. for 1 hr. in and 0.1-mi. during fetal life―includes 108 mice (71 females and 37 were homogenized, males) out of 149 offspring (94 females and 55 males) of dried in an oven for 24 hr. The supported leucemia). Atomica by Fundaleu (Fundacion para combatir la We are indebted to the Comision Nacional de Energia for supplying us with radioactive phosphorus. t From Instituto de Investigaciones Medicas, Rosario, Santa Fe. Received for publication June 2, 1964. and mother was weighed nitric acid; the solutions samples of each were counting was carried out with a gas flow counter; as reference source, a @82 solid standard (2.76 X 10@ mc.) was used. pregnant mothers who were given injections of the radio active agent between the 11th and 15th days of preg nancy. Forty mice (23 females and 17 males) were dis * Partly @32 in with that of the mother; the technic RESULTS As can be seen in Table 1, when radiophosphorus was administered to adult BALB females, 15 out of 36 (42 per cent) developed leukemia, in an average latent period of 16.7 months. This incidence is significantly higher 1745 Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1964 American Association for Cancer Research. 1746 Cancer Research TABLE 1 INCIDENCE OF Ps-INDUCED FEMALE LEUKEMIAS BALB IN Vol. 24, November 1964 arc sin ADULT MIcE 60 Dose of miceLeukemias (months)1euk@La)40 (,ic@)No. (%)Latency 50 40 7 60 90 8 12015 640 13.60.34>0.10Total 21.3 14.6 43 37.5 30 5017.3 20 40 04 16. 216.7 187.34<0.01 8042 Controls36 TABLE 2 INCIDENCE OF P―-INDUCED EXPOSED The comparison 4.0 1.—Incidence of leukemia Ordinate, percentage of leukemias i.a in @6t@495 fetally [email protected]. exposed expressed females. as arc sin @/@j abscissa, log dose. This slope is significant at the 0.01 level. LEUKEMIAS BALB a@; CHART IN FETALLY MICE between the incidence of leukemia in fetally exposed females and males gives x2 = 12.20, P < 0.001. The com parison between the incidence of leukemia in fetally exposed and control females gives x' = 14.90, P < 0.001. suavxv@ are sin 50@ su@vxv@ (Mo@eras) (iionTas) @0. DOSE (Mc.)[email protected] LeuNo. of % leu kemiaMw@ kemic kemia2.5 mice Non leu Leuof @MALESMw@ mice% kemicNo. Non 20 40 @ 5 10 20 40 60 10Total 907 4 9 75 23 16 66.8 21.1 19 7 42.8 18.3 21.5 19.6 20.5 50 18 22.2 20.3 18.3 1071 4018.820.21015.67 16 4 7 — 0 14.2 14 11.5 19.5 — 8 0 20 4 25 18 19 — 2 0 17 50 40— 1320.7 @ 18 16.220.2 18.917.9 Controls71 8046.5 than that @ (x2 of spontaneous leukemia @37 1015 16.316.8 19.1 2010.8 observed in controls CHART 0.; 2.—Incidence of tO leukemia 13 in [email protected].. fetally exposed males. Ordinate, percentage of leukemias expressed as arc sin abscissa, log dose. This slope is not significant (P > 0.10) per cent), while males had only 10.8 per cent, compared with 10 per cent in controls. Moreover, in the female group (Chart 1), when the data are transformed into arc sin per cent and are plotted against log dose, there is a significant negative correlation percentage of leukemia induced and dose ad 7.43; P < 0.01). There is an apparent correlation between between dose administered and percentage of leukemia induced which, for the dose range used, is not significant (x2 0.34; P > 0.10). Table 2 shows the results obtained when both male and female BALB mice were exposed to @82 during fetal life. Doses ranging from 2.5 to 90 sic. induced an over-all percentage of 34.5 per cent leukemia, with a latency of 17.6 months. The difference between P32-treated animals and controls (both sexes), as tested by x2 is significant at the 0.01 level. It is interesting that in these series of experiments, no correlation can be seen between dose administered and percentage of leukemias induced when both sexes considered together, nor is there any shortening latent period (17.6 and 18 months, respectively). are in the When these same results are further analyzed, taking into consideration the influence of sex, it can be seen that the females were more sensitive to the effect of P@, since their 0.@ over-all incidence of leukemia was 46.5 per cent, which is a significant increase over their controls (16.2 ministered (r = —0.88;P 0.91). The male group was similarly analyzed. Although there seems to be a greater percentage of leukemias with increasing doses, the small number of animals makes the results of no statistical P > 0.10). The uptake of significance (Chart 2) (r = 0.56; @32 in fetal tissues is approximately the same as that of the mother; mean uptake for 36 fetuses = 1.284 ± 0.279 X 10—inc/mg of dry tissue; mean uptake for 6 mothers = 1.091 ± 0.0097 X 10@ @tc/mgof dry tissue. DISCUSSION The results described above show that phosphorus induces leukemias in both adult radioactive and fetally exposed female BALB mice. At first glance these data seem to indicate that these groups are equally sensitive to the effect of P@, since the over-all incidence of leukemia in adult females and fetally exposed mice of both sexes was 42 and 34.5 per cent, Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1964 American Association for Cancer Research. HOLMBERG et al.—Leukemogenic respectively, a difference of no statistical significance. Effect of that 1747 @32 j@jMice the opposite phenomenon might be encountered Even if the groups of the same sex (females) which received the same dosage range (40—90nc.) are compared, the percentages do not differ significantly (40 and 36.3 per cent). (Chart 2), isotope on designed in The fact These findings are opposite to those expected, since radiophosphorus is supposed to be incorporated mainly into cells with a high metabolic rate or with great pro were born from mothers treated with the higher dose range (Table 2) might suggest that the males were more liferative surviving were selected out as being more resistant. Al though this would afford a possible explanation for the activity, such as the immature or embryonic cells, which obviously predominate in the fetuses. These results must be evaluated, however, by taking into con sideration fetus the actual is exposed; amount of radiation the sex difference to which and, each consequently, the hormonal influence; and the dose administered. The pertinent studies have demonstrated that the con centration of @32 j@about the same in mothers and fetuses. The influence of sex on the incidence of leukemias and lymphomas was pointed out many years ago (2, 7, 16-18). Furthermore, the effect of castration in mice of either sex was extensively studied by several investigators (2, 5, sensitive as would be expected from the effect of the the testes. Further experiments have beeii order to clarify this point. that a markedly larger number of females to the lethal effect of the isotope, difference in the incidence of leukemia so that those between females and males exposed during fetal life, we have no proof to support it since two groups of five pregnant mice which were treated with injections, for another purpose, of 60 and 90 @c.gave birth to more males than females (nineteen and sixteen; seventeen and fifteen). On the basis of the data reported above, we may con elude that P@is a potent leukemogenic agent and that an interesting particularly hormonal interaction seems to be involved, in the fetally exposed females. 9, 13, 16—18)in spontaneous as well as in induced leu kemias. All these reports indicate that, in general, the REFERENCES females have a higher incidence of lymphoid lymphomas 1. BRUES,A. M. Biological Hazards and Toxicity of Radioactive and leukemias than the males. Orchiectomy increases the Isotopes. J. Clin. 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