Two distinct types of the inhibition of vasculogenesis by different species of charged particles
© Grabham et al.; licensee BioMed Central Ltd. 2013
Received: 8 July 2013
Accepted: 2 September 2013
Published: 17 September 2013
Charged particle radiation is known to be more biologically effective than photon radiation. One example of this is the inhibition of the formation of human blood vessels. This effect is an important factor influencing human health and is relevant to space travel as well as to cancer radiotherapy. We have previously shown that ion particles with a high energy deposition, or linear energy transfer (LET) are more than four times more effective at disrupting mature vessel tissue models than particles with a lower LET. For vasculogenesis however, the relative biological effectiveness between particles is the same. This unexpected result prompted us to investigate whether the inhibition of vasculogenesis was occurring by distinct mechanisms.
Using 3-Dimensional human vessel models, we developed assays that determine at what stage angiogenesis is inhibited. Vessel morphology, the presence of motile tip structures, and changes in the matrix architecture were assessed. To confirm that the mechanisms are distinct, stimulation of Protein Kinase C (PKC) with phorbol ester (PMA) was employed to selectively restore vessel formation in cultures where early motile tip activity was inhibited.
Endothelial cells in 3-D culture exposed to low LET protons failed to make connections with other cells but eventually developed a central lumen. Conversely, cells exposed to high LET Fe charged particles extended cellular processes and made connections to other cells but did not develop a central lumen. The microtubule and actin cytoskeletons indicated that motility at the extending tips of endothelial cells is inhibited by low LET but not high LET particles. Actin-rich protrusive structures that contain bundled microtubules showed a 65% decrease when exposed to low LET particles but not high LET particles, with commensurate changes in the matrix architecture. Stimulation of PKC with PMA restored tip motility and capillary formation in low but not high LET particle treated cultures.
Low LET charged particles inhibit the early stages of vasculogenesis when tip cells have motile protrusive structures and are creating pioneer guidance tunnels through the matrix. High LET charged particles do not affect the early stages of vasculogenesis but they do affect the later stages when the endothelial cells migrate to form tubes.
KeywordsVasculogenesis Charged particle Radiation Linear energy transfer 3-D human vessel models Motile tips
The importance of our understanding of the effects of powerful ion particle radiation on humans becomes greater as more people spend more time in the space environment, and as carbon ion (C+) and proton (H + ) radiotherapy become increasingly used in the treatment of cancer. Ion particles are more biologically effective than photons such as gamma rays, and unlike photons, they penetrate tissue in a track structure oriented from the source. The effectiveness of these particles depends on their energy and mass, which determines the extent of energy deposition per unit of track length or the linear energy transfer (LET). As the nuclear particles penetrate matter they collide with other particles, produce secondary irradiations, and deposit energy in a penumbra around the track. The total energy deposited per mass is the absorbed dose (measured in Gray). A feature of particle radiation is that as the particle traverses matter it remains at a constant speed and energy deposition until it reaches a point where it slows down. Correspondingly, the LET increases to higher values until the particle eventually stops. Plotted over distance the energy deposition produces a Bragg curve where the LET remains at a plateau until the LET increases with the highest value at a peak near the end of the track . Most studies however, (including the present study) irradiate samples when the particles are in the plateau stage of the Bragg curve and have a constant LET as they pass through the sample.
High-energy protons have a low LET similar to that of photon radiations whereas high-Z and energy (HZE) nuclei such as iron ions (Fe + ) have a high LET and therefore a much greater ionization potential, with important qualitative and quantitative differences in their biological effects. High LET particles are generally more biologically effective than low LET particles as exemplified by DNA damage leading to cancer risk . The biological effectiveness is expressed in terms of relative effect to a standard radiation like gamma rays giving the relative biological effectiveness (RBE).
Both high and low LET radiations exist in the space environment and in ion particle cancer radiotherapy. Space radiation is comprised of a complex mix of ionized atomic nuclei from helium to iron [3, 4]. Although HZE particles are much less abundant than protons, their greater LET, and therefore relative biological effectiveness, makes them major contributors to the total dose equivalent (average measure of absorbed dose in a mass of tissue with weighting for different types of radiation) with Fe ions being the principal contributor . Solar particle events consisting of relatively large doses of mixed LET protons also contribute to the radiation encountered in space. For radiotherapy, low LET ion particles are utilized at proton facilities, and higher LET charged particles are utilized by Carbon ion facilities.
The vast network of micro-capillaries and other vessels in human tissues make it a major target for the effects of radiation. Among these risks are diseases of the vasculature such as heart disease and stroke. Atomic bomb survivors show non-cancer disease mortality, including vascular diseases , and astronauts present with several physiological changes, including cardiovascular degeneration and adaptation . In addition, cancer radiotherapy can cause peripheral artery disease, and the associated morphological changes are identical to those found in spontaneous atherosclerosis . Experimental studies on the effects of ion particles on the vasculature are relatively few although they all indicate that vessel formation is inhibited by ion particles. [9–13]. In our investigations using human 3-Dimensional vessel models we found that low LET protons inhibited vessel formation (vasculogenesis in this model) with an equal biological effectiveness compared to high LET Fe ions. This result was unexpected considering the fact that Fe ions were at least four times more effective at disrupting mature vessels from the same model. In the present study we investigated whether this could be explained by low and high LET ions inhibiting vasculogenesis by distinct mechanisms.
Reagents and cell culture
Primary Human Brain Microvascular Endothelial Cells (HBMEC) were obtained from Cell Systems (Kirkland, WA). Human umbilical vein cells (HUVEC) Endothelial cell media, EBM and EBM-2 were obtained from Lonza Walkersville, Inc (Walkersville, MD). EBM medium for growth of undifferentiated HBMEC’s contains EGM medium (serum free, growth-factor free), supplemented with 2% fetal bovine serum (FBS), human epidermal growth factor, hydrocortisone, bovine brain extract. EBM-2 medium for vessel formation contains EGM-2 medium (serum free, growth-factor free), supplemented with 2% fetal bovine serum (FBS), human fibroblast growth factor-B (hFGF-B), human epidermal growth factor (hEGF), human vascular endothelial cell growth factor (hVEGF), long R insulin-like growth factor-1 (R3-IGF-1), ascorbic acid, hydrocortisone, and heparin.
In this study, 3D cell culture was performed according to the method initially described by Davis and Camarillo  with modifications described in Grabham et al., . Briefly, Collagen gel solution was prepared on ice by mixing together the following stock solutions: 0.35% collagen solution, 10X M199 medium, and 1 M HEPES (pH 7.4) in a ratio of 8:1:1 by (volume). This solution was then mixed with matrigel (BD Biosciences, Bedford, MA) in a ratio of 3:1 by (volume). HBMEC grown in EGM on 2D cell culture dishes (80-90% confluence) were detached with a trypsin solution (0.025%). and resuspended in EGM2. The cell solution was mixed with the gel solution in a ratio of 1:5 (by volume). The resulting cell suspension contained a final cell density of 1 × 106 cells/ml. 25 microliters was dropped onto the cell growing surface inside a tissue culture flask (T25) and allowed to gel at 37°C for 30 min. The gel matrices were then overlaid with EGM-2 medium containing 50 nM Phorbol 12-Myristate 13-acetate (PMA) (Sigma, St Louis, MO). Cells embedded in gel matrices with the dimensions of 4 mm diameter and 2 mm depth were incubated at 37°C in a humidified incubator (5% CO2, 95% air) for the times indicated. The medium was refreshed partially every 24 h or completely every 48 hours. Mature vessel models were developed after 6 days.
Irradiation of vessel models
Iron-ion (1 GeV/nucleon; LET 151 keV/μm) or proton (1GeV/nucleon; LET 0.22 keV/μm irradiation was conducted at the NASA Space Radiation Laboratory (NSRL) at Brookhaven National Laboratory (BNL, Upton, NY) at a dose of 1Gy and at dose rates of 1 Gy/min for 1minute. Samples were placed in the plateau region of the Bragg curve and irradiated at room temperature. Dosimetry was performed by the NSRL physics staff. Since the heavy-ion beam at NSRL is horizontal, flasks containing 5 ml of medium were upended to a vertical position for a few minutes during irradiation.
Immunocytochemistry and imaging
Vessel cultures were fixed at the appropriate times by the addition of 5 ml of PBS, pH 7.4, containing 4% paraformaldehyde, for 5 min at 37°C, followed by one rinse and three 5 min washes in PBS and 0.5% Triton X-100. For morphology studies, vessel structure was visualized by staining for all proteins using 5-(4,6-Dichlorotriazinyl) Aminofluorescein (5-DTAF) and nuclei were visualized with propidium iodide (Invitrogen, Carlsbad, CA). At least 10 fields in at least 2 separate experiments were assessed. The actin cytoskeleton was visualized using Alexa Fluor Phalloidin at a concentration of 1:40 in PBS (Invitrogen, Carlsbad, CA). Microtubules were immunostained using a monoclonal antibody to β tubulin (TBN06) at a dilution of 1:50 in PBS (Neomarkers, Freemont, CA) followed by Alexa fluor conjugates 495 or 488 at a dilution of 1:1000 (Invitrogen, Carlsbad, CA). Images were captured on a Nikon TE 200 confocal C1 microscope with EZ-C1 software. 10 Z planes 2 μm apart were captured for each field. Analysis of Z-projected images was carried out using NIH image software and a threshold, outline algorithm. Vessel development was determined by measuring the total length of vessel with lumens in each field divided by the number of cells in order to express these values as the total length per cell. Motile tips were determined by the following criteria; a cellular projection that is at least 30 μm long and contains bundled microtubules with motile actin structures – filopodia closely associated with the microtubules. Double staining shows overlap between actin and microtubules. For verification of microtubule bundling when needed plot profiles were carried out using the NIH image plot profile function. A single peak of pixel intensity (grey value) denotes bundled microtubules.
Two-photon and second harmonic generation (SHG) microscopy provided additional images for visualization of the collagen gel matrix. The excitation light source is a Chameleon Ultra II (Coherent Inc., Santa Clara, CA) tunable Titanium Sapphire laser whose infrared wavelengths have greater penetration depth and reduced photobleaching when compared with the excitation wavelengths required for traditional confocal microscopy. Signal from two-photon excitation or SHG was gathered through a 60X water-immersion objective and filtered by a dichroic mirror and appropriate emission filters placed in front of photo-multiplier tubes. 3D image information was obtained by acquiring a z-stack of optical sections with a z-step of 0.3 μm. The SHG imaging mode of our multiphoton microscope correlates the scanning position of the tunable excitation laser (780 nm wavelength) with detection of SHG signal (390 nm wavelength) to form an image. Various projections of the 3D images were accessed through blind deconvolution routines in NIH Image and in AutoQuant deblurring software (Media Cybernetics, Bethesda, MD).
Distinct vessel morphologies after exposure to charged particles
Inhibition of motile tip activity
Rescue of vessel phenotype
Rescue of motile tip phenotype
We found that, as for vasculogenesis, stimulation of PKC by PMA was able to rescue the morphology of the motile tips in proton-treated cultures. Proton irradiation alone resulted in an absence of streamlined processes emerging from the cells. Microtubules were unbundled and actin filaments showed fewer motile structures such as filopodia and a tendency to have spread away from the microtubules (Figure 5B). Fe ion irradiation resulted in a morphology similar to the control with bundled microtubules (Figure 5C). Pretreatment with PMA restored the motile and streamlined phenotype of processes emerging from the cells (Figure 5D) since microtubules were bundled tightly similar to the control cultures seen in Figure 2. Quantitation of motile tips showed that PMA restored the number of motile tips per cell to levels seen in the controls and in Fe ion treated cultures. PMA did not however, elevate the number of motile tips in Fe ion cultures above that of the controls (Figure 5E).
We have shown here that low LET protons and high LET Fe ions inhibit the formation of model human brain capillaries by different mechanisms. In the case of protons, the inhibition involves the regulation of PKC-dependent motile tips leading to a failure of cellular processes to migrate through the matrix, form guidance tunnels, and meet up with other cell processes. In the case of Fe ions, inhibition does not involve the blockage of motile tip activity since these structures are not affected and cellular processes succeed in making guidance tunnels and connections. Instead, the cells fail to form widened tunnels in the matrix and lumen-containing tubular structures at the later stages of vasculogenesis.
An examination of the final vessel morphology, cytoskeletal arrangements, and matrix architecture, together with rescue of the motile tip phenotype by PMA, have efficiently distinguished between the inhibition of early and later stages of vasculogenesis by particles of different LET’s.
The notion that low LET protons inhibited the motility of tip cells penetrating the matrix is confirmed by the changes in the actin and microtubule skeletons, which play a major role in the formation of angiogenic sprouts reviewed in . Unirradiated controls showed motile actin structures (filopodia) and bundled microtubules whereas proton-irradiated cells lost these features. The distal tip no longer had the characteristics ideally suited to cells that penetrate and grow through other tissues, that of spear-shaped and streamlined protrusions containing bundled microtubules. To our knowledge, this is the first report of bundled microtubules in motile tip cells although they are remarkably similar to the bundled microtubules in other cells that grow through tissue, such as rapidly growing axonal growth cones  and cancer cells making an epithelial/mesenchyme transition . Cells exposed to Fe ions displayed motile tip features and were able to form a network although later stages were inhibited.
Inhibition of tip cell activity is confirmed by visualization of the collagen matrix. A fundamental mechanism in vessel tube formation is the matrix type 1-metalloproteinase dependent creation of a network of guidance tunnels, which serve as conduits for later events of endothelial cell migration and tube remodeling . SHG microscopy has been used to show that only the wider mature vessels have increases in collagen density around the perimeter of tunnels . The matrix protein in these areas is anisotropically altered suggesting that collagen was displaced or compacted during tube and lumen formation. Our observations with SHG show that high LET Fe ions halt vessel development after guidance tunnel formation but before tubulogenesis. Narrow guidance tunnels with or without cell processes were evident while wider collagen lined tunnels were absent. Low LET protons inhibit vessel formation during guidance tunnel stage but then tubulogenesis continues even though there is a much reduced guidance tunnel network. Narrow guidance tunnels were absent while wider collagen lined tunnels were present.
The difference between the two types of inhibition was further confirmed by the selective rescue of vessel phenotype, and of tip motility by the use of PMA to stimulate PKC immediately before irradiation. Protein Kinase C isomers of different types are known to be second messengers involved in angiogenesis (reviewed in 15) and studies have implicated Protein Kinase C in vessel formation and the effects of radiation [21, 22]. However, further studies are required to show that inhibition of PKC is the cause of the effect of protons. Although the use of PMA here does not give any new information on the role of specific PKC’s in vasculogenesis, it has proved useful for distinguishing between inhibition of the early stages by low LET ions and the later stages by high LET ions. It also reveals that the effect is transient. Development of vessels is resumed after further culture (including PMA treatment) since wider tubes with lumens are eventually formed even though the extent of the network has been limited.
Although most studies on radiation and the vasculature have been carried out using sources that produce low LET electrons (gamma photons and X-rays), a comparison with studies on low LET particles reviewed in  show that several biological responses of protons including angiogenesis, are different or even opposite. Our own observations show that protons are at least 8 times more effective than gamma rays at inhibiting vasculogenesis . Furthermore, protons have been shown to down-regulate the expression of pro-angiogenic factors like VEGF, in addition to invasion, in endothelial cells and fibroblasts . This is one possible mechanism whereby protons could be inhibiting vasculogenesis in the present study. However, the mechanistic basis for the difference in low LET proton response versus low LET electron response remains a puzzle.
The effect of high LET Fe ions was more insidious and longer lasting. The initial motility during the first 24 hours after irradiation appeared to be unaffected while later development was inhibited. Therefore, the adverse effects of these heavy ions lasted much longer than those of the low LET protons. Although there are relatively few studies on the effects of high LET ion particles on vessel formation, they support the notion that these particles inhibit vessel formation. The effect of 290 MeV carbon ions (LET 110 KeV/μm) was examined on developing vessel models  indicating sensitivity to heavy ions, with a low dose (10 cGy) of carbon ions inhibiting vessel formation in addition to cell migration. In vivo, the effects of Fe particles on mouse hippocampal microvessels was examined , and it was found that a dose as low as 50 cGy resulted in loss of endothelial cells 1 year after irradiation. The mechanism for heavy ion inhibition is also not well known. A tip cell with average morphology exposed to a dose of 75 cGy is estimated to get approximately 42 Fe ion particle traversals compared to 25000 traversals by high LET protons. For protons, the energy deposition is spread over the cell more evenly and this may facilitate global effects on cellular signaling. For Fe ions, a few sites receive much more concentrated, and therefore locally damaging, energy depositions. Apoptosis is unlikely since we have previously shown that doses of Fe ions greater than 1 Gy and doses of protons greater than 2 Gy are necessary to induce apoptosis as detected by Terminal deoxynucleotidyl transferase dUTP nick end labeling (TUNEL) assay . One possible mechanism is the downstream effects of DNA damage. Heavy ions are known to cause complex DNA damage , which is persistent in these HUVEC 3-D cultures . Other possibilities are, mitochondrial damage and apoptosis signaling that occurs prior to DNA fragmentation.
In the space environment, humans will be exposed to a variety of ion particles with a range of LET’s.. Recently, measurements of energetic particle radiation were made on the Mars Science Laboratory spacecraft, containing the Curiosity rover. For a short round trip (360 days) the total dose of heavy particles was found to be 17.2 cGy and a dose equivalent of 662 mSieverts, with additional variable contributions from solar particle events . These daily doses are lower than those that will inhibit vasculogenesis, although the existence of reduced vasculature in mice one year after exposure , suggests that damage might be accumulative.
Solar particle event (SPE) dose-rates, can vary between 0 and 100 mGy/h in a spacecraft or up to 500 mGy/h for an astronaut exposed outside the vehicle in deep space or on the Moon’s surface . In this case, doses high enough to inhibit vasculogenesis could be achieved even in deeper tissues like bone marrow . SPE’s contain protons of mixed energy and therefore mixed LET’s, some, could be low enough to inhibit the early stages of angiogenesis and others high enough to inhibit the later stages. We are currently investigating the LET ranges for each type of inhibition to determine the contribution of each type of radiation in the space environment. The existence of distinct mechanisms of the inhibition of vasculogenesis according to LET, raises the possibility that normal angiogenic repair could be inhibited by two different species of particles, and that these effects could be additive or even synergistic. Furthermore, if the radiation also damages the endothelial barrier, thereby creating the need for more angiogenic repair, the harmful effects of space radiation to the vasculature could be further compounded.
For particle radiotherapy, the inhibition of tumor vasculature would be desirable. The results shown here raise the possibility that mixed particle therapies with defined LET ranges might target different stages of angiogenesis and therefore be more effective at inhibiting tumor vessel growth. Also, a combination of specific anti-angiogenic drugs and particle radiation of specific LETs could efficiently target selected stages of angogenesis.
We have used assays that have enabled us to distinguish between the inhibition of an early stage and a late stage of vasculogenesis. The unexpected high relative biological effectiveness of low LET protons compared to high LET Fe ions on vessel formation, can be explained by the fact that particle radiation can inhibit vasculogenesis in two distinct ways according to the LET of the radiation. Low LET protons, which deposit energy more evenly throughout the cell, inhibit the early stages during the extension of motile tips and the formation of guidance tunnels. High LET Fe ions do not inhibit the early stages only the later stages of tube formation. These results have implications for both human space travel and for particle radiotherapy.
We would like to thank Peter Guida and the Medical Center team, Adam Rusek and the NASA space radiation laboratory team, Paul Wilson and the Biology support team at Brookhaven National Laboratory. This work was supported by NASA grants NNJ05H137G and NNJ11ZSA001N (PG,PS and CG), and NIH-NIBIB P41 grant - EB002033 (AB).
- Wilson RR: Radiological use of fast protons. Radiology. 1946, 47: 487-491.View ArticlePubMed
- Cucinotta FA, Durante M: Cancer risk from exposure to galactic cosmic rays: implications for space exploration by human beings. Lancet Oncology. 2006, 7: 431-435. 10.1016/S1470-2045(06)70695-7.View ArticlePubMed
- Nelson GA: Fundamental space radiobiology. Gravit Space Biol Bull. 2003, 16: 29-36.PubMed
- Townsend LW: Implications of the space radiation environment for human exploration in deep space. Radiat Prot Dosimetry. 2005, 115: 44-50. 10.1093/rpd/nci141.View ArticlePubMed
- Durante M, Kronenberg A: Ground-based research with heavy ions for space radiation protection. Adv Space Res. 2005, 35: 180-184. 10.1016/j.asr.2004.12.034.View ArticlePubMed
- Preston DL, Shimizu Y, Pierce DA, Suyama A, Mabuchi K: Studies of mortality of atomic bomb survivors. Report 13: solid cancer and noncancer disease mortality: 1950–1997. Rad Res. 2003, 160: 381-407. 10.1667/RR3049.View Article
- Graebe A, Schuck EL, Lensing P, Putcha L, Derendorf H: Physiological, pharmacokinetic, and pharmacodynamic changes in space. J Clin Pharm. 2004, 44: 837-853. 10.1177/0091270004267193.View Article
- Jurado JA, Bashir R, Mark W, Burket MW: Radiation-induced peripheral artery disease. Cath Card Interv. 2008, 72: 563-568. 10.1002/ccd.21681.View Article
- Takahashi Y, Teshima T, Kawaguchi T, Hamada Y, Mori SA, Madachi A, Ikeda S, Mizuno H, Ogata T, Matsuura N: Heavy ion irradiation inhibits in vitro angiogenesis even at sublethal dose. Cancer Res. 2003, 63: 4253-4257.PubMed
- Jang GH, Ha J-H, Huh T-L, Lee YM: Effect of proton beam on blood vessel formation in early developing zebrafish (Danio rerio) embryos. Arch Pharm Res. 2008, 31: 779-785. 10.1007/s12272-001-1226-1.View ArticlePubMed
- Nelson GA, Rightnar S, Smith A, Jones T, Campbell-Beachler M, Mao XW, Favre C, Fike JR, Kubinova L, Anderson E: High-LET radiation-induced response of microvessels in the hippocampus. Rad Res. 2011, 175: 21-28. 10.1667/RR2289.1.View Article
- Grabham P, Hu B, Sharma P, Geard C: Effects of ionizing radiation on three-dimensional human vessel models: differential effects according to radiation quality and cellular development. Rad Res. 2011, 175: 21-8. 10.1667/RR2289.1.View Article
- Girdhani S, Lamont C, Hahnfeldt P, Abdollahi A, Hlatky L: Proton irradiation suppresses angiogenic genes and impairs cell invasion and tumor growth. Rad Res. 2012, 178: 33-45. 10.1667/RR2724.1.View Article
- Davis GE, Camarillo CW: An alpha 2 beta 1 integrin-dependent pinocytic mechanism involving intracellular vacuole formation and coalescence regulates capillary lumen and tube formation in three-dimensional collagen matrix. Exp Cell Res. 1996, 224: 39-51. 10.1006/excr.1996.0109.View ArticlePubMed
- Pate-Hett S, D’Amore PA: Signal transduction in vasculogenesis and developmental angiogenesis. Int J Dev Biol. 2011, 55: 353-363. 10.1387/ijdb.103213sp.View Article
- Bayless KJ, Johnson GA: Role of the cytoskeleton in formation and maintenance of angiogenic sprouts. J vasc res. 2011, 48: 369-385. 10.1159/000324751.PubMed CentralView ArticlePubMed
- Grabham PW, Reznik B, Goldberg DJ: Microtubule and Rac 1-dependent F-actin in growth cones. J Cell Sci. 2003, 116: 3739-3748. 10.1242/jcs.00686.View ArticlePubMed
- Oyanagi J, Ogawa T, Sato H, Higashi S, Miyazaki K: Epithelial-mesenchymal transition stimulates human cancer cells to extend microtubule-based invasive protrusions and suppresses cell growth in collagen gel. PLOS ONE. 2012, 12: e53209-View Article
- Stratman AN, Saunders WB, Sacharidou A, Koh W, Fisher KE, Zawieja DC, Davis MJ, Davis GE: Endothelial cell lumen and vascular guidance tunnel formation requires MT1-MMP–dependent proteolysis in 3-dimensional collagen matrices. Blood. 2009, 114: 237-247. 10.1182/blood-2008-12-196451.PubMed CentralView ArticlePubMed
- Bayless KJ, Yeh AT, Lee PF: Nonlinear optical microscopy reveals invading endothelial cells anisotropically alter three-dimensional collagen matrices. Exp Cell Res. 2009, 315: 369-410.
- Spalding AC, Zeitlin BD, Wilder-Romans K, Davis ME, Nor JE, Lawrence TS, Ben-Josef E: Enzastaurin, an inhibitor of PKC, enhances antiangiogenic effects and cytotoxicity of radiation against Endothelial Cells. Tranl Onc. 2008, 1: 195-201.View Article
- Willey CD, Xiao D, Tu T, Kim KW, Moretti L, Niermann KJ, Tawtawy MN, Quarles CC: Enzastaurin (LY317615), a protein kinase C beta selective inhibitor, enhances antiangiogenic effect of radiation. Int J Rad Oncol Biol Phys. 2010, 77: 1518-1526. 10.1016/j.ijrobp.2009.06.044.View Article
- Girdhani S, Sachs R, Hlatky L: Biological effects of proton radiation: what we know and don’t know. Rad Res. 2013, 179: 257-272. 10.1667/RR2839.1.View Article
- Durante M, Cucinotta FA: Heavy ion carcinogenesis and space exploration. Nat Rev Cancer. 2008, 8: 465-472. 10.1038/nrc2391.View ArticlePubMed
- Grabham P, Bigelow A, Geard C: DNA damage foci formation and decline in two-dimensional monolayers and in three-dimensional human vessel models: differential effects according to radiation quality. Int J Rad Biol. 2012, 88: 493-500. 10.3109/09553002.2012.679382.View ArticlePubMed
- Zeitlin C, Hassler DM, Cucinotta FA, Ehresmann B, Wimmer-Schweingruber RF, Brinza DE, Kang S, Weigle G, Bottcher S, Bohm E, Burmeister S, Guo J, Kohler J, Martin C, Posner A, Rafkin S, Reitz G: Measurements of energetic particle radiation in transit to mars on the mars science laboratory. Science. 2013, 340: 1080-1084. 10.1126/science.1235989.View ArticlePubMed
- NCRP: Information Needed to Make Radiation Protection Recommendations for Space Missions Beyond Low-Earth Orbit. 2006, Bethesda, MD: National Council on Radiation Protection and Measurements, Report No 153
This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.