AccScience Publishing / JBM / Online First / DOI: 10.14440/jbm.2025.0080
RESEARCH ARTICLE

An organotypic model for investigating drug-radiation responses in the lung

Maryam Alkadhimi1 Anuradha Helen Manne1 Yanyan Jiang1 Marcus Green1 Anderson Joseph Ryan1,2*
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1 Department of Oncology, University of Oxford, Oxford, OX3 7DQ, United Kingdom
2 FastBiopharma, Watlington, OX49 5SW, United Kingdom
Submitted: 6 September 2024 | Revised: 25 October 2024 | Accepted: 5 November 2024 | Published: 28 November 2024
© 2024 by the Journal of Biological Methods published by POL Scientific. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract

Background: Established in vivo radiobiological models are commonly used to assess anti-tumor effects and normal tissue toxicity. However, these models have notable limitations, and additional models are necessary to gain a deeper insights into drug-radiation interactions. Objective: This study aimed to develop an organotypic ex vivo model by using precision-cut lung slices (PCLSs) to evaluate radiation-induced residual deoxyribonucleic acid (DNA) damage, both alone and in combination with a pharmacological inhibitor of DNA double-strand break (DSB) repair. Methods: Left lungs from female C57BL/6 mice were dissected, perfused with 4% low-gelling-temperature agarose, and sliced into 250 μm sections. Lung slices were then incubated ex vivo for up to 7 days. The slices were irradiated using 137Cs, either with or without a DNA-dependent protein kinase (DNA-PK) inhibitor (NU7441). Tissue sections were subsequently fixed and stained for γH2AX and 53BP1, which serve as histological markers of DNA DSBs. Results: The established conditions preserved tissue viability for up to 7 days and maintained structural integrity for 2 days. DNA damage, detected through γH2AX and 53BP1 staining, was consistent between lungs irradiated ex vivo and their counterparts irradiated in vivo. In the organotypic model, radiation alone in DNA-PK-deficient SCID mice and radiation combined with DNA-PK inhibition in C57BL/6 mice led to increased residual γH2AX and 53BP1 staining. Conclusion: This study demonstrates that residual DNA damage levels following ionizing radiation in lung tissue are comparable between in vivo and ex vivo tissue slices, suggesting that PCLSs serve as a valuable organotypic model for investigating the effects of drug-radiation combinations.

Keywords
DNA double-strand breaks
Lung
DNA-dependent protein kinase
Organotypic
Ionizing radiation
DNA repair
Funding
This work was supported by UK Medical Research Council grant MC_PC_12006. In addition, MA was supported by UK Medical Research Council award 1963111.
Conflict of interest
The authors declare that they have no competing interests.
References
[1]
  1. Sharma RA, Plummer R, Stock JK, et al. Clinical development of new drug-radiotherapy combinations. Nat Rev Clin Oncol. 2016;13(10):627-642. doi: 10.1038/nrclinonc.2016.79

 

  1. Elbanna M, Chowdhury NN, Rhome R, Fishel ML. Clinical and preclinical outcomes of combining targeted therapy with radiotherapy. Front Oncol. 2021;11:749496. doi: 10.3389/fonc.2021.749496

 

  1. Kim JH, Jenrow KA, Brown SL. Mechanisms of radiation-induced normal tissue toxicity and implications for future clinical trials. Radiat Oncol J. 2014;32(3):103-115. doi: 10.3857/roj.2014.32.3.103

 

  1. Citrin DE, Prasanna PGS, Walker AJ, et al. Radiation-induced fibrosis: Mechanisms and opportunities to mitigate. Report of an NCI workshop, September 19, 2016. Radiat Res. 2017;188(1):1-20. doi: 10.1667/RR14784.1

 

  1. Citrin DE, Shankavaram U, Horton JA, et al. Role of type II pneumocyte senescence in radiation-induced lung fibrosis. J Natl Cancer Inst. 2013;105(19):1474-84. doi: 10.1093/jnci/djt212

 

  1. Hill MA, Vojnovic B. Implications of respiratory motion for small animal image-guided radiotherapy. Br J Radiol. 2017;90(1069):20160482. doi: 10.1259/bjr.20160482

 

  1. Workman P, Balmain A, Hickman JA, et al. UKCCCR guidelines for the welfare of animals in experimental neoplasia. Lab Anim. 1988;22(3):195-201. doi: 10.1258/002367788780746467

 

  1. He L, Deng C. Recent advances in organotypic tissue slice cultures for anticancer drug development. Int J Biol Sci. 2022;18(15):5885-5896. doi: 10.7150/ijbs.78997

 

  1. Jimenez-Valdes RJ, Can UI, Niemeyer BF, Benam KH. Where we stand: Lung organotypic living systems that emulate human-relevant host-environment/pathogen interactions. Front Bioeng Biotechnol. 2020;8:989. doi: 10.3389/fbioe.2020.00989

 

  1. Davies EJ, Dong M, Gutekunst M, et al. Capturing complex tumour biology in vitro: Histological and molecular characterisation of precision cut slices. Sci Rep. 2015;5:17187. doi: 10.1038/srep17187

 

  1. Liu G, Betts C, Cunoosamy DM, et al. Use of precision cut lung slices as a translational model for the study of lung biology. Respir Res. 2019;20(1):162. doi: 10.1186/s12931-019-1131-x

 

  1. Sanderson MJ. Exploring lung physiology in health and disease with lung slices. Pulm Pharmacol Ther. 2011;24(5):452-65. doi: 10.1016/j.pupt.2011.05.001

 

  1. Ward IM, Minn K, Jorda KG, Chen J. Accumulation of checkpoint protein 53BP1 at DNA breaks involves its binding to phosphorylated histone H2AX. J Biol Chem. 2003;278(22):19579-19582. doi: 10.1074/jbc.C300117200

 

  1. Kitabatake K, Kaji T, Tsukimoto M. ATP and ADP enhance DNA damage repair in γ-irradiated BEAS-2B human bronchial epithelial cells through activation of P2X7 and P2Y12 receptors. Toxicol Appl Pharmacol. 2020;407:115240. doi: 10.1016/j.taap.2020.115240

 

  1. Rothkamm K, Barnard S, Moquet J, Ellender M, Rana Z, Burdak-Rothkamm S. DNA damage foci: Meaning and significance. Environ Mol Mutagen. 2015;56(6):491-504. doi: 10.1002/em.21944

 

  1. Kuo LJ, Yang LX. γ-H2AX - a novel biomarker for DNA double-strand breaks. In Vivo. 2008;22(3):305-309.

 

  1. Frankenberg-Schwager M, Frankenberg D, Harbich R. Potentially lethal damage, sublethal damage and DNA double strand breaks. Radiat Protect Dosimetry. 1985;13(1-4):171-174. doi: 10.1093/rpd/13.1-4.171

 

  1. Scully R, Panday A, Elango R, Willis NA. DNA double-strand break repair-pathway choice in somatic mammalian cells. Nat Rev Mol Cell Biol. 2019;20(11):698-714. doi: 10.1038/s41580-019-0152-0

 

  1. Metzger L, Iliakis G. Kinetics of DNA double-strand break repair throughout the cell cycle as assayed by pulsed field gel electrophoresis in CHO cells. Int J Radiat Biol. 1991;59(6):1325-1339. doi: 10.1080/09553009114551201

 

  1. Shibata A, Conrad S, Birraux J, et al. Factors determining DNA double-strand break repair pathway choice in G2 phase. EMBO J. 2011;30(6):1079-1092. doi: 10.1038/emboj.2011.27

 

  1. Kumareswaran R, Ludkovski O, Meng A, Sykes J, Pintilie M, Bristow RG. Chronic hypoxia compromises repair of DNA double-strand breaks to drive genetic instability. J Cell Sci. 2012;125(Pt 1):189-199. doi: 10.1242/jcs.092262

 

  1. Rothkamm K, Krüger I, Thompson LH, Löbrich M. Pathways of DNA double-strand break repair during the mammalian cell cycle. Mol Cell Biol. 2003;23(16):5706-5715. doi: 10.1128/mcb.23.16.5706-5715.2003

 

  1. Banáth JP, Klokov D, MacPhail SH, Banuelos CA, Olive PL. Residual gammaH2AXfoci as an indication of lethal DNA lesions. BMC Cancer. 2010;10:4. doi: 10.1186/1471-2407-10-4

 

  1. Rube CE, Dong X, Kuhne M, et al. DNA double-strand break rejoining in complex normal tissues. Int J Radiat Oncol Biol Phys. 2008;72(4):1180-1187. doi: 10.1016/j.ijrobp.2008.07.017

 

  1. Martin OA, Ivashkevich A, Choo S, et al. Statistical analysis of kinetics, distribution and co-localisation of DNA repair foci in irradiated cells: Cell cycle effect and implications for prediction of radiosensitivity. DNA Repair (Amst). 2013;12(10):844-855. doi: 10.1016/j.dnarep.2013.07.002

 

  1. Iliakis G, Wu W, Wang M. DNA double strand break repair inhibition as a cause of heat radiosensitization: Re-evaluation considering backup pathways of NHEJ. Int J Hyperthermia. 2008;24(1):17-29. doi: 10.1080/02656730701784782

 

  1. Meneceur S, Lock S, Gudziol V, et al. Residual gammaH2AX foci in head and neck squamous cell carcinomas as predictors for tumour radiosensitivity: Evaluation in pre-clinical xenograft models and clinical specimens. Radiother Oncol. 2019;137:24-31. doi: 10.1016/j.radonc.2019.04.009

 

  1. Banath JP, Macphail SH, Olive PL. Radiation sensitivity, H2AX phosphorylation, and kinetics of repair of DNA strand breaks in irradiated cervical cancer cell lines. Cancer Res. 2004;64(19):7144-7149. doi: 10.1158/0008-5472.CAN-04-1433

 

  1. Menegakis A, De Colle C, Yaromina A, et al. Residual γH2AX foci after ex vivo irradiation of patient samples with known tumour-type specific differences in radio-responsiveness. Radiother Oncol. 2015;116(3):480-485. doi: 10.1016/j.radonc.2015.08.006

 

  1. Mah LJ, El-Osta A, Karagiannis TC. γH2AX: A sensitive molecular marker of DNA damage and repair. Leukemia. 2010;24(4):679-686. doi: 10.1038/leu.2010.6

 

  1. Kurashige T, Shimamura M, Nagayama Y. Differences in quantification of DNA double-strand breaks assessed by 53BP1/gammaH2AX focus formation assays and the comet assay in mammalian cells treated with irradiation and N-acetyl- L-cysteine. J Radiat Res. 2016;57(3):312-317. doi: 10.1093/jrr/rrw001

 

  1. Nagelkerke A, Span PN. Staining against phospho-H2AX (γ-H2AX) as a marker for DNA damage and genomic instability in cancer tissues and cells. Adv Exp Med Biol. 2016;899:1-10. doi: 10.1007/978-3-319-26666-4_1

 

  1. Fernandez-Palomo C, Mothersill C, et al. γ-H2AX as a marker for dose deposition in the brain of wistar rats after synchrotron microbeam radiation. PLoS One. 2015;10(3):e0119924. doi: 10.1371/journal.pone.0119924

 

  1. Matthaios D, Foukas PG, Kefala M, et al. gamma-H2AX expression detected by immunohistochemistry correlates with prognosis in early operable non-small cell lung cancer. Onco Targets Ther. 2012;5:309-14. doi: 10.2147/OTT.S36995

 

  1. Nagelkerke A, Span PN, editors. Staining against phospho- H2AX (γ-H2AX) as a marker for DNA damage and genomic instability in cancer tissues and cells. In: Tumor Microenvironment Advances in Experimental Medicine and Biology. Berlin: Springer International Publishing; 2016.

 

  1. Jackson IL, Vujaskovic Z, Down JD. A further comparison of pathologies after thoracic irradiation among different mouse strains: Finding the best preclinical model for evaluating therapies directed against radiation-induced lung damage. Radiat Res. 2011;175(4):510-518. doi: 10.1667/RR2421.1

 

  1. Jackson IL, Xu P, Hadley C, et al. A preclinical rodent model of radiation-induced lung injury for medical countermeasure screening in accordance with the FDA animal rule. Health Phys. 2012;103(4):463-473. doi: 10.1097/HP.0b013e31826386ef

 

  1. Jackson IL, Xu PT, Nguyen G, et al. Characterization of the dose response relationship for lung injury following acute radiation exposure in three well-established murine strains: Developing an interspecies bridge to link animal models with human lung. Health Phys. 2014;106(1):48-55.doi: 10.1097/HP.0b013e3182a32ccf

 

  1. Dabjan MB, Buck CM, Jackson IL, Vujaskovic Z, Marples B, Down JD. A survey of changing trends in modelling radiation lung injury in mice: bringing out the good, the bad, and the uncertain. Lab Invest. 2016;96(9):936-949. doi: 10.1038/labinvest.2016.76

 

  1. Lourenco LM, Jiang Y, Drobnitzky N, et al. PARP inhibition combined with thoracic irradiation exacerbates esophageal and skin toxicity in C57BL6 mice. Int J Radiat Oncol Biol Phys. 2018;100(3):767-775.

 

  1. Xu Y, Xu D. Repair pathway choice for double-strand breaks. Essays Biochem. 2020;64(5):765-777. doi: 10.1042/ebc20200007

 

  1. Blackford AN, Jackson SP. ATM, ATR, and DNA-PK: The trinity at the heart of the DNA damage response. Mol Cell. 2017;66(6):801-817. doi: 10.1016/j.molcel.2017.05.015

 

  1. Matsumoto Y. Development and evolution of DNA-dependent protein kinase inhibitors toward cancer therapy. Int J Mol Sci. 2022;23(8):4264. doi: 10.3390/ijms23084264

 

  1. Valente D, Gentileschi MP, Guerrisi A, et al. Factors to consider for the correct use of gammaH2AX in the evaluation of DNA double-strand breaks damage caused by ionizing radiation. Cancers (Basel). 2022;14(24):6204. doi: 10.3390/cancers14246204

 

  1. Willoughby CE, Jiang Y, Thomas HD, et al. Selective DNA-PKcs inhibition extends the therapeutic index of localized radiotherapy and chemotherapy. J Clin Invest. 2020;130(1):258-271. doi: 10.1172/JCI127483

 

  1. Pineau H, Sim V. POSCAbilities: The application of the prion organotypic slice culture assay to neurodegenerative disease research. Biomolecules. 2020;10(7):1079. doi: 10.3390/biom10071079

 

  1. Padmanaban V, Grasset EM, Neumann NM, et al. Organotypic culture assays for murine and human primary and metastatic-site tumors. Nat Protoc. 2020;15(8):2413-2442. doi: 10.1038/s41596-020-0335-3

 

  1. LeCluyse EL, Witek RP, Andersen ME, Powers MJ. Organotypic liver culture models: Meeting current challenges in toxicity testing. Crit Rev Toxicol. 2012;42(6):501-548. doi: 10.3109/10408444.2012.682115

 

  1. Humpel C. Organotypic brain slice cultures: A review. Neuroscience. 2015;305:86-98. doi: 10.1016/j.neuroscience.2015.07.086

 

  1. Malik P, Mukherjee TK. Organ, histotypic and organotypic culture, and tissue engineering. In: Mukherjee TK, Malik P, Mukherjee S, editors. Practical Approach to Mammalian Cell and Organ Culture. Singapore: Springer Nature Singapore; 2023. p. 687-727.
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Journal of Biological Methods, Electronic ISSN: 2326-9901 Print ISSN: TBA, Published by POL Scientific