Radiation can damage human chromosomes, both in vivo (1-5) and in vitro (6-8). This report describes more fully the results of an experiment devised to distinguish between the direct effects of X-rays on leukocyte chromosomes and a possible indirect effect mediated by way of blood plasma. Blood plasma from patients who had received large doses of X-ray enhanced the degree and frequency of chromosomal aberrations of normal nonirradiated lymphocytes in short-term cell culture (9). Materials and Methods. Six patients with a variety of tumors were chosen because they had received large doses of X-rays through several different ports (see Table I). X-ray integral doses varying from 2.88 to 25.1 × 106 gR were given with a 2 meV van de Graaf generator. Six other patients with similar tumors, studied prior to X-ray, served as controls for the first group. Three of the control patients with tumors were studied before and after X-ray. None of the patients received chemotherapeutic agents or had symptoms of viral infections during the studies. Blood for the studies was drawn from the irradiated patients 24−72 hr after irradiation. Subjects who had not received therapeutic X-ray furnished the normal lymphocytes and plasma. Chromosomes were studied by a modified method of Moorhead et al. (10). Plasma from the following sources was added to normal nonirradiated lymphocytes in short-term culture: (i) plasma from irradiated tumor patients “irradiated tumor plasma”, (ii) plasma from tumor patients before irradiation “nonirradiated tumor plasma”, (iii) homologous “normal plasma,” or (iv) autologous “normal plasma.” The cells for culture were obtained from leukocyte-rich plasma after sedimentation of heparinized blood. The leukocyte-containing plasma remaining after removal of erythrocytes, was centrifuged at 2400 rpm (IEC Universal model UV, head no. 240) for 20 min to obtain leukocyte-free plasma.
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