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CAMD Targets Cancer

Ken Hogstrom, Marie Varnes, Kip Matthews, Erno Sajo, Medical Physics Group Department of Physics and Astronomy and Mary Bird Perkins Cancer Center

Current radiation therapy techniques treat cancer by irradiating a volume of tissue that contains both healthy and cancerous tissue. Potential damage to healthy tissue can limit the amount of radiation dose to the cancer. Professor Research at CAMD is searching for drugs that will allow radiation dose to preferentially target the cancerous cells. Synchrotron x-rays of selected energy can release powerful, local dose to cancer cells if drugs with appropriate properties are present. Research to date has focused on a well known radiosensitizing drug called iododeoxyuridine (IUdR). Future research is aimed at determining the optimal energy of the synchrotron x-rays used to deliver dose to IUdR-laden cells. As part of this research the CAMD medical radiological beamline is being upgraded to allow completion of the current study and to offer opportunity for future collaboration with regional facilities to study other drugs. Our goal is to develop a new paradigm for radiation therapy that will allow radiation dose to be more effective in killing specific cancers while doing insignificant damage to healthy tissue.

Although radiation can be focused on a tumor, its effect is non-specific for cell damage that results – both healthy and cancerous cells are affected

Auger Electron Therapy

Figure 1. From Kassis & Edelstein (2005)

  • Use a molecule with a high-Z absorber (iodine) – called IUdR that preferentially binds to cancer cell DNA

  • Select CAMD x-rays that are more likely absorbed by IUdR-laden cancer cells than normal tissue cells

  • X-ray absorption stimulates Auger electron emission, damaging the cancerous DNA

  • Since IUdR is bound to cancer cells, these cells are destroyed and healthy cells survive

Selectively destroys cells with IUdR by damaging their DNA and preventing their replication

Auger Electron Therapy – Destroys DNA of CHO Cells

  • CHO cells with no IUdR show slight damage (black curve)

  • CHO cells with IUdR irradiated by conventional 4MV x-rays show greater damage (red curve)

  • CHO cells with IUdR irradiated by CAMD monochromatic 35 keV x-rays are more effectively absorbed by IUdR than 4 MV x-rays, and thus show the greatest damage (green curve)

  • Future research focuses on developing better targets for more effective therapy

  • CAMD x-rays are tunable to match the new targets