Purpose: The aim of this study was to investigate the relation between doub
le-strand breaks and thermal radiosensitization in dependence on cell-cycle
position.
Materials and methods: The experiments were performed with the human tumour
cell line HeLa S3. Cells synchronized in G1- and S-phase were exposed to X
-rays alone or in combination with prior heating at 44 degrees C for 20 min
. Cell kill was determined by means of colony forming assay, double-strand
breaks (dsb) using constant-held gel electrophoresis and apoptotic cell dea
th was scored using the fraction of detached cells.
Results: In both cell-cycle phases heating at 44 degrees C for 20 min prior
to irradiation resulted in an increased cellular radiosensitivity, whereby
the thermal enhancement ratio (TER) was significantly higher in S- than in
G1-phase cells with TER = 2.1 and 1.2, respectively. Prior heating at 44 d
egrees C did not affect the number of radiation-induced dsb but was found t
o modify their repair as measured for a X-ray dose of 40 Gy. In both cell c
ycle phases dsb repair kinetics measured after irradiation alone could be d
escribed by a fast and a slow component with the majority of dsb being repa
ired with fast kinetics. Prior heating at 44 degrees C was found to have on
ly a minor effect on these half-times but mainly to affect the number of sl
owly rejoined dsb. In GI-phase cells the number of slowly rejoined dsb meas
ured 300 min after irradiation was enhanced by a factor of 1.8 and in S-pha
se cells even by a factor of 3.2. Fraction of apoptotically dying cells was
low after X-irradiation alone but was clearly enhanced after combined trea
tment, which was especially pronounced for S-phase cells.
Conclusions: The pronounced thermal radiosensitization found for S-phase ce
lls was attributed to the heat-mediated increase in the number of slowly re
joined dsb and partly also to the enhanced fraction of apoptotically dying
cells when compared to GI-phase cells.