The induction of in vitro morphological transformation in C3H 10T1/2 cells
by Tc-99m-Cardiolite (contents of Cardiolite kit [hexakis(2-methoxyisobutyl
isonitrile) and other components] plus Tc-99m generator eluate) was examine
d. Methods: Cells were grown for 48 h in the presence of Tc-99m-Cardiolite
or decayed Tc-99m-Cardiolite (Tc-99m-Cardiolite after 1 wk of storage), and
cell survival and transformation were assessed by the colony-forming and f
ocus assays, respectively. X-ray was used as a reference for radiation effe
cts, and 20-methylcholanthrene was used as a positive control for focus for
mation. Results: Exposure of cells to Tc-99m-Cardiolite results in a transf
ormation frequency that is not significantly different from that induced by
the volume equivalent of decayed Tc-99m-Cardiolite. The number of foci per
viable cell increases linearly from similar to 0.17 x 10(-4) in the untrea
ted control to 1.7 x 10(-4) at 37 kBq/mL and 30 x 10(-4) at 1100 kBq/mL Tc-
99m-Cardiolite or its decayed Tc-99m-Cardiolite volume equivalent. Furtherm
ore, exposure of cells to low extracellular concentrations of Tc-99m-Cardio
lite or decayed Tc-99m-Cardiolite (cell survival, greater than or equal to
88%) induces an similar to 20-fold greater number of transformants per viab
le cell than that observed after 0.5 Gy x-irradiation, a dose that causes t
he same level of toxicity. Conclusion: Radioactive and decayed Tc-99m-Cardi
olite induce morphological transformation of C3H 10T1/2 cells in vitro. The
underlying mechanism does not seem to be related to the radiation effects
of decaying Tc-99m but to chemical(s) present in the Tc-99m-Cardiolite kit.