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cellular radiosensitivity as observed in lymphocytes or fibroblasts
when using the metaphase analysis may also result from differ-
ences in this further reduction of DSBs.
So far, the specific pathway by which this reduction occurs is
not known. It was tested here whether this reduction is performed
by HR, because HR is reported to be active especially in S/G2 phase
[23,24,33,42]. For this purpose, HR was inhibited by siRNA medi-
ated down-regulation of RAD51, which is the central protein of thisrepair pathway [1,50]. RAD51 was measured via western and foci
formation, DSBs by cH2AX foci formation, chromosomal damage
by PCC, G0 or G2-assay, and cell survival by colony forming assay.
Materials and methods
Cell culture
Experiments were performed with the rodent cell lines CHO K1,
CHO 10 B, AA8, V79, Rat1, and the radiosensitive mutants Xrs5 and
R7080. All cell cultures were maintained in a-MEM (Invitrogen)
containing 5% FBS (Invitrogen) in a humidified incubator at 37 C.
For experiments, cells were kept in a-MEM in RNase-free water
supplemented with 5% FBS. Cultures were routinely checked formycoplasma contamination.
The experiments with lymphocytes were carried out with blood
samples of 2 ml taken from volunteers. For stimulation, blood was
diluted in 4.5 ml RPMI (Gibco) medium supplemented with 15%
FCS and triggered to enter cell cycle with 2.5% PHA (Boehringer).
Irradiation
Irradiation was performed using a Philips therapeutic X-ray ma-
chine operating at 220 kVp, 15 mA with 0.5 Cu filter at a dose rate
of 1.0–2.0 Gy/min depending on the flask size.
Transfection of siRNA
HPLC purified siRNA was supplied by Dharmacon and Qiagen.
The siRNA was reconstituted according to manufacturer to yield
a 20 lM stock solution. Sequences were designed according to
the requirements published by [19] using the mRNA sequence
from GenBank gi155225; scrambled RNA (scrRNA) was used as
control. Two target sequences were used: AAGCUGGUUUC-
CAUACGGUGG and AAGUGGAUGGAGCAGCCAUGU; for scrRNA:
AAUGUGCGAGAGUUGCACGAG and AAUAGGCAUUGCGCGUGU-
GUC. Selected sequences were blasted against EST libraries. The
siRNA was transfected using TransIT-TKO. Briefly, siRNA (1:8.3)
and TransIT-TKO (1:12.5) were each diluted in a-MEM without
serum in separate tubes and incubated for 5 min. Diluted siRNA
and TransIT-TKO were gently mixed and incubated for 20 min to
allow the formation of complexes. Confluent cells were harvestedand stimulated by re-seeding. After 1 h of incubation, 200 ll siR-
NA–TransIT-TKO complexes were added to cells, resulting in a con-
centration of 200 nM siRNA and 6.7 ll/ml medium for TransIT-
TKO. After further incubation of 4 h, transfection reaction was di-
luted by adding 1 ml medium.
Western blotting
For extraction of proteins cell pellets were resuspended in
extraction buffer and the suspension was frozen in liquid nitrogen
and thawed at 37 C four times. After centrifugation at 11,000 rpm
for 10 min at 4 C supernatants were collected and protein quanti-
fied using the BCA method (Pierce). Boiled samples (20lg/ml)
were resolved by SDS–PAGE using a 12% gel. After transfer to aPVDF membrane, proteins were detected by anti-RAD51 IgG (onco-
gene, upstate) or anti-b-actin IgG (Sigma), horseradish peroxidase
conjugated anti-mouse IgG (Amersham) and enhanced chemo-
luminescence detection reagents (Amersham).
Immunofluorescence microscopy
RAD51 foci were detected according to [32]. Cells were fixed
with 2% formaldehyde in PBS for 15 min, permeabilized using0.1% Triton X-100 in PBS and blocked with 0.15% (w/v) glycine
and 0.5% (w/v) BSA in PBS overnight at 4 C followed by 30 min
at 37 C. Foci were detected using an anti-RAD51 antiserum (onco-
gene) and a Fluorescein-linked anti-rabbit Ig (Amersham). Slides
were mounted in DAPI/Antifade (0.1 lg/ml, Qbiogene). Cells were
analyzed by means of fluorescence microscopy.
Chromosomal damage
PCC
Premature chromosome condensation was performed as previ-
ously described by [39]. Briefly, CHO cells were used as mitotic in-
ducer of PCC. Mitotic cells were obtained by re-seeding confluent
cells into two 75 cm2 plastic flasks (Falcon) at half of their original
density and after 16 h cells were paused in metaphase by adding
0.2 lg/ml Colcemid (Gibco) for 4 h. The mitotic cells were collected
by selective detachment, stored on ice, with a routinely checked
mitotic index of about >95%.
An equal number (106) of mitotic and G1/G0 cells were resus-
pended and centrifugated at 150 g for 10 min at 4 C. The superna-
tant was discarded, and the pellet was carefully mixed with 100 ll
55% PEG (Boehringer) in order to initiate cell fusion. After 1 min,
the reaction was stopped by adding two times 500 ll PBS. Suspen-
sion was centrifugated with 150 g for 4 min, the supernatant was
discarded and the cells were resuspended in 1 ml a-MEM contain-
ing 106 M Colcemid followed by incubation in a humidified incu-
bator (5% CO2/95% air) at 37 C for 50 min which allowed the
condensation of the DNA. Thereafter, cells were treated in hypo-
tonic (0.075 M) KCl-solution and fixed several times in Carnoy’sfixative. Cells were dropped on pre-cleaned wet slides, stained
with 2% Giemsa (Sigma) for 7 min and embedded permanently
with Entellan (Merck).
Metaphase analysis
Irradiated cells were arrested in metaphase by adding Colcemid
(0.2 lg/ml, Gibco) for 6 h (G1-assay) or 1 h (G2-assay), respec-
tively. The metaphase chromosomes were prepared as described
previously [5–7]. Slides were coded and 25 metaphases were
scored per slide with a total number of about 100 cells per sample.
Lethal G1 aberrations scored included excess acentric fragments
and dicentric chromosomes. For G2 assay, all chromatid type aber-
rations including gaps, chromatid fragments, isochromatid frag-
ments, translocations and triradials were scored and calculatedas breaks per cell.
Clonogenic survival
Cell survival was determined by colony assay. After treatment
cells were plated in appropriate numbers in 100 cm2 petri dishes
and after 7 d cells were fixed and stained for colony assay. The sur-
vival of irradiated cells was normalized to the plating efficiency of
non-irradiated cells.
DSB repair
cH2AX foci were detected according to [41]. Cells grown on tis-
sue cultures slides were fixed in 2% paraformaldehyde for 15 min,washed three times in PBS for 10 min each, permeabilized on ice
266 Effect of HR on individual radiosensitivity
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for 5 min with 0.2% Triton X-100 in 1% BSA/PBS, washed with 1%
BSA in PBS and blocked with 3% BSA in PBS for 1 h at room temper-
ature. The slides were then incubated with anti-c-H2AX antibody
(1:100 in 0.5% Tween 20/1% BSA in PBS, upstate) for 1 h, washed
three times with 0.5% Tween 20/1% BSA in PBS for 10 min each
time, and incubated with Alexa Fluor 594 goat anti-mouse IgG
(1:600 in 0.5% Tween 20/1% BSA in PBS, molecular probes) for
1 h at room temperature. Cells were washed four times in 0.5%Tween 20 in PBS for 10 min each time and mounted by using
mounting medium with 4,6-diamidino-2-phenlyindole (Vector
Laboratories). Fluorescence images were captured by using a Zeiss
Axioplan 2 epifluorescence microscope equipped with a charge-
coupled device camera and Optimas software. For quantitative
analysis, foci were counted by fluorescence microscopy using a
1000-fold magnification. One hundred cells per dose per slide
and experiment were evaluated blindly.
Data evaluation
Statistical analysis, curve fitting and graphs were performed by
means of the computer program Prism (GraphPad Software, San
Diego, USA). Data are given as means (±SEM) of replicate
experiments.
Results
Fig. 1 shows the DSB repair kinetics as measured for quiescent
CHO K1 irradiated with 6 Gy. DSBs were either detected via PCC
technique (Fig. 1B) or cH2AX foci measurement (Fig. 1C). The first
technique was used to unequivocally identify G1 cells via the pres-
ence of single condensed chromatin fibres, with S-phase cells dis-
playing pulverised chromatin and G2 phase cells doubled
chromatin fibres [25]. The repair kinetics, which started 30 min
after irradiation, showed a rapid decline with a plateau reached
4–6 h after irradiation. This level of about 7.5 fragments per cell re-
mained constant even up to 26 h after irradiation (Fig. 1D, h). Al-
most identical kinetics were observed (Fig. 1D, s) when DSBs
were detected via cH2AX foci formation (Fig. 1C).The number of fragments as well as DSBs was also measured for
cells kept in quiescence for only 6 h but then stimulated into cell
cycle by plating at lower density followed by a further repair incu-
bation for 20 h (Fig. 1D; stimulated, j, d). For fragment analysis
cells were arrested in metaphase by adding Colcemid (Fig. 1B). In
stimulated cells the number of both fragments and cH2AX foci
measured 26 h after irradiation was significantly less (fragm.,
p = 0.029; cH2AX, p = 0.03, Mann Whitney test) compared to qui-
escent cells. This result indicates that most of the DSBs, which re-
mained un-rejoined in quiescent G1 cells, can be removed when
cells are stimulated into cell cycle.
We also checked whether the further reduction of DSBs de-
scribed above for CHO cells occurs in other cell lines as well. For
this test, cell cultures which were grown to confluence or kept in
G0 (lymphocytes) were irradiated with 2 Gy and then incubated
at 37 C for either 6 or 26 h. In case of the short incubation cells
were stimulated into cell cycle by re-seeding at lower concentra-
tion or addition of PHA (lymphocytes) followed by a further incu-
bation at 37 C for 20 h. For non-stimulated cells, chromosomal
damage was detected by PCC and for stimulated cells by meta-
phase analysis and the respective data are listed in Table 1. For
all cell lines tested, the number of fragments measured after
0 6 12 18 241
10
5
50
quiescent
6Gy 37ºCCHO K1
chromosomal fragments
γ H2AX foci
s t i m u l a t e d
Time at 37ºC after X-irradiation, h
N u m b e r o f d s b
s p e r c e l l
A
D
B C
Fig. 1. Kinetics of DSB repair measured for X-irradiated CHO K1 cells (C). Confluent cells were irradiated with 6 Gy followed by incubation for either 26 h (quiescent) or only
6 h followed by stimulation into cell cycle by re-seeding at lower density and a further incubation for 20 h (stimulated). DSBs were scored either by PCC (A, h), metaphasetechnique (B, j) or cH2AX foci technique (C, s, d). Data were corrected for background values and error bars represent SEM.
K. Koch et al. / Radiotherapy and Oncology 90 (2009) 265–272 267
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In order to confirm the data described above for quiescent and
proliferating CHO cells, effect of RAD51 knock-down on repair of
radiation-induced DSBs was also tested using the cH2AX foci
technique. For these experiments quiescent or exponentially
growing CHO K1 cells were both irradiated with 2 Gy followedby an incubation for 24 h before DSBs were detected via cH2AX
foci measurement. For RAD51 knock-down cells were treated
with siRNA starting 20 h prior to irradiation. It can be seen in
Fig. 5 that DSB repair capacity was not affected by this treatment
as long as CHO K1 cells were kept in confluence. Irrespective of
the treatment used, there are always about 2.1 un-rejoined DSBs
per cell in quiescent cells. This value agrees fairly well with the
level of 2.3 non-rejoined PCC fragments described above
(Fig. 3A). In proliferating cells, the number of un-rejoined DSBs
measured was clearly reduced with about one remaining DSB
per cell when HR was not suppressed. This reduction was com-
pletely abolished, when HR was suppressed ( p = 0.036, Mann
Whitney test). These data show that HR is not active in G1 as sug-
gested above but is involved in DSB repair when cells are prolif-
erating through S/G2.
Discussion
The aim of this study was to analyse the impact of homologous
recombination (HR) on individual cellular radiosensitivity. This
sensitivity is characterized by a substantial variation and wasshown to be a potential indicator for the individual risk of acute
or late tissue effects after radiotherapy [6,7,26].
In these studies individual radiosensitivity was measured with
lymphocytes using the metaphase analysis. For this purpose,
non-proliferating lymphocytes taken from blood samples were
irradiated in vitro and then stimulated into cell cycle by PHA fol-
lowed by incubation for 44–72 h, after which cells are arrested in
metaphase by the addition of Colcemid. This protocol implies that
for these lymphocytes the overall repair capacity is determined by
repair processes acting prior to and after stimulation into cell cycle.
It was previously shown for non-proliferating cells that DSB re-
pair is completed 4–6 h after irradiation with a substantial fraction
of un-rejoined DSBs still remainig, but that most of these DSBs are
removed when cells are stimulated into cell cycle [4,7]. This finding
was now confirmed for CHO K1 cells, whereby DSBs were detected
0 8 16 24 32 40 48
0.5
1.0
1.5
2.0
2.5
3.0 CHO K1
+siRNA+scrRNA
Time after restimulation, h
R e l a t i v e R A D 5 1 e x p r e s s i o n
0 G y
1 2 G y
1 2 G y + s
c r R N
A
1 2 G y +
s i R N
A0
20
40
60
80
100
C e l l s w i t h > 5 R A D 5 1 f o c i , %
50
40
kD
40
Rad51
ß-actin
Stimulation
siRNA
scrRNA
++
+
+ — —
—
—
—
— —
+
1 2 3 4
RAD51-Foci
DNA
12 Gy
siRNA
scrRNA
—
—
—
+
— —
— +
+
+
+
+
A
C D
B
Fig. 2. Knock-down of RAD51 in CHO K1 cells by siRNA. Confluent cells were stimulated by re-seeding at lower density and RAD51 was down-regulated by immediate
transfection with siRNA. (A) RAD51 proteins as detected by Western blotting 18 h after stimulation. (B) Kinetics of RAD51 expression after stimulation; RAD51 signals were
corrected by b-actin signals and normalised to data of mock-treated cells. Effect on radiation-induced RAD51 foci formation. Exponentially growing cells were irradiated with
12 Gy followed by incubation for 8 h. For RAD51 knock-down cells were transfected with siRNA 24 h prior to irradiation. (C) RAD51 foci detected by immunofluorescence
using a specific antibody and counterstaining of nuclei by DAPI. (D) Quantitative analysis of RAD51 foci formation expressed as percentage of cells with more than five foci per
cell. Error bars represent SEM.
K. Koch et al. / Radiotherapy and Oncology 90 (2009) 265–272 269
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using both chromosomal assays as well as cH2AX foci technique
(Fig. 1). This phenomenon was also observed in other cell lines
[9,18,43,47] but not in the human fibroblast line AG1522 [13].It could be demonstrated here by using different cell lines that
this phenomenon cannot simply be explained by selective apopto-
tic degradation or permanent G1-arrest (Table 1). We could also
exclude that this repair is performed by NHEJ, because the reduc-
tion of DSBs was also seen in cell lines deficient in this pathway
(Table 1).
Data presented by Durante et al. [18] suggested that this reduc-
tion of DSBs primarily occurs at the end of G2 phase. Since in late S
and G2 phase DSBs are known to be also processed by HR
[23,24,42], we tested whether this pathway might be responsible
for the decline of DSBs. For this purpose HR was depressed by RNAi
against RAD51, which is the central protein of the HR pathway
[1,13,50]. A transient approach was chosen because knockout of
RAD51 is lethal [49]. The siRNA treatment completely abolishedRAD51 induction normally seen during cell cycle [10,51] with a to-
tal reduction of RAD51 of about 70% (Fig. 2A and B). This extent is
similar to that achieved by Lio et al. [34] in HeLa cells. The siRNA
treatment also depressed the formation of RAD51 foci normallyoccurring after irradiation with 12 Gy (Fig. 2C and D), whereby
the extent of foci reduction was similar to that observed for ham-
ster cell lines deficient in HR [22,36]. Such a decreased formation of
RAD51 foci is generally considered to be a hallmark of impaired HR
[2,21,38,48].
The suppression of HR by knock-down of RAD51, however, did
not affect the further reduction of DSBs seen when quiescent CHO
K1 cells were stimulated into cell cycle (Fig. 3). A diminished re-
pair after siRNA treatment was only observed when CHO K1 cells
were irradiated in late S/G2 phase (Fig. 4). In line with this,
knock-down of RAD51 did not affect survival when cells were
irradiated in G0 but only when irradiated in late S/G2 (Figs. 3
and 4). A moderate increase in radiosensitivity in proliferating
cells was also observed by other authors when RAD51 wasdown-regulated [11,34,44].
0 2 4 6
0
2
4
6
8
quiescent
stimulated
X
X+siRNAX+scrRNA
X
X-ray dose, Gy
L e t h a l c h r o m o s o m e a b e r r a t i o n s p e r c e l l
0 3 6 9 1210-3
10-2
10-1
1
X
X+scrRNA
X+siRNA
X-ray dose, Gy
S u r v i v a l
A B
Fig. 3. Effect of RAD51 knock-down on chromosomal damage and survival of CHO K1 cells irradiated in confluence. (A) For chromosomal damage, cells irradiated in
confluence were incubated at 37 C for either 26 h (quiescent) or only 6 h; the latter followed by stimulation into cell cycle for another 20 h before arrested in metaphase
(stimulated). For quiescent cells chromosomal damage was determined by PCC technique and for stimulated cells by metaphase analysis. (B) Survival was measured for
quiescent cells irradiated with X-ray doses up to 12 Gy, but otherwise treated as described above for stimulated cells and cells were plated for colony assay 16 h after
stimulation. For RAD51 knock-down cells were always transfected with siRNA immediately after stimulation. Error bars represent SEM.
Chromatid aberrations
0.5 Gy 0.5 Gy 0.5 Gy +scrRNA +siRNA
0.0
0.5
1.0
1.5
2.0 Isochromatid fragments
0.5 Gy 0.5 Gy 0.5 Gy +scrRNA +siRNA
G 2 - A b e r r a t i o n s p e r c e l l
0.5 Gy 1.5 h at 37ºC
0 3 6 9 1210-3
10-2
10-1
1
X
X+scrRNA
X-ray dose, Gy
S u r v i v a l
X+siRNA
A B
Fig. 4. Effect of RAD51 knock-down on chromatid damage and survival of CHO K1 cells irradiated in S/G2. Cells grown to confluence were stimulated into cell cycle by re-
seeding at lower density with irradiation 20 h after stimulation. (A) For chromatid damage, cells were irradiated with 0.5 Gy followed by incubation for 0.5 h before cells were
collected in metaphase for 1 h by adding Colcemid. (B) For survival, cells were irradiated with doses up to 12 Gy followed by incubation for 16 h before cells were plated for
colony formation. For RAD51 knock-down cells were always transfected with siRNA immediately after re-seeding. Error bars represent SEM.
270 Effect of HR on individual radiosensitivity
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These data demonstrate that the repair of DSBs seen when CHO
K1 cells are stimulated into cell cycle is not performed by HR, how-
ever, HR is obviously involved in DSB repair when cells are irradi-
ated in late S/G2 (Fig. 1). It was already reported by others that HR
is especially active in S/G2 [23,24,33,42], but the data shown here
indicate that this activity is restricted to only those DSBs which are
actually induced in these two phases, whereas HR cannot process
DSBs that originate from G1. Detailed analysis of the chromosomal
damage measured for cells irradiated in late S/G2 revealed thatRAD51 knock-down affects DSB repair only for damage resulting
in chromatid but not isochromatid breaks (Fig. 4A). This observa-
tion implies that HR can only process DSBs in S/G2 when the
respective sister chromatids are still intact but not when both sis-
ter chromatids are damaged at identical sites. This finding also ex-
plains why DSBs which remained un-repaired in G1 cannot be
processed by HR, even when cells were triggered to proliferate
through S/G2 (Fig. 3A). Once passed through replication an un-re-
paired DSB will be converted into a chromosomal aberration with
two sister chromatids broken at identical site, which is – according
to the data described above – an inadequate substrate for RAD51-
dependent HR. These results are also in line with the recent data
reported by Saintigny et al. [46] showing that HR is not involved
in DSB repair when cells are arrested in G1, but only when cells
are stimulated into cell cycle immediately after irradiation at the
G1/S border. Probably the DSB repair seen when cells are stimu-
lated into cell cycle is performed by SSA, which is normally sup-
pressed by RAD51 [37].
The data presented here also imply that the variation of individ-
ual radiosensitivity seen when using metaphase analysis cannot be
ascribed to differences in HR. It was previously observed that this
variation, when measured with fibroblasts, cannot be attributed to
differences in the expression, localisation or activity of major NHEJ
proteins [29,31].Differences in DSB repair capacity, which are con-
sidered to the main cause for the variation of individual radiosen-
sitivity, do probably not result from changes of HR or NHEJ
complexes but are caused by other repair pathways such as SSA
[14,24,37,42,45] or are due to differences in factors such as chro-
matin structure [8,15].
In summary, it is shown here that the individual cellular radio-
sensitivity as measured by metaphase analysis does not depend on
HR.
Acknowledgements
The authors thank S. Bornkessel for excellent technical assis-
tance and Dr. J. Dahm-Daphi for critically reading the manuscript.This work was supported by Roggenbuck-Stiftung, Grant No. 0040/
102.
References
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2 G y
s c r R N A + 2 G y
s i R N A + 2 G y
2 G y
s c r R N A + 2 G y
s i R N A + 2 G y
0.0
0.5
1.0
1.5
2.0
2.5
3.0
quiescent
2 Gy→24h at 37ºC
proliferating
N u m b e r o f
H 2
A X - f o c i p e r c e l l
Fig. 5. Effect of RAD51 knock-down on repair of radiation-induced DSBs in
quiescent or proliferating CHO K1 cells as measured by cH2AX foci technique.Confluent (left chart) or exponentially growing cells (right chart) were irradiated
with 2 Gy followed by repair incubation at 37 C for 24 h. For RAD51 knock-down
cells were transfected with siRNA 20 h prior to irradiation. Data were corrected for
background values and error bars represent SEM.
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272 Effect of HR on individual radiosensitivity