Effects of a radiosensitizer and radiation on the ciliated mucous membrane

Fractionated irradiation (2 Gy/F, TD:2-20 Gy) in vivo on the ciliated epithelium of the rabbit's trachea, caused measurable physiological alternations ten consecutive days after completion of irradiation with an initial heightening of the ciliary activity after 2 and 4 Gy, followed by a dose-dependent decrease. On scanning electron microscopy-pictures, knobs were observed on the cilia with the number being related to the dose. The addition of misonidazole potentiated the effects described above, with an enhancement ratio ( physiologically) of 1.2 and an enhancement ratio (morphologically) of 1.6. Furthermore, administration of misonidazole to the rabbits caused an increased vascularity in the subepithelial layer of the trachea, directly correlated to an oedema in the same region. Single doses (2,2.5,5,10,15,20,25, and 30 Gy) were given to the trachea in vivo and daily investigation of the ciliary beating and morphologic examinations of the tissue were made for ten days. The ciliary activity showed a dose-dependent reduction of about 50% after 30 Gy. A development of damage, in relation to the dose, was observed in the cilia. The changes were blebs, swollen tips, bent and curved tips, and broken cilia clustered together. During in vitro irradiation with 10 Gy Single Dose, an increase of the ciliary activity to about 25 % of its original value was observed without any morphological changes, while in vivo irradiation and examinations during 10 days thereafter, showed three different phases, day 1-3: Stimulation phase, day 4-8: Damage-phase, day 9-10: Repair-phase. The ciliary epithelium offers an exceptional system for the study of early radiobiological effects, since mutual comparisons can be made between physiology and morphology. (Author)