Evidence for interphase death in irradiated primate salivary glands

In radiotherapy patients, exposure of the salivary glands to ionizing radiation produces acute swelling and can result in chronic hypofunction which predisposes to oral infections and dental caries. Because the pathogenesis or the acute reaction is unknown, sequential biopsies were taken from irradiated rhesus monkey parotid and mandibular salivary glands at 1,3,6,9,12,24,48 and 72 hrs postirradiation (PI). Singe /sup 60/Co γ-ray doses of 250,500,750,1000,1250 and 1500 rads were used. At 1-24 hrs PI there was a classical acute inflammatory reaction. This reaction subsided 24-72 hrs PI changing to a lymphoplasmacytic response at the doses of 750 to 1500 rad. At doses above 750 rad there were necrosis of serous acinar cells but relative sparing of mucous cells, ducts and blood vessels. Study at 20 and 40 mos PI confirmed that there was significant serous cell loss in a dose related fashion at 750 through 1500 rad. Below 750 rad no residual damage was evident. Normal tissues with long cell turnover times are usually slow to manifest radiation injury, since this is classically linked to mitotic division. The acute lysis of serous salivary cells is an exception to this rule, and indicates a unique sensitivity of these cells to interphase death