Background: Recent studies reported the significant expansion using 8-Hydroxy-2-Deoxyguanosine (8-OHdG) as a biomarker of oxidative Deoxyribonucleic Acid (DNA) damage among human populations exposed to medical ionizing radiation, but a generalized overview about this topic has not been conducted yet. Objective: This scoping review of published literature examined recent trends in utilizing 8-OHdG biomarker to measure oxidative DNA damage induced by medical ionizing radiation and possible factors that may influence the 8-OHdG level. Material and Methods: Literature search was conducted in PubMed, Scopus and ProQuest databases for publications from 1984 to 2/12/2020. Included articles were: cohort studies, case-control studies, and cross–sectional studies, randomized and nonrandomized controlled trials. Excluded articles were: editorials, letters, personal opinions, newspaper articles, study plans, protocols, qualitative studies, case reports and series, in-vivo and vitro studies, animal research studies, reviews and meta-analyses. Results: According to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we screened 141 articles, and 10 eligible studies met our inclusion criteria. All studies measured 8-OHdG as an oxidative DNA damage biomarker. The study results were contradictory concerning the relationship between the radiation dose and 8-OhdG level. 8-OHdG was mostly measured by enzyme-linked immunosorbent assay (ELISA) using urine samples. Sample size varied between (n=25-230) and included patients who underwent medical radiation procedures or workers exposed to ionizing radiation during their jobs. Conclusion: This scoping review findings showed 8-OHdG can be used as a promising biomarker to detect oxidative damage, resulting from medical ionizing radiation exposure despite external factors that may influence 8-OHdG levels. |
- Sherer MAS, Visconti PJ, Ritenour ER, Haynes KW. Radiation Protection in Medical Radiography, 7th Ed. Elsevier; 2014.
- Picano E, Vano E, Semelka R, Regulla D. The American College of Radiology White paper on radiation dose in medicine: deep impact on the practice of cardiovascular imaging. Cardiovasc Ultrasound. 2007;5:37. doi: 10.1186/1476-7120-5-37. PubMed PMID: 17974025. PubMed PMCID: PMC2186301.
- Ahmad IM, Abdalla MY, Moore TA, Bartenhagen L, Case AJ, Zimmerman MC. Healthcare workers occupationally exposed to ionizing radiation exhibit altered levels of inflammatory cytokines and redox parameters. Antioxidants (Basel). 2019;8(1):12. doi: 10.3390/antiox8010012. PubMed PMID: 30609664. PubMed PMCID: PMC6356728.
- Einstein AJ, Knuuti J. Cardiac imaging: does radiation matter? Eur Heart J. 2012; 33(5) 573-8. doi: 10.1093/eurheartj/ehr281. PubMed PMID: 21828062. PubMed PMCID: PMC3291500.
- Pilger A, Rüdiger HW. 8-Hydroxy-2′-deoxyguanosine as a marker of oxidative DNA damage related to occupational and environmental exposures. Int Arch Occup Environ Health. 2006;80(1):1-15. doi: 10.1007/s00420-006-0106-7. PubMed PMID: 16685565.
- Kato S, Yoshimura K, Kimata T, Mine K, Uchiyama T, Kaneko K. Urinary 8-Hydroxy-2’-Deoxyguanosine: a biomarker for radiation-induced oxidative DNA damage in pediatric cardiac catheterization. J Pediatr. 2015;167(6):1369-74. doi: 10.1016/j.jpeds.2015.07.042. PubMed PMID: 26442998.
- Liu HH, Chen IJ, Chiou CC. Variation of urinary 8-hydroxy-deoxyguanosine in patients during radio-therapeutic course. Biochem Biophys Res Commun. 2007;358(3):914-9.
- Grand D, Navrazhina K, Frew JW. A scoping review of non-invasive imaging modalities in dermatological disease: potential novel biomarkers in Hidradenitis suppurativa. Front Med (Lausanne). 2019;6:253. doi: 10.3389/fmed.2019.00253. PubMed PMID: 31781567. PubMed PMCID: PMC6851050
- Peters M, Godfrey CM, Khalil H, Mcinerney P. Guidance for conducting systematic scoping reviews. Int J Evid Based Healthc. 2015;13(3):141-6. doi: 10.1097/XEB.0000000000000050. PubMed PMID: 26134548.
- Chen B, Dai Q, Zhang Q, Yan P, Wang A, Qu L, et al. The relationship among occupational irradiation, DNA methylation status, and oxidative damage in interventional physicians. Medicine (Baltimore). 2019;98(29):17373. doi: 10.1097/MD.0000000000017373. PubMed PMID: 31574886. PubMed PMCID: PMC6775365.
- Gao Y, Wang P, Wang Z, Han L, Li J, Tian C, et al. Serum 8-Hydroxy-2′-Deoxyguanosine level as a potential biomarker of oxidative DNA damage induced by ionizing radiation in human peripheral blood. Dose Response. 2019;17(1):1559325818820649. doi: 10.1177/1559325818820649. PubMed PMID: 30670937. PubMed PMCID: PMC6327346.
- Turnu L, Minno A Di, Russo E. Does Fluoroscopy Induce DNA Oxidative Damage in Patients Undergoing Catheter Ablation? Antioxid Redox Signal. 2018;28(12):1137-143. doi: 10.1089/ars.2017.7334. PubMed PMID: 28938845.
- Yamazaki H, Koizumi M, Tanaka E. Urinary 8-hydroxy-2′ -deoxyguanosine excretion as a biomarker for estimating DNA oxidation in patients undergoing external radiotherapy and/or brachytherapy. Oncol Rep. 2005;13:847-51. doi: 10.3892/or.13.5.847.
- Pinch C, Pilger A, Schwameis E, Germadnik D, Prufert U, Havilk E, et al. Radiation synovectomy using 165Dy ferric-hydroxide and oxidative DNA damage in patients with different types of arthritis. J Nucl Med. 2000;41(2):250-6. PubMed PMID: 10688107.
- Salehi A, Ebrahimpour K, Forouharmajd F, Zarean M. The relationship between collective effective doses of radiation and urinary concentration of 8-Dihydroxy-2’-Deoxyguanosine among radiography staff. Int J Radiat Res. 2020;18(3):587-92. doi: 10.18869/acadpub.ijrr.18.3.587.
- Erhola M, Toyokuni S, Okada K, Tanaka T, Hiai H. Biomarker evidence of DNA oxidation in lung cancer patients: association of urinary 8-hydroxy-2′-deoxyguanosine excretion with radiotherapy, chemotherapy, and response to treatment. FEBS Letters. 1997;409:287-91. doi: 10. 1016/s0014-5793(97)00523-1.
- Himmetoglu S, Dincer Y. DNA damage in children with scoliosis following X-ray exposure. Minerva Pediatr. 2014;67(3):245-9. PubMed PMID: 25941131.
- Mrdjanovic J, Sudji J, Srdjenovic B, Dojcinovic S. Accidental use of milk with an increased concentration of aflatoxins causes significant DNA damage in hospital workers exposed to ionizing radiation. Front Public Health. 2020;8:323. doi: 10.3389/fpubh.2020.00323. Pubmed PMID: 32850577. PubMed PMCID: PMC7396628.
- Graille M, Wild P, Sauvain JJ, Hemmendinger M, Canu IG, Hopf NB. Urinary 8-OHDG as a biomarker for oxidative stress: a systematic literature review and meta-analysis. Int J Mol Sci. 2020;21(11):3743. doi: 10.3390/ijms21113743. Pubmed PMID: 32466448. PubMed PMCID: PMC7313038.
- Kroese LJ, Scheffer PG. 8-Hydroxy-2′-Deoxyguanosine and cardiovascular disease: a systematic review. Curr Atheroscler Rep. 2014;16(11):452. doi: 10.1007/s11883-014-0452-y. PubMed PMID: 25252787.
- Zanolin ME, Girardi P, Degan P, Rava M, Olivieri M, Di Gennaro G, et al. Measurement of a urinary marker (8-hydroxydeoxyguanosine, 8-OHdG) of DNA oxidative stress in epidemiological surveys: a pilot study. Int J Biol Markers. 2015;30(3):341-5. doi: 10.5301/jbm.5000129. PubMed PMID: 25588860.
- Valavanidis A, Vlachogianni T, Fiotakis C. 8-Hydroxy-2′ -deoxyguanosine (8-OHdG): a critical biomarker of oxidative stress and carcinogenesis. Journal of Environmental Science and Health, Part C. 2009;27(2):120-39. doi: 10.1080/10590500902885684.
- Guo C, Li X, Wang R, Yu J, Ye M, Mao L, et al. Association between oxidative DNA damage and risk of colorectal cancer: sensitive determination of urinary 8-Hydroxy-2′-deoxyguanosine by UPLC-MS/MS analysis. Sci Rep. 2016;6:32581. doi: 10.1038/srep32581. PubMed PMID: 27585556. PubMed PMCID: PMC5009303.
- Silva R, Folgosa F, Soares P, Pereira AS, Garcia R, Jesus J, et al. Occupational cosmic radiation exposure in Portuguese airline pilots: study of a possible correlation with oxidative biological markers. Radiat Environ Biophys. 2013;211-20. doi: 10.1007/s00411-013-0460-2. PMID: 23412012.
- Li Y, Song M, Kasai H, Kawai K. Generation and threshold level of 8-OHdG as oxidative DNA damage elicited by low dose ionizing radiation. Genes Environ. 2013;35(3):88-92. doi: 10.3123/jemsge.2013.006.
- Loft S, Vistisen K, Ewertz M, Tjønneland A, Overvad K, Poulsen HE. Oxidative DNA damage estimated by 8-hydroxydeoxyguanosine excretion in humans: influence of smoking, gender and body mass index. Carcinogenesis. 1992;13(12):2241-7. doi: 10.1093/carcin/13.12.2241. PubMed PMID: 1473230.
- -Kim JY, Yang YJ, Yang YK, Oh S, Hong Y, Lee E, et al. Diet quality scores and oxidative stress in Korean adults. Eur J Clin Nutr. 2011;1271-8. doi: 10.1038/ejcn.2011.120. PubMed PMID: 21712839.
- Akçay T, Saygılı I, Andican G, Yalçın V. Increased formation of 8-Hydroxy-2 ’-Deoxyguanosine in peripheral blood leukocytes in bladder cancer. Urol Int. 2003;71(3):271-4. doi: 10.1159/000072677. PubMed PMID: 14512647.
|