Menu

 

The NASA Task Book
Advanced Search     

Project Title:  Charged Particle Effects on the Ovary Reduce
Fiscal Year: FY 2016 
Division: Human Research 
Research Discipline/Element:
HRP SR:Space Radiation
Start Date: 03/01/2014  
End Date: 08/31/2016  
Task Last Updated: 01/05/2017 
Download report in PDF pdf
Principal Investigator/Affiliation:   Luderer, Ulrike  M.D., Ph.D. / University of California - Irvine 
Address:  Center for Occupational and Environmental Health 
100 Theory, Suite 100 
Irvine , CA 92617-3055 
Email: uluderer@uci.edu 
Phone: 949-824-8081  
Congressional District: 45 
Web:  
Organization Type: UNIVERSITY 
Organization Name: University of California - Irvine 
Joint Agency:  
Comments:  
Co-Investigator(s)
Affiliation: 
Limoli, Charles  Ph.D. University of California, Irvine 
Key Personnel Changes / Previous PI: Dec. 2014 report: Dr. T. Shioda was not included as a key personnel on the funded one year pilot project and was deleted as CoI.
Project Information: Grant/Contract No. NNX14AC50G 
Responsible Center: NASA JSC 
Grant Monitor: Simonsen, Lisa  
Center Contact:  
lisa.c.simonsen@nasa.gov 
Unique ID: 9572 
Solicitation / Funding Source: 2013 Space Radiobiology NNJ13ZSA001N 
Grant/Contract No.: NNX14AC50G 
Project Type: GROUND 
Flight Program:  
TechPort: No 
No. of Post Docs:
No. of PhD Candidates:  
No. of Master's Candidates:  
No. of Bachelor's Candidates:
No. of PhD Degrees:  
No. of Master's Degrees:  
No. of Bachelor's Degrees:
Human Research Program Elements: (1) SR:Space Radiation
Human Research Program Risks: None
Human Research Program Gaps: None
Flight Assignment/Project Notes: NOTE: End date is now 8/31/2016 per NSSC information and PI (Ed., 12/1/15)

NOTE: End date is now 2/28/2016 per NSSC information and PI (Ed., 2/25/15)

Task Description: Fifteen percent of astronauts are women, but the risks of space radiation to women’s reproductive health and risks of gynecological cancers remain poorly understood. Radiation treatment for cancer is known to cause temporary infertility and premature menopause. Premature menopause increases women’s risks for cardiovascular disease, osteoporosis, and Alzheimer’s disease. In addition, animal studies and studies of atomic bomb survivors have shown that radiation exposure increases the risk for ovarian cancer. Ovarian cancer has a high mortality rate and is the leading cause of gynecological cancer deaths in women. To best protect the health of women astronauts, it is important to understand whether space radiation has similar effects on the ovary as the types of radiation exposure that are common on Earth. We tested the effects of low dose charged particle radiation (low LET oxygen and high LET iron ions), typical of exposures in space, on ovarian follicles (the functional unit of the ovary) and on ovarian carcinogenesis in adult female mice. We used histomorphometric methods to quantify the effects of charged particles on numbers of ovarian follicles and ovarian tumor multiplicity and size. We used in situ methods to assess oxidative damage, DNA damage, apoptosis, and proliferation. Our previous studies have shown that oxidative stress plays a role in and the antioxidant glutathione is protective against radiation- and chemical-induced damage to ovarian cells and ovarian carcinogenesis. We therefore also examined whether antioxidant supplementation is protective against the adverse ovarian effects of charged particle radiation. Our analyses provide critical insights showing that ovarian damage and tumors caused by exposure to charged particles are biologically similar to those in other mouse models of ovarian cancers and identify potential targets for preventive or therapeutic intervention. These studies help to fill important gaps in our understanding of the effects of space radiation on ovarian function and ovarian cancer and will lead to better ways to prevent ovarian cancer and protect reproductive health in women astronauts.

Research Impact/Earth Benefits: Charged particles are currently being used in cancer therapy. The findings of our research on the ovarian effects of charged particles have increased our understanding of the possible adverse ovarian effects of charged particle radiation used for the treatment of cancer in women. Comparisons of our data on the ovarian effects of charged particles with prior data on ovarian effects of x-rays and gamma radiation suggest that the ovary is more sensitive to charged particle radiation that to x- and gamma radiation.

Task Progress & Bibliography Information FY2016 
Task Progress: JANUARY 2017--SUPPLEMENTAL REPORT FOR FINAL REPORT-- "CHARGED PARTICLE EFFECTS ON THE OVARY"

Introduction

Currently about 15% percent of astronauts are women, but the risks to the ovary of exposure to galactic cosmic rays and solar particle events during space missions remain largely unknown. The ovary is highly sensitive to gamma radiation. Gamma irradiation for cancer treatment causes premature ovarian failure. Premature ovarian failure, also called premature menopause, has many adverse consequences, including early loss of fertility and increased risk of osteoporosis, cardiovascular disease, and Alzheimer’s disease. Gamma irradiation has long been known to cause ovarian cancer. Sixty percent of women diagnosed with ovarian cancer will die of the disease; it is the leading cause of death from gynecological cancers. Because ovarian cancer tends to be asymptomatic until it has reached an advanced stage, treatment is often ineffective. For all of these reasons, it is important to understand the risks to the ovary of space radiation. Our own and others' work showed that gamma irradiation chronically elevates cellular reactive oxygen species (ROS) production and oxidative stress and that ROS initiate apoptotic death of ovarian follicles. We therefore hypothesize that high charge and energy (HZE) particles typical of space radiation cause ovarian oxidative stress, resulting in premature ovarian failure and that this contributes to the pathogenesis of ovarian cancer. We are testing this overarching hypothesis in two specific aims.

Aim 1: Exposure to low dose HZE particles induces ovarian oxidative stress, which initiates apoptotic destruction of ovarian follicles, causing premature ovarian failure. Adult female C57BL/6J mice were exposed to low dose (0, 5, 30, and 50 cGy) oxygen (LET = 16.5 keV/µm) or iron (LET = 179 keV/µm) at energy of 600 MeV/u and analyzed 6 hours, 1 week, and 8 weeks after exposure. Two groups were irradiated at the highest dose for each of the two charged particles, one fed normal control rodent chow and the other fed the same chow supplemented with the antioxidant alpha lipoic acid for the duration of the experiment.

Aim 2: Exposure to low dose HZE particles causes epithelial ovarian tumors. Adult female mice of two strains, one sensitive to radiation-induced tumors (B6C3F1) and one thought to be less sensitive to radiation-induced tumors (C57BL/6J), were irradiated with charged oxygen or iron particles at 50 cGy, 600MeV/u energy or sham-irradiated and aged to 18 months for evaluation of ovaries for tumors.

Materials and Methods

Three month old female mice (C57BL/6J) were divided into five groups: 1) sham-irradiated and fed with AIN-93M rodent chow (0 cGy group); 2) irradiated with 5 cGy charged iron particles at an energy of 600 MeV and fed AIN-93M rodent chow; 3) 30 cGy charged iron particles and fed AIN-93M rodent chow; 4) 50 cGy charged iron particles and fed AIN-93M rodent chow; 5) irradiated with 50 cGy charged iron particles and fed AIN-93M rodent chow supplemented with 150 mg/kg diet alpha lipoic acid. Additional groups of mice were irradiated with charged oxygen particles at the same doses with or without dietary lipoic acid supplementation. Feeding with supplemented chow began one week before irradiation and continued until sacrifice. Ovaries were collected 6 h, 1 wk, and 8 wks after irradiation. Estrous cycling was monitored by vaginal cytology for two weeks prior to euthanasia at the 8 wk time point. Ovarian follicles were counted in serial ovarian sections stained with hematoxylin and eosin. DNA double strand breaks, oxidative lipid and protein damage, and apoptosis were assessed by immunostaining.

To test whether charged iron particle or charged oxygen particle irradiation causes ovarian tumors, 3 month old female mice of two strains, one sensitive to radiation induced tumors (B6C3F1) and one thought to be less sensitive to radiation-induced tumors (C57BL/6J) were irradiated with 50 cGy charged iron particles at energy of 600 MeV (LET = 179 keV/µm) or sham-irradiated. These mice were aged to 18 months and were evaluated for gross evidence of ovarian and other tumors at necropsy, and ovaries of charged iron particle irradiated mice underwent detailed histopathological examination for the presence and types of ovarian tumors.

Results

Aim 1: Exposure to low dose HZE particles induces ovarian oxidative stress, which initiates apoptotic destruction of ovarian follicles, causing premature ovarian failure. Charged iron and oxygen particles increase ovarian DNA double strand breaks, oxidative damage, and apoptosis

To define the mechanism of ovarian damage by charged iron or oxygen particles, we analyzed the localization of DNA double strand breaks using phosphorylated H2AX (gamma H2AX) immunostaining in ovarian sections. Percentages of ovarian follicles at all stages of development with gamma H2AX immunostaining were significantly higher in 50 cGy iron or oxygen-irradiated mice compared to control 0 cGy mice at 6 h after irradiation. Mice that received the lipoic acid supplemented diet along with 50 cGy charged iron particles had significantly decreased percentages of gamma H2AX immunostained follicles compared to 50 cGy charged iron particles-irradiated mice fed the normal diet; however, no such protective effect of lipoic acid was observed in oxygen irradiated mice.

Ovaries of mice irradiated with charged iron or oxygen particles had increased oxidative lipid and/or oxidative protein damage in ovarian follicles at 6 h and 1 wk after irradiation compared to control mice. Lipoic acid supplementation partially protected against these effects of iron, but not oxygen, charged particles.

We assessed the percentage of follicles undergoing death by apoptosis after irradiation using activated caspase-3 and PUMA immunostaining. Both PUMA and activated caspase 3 were significantly increased after 50 cGy charged iron particles and were partially protected by lipoic acid supplementation. PUMA was dose-dependently increased in ovarian follicles 6h after oxygen irradiation, and lipoic acid was partially protective.

Effects of charged iron and oxygen particles on ovarian follicle numbers. At 1 week after irradiation, the numbers of healthy small (primordial and primary) and growing (secondary and antral) follicles per ovary were dose-dependently reduced in the ovaries of mice treated with 50 cGy charged iron or oxygen particles compared to 0 cGy controls. At each dose, the effects of oxygen particles were more severe than those of iron particles. The lipoic acid supplemented diet partially prevented the decline in small ovarian follicle numbers at 1 week after iron particle treatment, but was not protective in oxygen particle irradiated mice.

Effects of charged iron and oxygen particles on estrous cycling. At the 8 wk time point, estrous cycling was monitored by vaginal cytology. Estrous cycling in rodents is analogous to menstrual cycling in women. 12.5% and 25%, respectively, of mice treated with 50 cGy charged iron particles or 50 cGy charged iron particles plus lipoic acid had irregular estrous cycles. 50% of the 50 cGy oxygen-irradiated mice had regular estrous cycles at 8 wk compared to 100% of the concurrent control mice.

Effects of charged iron and oxygen particles on reproductive hormone concentrations. If the hypothalamic-pituitary-ovarian axis were functioning normally, one would expect the depletion of ovarian follicles to result in decreased negative feedback to the hypothalamus and pituitary, decreasing the circulating levels of follicle stimulating hormone (FSH) and luteinizing hormone (LH) secreted from the anterior pituitary gland at 8 weeks post-irradiation. Serum FSH and LH concentrations were significantly and dose-dependently increased in the mice irradiated with charged iron or charged oxygen particles compared to 0 cGy control mice. Lipoic acid supplementation did not prevent these increases in FSH and LH.

Aim 2: Exposure to low dose HZE particles causes epithelial ovarian tumors. Charged iron and oxygen particles cause premature cessation of estrous cycling and increased weight gain.

C57BL/6J and B6C3F1 mice irradiated with 50 cGy charged iron or oxygen particles and respective controls were followed for 15 months after irradiation, and mice in all irradiated groups gained more weight than their concurrent controls. This may be related to early cessation of ovarian function, as none of the mice in any of the irradiated groups still had regular estrous cycles at 14-15 months of age, while most of the concurrent 0 cGy controls did.

Charged iron irradiation causes epithelial ovarian tumors in C57BL/6J mice and gross ovarian tumors in B6C3F1 mice and oxygen causes gross ovarian tumors in both strains. At necropsy, 70% of the iron irradiated B6C3F1 and 60% of the iron irradiated C57BL/6J mice had probable ovarian tumors; 0% of the concurrent control B6C3F1 mice and 13% of the control C57BL/6J controls had gross ovarian abnormalities. Histological examination of both ovaries of the C57BL/6J mice irradiated with iron showed a statistically significantly increased ovarian tumor prevalence in the irradiated mice of 60% compared to 14% in the control mice. Based on tumor histology and positive immunostaining for cytokeratin, an epithelial tumor marker, the tumors were mostly tubular adenomas. At necropsy, 43% of the B6C3F1 oxygen irradiated mice and 60% of the C57BL/6J oxygen irradiated mice had probable ovarian tumors, compared to 13% of the concurrent control B6C3F1 mice and 7% of the control C57BL/6J mice.

Conclusion

Our results reveal that exposure to iron or oxygen charged particles induces ovarian follicular DNA double strand breaks, oxidative damage, and apoptosis, resulting in the destruction of ovarian follicles. With depletion of the ovarian follicles, ovarian hormone production is diminished, resulting in increased serum concentrations of FSH and LH. The results further suggest that dietary supplementation with lipoic acid is partially protective against these effects of iron exposure, but less so for oxygen exposure. Therefore, use of lipoic acid as a single agent countermeasure against the ovarian effects of space radiation is unlikely to offer sufficient protection to female astronauts. Our findings further show a very high prevalence of ovarian tumors in 18 month old mice exposed to 50 cGy iron or oxygen charged particles.

APRIL 2016--ANNUAL PROGRESS REPORT-- "CHARGED PARTICLE EFFECTS ON THE OVARY"

Introduction

Currently about 15% percent of astronauts are women, but the risks to the ovary of exposure to galactic cosmic rays and solar particle events during space missions remain largely unknown. The ovary is highly sensitive to gamma radiation. Gamma irradiation for cancer treatment causes premature ovarian failure. Premature ovarian failure, also called premature menopause, has many adverse consequences, including early loss of fertility and increased risk of osteoporosis, cardiovascular disease, and Alzheimer’s disease. Gamma irradiation has long been known to cause ovarian cancer. Sixty percent of women diagnosed with ovarian cancer will die of the disease; it is the leading cause of death from gynecological cancers. Because ovarian cancer tends to be asymptomatic until it has reached an advanced stage, treatment is often ineffective. For all of these reasons, it is important to understand the risks to the ovary of space radiation. Our own and others' work showed that gamma irradiation chronically elevates cellular reactive oxygen species (ROS) production and oxidative stress and that ROS initiate apoptotic death of ovarian follicles.

We hypothesize that high charge and energy (HZE) particles typical of space radiation cause ovarian oxidative stress, resulting in premature ovarian failure and that this contributes to the pathogenesis of ovarian cancer. We are testing this overarching hypothesis in two specific aims.

Aim 1: Exposure to low dose HZE particles induces ovarian oxidative stress, which initiates apoptotic destruction of ovarian follicles, causing premature ovarian failure. Adult female C57BL/6J mice will be exposed to low dose (0, 5, 30, and 50 cGy) oxygen (LET = 16.5 keV/µm) or iron (LET = 179 keV/µm) at energy of 600 MeV/u and analyzed 6 hours, 1 week, and 8 weeks after exposure. Two groups will be irradiated at the highest dose for each of the two charged particles, one fed normal control rodent chow and the other fed the same chow supplemented with the antioxidant alpha lipoic acid for the duration of the experiment.

Aim 2: Exposure to low dose HZE particles causes epithelial ovarian tumors. Adult female mice of two strains, one sensitive to radiation-induced tumors (B6C3F1) and one thought to be less sensitive to radiation-induced tumors (C57BL/6J) will be irradiated with charged oxygen or iron particles at 50 cGy, 600MeV/u energy or sham-irradiated and aged to 18 months for evaluation of ovaries for tumors.

Materials and Methods

Three month old female mice (C57BL/6J) were divided into five groups: 1) sham-irradiated and fed with AIN-93M rodent chow (0 cGy group); 2) irradiated with 5 cGy charged iron particles at an energy of 600 MeV and fed AIN-93M rodent chow; 3) 30 cGy charged iron particles and fed AIN-93M rodent chow; 4) 50 cGy charged iron particles and fed AIN-93M rodent chow; 5) irradiated with 50 cGy charged iron particles and fed AIN-93M rodent chow supplemented with 150 mg/kg diet alpha lipoic acid. Additional groups of mice were irradiated with charged oxygen particles at the same doses with or without dietary lipoic acid supplementation. Feeding with supplemented chow began one week before irradiation and continued until euthanasia. Ovaries were collected 6 h, 1 wk, and 8 wks after irradiation. Estrous cycling was monitored by vaginal cytology for two weeks prior to euthanasia at the 8 wk time point. Ovarian follicles were counted in serial ovarian sections stained with hematoxylin and eosin. DNA double strand breaks, oxidative lipid and protein damage, and apoptosis were assessed by immunostaining. Analyses are complete for iron particles and nearly complete for oxygen.

To test whether charged iron particle or charged oxygen particle irradiation causes ovarian tumors, 3 month old female mice of two strains, one sensitive to radiation induced tumors (B6C3F1) and one thought to be less sensitive to radiation-induced tumors (C57BL/6J) were irradiated with 50 cGy charged iron particles at energy of 600 MeV (LET = 179 keV/µm) or sham-irradiated. These mice were aged to 18 months and were evaluated for gross evidence of ovarian and other tumors at necropsy, and ovaries of charged iron particle irradiated mice underwent detailed histopathological examination for the presence and types of ovarian tumors.

Results

Aim 1: Exposure to low dose HZE particles induces ovarian oxidative stress, which initiates apoptotic destruction of ovarian follicles, causing premature ovarian failure.

Charged iron and oxygen particles increase ovarian DNA double strand breaks, oxidative damage and apoptosis.

To define the mechanism of ovarian damage by charged iron or oxygen particles, we analyzed the localization of DNA double strand breaks using phosphorylated H2AX (gamma H2AX) immunostaining in ovarian sections. Percentages of ovarian follicles at all stages of development with gamma H2AX immunostaining were significantly higher in 50 cGy iron or oxygen-irradiated mice compared to control 0 cGy mice at 6 h after irradiation. Mice that received the lipoic acid supplemented diet along with 50 cGy charged iron particles had significantly decreased percentages of gamma H2AX immunostained follicles compared to 50 cGy charged iron particles-irradiated mice fed the normal diet; however, no such protective effect of lipoic acid was observed in oxygen irradiated mice.

Ovaries of mice irradiated with 50 cGy charged iron particles had increased oxidative lipid and oxidative protein damage in ovarian follicles at 6 h and 1 wk after irradiation compared to control mice. Lipoic acid supplementation partially protected against these effects. Analyses of these endpoints in oxygen irradiated mice are nearly complete.

We assessed the percentage of follicles undergoing death by apoptosis after irradiation using activated caspase-3 and PUMA immunostaining. Both PUMA and activated caspase 3 were significantly increased after 50 cGy charged iron particles and were partially protected by lipoic acid supplementation. Analyses of these endpoints in oxygen irradiated mice are nearly complete.

Effects of charged iron and oxygen particles on ovarian follicle numbers

At 1 week after irradiation, the numbers of healthy small (primordial and primary) and growing (secondary and antral) follicles per ovary were dose-dependently reduced in the ovaries of mice treated with 50 cGy charged iron or oxygen particles compared to 0 cGy controls. At each dose, the effects of oxygen particles were more severe than those of iron particles. The lipoic acid supplemented diet partially prevented the decline in small ovarian follicle numbers at 1 week after iron particle treatment, but was not protective in oxygen particle irradiated mice.

Effects of charged iron and oxygen particles on estrous cycling

At the 8 wk time point, estrous cycling was monitored by vaginal cytology. Estrous cycling in rodents is analogous to menstrual cycling in women. 12.5% and 25%, respectively, of mice treated with 50 cGy charged iron particles or 50 cGy charged iron particles plus lipoic acid had irregular estrous cycles. 50% of the 50 cGy oxygen-irradiated mice had regular estrous cycles at 8 wk compared to 100% of the concurrent control mice.

Effects of charged iron and oxygen particles on reproductive hormone concentrations

If the hypothalamic-pituitary-ovarian axis were functioning normally, one would expect the depletion of ovarian follicles to result in decreased negative feedback to the hypothalamus and pituitary, decreasing the circulating levels of follicle stimulating hormone (FSH) and luteinizing hormone (LH) secreted from the anterior pituitary gland at 8 weeks post-irradiation. Serum FSH and LH concentrations were significantly and dose-dependently increased in the mice irradiate with charged iron or charged oxygen particles compared to 0 cGy control mice. Lipoic acid supplementation did not prevent these increases in FSH and LH.

Aim 2: Exposure to low dose HZE particles causes epithelial ovarian tumors.

Charged iron and oxygen particles cause premature cessation of estrous cycling and increased weight gain

C57BL/6J and B6C3F1 mice irradiated with 50 cGy charged iron or oxygen particles and respective controls were followed for 15 months after irradiation, and mice in all irradiated groups gained more weight than their concurrent controls. This may be related to early cessation of ovarian function, as none of the mice in any of the irradiated groups still had regular estrous cycles at 14-15 months of age, while most of the concurrent 0 cGy controls did.

Charged iron irradiation causes epithelial ovarian tumors in C57BL/6J mice and gross ovarian tumors in B6C3F1 mice and oxygen causes gross ovarian tumors in both strains.

At necropsy, 70% of the iron irradiated B6C3F1 and 60% of the iron irradiated C57BL/6J mice had probable ovarian tumors; 0% of the concurrent control B6C3F1 mice and 13% of the control C57BL/6J controls had gross ovarian abnormalities. Histological examination of both ovaries of the C57BL/6J mice irradiated with iron showed an ovarian tumor prevalence (pending final confirmation by board-certified veterinary pathologist) in the irradiated mice of 87% compared to 7% in the control mice. Based on tumor histology and positive immunostaining for cytokeratin, an epithelial tumor marker, the tumors were mostly tubular adenomas.

At necropsy, 43% of the B6C3F1 oxygen irradiated mice and 60% of the C57BL/6J oxygen irradiated mice had probable ovarian tumors, compared to 13% of the concurrent control B6C3F1 mice and 7% of the control C57BL/6J mice.

Conclusion

Our results reveal that exposure to 50 cGy iron or oxygen irradiation induces ovarian follicular DNA double strand breaks and apoptosis, resulting in the destruction of ovarian follicles. With depletion of the ovarian follicles, ovarian hormone production is diminished, resulting in increased serum concentrations of FSH and LH. The results further suggest that dietary supplementation with lipoic acid is partially protective against these effects of iron exposure, but not oxygen exposure. Therefore, use of lipoic acid as a single agent countermeasure against the ovarian effects of space radiation is unlikely to offer sufficient protection to female astronauts. Our findings further show a very high prevalence of ovarian tumors in 18 month old mice exposed to 50 cGy iron or oxygen charged particles.

Bibliography: Description: (Last Updated: 08/10/2022) 

Show Cumulative Bibliography
 
Abstracts for Journals and Proceedings Mishra B, Ortiz L, Luderer U. "Space Radiation Causes Premature Ovarian Failure and Epithelial Ovarian Tumors in Mice." Presented at the 2016 NASA Human Research Program Investigators’ Workshop, Galveston, TX, February 8-11, 2016.

2016 NASA Human Research Program Investigators’ Workshop, Galveston, TX, February 8-11, 2016. , Jan-2017

Abstracts for Journals and Proceedings Mishra B, Ripperdan R, Ortiz L, Luderer U. "Charged Iron Particles, Components of Space Radiation, Cause Premature Ovarian Failure and Epithelial Ovarian Tumors in Mice." Oral platform presentation at Society for the Study of Reproduction 49th Annual Meeting, San Diego, CA, July 16-20, 2016.

Society for the Study of Reproduction SSR 2016 meeting abstracts, p. 145-146. http://www.ssr.org/sites/ssr.org/files/uploads/attachments/node/320/2016_ssr_abstracts.pdf ; accessed 1/9/2017. , Jul-2016

Abstracts for Journals and Proceedings Mishra B, Ortiz L, Luderer U. "Charged Iron Particle Exposure Increases Apoptosis and Depletes Ovarian Follicles in Mice." Poster presentation at the annual UC Irvine Cancer Research Institute Basic Research Symposium 2015, Irvine, CA, May 2015.

Symposium program, UC Irvine Cancer Research Institute Basic Research Symposium 2015, Irvine, CA, May 2015. , May-2015

Abstracts for Journals and Proceedings Mishra B, Ortiz L, Luderer U. "Space Radiation Causes Premature Ovarian Failure in Mice." Poster presentation at the annual UC Irvine Chao Family Comprehensive Cancer Center Retreat, Palm Springs, CA, September 18-19, 2015.

Published in retreat abstract book. 2015 UC Irvine Chao Family Comprehensive Cancer Center Retreat, Palm Springs, CA, September 18-19, 2015. , Sep-2015

Abstracts for Journals and Proceedings Mishra B, Ortiz L, Luderer U. "Space irradiation causes premature ovarian failure in mice." Abstract #18 oral platform presentation at the 48th Annual Meeting of the Society for the Study of Reproduction, San Juan, Puerto Rico, June 18-22, 2015.

Abstracts, 48th Annual Meeting of the Society for the Study of Reproduction, San Juan, Puerto Rico, June 18-22, 2015. p. 7. , Jun-2015

Articles in Peer-reviewed Journals Mishra B, Ortiz L, Luderer U. "Charged iron particles, components of space radiation, destroy ovarian follicles." Hum Reprod. 2016 Aug;31(8):1816-26. http://dx.doi.org/10.1093/humrep/dew126 ; PubMed PMID: 27251203; PubMed Central PMCID: PMC4974665 , Aug-2016
Articles in Peer-reviewed Journals Barcellos-Hoff MH, Blakely EA, Burma S, Fornace AJ Jr, Gerson S, Hlatky L, Kirsch DG, Luderer U, Shay J, Wang Y, Weil MM. "Concepts and challenges in cancer risk prediction for the space radiation environment." Life Sciences in Space Research. 2015 Jul;6:92-103. Review. http://dx.doi.org/10.1016/j.lssr.2015.07.006 ; PubMed PMID: 26256633 , Jul-2015
Articles in Peer-reviewed Journals Mishra B, Luderer U. "Reproductive hazards of space travel in women and men." Nat Rev Endocrinol. 2019 Dec;15(12):713-30. Epub 2019 Oct 14. https://doi.org/10.1038/s41574-019-0267-6 : PMID: 31611649 [Erratum in: Nat Rev Endocrinol. 2019 Oct 30] , Dec-2019
Articles in Peer-reviewed Journals Mishra B, Lawson GW, Ripperdan R, Ortiz L, Luderer U. "Charged-iron-particles found in galactic cosmic rays are potent inducers of epithelial ovarian tumors." Radiat Res. 2018 Aug;190(2):142-50. https://doi.org/10.1667/RR15028.1 ; PMID: 29781764; PMCID: PMC6112765. , Aug-2018
Articles in Peer-reviewed Journals Mishra B, Ripperdan R, Ortiz L, Luderer U. "Very low doses of heavy oxygen ion radiation induce premature ovarian failure." Reproduction. 2017 Aug;154(2):123-33. https://doi.org/10.1530/REP-17-0101 ; PMID: 28528322; PMCID: PMC5598766 , Aug-2017
Project Title:  Charged Particle Effects on the Ovary Reduce
Fiscal Year: FY 2015 
Division: Human Research 
Research Discipline/Element:
HRP SR:Space Radiation
Start Date: 03/01/2014  
End Date: 08/31/2016  
Task Last Updated: 01/02/2015 
Download report in PDF pdf
Principal Investigator/Affiliation:   Luderer, Ulrike  M.D., Ph.D. / University of California - Irvine 
Address:  Center for Occupational and Environmental Health 
100 Theory, Suite 100 
Irvine , CA 92617-3055 
Email: uluderer@uci.edu 
Phone: 949-824-8081  
Congressional District: 45 
Web:  
Organization Type: UNIVERSITY 
Organization Name: University of California - Irvine 
Joint Agency:  
Comments:  
Co-Investigator(s)
Affiliation: 
Limoli, Charles  Ph.D. University of California, Irvine 
Key Personnel Changes / Previous PI: Dec. 2014 report: Dr. T. Shioda was not included as a key personnel on the funded one year pilot project and was deleted as CoI.
Project Information: Grant/Contract No. NNX14AC50G 
Responsible Center: NASA JSC 
Grant Monitor: Simonsen, Lisa  
Center Contact:  
lisa.c.simonsen@nasa.gov 
Unique ID: 9572 
Solicitation / Funding Source: 2013 Space Radiobiology NNJ13ZSA001N 
Grant/Contract No.: NNX14AC50G 
Project Type: GROUND 
Flight Program:  
TechPort: No 
No. of Post Docs:
No. of PhD Candidates:  
No. of Master's Candidates:  
No. of Bachelor's Candidates:  
No. of PhD Degrees:  
No. of Master's Degrees:  
No. of Bachelor's Degrees:  
Human Research Program Elements: (1) SR:Space Radiation
Human Research Program Risks: None
Human Research Program Gaps: None
Flight Assignment/Project Notes: NOTE: End date is now 8/31/2016 per NSSC information and PI (Ed., 12/1/15)

NOTE: End date is now 2/28/2016 per NSSC information and PI (Ed., 2/25/15)

Task Description: Fifteen percent of astronauts are women, but the risks of space radiation to women’s reproductive health and risks of gynecological cancers remain poorly understood. Radiation treatment for cancer is known to cause temporary infertility and premature menopause. Premature menopause increases women’s risks for cardiovascular disease, osteoporosis, and Alzheimer’s disease. In addition, animal studies and studies of atomic bomb survivors have shown that radiation exposure increases the risk for ovarian cancer. Ovarian cancer has a high mortality rate and is the leading cause of gynecological cancer deaths in women. To best protect the health of women astronauts, it is important to understand whether space radiation has similar effects on the ovary as the types of radiation exposure that are common on Earth. We propose to test the effects of low dose charged particle radiation (low LET oxygen and high LET iron ions), typical of exposures in space, on ovarian follicles (the functional unit of the ovary) and on ovarian carcinogenesis in adult female mice. We will use histomorphometric methods to quantify the effects of charged particles on numbers of ovarian follicles and ovarian tumor multiplicity and size. We will use in situ methods to assess oxidative damage, DNA damage, apoptosis, and proliferation. Our previous studies have shown that oxidative stress plays a role in and the antioxidant glutathione is protective against radiation- and chemical-induced damage to ovarian cells and ovarian carcinogenesis. We will therefore also examine whether antioxidant supplementation is protective against the adverse ovarian effects of charged particle radiation. Our analyses will provide critical insights into whether ovarian damage and tumors caused by exposure to charged particles are biologically similar to those in other mouse models of ovarian cancers and identify potential targets for preventive or therapeutic intervention. These studies will help to fill important gaps in our understanding of the effects of space radiation on ovarian function and ovarian cancer and will lead to better ways to prevent ovarian cancer and protect reproductive health in women astronauts.

Research Impact/Earth Benefits: Charged particles are currently being used in cancer therapy. The findings of our research on the ovarian effects of charged particles will increase our understanding of the possible adverse ovarian effects of charged particle radiation used for the treatment of cancer in women. Comparisons of our data on the ovarian effects of charged particles with prior data on ovarian effects of x-rays and gamma radiation will improve our understanding of the sensitivity of the ovary to these different types of radiation.

Task Progress & Bibliography Information FY2015 
Task Progress: CHARGED PARTICLE EFFECTS ON THE OVARY

Introduction

Currently about 15% percent of astronauts are women, but the risks to the ovary of exposure to galactic cosmic rays and solar particle events during space missions remain largely unknown. The ovary is highly sensitive to gamma radiation. Gamma irradiation for cancer treatment causes premature ovarian failure. Premature ovarian failure, also called premature menopause, has many adverse consequences, including early loss of fertility and increased risk of osteoporosis, cardiovascular disease, and Alzheimer’s disease. Gamma irradiation has long been known to cause ovarian cancer. Sixty percent of women diagnosed with ovarian cancer will die of the disease; it is the leading cause of death from gynecological cancers. Because ovarian cancer tends to be asymptomatic until it has reached an advanced stage, treatment is often ineffective. For all of these reasons, it is important to understand the risks to the ovary of space radiation. Our own and others work showed that gamma irradiation chronically elevates cellular reactive oxygen species (ROS) production and oxidative stress and that ROS initiate apoptotic death of ovarian follicles.

We therefore hypothesize that high charge and energy (HZE) particles typical of space radiation cause ovarian oxidative stress, resulting in premature ovarian failure and that this contributes to the pathogenesis of ovarian cancer. We are testing this overarching hypothesis in two specific aims.

Aim 1: Exposure to low dose HZE particles induces ovarian oxidative stress, which initiates apoptotic destruction of ovarian follicles, causing premature ovarian failure. Adult female C57BL/6J mice will be exposed to low dose (0, 5, 30, and 50 cGy) oxygen (LET = 16.5 keV/µm) or iron (LET = 179 keV/µm) at energy of 600 MeV/u and analyzed 6 hours, 1 week, and 8 weeks after exposure. Two groups will be irradiated at the highest dose for each of the two charged particles, one fed normal control rodent chow and the other fed the same chow supplemented with the antioxidant alpha lipoic acid for the duration of the experiment. One ovary from each mouse will be used for detailed histomorphometric analyses of ovarian follicle numbers. The other ovary will be used for in situ analyses of apoptosis, proliferation, oxidative damage, and DNA double strand breaks.

Aim 2: Exposure to low dose HZE particles causes epithelial ovarian tumors. Adult female mice of two strains, one sensitive to radiation-induced tumors (B6C3F1) and one thought to be less sensitive to radiation-induced tumors (C57BL/6J) will be irradiated with charged oxygen or iron particles at 50 cGy, 600MeV/u energy or sham-irradiated and aged to 18 months for evaluation of ovaries for tumors.

Materials and Methods

Three month old female mice (C57BL/6J) were divided into five groups: 1) sham-irradiated and fed with AIN-93M rodent chow (0 cGy group); 2) irradiated with 5 cGy charged iron particles at an energy of 600 MeV and fed AIN-93M rodent chow; 3) 30 cGy charged iron particles and fed AIN-93M rodent chow; 4) 50 cGy charged iron particles and fed AIN-93M rodent chow; 5) irradiated with 50 cGy charged iron particles and fed AIN-93M rodent chow supplemented with 150 mg/kg diet alpha lipoic acid. Additional groups of mice were irradiated with charged oxygen particles at the same doses with or without dietary lipoic acid supplementation. Feeding with supplemented chow began one week before irradiation and continued until euthanasia. Ovaries were collected 6h, 1wk, and 8 wks after irradiation. Estrous cycling was monitored by vaginal cytology for two weeks prior to euthanasia at the 8 wk time point. Ovarian follicles were counted in serial ovarian sections stained with hematoxylin and eosin. Apoptosis and DNA double strand breaks were assessed by immunostaining for activated caspase 3 and phosphorylated H2AX (gamma H2AX), respectively. Analyses are ongoing. Interim results from the 0 cGy control group and the two 50 cGy charged iron particles-exposed groups are presented here.

To test whether charged iron particle or charged oxygen particle irradiation causes ovarian tumors, 3 month old female mice of two strains, one sensitive to radiation induced tumors (B6C3F1) and one thought to be less sensitive to radiation-induced tumors (C57BL/6J) were irradiated with 50 cGy charged iron particles at an energy of 600 MeV (LET = 179 keV/µm) or sham-irradiated. These mice are being aged to 18 months for evaluation of ovaries for tumors.

Results

Aim 1: Exposure to low dose HZE particles induces ovarian oxidative stress, which initiates apoptotic destruction of ovarian follicles, causing premature ovarian failure.

Charged iron particles increase ovarian DNA double strand breaks and apoptosis

To define the mechanism of ovarian damage by charged iron particles, we analyzed the localization of DNA double strand breaks using phosphorylated H2AX (gamma H2AX) immunostaining in ovarian sections 6h after irradiation. Positive gamma H2AX immunostaining was significantly higher in granulosa cells and/or oocytes of ovarian follicles at all stages of development in 50 cGy-treated mice compared to control 0 cGy-treated mice. Mice that received the lipoic acid supplemented diet along with 50 cGy charged iron particles had significantly decreased percentages of gamma H2AX immunostained granulosa cells and/or oocytes compared to 50 cGy charged iron particles-treated mice fed the normal diet, indicating that lipoic acid supplementation is protective.

We assessed the percentage of follicles undergoing death by apoptosis at 6h after irradiation using activated (cleaved) caspase-3 immunostaining in the granulosa cells. The percentages of activated caspase 3-positive primordial and secondary follicles were significantly elevated in the 50 cGy charged iron particles group compared to the 0 cGy group. Mice that received the lipoic acid supplemented diet along with 50 cGy charged iron particles were completely protected against primordial follicle apoptosis and partially protected against secondary follicle apoptosis induction by 50 cGy charged iron particles.

Effects of charged iron particles on ovarian follicle numbers

At 1 week after irradiation, the numbers of healthy small (primordial and primary) and growing (secondary and antral) follicles per ovary were significantly reduced in the ovaries of mice treated with 50 cGy charged iron particles compared to 0 cGy controls. The lipoic acid supplemented diet partially prevented the decline in small ovarian follicle numbers at 1 week.

Effects of charged iron particles on estrous cycling

At the 8wk time point, estrous cycling was monitored by vaginal cytology. Estrous cycling in rodents is analogous to menstrual cycling in women. 12.5% and 25%, respectively, of mice treated with 50 cGy charged iron particles or 50 cGy charged iron particles plus lipoic acid had irregular estrous cycles. The remaining mice had regular estrous cycles, but mice treated with 50 cGy charged iron particles had non-significantly longer estrous cycles than other treated groups (5.2±0.3 days compared to 4.3±0.2 days in controls).

Effects of charged iron particles on reproductive hormone concentrations

If the hypothalamic-pituitary-ovarian axis were functioning normally, one would expect the depletion of ovarian follicles to result in decreased negative feedback to the hypothalamus and pituitary, decreasing the circulating levels of follicle stimulating hormone (FSH) and luteinizing hormone (LH) secreted from the anterior pituitary gland at 8 weeks post-irradiation. Serum FSH concentrations were significantly higher in the mice treated with 50 cGy charged iron particles compared to 0 cGy-treated mice, whereas concentrations of LH were non-significantly elevated.

Aim 2: Exposure to low dose HZE particles causes epithelial ovarian tumors.

No effects of charged iron or oxygen particles on weight gain

C57BL/6J and B6C3F1 mice irradiated with charged iron or oxygen particles and respective controls have been followed for over 30 weeks. Mice of both strains have been gaining weight as expected. There have been no treatment-related differences in weight gain among groups. Ovaries will be collected when the mice are 18 months old and examined for tumors.

Conclusion

Our results reveal that acute exposure to charged iron particles induces DNA double strand breaks and apoptosis in ovarian follicles, resulting in depletion of ovarian follicles. With depletion of the ovarian follicles, ovarian hormone production is decreased, resulting in increased serum concentrations of the pituitary hormones FSH and LH. The data show that exposure to charged particles typical of space radiation is highly damaging to the ovary and causes premature ovarian failure. Our results further demonstrate that dietary supplementation with the antioxidant alpha lipoic acid is partially protective against the ovarian toxicity of charged iron particles, suggesting that such dietary supplementation may be beneficial to prevent premature ovarian failure in female astronauts exposed to space radiation.

Bibliography: Description: (Last Updated: 08/10/2022) 

Show Cumulative Bibliography
 
Abstracts for Journals and Proceedings Mishra B, Ortiz L, Luderer U. "Charged Iron Particle Exposure Increases Apoptosis and Depletes Ovarian Follicles in Mice." Presented at the 2015 NASA Human Research Program Investigators’ Workshop, Galveston, TX, January 13-15, 2015.

2015 NASA Human Research Program Investigators’ Workshop, Galveston, TX, January 13-15, 2015. Abstract #0104. , Jan-2015

Project Title:  Charged Particle Effects on the Ovary Reduce
Fiscal Year: FY 2014 
Division: Human Research 
Research Discipline/Element:
HRP SR:Space Radiation
Start Date: 03/01/2014  
End Date: 02/28/2015  
Task Last Updated: 01/10/2014 
Download report in PDF pdf
Principal Investigator/Affiliation:   Luderer, Ulrike  M.D., Ph.D. / University of California - Irvine 
Address:  Center for Occupational and Environmental Health 
100 Theory, Suite 100 
Irvine , CA 92617-3055 
Email: uluderer@uci.edu 
Phone: 949-824-8081  
Congressional District: 45 
Web:  
Organization Type: UNIVERSITY 
Organization Name: University of California - Irvine 
Joint Agency:  
Comments:  
Co-Investigator(s)
Affiliation: 
Limoli, Charles  Ph.D. University of California, Irvine 
Shioda, Toshihiro  M.D., Ph.D. Massachusetts General Hospital 
Project Information: Grant/Contract No. NNX14AC50G 
Responsible Center: NASA JSC 
Grant Monitor: Simonsen, Lisa  
Center Contact:  
lisa.c.simonsen@nasa.gov 
Unique ID: 9572 
Solicitation / Funding Source: 2013 Space Radiobiology NNJ13ZSA001N 
Grant/Contract No.: NNX14AC50G 
Project Type: GROUND 
Flight Program:  
TechPort: No 
No. of Post Docs:  
No. of PhD Candidates:  
No. of Master's Candidates:  
No. of Bachelor's Candidates:  
No. of PhD Degrees:  
No. of Master's Degrees:  
No. of Bachelor's Degrees:  
Human Research Program Elements: (1) SR:Space Radiation
Human Research Program Risks: None
Human Research Program Gaps: None
Task Description: Fifteen percent of astronauts are women, but the risks of space radiation to women’s reproductive health and risks of gynecological cancers remain poorly understood. Radiation treatment for cancer is known to cause temporary infertility and premature menopause. Premature menopause increases women’s risks for cardiovascular disease, osteoporosis, and Alzheimer’s disease. In addition, animal studies and studies of atomic bomb survivors have shown that radiation exposure increases the risk for ovarian cancer. Ovarian cancer has a high mortality rate and is the leading cause of gynecological cancer deaths in women. To best protect the health of women astronauts, it is important to understand whether space radiation has similar effects on the ovary as the types of radiation exposure that are common on Earth. We propose to test the effects of low dose charged particle radiation (low LET oxygen and high LET iron ions), typical of exposures in space, on ovarian follicles (the functional unit of the ovary) and on ovarian carcinogenesis in adult female mice. We will use histomorphometric methods to quantify the effects of charged particles on numbers of ovarian follicles and ovarian tumor multiplicity and size. We will use in situ methods to assess apoptosis and proliferation, measure endpoints of ovarian oxidative stress, and conduct ovarian transcriptomic analyses to identify signaling pathways that are perturbed by charged particle radiation and which may play a role in ovarian tumorigenesis. Our previous studies have shown that oxidative stress plays a role in and the antioxidant glutathione is protective against radiation- and chemical-induced damage to ovarian cells and ovarian carcinogenesis. We will therefore also examine whether antioxidant supplementation is protective against and whether genetic deficiency in glutathione increases susceptibility to the adverse ovarian effects of charged particle radiation. Our analyses will provide critical insights into whether preneoplastic changes in ovarian gene expression caused by exposure to charged particles are biologically similar to those in other mouse models of ovarian cancers and identify potential targets for preventive or therapeutic intervention. These studies will help to fill important gaps in our understanding of the effects of space radiation on ovarian function and ovarian cancer and will lead to better ways to prevent ovarian cancer and protect reproductive health in women astronauts.

Research Impact/Earth Benefits:

Task Progress & Bibliography Information FY2014 
Task Progress: New project for FY2014.

Bibliography: Description: (Last Updated: 08/10/2022) 

Show Cumulative Bibliography
 
 None in FY 2014