Translational research for establishment of heavy ion radiotherapy for cancer

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1) Carbon-ion beams were about 10-fold more effective than X-rays in immature hippocampal neurons. X-irradiation immediately induced morphological changes in axons and dendrite. These changes seemed to be caused by x-irradiation evoking depolymerization of microfilament. 2) Under severe hypoxic condition for 1 hour, oxygen enhancement ratio (OER) of X-ray was calculated as 2.7. Under severe hypoxic condition for 24 hour, OER of X-ray was decreased from 2.6 to 1.1 by addition of mTOR inhibitor but, OER was not changed in carbon-ion beam irradiation. 3) The RBE of C-beams to X-rays in the normal cerebellum of infant rats with rat organotypic slice culture system was assumed to be 1.4.4) Radiation-induced ICAM-1 expression on HUVE cells was regulated by TGF-β1 and carbon-beam induced higher ICAM-1 expression than X-ray. 5) HIF-1α expression was a prognostic factor in patients with locally advanced rectal cancer. 6) The cost-effectiveness of carbon beam therapy was good for advanced rectal cancers and lung cancers by analyzing clinical data.