PMID- 36224003 OWN - NLM STAT- MEDLINE DCOM- 20221014 LR - 20221028 IS - 2768-6698 (Electronic) IS - 2768-6698 (Linking) VI - 27 IP - 9 DP - 2022 Aug 31 TI - FDXR Gene Expression after in Vivo Radiation Exposure of Pediatric Patients Undergoing Interventional Cardiology Procedures. PG - 255 LID - 10.31083/j.fbl2709255 [doi] AB - BACKGROUND: Ferredoxin reductase (FDXR) has already been reported as a promising biomarker for estimating radiation doses in radiotherapy. This study aimed to investigate the responsiveness of FDXR on pediatric population exposed to ionizing radiation (X-rays) during pediatric interventional cardiology (IC) procedures. PATIENTS AND METHODS: Peripheral blood was collected by venipuncture from 24 pediatric donors before and 24 hours after the IC procedure. To estimate the effective dose, demographic data and Air Kerma-Area Product (PKA) were recorded for each patient. The relative quantification (RQ) of the FDXR gene in irradiated patient blood samples compared to the non-irradiated blood samples was determined using qPCR analysis. The relative values of FDXR were log- transformed. RESULTS: The effective dose ranged from 0.002 mSv to 8.004 mSv. Over this radiation exposure range, the FDXR gene expression varied randomly with the effective dose. Up-regulation in FDXR expression was observed in 17 patients and down-regulation in 7 patients. CONCLUSIONS: Further studies in a larger cohort of pediatric patients along with the record of clinical data are needed to determine whether FDXR gene expression is an effective biomarker for radiation exposure estimation in pediatric imaging. CI - (c) 2022 The Author(s). Published by IMR Press. FAU - Spyratou, Ellas AU - Spyratou E AD - 2nd Department of Radiology, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece. FAU - Ploussi, Agapi AU - Ploussi A AD - 2nd Department of Radiology, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece. FAU - Alafogiannis, Panagiotis AU - Alafogiannis P AD - Physics Department, School of Applied Mathematical and Physical Sciences, National Technical University of Athens, 15780 Zografou, Athens, Greece. FAU - Katifelis, Hector AU - Katifelis H AD - Department of Basic Medical Sciences, Laboratory of Biology, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece. FAU - Apostolopoulou, Sotiria AU - Apostolopoulou S AD - Paediatric Cardiology and Adult with Congenital Heart Disease Department, Onassis Cardiac Surgery Center, 17674 Athens, Greece. FAU - Bagenakis, Georgios AU - Bagenakis G AD - Paediatric Cardiology and Adult with Congenital Heart Disease Department, Onassis Cardiac Surgery Center, 17674 Athens, Greece. FAU - Rammos, Spyridon AU - Rammos S AD - Paediatric Cardiology and Adult with Congenital Heart Disease Department, Onassis Cardiac Surgery Center, 17674 Athens, Greece. FAU - Papagiannis, Ioannis AU - Papagiannis I AD - Paediatric Cardiology and Adult with Congenital Heart Disease Department, Onassis Cardiac Surgery Center, 17674 Athens, Greece. FAU - Gazouli, Maria AU - Gazouli M AD - Department of Basic Medical Sciences, Laboratory of Biology, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece. AD - Department of Medical Physics, Medical School, National and Kapodistrian University, 11527 Athens, Greece. AD - Department of Sciences, Hellenic Open University, 26335 Patra, Greece. FAU - Seimenis, Ioannis AU - Seimenis I AD - Department of Medical Physics, Medical School, National and Kapodistrian University, 11527 Athens, Greece. FAU - Georgakilas, Alexandros G AU - Georgakilas AG AD - DNA Damage Laboratory, Department of Physics, School of Applied Mathematical and Physical Sciences, Zografou Campus, National Technical University of Athens (NTUA), 15780 Athens, Greece. FAU - Efstathopoulos, Efstathios P AU - Efstathopoulos EP AD - 2nd Department of Radiology, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece. AD - Department of Sciences, Hellenic Open University, 26335 Patra, Greece. LA - eng PT - Journal Article PL - Singapore TA - Front Biosci (Landmark Ed) JT - Frontiers in bioscience (Landmark edition) JID - 101612996 RN - 0 (Biomarkers) RN - 0 (Ferredoxins) RN - EC 1.- (Oxidoreductases) SB - IM MH - Biomarkers MH - *Cardiology MH - Child MH - Ferredoxins MH - Gene Expression MH - Humans MH - Oxidoreductases MH - *Radiation Exposure/adverse effects OTO - NOTNLM OT - FDXR gene OT - ionizing radiation OT - pediatric interventional cardiology COIS- The authors declare no conflict of interest. AGG is serving as one of the Editorial Board members/Guest editors of this journal. We declare that AGG had no involvement in the peer review of this article and has no access to information regarding its peer review. Full responsibility for the editorial process for this article was delegated to Taeg Kyu Kwon. EDAT- 2022/10/13 06:00 MHDA- 2022/10/15 06:00 CRDT- 2022/10/12 21:30 PHST- 2022/06/12 00:00 [received] PHST- 2022/07/19 00:00 [revised] PHST- 2022/07/20 00:00 [accepted] PHST- 2022/10/12 21:30 [entrez] PHST- 2022/10/13 06:00 [pubmed] PHST- 2022/10/15 06:00 [medline] AID - S2768-6701(22)00599-8 [pii] AID - 10.31083/j.fbl2709255 [doi] PST - ppublish SO - Front Biosci (Landmark Ed). 2022 Aug 31;27(9):255. doi: 10.31083/j.fbl2709255.