Radiation-induced Apoptosis in Mouse Lymphocytes
is Modified by a Complex Dietary Supplement:
The Effect of Genotype and Gender

This section is compiled by Frank M. Painter, D.C.
Send all comments or additions to:

FROM:   Mutagenesis. 2008 (Nov);   23 (6):   465–472 ~ FULL TEXT

Lemon JA, Rollo CD, McFarlane NM, Boreham DR.

Department of Medical Physics and Applied Radiation Sciences,
McMaster University,
1280 Main Street West,
Hamilton, Ontario L8S 4K1,

This paper is just one of a long series of studies reviewing the impact of a multi-ingredient supplement on aging, vitality and mitochondrial function, brain cell loss and neuronal atrophy

Here is that series of studies:

Early Intervention with a Multi-Ingredient Dietary Supplement Improves Mood and
Spatial Memory in a Triple Transgenic Mouse Model of Alzheimer's Disease

Journal of Alzheimer's Disease 2018;   64 (3):   835–857

A multi-ingredient Dietary Supplement Abolishes Large-scale Brain Cell Loss,
Improves Sensory Function, and Prevents Neuronal Atrophy in Aging Mice

Environ Mol Mutagen. 2016 Jun;57(5):382-404

Impact of a Complex Nutraceutical Supplement on Primary Tumour Formation
and Metastasis in Trp53+/- cancer-prone Mice

Mutagenesis. 2014 (May);   29 (3):   177–187

A Complex Dietary Supplement Augments Spatial Learning, Brain Mass, and
Mitochondrial Electron Transport Chain Activity in Aging Mice

Age (Dordr). 2013 (Feb);   35 (1):   23–33

A Complex Dietary Supplement Modulates Nitrative Stress in Normal Mice
and in a New Mouse Model of Nitrative Stress and Cognitive Aging

Mech Ageing Dev. 2012 (Aug);   133 (8):   523–529

Dietary Amelioration of Locomotor, Neurotransmitter and Mitochondrial Aging
Exp Biol Med (Maywood). 2010 (Jan); 235 (1): 66–76

Radiation-induced Apoptosis in Mouse Lymphocytes is Modified by a
Complex Dietary Supplement: The Effect of Genotype and Gender

Mutagenesis. 2008 (Nov);   23 (6):   465–472

Elevated DNA Damage in a Mouse Model of Oxidative Stress:
Impacts of Ionizing Radiation and a Protective Dietary Supplement

Mutagenesis. 2008 (Nov);   23 (6):   473–482

A Complex Dietary Supplement Extends Longevity of Mice
J Gerontol A Biol Sci Med Sci. 2005 (Mar);   60 (3):   275–279

A Dietary Supplement Abolishes Age-related Cognitive Decline in Transgenic
Mice Expressing Elevated Free Eadical Processes

Exp Biol Med (Maywood). 2003 (Jul);   228 (7):   800–810

This study examined whether radiation sensitivity measured by lymphocyte apoptosis could be ameliorated by a complex anti-oxidant/anti-ageing dietary supplement. We also examined lymphocytes from both genders of normal (Nr) mice as well as transgenic growth hormone (Tg) mice that express strongly elevated reactive oxygen species processes and a progeroid syndrome of accelerated ageing. We introduce Tg mice as a potentially valuable new model to study radiation sensitivity. Isolated lymphocytes from all experimental groups were exposed to gamma radiation and the time course of apoptosis was measured in vitro. Kinetics of radiation-induced apoptosis was similar among groups, which peaked at 8 h, but maximal levels differed significantly between groups. Nr male mice had 60% lower levels of radiation-induced apoptosis than Tg males, supporting our hypothesis that Tg mice would be radiation sensitive. The dietary supplement protected lymphocytes in male mice of both strains, with proportionally greater reductions in Tg mice. Lymphocytes from female mice (both Nr and Tg) were highly radiation resistant compared to males and the supplement provided no additional benefit at the doses used in this study. These results highlight that radiation-induced apoptosis is complex and is modified by genotype, dietary supplements and gender.

From the FULL TEXT Article:


Oxidative stress, predominantly from increased reactive oxygen species (ROS), is a potent inducer of apoptosis in a wide variety of cells. Increased production of ROS (i.e. through exposure to ionizing radiation) contributes to the initiation of apoptosis in several ways. Key processes include altering the redox status of cells [1] and contributing significant damage to cellular macromolecules (lipids, DNA and proteins) [2] and subcellular organelles of which mitochondria are particularly susceptible. [3, 4] These perturbations can result in decreased cellular efficiency and functionality, as well as a further increase in ROS production [1], creating an escalating cycle of oxidative stress-induced apoptosis.

Cells have extensive protective mechanisms against oxidative damage. Enzymatic and non-enzymatic antioxidants remove free radicals before they cause damage; while recycling and repair mechanisms remove or repair ROS-damaged macromolecules and organelles. However, if the damage is too extensive, cells are removed through apoptotic or necrotic processes. Several strains of mice with compromised antioxidant systems have illustrated that increases in oxidative stress exacerbates apoptotic cell loss, reduces lifespan and increases the prevalence of age-associated diseases such as cancer and neuropathologies. [5, 6]

The use of antioxidants and other compounds to ameliorate the physiological signs of oxidative stress have been investigated for decades. However, with few exceptions [7, 8], most studies, which have tested materials alone or a few in combination, yielded poor or inconsistent results when looking at higher-order end points such as cognitive ability and longevity. [9–11] We developed a complex dietary supplement comprised of 31 ingredients with well-documented effects known to reduce oxidative stress and inflammation, promote membrane and mitochondrial integrity and/or increase insulin sensitivity. [12, 13]

Transgenic growth hormone (Tg) mice have highly elevated free radical processes in all tissues examined and express a progeroid syndrome resembling accelerated ageing. Characteristically, Tg mice have a shortened lifespan (50% that of Nr mice) and early onset of symptoms associated with senescence in mice including arthritis, reduced activity, cognitive decline, cataracts, sarcopenia and poor fur quality. [12, 14–20] Younger Tg mice possess remarkable learning and memory abilities, learning an eight-choice radial maze roughly twice as quickly as normal controls. [12,21] Within 11 months, however, 95% of Tg mice were unable to learn, whereas Nr mice showed no cognitive changes at that age. [12] The complex dietary supplement completely abolished the age-related cognitive decline of Tg mice. [12]

The dietary supplement significantly extended lifespan in both Nr and Tg mice. Mean longevity of Nr mice is extended 11 ± 2% [mean ± standard error (SE)], whereas there was a much larger and significant increase of 28 ± 1% for Tg mice. [13] Comparison of the physical condition of 12-month-old Tg with age-matched Tg mice on the supplement showed amelioration of most symptoms of ageing including cataracts, sarcopenia and arthritis, coat quality and locomotor activity. [13] The superior physical condition of supplemented Tg mice continued for several months after most unsupplemented Tg mice had died. [13] Given the powerful effects of the diet supplement on cognition and longevity and the fact that most of the five targets of the supplement directly or indirectly relate to free radical processes, we postulated that the dietary supplement was altering the effects of elevated ROS and associated processes, as such there may be a systemic effect of the supplement which could be radioprotective.

We also considered gender in radiation-induced apoptosis of lymphocytes. There have been numerous reports showing that there is a significant gender difference in apoptosis in several species including mice and humans. [22–25] Oestrogen and progesterone have anti-apoptotic actions on several tissues including brain [25, 26], thymus [27], heart [28, 29] and lymphocytes. [22, 24, 30] Alternatively, testosterone is generally pro-apoptotic. [22, 27, 31, 32] These actions are mediated through several receptor-independent and -dependent effectors, including regulation of the Bcl-2 proto-oncogene family [] (22,25) and other proto-oncogenes and oncosuppressor genes [33], tumour necrosis factor-a [24, 27], modification of signal transduction pathways [34–38] and modifying oxidative stress and inflammation processes. [39–42] The specific actions of sex hormones and their signalling are tissue specific and remain largely unexplored with respect to radiation.

Lymphocyte apoptosis is an established biomarker of oxidative stress. Numerous methods are available to measure this end point and advances in technology have made it a fast and reliable test used in a broad range of applications from markers of age-related diseases to biodosimetry and indicators of radiation risk. [43–46] In this study we have compared radiation-induced lymphocyte apoptosis in Nr mice and oxidatively stressed Tg mice. We have tested the postulate that a complex dietary supplement can alter radiation-induced apoptosis in lymphocytes and that gender affects the frequency of apoptotic death.

Materials and methods


Experimental animals were Nr and Tg male and female C57Bl-6J/SJL mice. Tg mice have metallothionein promoters fused to rat growth hormone (GH) structural genes. [47] The rat GH genes are incorporated into the mouse genome thereby chronically elevating plasma GH levels .100-fold. Tg mice can be identified morphologically by their significantly larger size by 28 days of age; this technique has been shown to be extremely reliable, negating the necessity for continuous molecular testing. [47, 48] The kinetics of radiationinduced apoptosis in lymphocytes used 48 mice aged 11–12 months, divided into eight experimental groups (six mice per group; Figure 1). The dose– response experiments consisted of 12 mice in four experimental groups (three mice per group). A maximum of four mice were maintained per cage (27 x 12 x 15.5 cm) containing woodchip bedding (Harlan Sani-Chips, 7090). A stainless steel hopper provided food ad libitum (Harlan Teklad 8640 22/5 rodent chow) and supported a water bottle. The housing room maintained a 12:12-h light:dark photoperiod at 22 ± 2°C. All protocols were approved by the Animal Research Ethics Board at McMaster University and carried out according to the Canadian Council on Animal Care regulations.

      Dietary supplement

The anti-ageing supplement was designed to simultaneously ameliorate five major processes implicated in ageing (oxidative stress, inflammatory processes, insulin resistance, membrane deterioration and mitochondrial dysfunction). Criteria for selecting materials for the supplement were as follows:

(i)   scientifically documented evidence as effective for one or more of the targeted features,

(ii)   can be taken orally,

(iii)   ‘over the counter’ products and

(iv)   safe for mouse (and human) consumption.

Dosages for the mice were reformulated based on amounts commonly prescribed to humans. Values were adjusted for the difference in body size and then increased by a factor of 10 in consideration of the higher gram-specific metabolic rate (and faster nutrient utilization) of mice. [49] Details of the ingredients and associated targets are outlined in Table I. Dosages and preparation of the diet have been previously described. [12, 13] The supplement was prepared in liquid form and a 0.4 ml volume was absorbed into a 1 x 1.5 x 1 cm piece of bagel and allowed to air-dry. Each mouse received one piece of dried bagel daily either with or without the supplement, depending on the treatment group. The mice were given the bagel pieces midway through the photoperiod. The bagel pieces were always immediately and completely ingested by the mice, ensuring mice obtained full and equivalent doses. Mice were fed the supplement for a minimum of 3 months prior to testing to allow the compounds within the supplement to reach equilibrium at maximal physiological levels.

      Sample collection and preparation

Mice were anesthetized with Isoflurane™ and blood obtained via cardiac puncture. Samples were kept on ice during preparation unless otherwise stated. The whole blood was diluted 1:1 in complete RPMI 1640 growth media (10% foetal bovine serum, 1% L-glutamine and 1% penicillin–streptomycin; all components from Invitrogen, Mississauga, Ontario, Canada). Half of the blood from each mouse held at 0°C was irradiated with gamma radiation from a 137Cs source (0.25 Gy/min dose rate). The remaining volume of blood under the same conditions was used as the sham-irradiated control. After irradiation, the red blood cells were removed by lysis using ammonium chloride solution [154 nM ammonium chloride + 1.5 mM potassium bicarbonate 0.1 mM ethylenediaminetetraacetic acid (EDTA); at room temperature for 15 min]. The white blood cells were centrifuged at 200 x g for 10 min at room temperature, washed once with phosphate-buffered saline (PBS; 137 mM NaCl + 2.7 mM KCl + 4.3 mM Na2HPO4 + 1.4 mM KH2PO4 + 0.1 mM EDTA), resuspended in 2.5 ml complete RPMI 1640 and incubated at 37°C (5% CO2, 98% humidity) for designated time periods (see below).

      Sample staining and flow cytometry

Annexin V was used as the indicator of apoptosis for this assay with 7-amino actinomycin D (7-AAD) as the counterstain. The reagents were purchased as a commercial kit (Annexin V–FITC/7-AAD; IM3614, Beckman Coulter, Miami, FL). Annexin V is a molecule with a high affinity for phosphatidylserine residues that become exposed on the external plasma membrane of apoptotic lymphocytes. [50] In later stages of apoptosis, plasma membrane integrity is lost, allowing 7-AAD to enter the cell and bind to DNA. The combination of the Annexin V and 7-AAD allowed the enumeration of the various stages of apoptosis. In all groups of mice, apoptotic cells were identified as Annexin V-positive and Annexin V–7-AAD-positive lymphocytes. The relative levels of Annexin V-positive to Annexin V + 7-AADpositive cells did not differ based on genotype or gender and were consistent between all groups of mice. Loss of Annexin V positivity requires degradation and loss of the cell membrane, as such, events identified as Annexin V negative and 7-AAD positive were not included in the analysis.

Since apoptosis is the predominant mode of death (.99%) for lymphocytes, it was not necessary to further differentiate between apoptotic and necrotic cells.

Cell suspensions were incubated for 0, 1, 2, 4, 6 and 8 h and analysed for apoptosis as described above. A cell suspension of 4 x 105 cells was washed with 4 ml PBS + 0.1 mM EDTA and re-suspended in 100 µl of 1x Binding Buffer (supplied in kit). To each 5-ml polypropylene assay tube, 10 µl Annexin V–FITC and 20 ll 7-AAD were added and incubated for 15 min on ice as per the manufacturer’s instructions. An additional 400 µl of 1x Binding Buffer was then added to each assay tube and analysed within 30 min on a Beckman- Coulter Epics XL flow cytometer. A minimum of 1.5 x 104 lymphocytes were analysed from each sample.


All values were represented as the mean and SE of the mean. Student’s t-tests were performed to determine if significant differences existed between groups. Analysis of variance (ANOVA) was carried out to clarify which (if any) of the independent variables (i.e. dietary supplement, gender and genotype) associated with the groups of mice contributed significantly to the differences in mean apoptosis and whether those factors had any interactive effects.


      Kinetics of apoptosis

Spontaneous and radiation-induced apoptosis was monitored in all groups of mice (Figure 1, Groups A–P,) over 12-h postirradiation to determine if differences in kinetics existed between experimental groups (Figure 2A and B). In all groups, both spontaneous and radiation-induced apoptotic levels from in vitro samples peaked at 8 h. Levels plateaued out to 12 h, after which a continuous decline in levels of apoptotic cells was observed out to 16 h (data not shown). Since maximal differences between groups were observed after an incubation period of 8 h, this incubation time was used for all remaining analyses. Although the number of apoptotic lymphocytes varied between groups, all groups demonstrated similar kinetic patterns during the 8-h incubation period (Figure 2A and B). There was no difference between spontaneous and radiation-induced apoptosis for any group of mice between 0 and 2 h incubation and overall levels of apoptosis did not increase during this time period. The proportion of apoptotic lymphocytes then began to increase substantially at 4 h and continued to increase up to 8 h (Figure 2A and B). At 8 h, male Tg mice (Figure 1, group L) had the highest level of apoptosis after a 2 Gy dose (Figures 2A and 4). Nr male mice were the next most sensitive (Figure 1, Group D). The female mouse lymphocytes were much more resistant than males and did not differ significantly from each other (Nr versus Tg) (Figure 1, Groups B and J).

      Dose response

The dose of radiation was proportional to the apoptotic response for all unsupplemented mice (Groups B, D, J and L) (Figure 3). Lymphocytes from male Tg mice had significantly higher levels of apoptosis compared to Nr male mice and both groups of female mice at doses of ≥2 Gy and above (2 Gy: P < 0.005, 4 Gy: P < 0.01 and 6 Gy: P < 0.04). Female Nr and Tg mice had apoptosis levels that were not significantly different from each other at any dose (P > 0.05), although female Tg mice demonstrate moderately greater radiosensitivity >4 Gy. Female mice had significantly lower levels of lymphocyte apoptosis than Nr and Tg males at doses of ≥2 Gy (P < 0.01; Figure 3).

      Spontaneous apoptosis

Unirradiated lymphocytes in (Figure 1, Groups A, C, E, G, I, K, M and O) exhibited spontaneous induction of apoptosis in vitro. The frequency of spontaneous apoptosis was subtracted from the respective irradiated group to distinguish radiationinduced levels. After 8-h incubation at 37°C, there was no significant difference in spontaneous levels (0 Gy dose groups) of lymphocyte apoptosis between unsupplemented Nr and Tg males (26.87 ± 0.96 and 27.67 ± 4.08%, respectively, P < 0.85; Figure 3). Spontaneous apoptosis was also similar in unsupplemented Nr females (23.70 ± 2.16%) and Tg females (17.73 ± 3.30%; P < 0.16). Spontaneous lymphocyte apoptosis in diet-supplemented male Nr mice was 34.98 ± 3.17% which was not statistically significantly different (P < 0.11) from diet-supplemented male Tg mice at 22.47 ± 6.46%.

Spontaneous lymphocyte apoptosis in diet-supplemented female Nr mice (25.23 ± 4.49%) was similar to supplemented female Tg mice (19.87 ± 2.50%; P < 0.32). When spontaneous lymphocyte apoptosis was compared within genotypes, unsupplemented male Nr mice had a similar level of apoptotic lymphocytes compared to diet-supplemented male Nr mice (P <0.73). Unsupplemented and diet-supplemented male Tg mice did not differ significantly (P <0.11). There was also no significant difference between unsupplemented and diet-supplemented female Nr mice (P <0.50) or unsupplemented and diet-supplemented female Tg mice (P < 0.62). There was no significant difference in spontaneous apoptosis between male and female mice in any experimental group (P > 0.09 in all cases).

      Diet and radiation-induced apoptosis: dependence on gender and genotype

After an exposure of 2 Gy, there was no significant difference in the levels of apoptosis in lymphocytes from female mice in any group (Groups B, F, J and N) (Figure 4). Diet, genotype and gender did not appear to affect the radiation response of lymphocytes from females (P < 0.17). However, there were large differences in radiation sensitivity in lymphocytes from male mice (Groups D, H, L and P) depending on the genotype and if the diet supplement was given (Figure 4). In Nr male mice on the standard diet, lymphocyte sensitivity was significantly higher than any female group (24.11 ± 0.54%; P < 0.010), but Tg males were nearly twice as sensitive as the Nr males (40.39 ± 4.19%; P < 0.00023). Lymphocytes from diet-supplemented Nr mice had lower levels of apoptosis, but the decrease was not statistically significant (17.97 ± 3.91%; P < 0.15). However, diet-supplemented Tg mice had a 68% reduction in radiation-induced apoptosis levels (13.14 ± 3.49%; P < 0.00054) compared to unsupplemented Tg mice (Figure 4).


ANOVA (Table II) determined that individually, the variables ‘gender’ and ‘supplementation’, but not ‘genotype’ significantly influenced the level of radiation-induced apoptosis. The interactive effect of variables genotype and ‘diet supplement’ also significantly influenced radiation-induced apoptosis. Significant interactions were also found for genotype, gender and diet supplement (Table II).


Lymphocytes are frequently used for studying the physiological impacts of radiation since immunocytes are relatively radiosensitive, readily accessible and relatively long lived. Lymphocyte apoptosis is a well-established and relatively specific biomarker for radiation-induced damage and free radical impacts. There is great interest in developing interventions to prevent radiation damage to biological tissues (particularly ingestible substrates) but to date, there are few materials with exceptional efficacy. [8–11]

      Spontaneous apoptosis

Apoptosis was examined in Nr mice, which are assumed to have normal metabolism and free radical production representative of a typical mouse population, and Tg mice, which have substantially elevated levels of endogenous free radicals. [19] We hypothesized that the apoptosis levels in Tg mice would be higher under normal growth conditions because of increased oxidative stress. However, although Tg mice had significantly higher endogenous ROS production, spontaneous levels of lymphocyte apoptosis were not altered and were essentially identical for all groups of mice; these results did not support our postulate that spontaneous apoptosis levels might be different in these two mouse strains. There may be several reasons for this, including the possibility that Tg cells were able to adapt to the effects of the chronically elevated ROS through up-regulation in cellular recycling and repair mechanisms and/or antioxidant systems [51] and cope with tissue culture stress like normal cells. The increased radiosensitivity of Tg mice indicates that these systems may be saturated and are unable to cope with the increased radiation-induced ROS.

Alternatively, the elevated endogenous ROS production could suppress the ability of the Tg lymphocytes to undergo apoptosis since chronic low doses of ionizing radiation have been shown to suppress leukocyte apoptosis. [52] Although the treatment used by Joksic and Pretrovic [52] involves radiationinduced generation of ROS, the outcome is likely to be similar to that in Tg cells with endogenous ROS. Either postulate could also be exacerbated by the known anti-apoptotic actions of GH and its downstream effector, insulin-like growth factor-I (IGF-I), both strongly up-regulated in Tg mice, which could increase the apoptotic threshold of Tg cells. [53, 54] Interestingly, all groups of female mice had similar levels of spontaneous apoptosis, which were lower than that of the male mice (data not shown), indicating that, regardless of the level of cellular oxidative damage, the anti-apoptotic actions of oestrogen and progesterone may play an important role in reducing lymphocyte apoptosis in these mice.

      Radiation-induced apoptosis

Radiation-induced apoptosis differed significantly between groups of male mice. Unsupplemented Nr and Tg males had highly elevated apoptosis following irradiation, with unsupplemented Tg showing the greatest radiation sensitivity >1 Gy compared to any other group of mice (Figure 3). Consequently, our hypothesis of increased radiation sensitivity was confirmed, despite the lack of spontaneous/basal response observed in unirradiated cells. Although chronic low doses of ionizing radiation/free radicals can ameliorate leukocyte apoptosis [52], the mechanism probably involves adaptive up-regulation of stress-response systems against a background of otherwise normal endogenous ROS generation. This mechanism may be otherwise engaged in Tg mice, thus up-regulation of endogenous repair, replacement and defensive systems to offset elevated ROS processes in Tg mice is consistent with increased radiosensitivity if these systems are stressed to limited capacity. In that case, further ROS generated by radiation would overwhelm these protective capabilities. It is also likely that general levels of oxidative damage in Tg mice are higher (see above) before radiation exposure [18–20], so that further damage triggers apoptosis, even though the threshold is set higher by anti-apoptotic regulatory impacts of GH and IGF-1.

As might be expected from their low spontaneous levels of apoptosis in vitro, female mice demonstrated greater radioresistance than male mice at doses >2 Gy (Figure 3). There was also no significant difference in radiation-induced apoptosis between any groups of female mice. These results are supported by other studies which indicate that females of other mammalian species also show greater radioresistance than their male counterparts. [53, 54] Perhaps in females, the apoptotic threshold is higher such that radiation impacts are ameliorated or absorbed and are not significant enough to elicit the response. This might explain why the diet had no apparent benefit in females. We are currently assessing other biomarkers of ROS damage since it is possible that females do derive benefit from the diet, despite the fact that apoptosis does not respond.

It is possible that the anti-apoptotic actions of oestrogen and progesterone [22, 24, 25, 28, 36] are reducing lymphocyte apoptosis in Nr females and could be interacting either additively or synergistically with the anti-apoptotic effects of GH/IGF-I [55–58] in female Tg mice, completely masking the effects of increased oxidative damage caused by radiation. This would likely work in combination with the antioxidant activity of oestrogen [40, 41] which of itself could reduce oxidative damage in female mice, thereby reducing both spontaneous and radiation-induced apoptosis.

      Impact of the dietary supplement

There is likely an imbalance in the two major subsets of antioxidants (endogenous versus nutritional) in cells experiencing chronic oxidative stress in Tg mice. Typically, there is an up-regulation of enzymatic antioxidants in response to the redox status of the cells (as long as sufficient substrates are available) [59], with a concomitant depletion of non-enzymatic antioxidants unless replenished from some external source (i.e. through diet). [60, 61] The results for supplemented mice suggest that chronic oxidative stress in Tg cells has depleted non-enzymatic antioxidants, and possibly enzymatic antioxidants, although further study is required for confirmation. Radiation-induced apoptosis is significantly reduced in supplemented male mice and there was a trend (while not significant) for a reduction in lymphocyte apoptosis in supplemented female mice that were already resistant.

We speculate that the reduction in radiation-induced apoptosis could be due to two aspects of the dietary supplement:

(i)   The first may be higher inter- and intracellular concentrations of enzymatic and non-enzymatic antioxidants that scavenge ROS before they can damage cellular macromolecules. The baseline level of damage to the cellular components of male Nr and Tg mice on the dietary supplement is likely to be reduced compared to unsupplemented mice since the increase in antioxidants provides a protective effect from on-going cellular ROS production as well as for acute radiation insult. [59] The supplement was designed to provide antioxidant protection to all critical cell components, including nuclear material, membranes, the cytosol and associated proteins and subcellular organelles (particularly the mitochondria), using compounds with documented specific protective effects for each of these subcellular regions. [12] Reduction in the quantity of oxidatively modified cellular components allows recycling and repair processes to function more effectively, an issue particularly important in older organisms since these processes appear to be compromised in senescent animals. [62–65]

(ii)   The second effect may be an amelioration of processes associated with oxidative stress, which can further increase ROS production and cellular oxidative stress. These include disruption of mitochondrial metabolism and reduced electron transport chain substrate availability, resulting in reductions in ATP production [64, 66], impaired glucose metabolism [67–69] and inflammatory processes typically associated with oxidative damage [70, 71], which are normally exacerbated in senescent animals [64, 72]. The lower radiation-induced apoptosis in diet-supplemented Nr and Tg mice lend support to the idea that a broad-spectrum dietary supplement can provide a significant protective effect, even to cells near limiting capacity (Tg mice) or exposed to an acute increase in ROS damage due to radiation exposure. While it is unknown if some factors provide greater protective effects than others, it has been established that several of the components of the supplement act additively or synergistically. [73–75] It is also likely that the immediate free radical scavenging effects of some of the components and the factors that provide additional support for the processes associated with oxidative stress act synergistically to enhance the supplement’s overall protective effect.

Time course studies showed that the kinetics of lymphocyte apoptosis among all groups was similar despite GH levels, gender or diet supplementation. Only the magnitude of the response varied; we postulate that this indicates that overall initial damage levels must be altered in the various groups due to enhanced free radical scavenging and/or DNA repair capacity.

This study emphasizes the importance of genotype, gender and diet on the modulation of radiation response. The data support the contention that male Tg mice provide an excellent model to study the effects of long-term oxidative stress and its effects on radiation response in male mice only. There is a relative paucity of studies addressing gender differences in radiation biology. The striking sexual dichotomy in apoptotic response indicates female mice may prove to be an interesting model for radiation risk modification associated with apoptotic mechanisms. Although results vary, males and females generally acquire oxidative damage at the same rate. [76–78] Unsupplemented Tg mice (both genders) accumulate greater oxidative damage to cellular components than age-matched unsupplemented normals [19], which would imply that Tg mice are less able to adequately respond to additional oxidative stress from external sources (i.e. ionizing radiation) and more importantly, from the escalating ROS production normally associated with ageing [2, 4, 10, 72]. However, cells from female mice (Nr and Tg) appear to have the capacity to cope with greater amounts of oxidative damage before apoptotic processes are triggered. The fact that females of both genotypes are similar suggests that the regulation of the threshold in females differs from males, and was not affected by GH transgenesis or background ROS processes implying that oestrogen may have a priority role in determining an apoptotic threshold over other factors.

The greater overall resistance to radiation-induced apoptosis demonstrated by female mice requires further study to determine what processes (i.e. involving sex hormones or other factors) are contributing to this increased resistance. This might be extended to considerations of dwarf (GH deficient) mice that were recently shown to express increased resistance to free radical stress than normal animals. [79, 80]


Regardless of genetic factors that influence radiation-induced apoptosis (i.e. Nr versus Tg mice), we have shown that diet can change the probability of a cell undergoing radiation-induced apoptosis. Since apoptosis is regarded as an essential mechanism associated with genomic instability, dietary supplements could have important ramifications for human diseases associated with apoptosis, such as ageing and cancer, and health risks from exposure to environmental mutagens and carcinogens. We have also demonstrated that gender plays a significant role in the modulation of apoptosis, indicating that the use of apoptosis for issues such as biodosimetry and risk assessment may be problematic if gender is not taken into account.


CANDU Owners Group (03.014), the Chemical Biological Radiological Nuclear Research and Technology Initiative (015ssH1021-021608) and the National Science and Engineering Research Council (238495).


Conflict of interest statement: None declared.


  1. Haddad, J. J. (2004) Redox and oxidant-mediated regulation of apoptosis signaling pathways: immuno-pharmaco-redox conception of oxidative siege versus cell death commitment. Int. Immunopharmacol., 4, 475–493.

  2. Beckman, K. B. and Ames, B. N. (1998) The free radical theory of aging matures. Physiol. Rev., 78, 547–581.

  3. Genova, M. L., Pich, M. M., Bernacchia, A. et al. (2004) The mitochondrial production of reactive oxygen species in relation to aging and pathology. Ann. N. Y. Acad. Sci., 1011, 86–100.

  4. Rafique, R., Schapira, A. H. and Coper, J. M. (2004) Mitochondrial respiratory chain dysfunction in ageing; influence of vitamin E deficiency. Free Radic. Res., 38, 157–165.

  5. Migliaccio, E., Giorgio, M., Mele, S., Pelicci, G., Reboldi, P., Pandolfi, P. P., Lafrancone, L. and Pelicci, P. G. (1999) The p66shc adaptor protein controls oxidative stress response and life span in mammals. Nature, 402, 309–313.

  6. Kokoszka, J. E., Coskun, P., Esposito, L. A. and Wallace, D. C. (2001) Increased mitochondrial oxidative stress in the Sod2(þ/) mouse results in the age-related decline of mitochondrial function culminating in increased apoptosis. Proc. Natl Acad. Sci., 98, 2278–2283.

  7. Liu, J., Head, E., Gharib, A. M., Yuan, W., Ingersoll, R. T., Hagen, T. M., Cotman, C. W. and Ames, B. N. (2002) Memory loss in old rats is associated with brain mitochondrial decay and RNA/DNA oxidation: partial reversal by feeding acetyl-L-carnitine and/or R-a-lipoic acid. Proc. Natl Acad. Sci., 99, 2356–2361.

  8. Qin, X.-J., He, W., Hai, C.-X., Liang, X. and Liu, R. (2008) Protection of multiple antioxidants Chinese herbal medicine on the oxidative stress induced by adriamycin chemotherapy. J. Appl. Toxicol., 28, 271–282.

  9. Blacker, D. (2005) Mild cognitive impairment—no benefit from vitamin E, little from donepezil. N. Engl. J. Med., 352, 2439–2441.

  10. Lee, C. K., Pugh, T. D., Klopp, R. G., Edwards, J., Allison, D. B., Weindruch, R. and Prolla, T. A. (2004) The impact of alpha-lipoic acid, coenzyme Q10 and caloric restriction on life span and gene expression patterns in mice. Free Radic. Biol. Med., 36, 1043–1057.

  11. Yaffe, K., Clemons, T. E., McBee, W. L. and Lindblad, A. S. (2004) Impact of antioxidants, zinc, and copper on cognition in the elderly: a randomized, controlled trial. Neurology, 63, 1705–1707.

  12. Lemon, J. A., Boreham, D. R. and Rollo, C. D. (2003) A dietary supplement abolishes age-related cognitive decline in transgenic mice expressing elevated free radical processes. Exp. Biol. Med., 228, 800–810.

  13. Lemon, J. A., Boreham, D. R. and Rollo, C. D. (2005) A complex dietary supplement extends longevity in mice. J. Gerontol. Biol. Med. Sci., 60A, 275–279.

  14. Steger, R. W., Bartke, A. and Cecim, M. (1993) Premature ageing in transgenic mice expressing growth hormone genes. J. Reprod. Fertil. 46 (Suppl), 61–75.

  15. Wolf, E., Kahnt, E., Ehrlein, J., Hermanns, W., Brem, G. and Wanke, R. (1993) Effects of long-term elevated serum levels of growth hormone on life expectancy of mice: lessons from transgenic animal models. Mech. Ageing Dev., 68, 71–87.

  16. Meliska, C. J., Burke, P. A., Bartke, A. and Jensen, R. A. (1997) Inhibitory avoidance and appetitive learning in aged normal mice: comparison with transgenic mice having elevated plasma growth hormone levels. Neurobiol. Learn. Mem., 68, 1–12.

  17. Ogueta, S., Olazabal, I., Santos, I., Delgado-Baeza, E. and Garcia- Ruiz, J. P. (2000) Transgenic mice expressing bovine GH develop arthritic disorder and self-antibodies. J. Endocrinol., 165, 321–328.

  18. Carlson, J. C., Bharadwaj, R. and Bartke, A. (1999) Oxidative stress in hypopituitary dwarf mice and in transgenic mice overexpressing human and bovine GH. Age Ageing, 22, 181–186.

  19. Rollo, C. D., Carlson, J. and Sawada, M. (1996) Accelerated aging of giant transgenic mice is associated with elevated free radical processes. Can. J. Zool., 74, 606–620.

  20. Hauke, S. J. and Bartke, A. (2001) Free radical defenses in the liver and kidney of human growth hormone transgenic mice: possible mechanisms of early mortality. J. Gerontol. Biol. Sci., 56, B153–B162.

  21. Rollo, C. D., Ko, C. V., Tyerman, J. G. A. and Kajiura, L. (1999) The growth hormone axis and cognition: empirical results and integrated theory derived from giant transgenic mice. Can. J. Zool., 77, 1874–1890.

  22. Huber, S. A., Kupperman, J. and Newell, M. K. (1999) Estradiol prevents and testosterone promotes Fas-dependent apoptosis in CD4þ Th2 cells by altering Bcl 2 expression. Lupus, 8, 384–387.

  23. Hofmann-Lehmann, R., Holznagel, E. and Lutz, H. (1998) Female cats have lower rates of apoptosis in peripheral blood lymphocytes than male cats: correlation with estradiol-17b, but not with progesterone blood levels. Vet. Immunol. Immunopathol., 65, 151–160.

  24. Evans, M. J., MacLaughlin, S., Marvin, R. D. and Abdou, N. I. (1997) Estrogen decreases in vitro apoptosis of peripheral blood mononuclear cells from women with normal menstrual cycles and decreases TNF-alpha production in SLE but not in normal cultures. Clin. Immunol. Immunopathol., 82, 258–262.

  25. Yao, X.-L., Liu, J., Lee, E., Ling, G. S. F. and McCabe, J. T. (2005) Progesterone differentially regulates pro- and anti-apoptotic gene expression in the cerebral cortex following traumatic brain injury in rats. J. Neurotrauma, 22, 656–668.

  26. Bramlett, H. M. (2005) Sex differences and the effect of hormonal therapy on ischemic brain injury. Pathophysiology, 12, 17–27.

  27. Guevara Patino, J. A., Marino, M. W., Ivanov, V. N. and Nikolich- Zugich, J. (2000) Sex steroids induce apoptosis of CD8þCD4þ doublepositive thymocytes via TNF-a. Eur. J. Immunol., 30, 2586–2592.

  28. Boddaert, J., Mallat, Z., Fornes, P., Esposito, B., Lecomte, D., Verny, M., Tedgui, A. and Belmin, J. (2005) Age and gender effects on apoptosis in the human coronary arterial wall. Mech. Ageing Dev., 126, 678–684.

  29. Patten, R. D., Pourati, I., Aronovitz, M. J. et al. (2004) 17b-Estradiol reduces cardiomyocyte apoptosis in vivo and in vitro via activation of phospho-inositide-3 kinase/Akt signaling. Circ. Res., 95, 692–699.

  30. Shirshev, S. V., Kuklina, E. M. and Yarilin, A. A. (2003) Role of reproductive hormones in control of apoptosis of t-lymphocytes. Biochemistry (Mosc.), 68, 577–583.

  31. Verzola, D., Gandolfo, M. T., Salvatore, F., Villaggio, B., Gianiorio, F., Traverso, P., Deferrari, G. and Garibotto, G. (2004) Testosterone promotes apoptotic damage in human renal tubular cells. Kidney Int., 65, 1252–1261.

  32. Dulos, G. J. and Bagchus, W. M. (2001) Androgens indirectly accelerate thymocyte apoptosis. Int. Immunopharmacol., 1, 321–328.

  33. Cutolo, M., Sulli, A., Seriolo, B., Accardo, S. and Masi, A. T. (1995) Estrogens, the immune response and autoimmunity. Clin. Exp. Rheumatol., 13, 217–226.

  34. Vilatoba, M., Eckstein, C., Bilbao, G., Frennete, L., Eckhoff, D. E. and Contreras, J. L. (2005) 17b-Estradiol differentially activates mitogenactivated protein-kinases and improves survival following reperfusion injury of reduced-size liver in mice. Transplant. Proc., 37, 399–403.

  35. Lu, A., Ran, R. Q., Clark, J., Reilly, M., Nee, A. and Sharp, F. R. (2002) Estradiol induces heat shock proteins in brain arteries and potentiates ischemic heat shock induction in glia and neurons. J. Cereb. Blood Flow Metab., 22, 183–195.

  36. Singh, M., Setalo, G., Jr, Guan, X., Frail, D. E. and Toran-Allerand, C. D. (2000) Estrogen-induced activation of the mitogen-activated protein kinase cascade in the cerebral cortex of estrogen receptor-a knock-out mice. J. Neurosci., 20, 1694–1700.

  37. Palmon, S. C., Williams, M. J., Littleton-Kearney, M. T., Traystman, R. J., Kosk-Kosicka, D. and Hurn, P. D. (1998) Estrogen increases cGMP in selected brain regions and in cerebral microvessels. J. Cereb. Blood Flow Metab., 18, 1248–1252.

  38. Satoh, M., Matter, C. M., Ogita, H., Takeshita, K., Wang, C.-Y., Dorn, G. W. and Liao, J. K. (2007) Inhibition of apoptosis-regulated signaling kinase-1 and prevention of congestive heart failure by estrogen. Mol. Cardiol., 115, 3197–3204.

  39. Vedder, H., Anthes, N., Stumm, G., Wurz, C., Behl, C. and Krieg, J.-C. (1999) Estrogen hormones reduce lipid peroxidation in cells and tissues of the central nervous system. J. Neurochem., 72, 2531–2538.

  40. Moosmann, B. and Behl, C. (1999) The antioxidant neuroprotective effects of estrogens and phenolic compounds are independent from their estrogenic properties. Proc. Natl Acad. Sci., 96, 8867–8872.

  41. Behl, C., Skutella, T., Lezoualc’h, F., Post, A., Widmann, M., Newton, C. J. and Holsboer, F. (1997) Neuroprotection against oxidative stress by estrogens: structure-activity relationship. Mol. Pharmacol., 51, 535–541.

  42. Roof, R. L., Hoffman, S. W. and Stein, D. G. (1997) Progesterone protects against lipid peroxidation following traumatic brain injury. Mol. Chem. Neuropathol., 31, 1–11.

  43. Cui, Y. F., Gao, Y. B., Yang, H., Xiong, C. Q., Xia, G. W. and Wang, W. F. (1999) Apoptosis of circulating lymphocytes induced by whole body gamma-irradiation and its mechanism. J. Environ. Pathol. Toxicol. Oncol., 18, 185–189.

  44. Pollack, M., Phaneuf, S., Dirks, A. and Leeuwenburgh, C. (2002) The role of apoptosis in the normal aging brain, skeletal muscle, and heart. Ann. N. Y. Acad. Sci., 959, 93–107.

  45. Bridger, J. M. and Kill, I. R. (2004) Aging of Hutchinson-Gilford progeria syndrome fibroblasts is characterised by hyperproliferation and increased apoptosis. Exp. Gerontol., 39, 717–724.

  46. Ginaldi, L., De Martinis, M., Monti, D. and Franceschi, C. (2004) The immune system in the elderly: activation-induced and damage-induced apoptosis. Immunol. Res., 30, 81–94.

  47. Palmiter, R. D., Brinster, R. L. and Hammer, R. E. (1982) Dramatic growth of mice that develop from eggs microinjected with metallothionein-growth hormone fusion genes. Nature, 300, 611–615.

  48. Clutter, A. C., Pomp, D. and Murray, J. D. (1996) Quantitative genetics of transgenic mice: components of phenotypic variation in body weights and weight gains. Genetics, 143, 1753–1760.

  49. Calder, W. A. (1984) Size, Function and Life History. Harvard University Press, Cambridge, pp. 431.

  50. Lang, F., Gulbin, E., Szabo, I., Lepple-Wienhues, A., Huber, S. M., Duranton, C., Lang, K. S., Lang, P. A. and Wieder, T. (2004) Cell volume and the regulation of apoptotic cell death. J. Mol. Recognit., 17, 473–480.

  51. Geracitano, L. A., Bocchetti, R., Monserrat, J. M., Regoli, F. and Bianchini, A. (2004) Oxidative stress responses in two populations of Laeonereis acuta (Polychaeta, Nereididae) after acute and chronic exposure to copper. Mar. Environ. Res., 58, 1–17.

  52. Joksic, G. and Petrovic, S. (2000) Lack of adaptive response of human lymphocytes exposed in vivo to low doses of ionizing radiation. J. Environ. Pathol. Toxicol. Oncol., 23, 195–206.

  53. Joksic, G., Petrovic, S. and Ilic, Z. (2004) Age-related changes in radiationinduced micronuclei among healthy adults. Braz. J. Med. Biol. Res., 37, 1111–1117.

  54. Pieter, R. S., Niemierko, A., Fullerton, B. C. and Munzenrider, J. E. (2006) Cauda equine tolerance to high-dose fractionated irradiation. Int. J. Radiat. Oncol. Biol. Phys., 64, 251–257.

  55. Matsuda, T., Saito, H., Inoue, T., Fukatsu, K., Han, I., Furukawa, S., Ikeda, S. and Muto, T. (1998) Growth hormone inhibits apoptosis and up-regulates reactive oxygen intermediates production by human polymorphonuclear neutrophils. J. Parenter. Enteral Nutr., 22, 368–374.

  56. Gonzalez-Juanatey, J. R., Pineiro, R., Iglesias, M. J., Gualillo, O., Kelly, P. A., Deiguez, C. and Lago, F. (2004) GH prevents apoptosis in cardiomyocytes cultured in vitro through a calcineurin-dependent mechanism. J. Endocrinol., 180, 325–335.

  57. Bogazzi, F., Ultimieri, F., Raggi, F. et al. (2004) Growth hormone inhibits apoptosis in human colonic cancer cell lines: antagonistic effects of peroxisome proliferators activated receptor-c ligands. Endocrinology, 145, 3353–3362.

  58. Shin, D. H., Lee, E., Kim, J.-W., Kwon, B.-S., Jung, M. K., Jee, Y. H., Kim, J., Bae, S.-R. and Chang, Y. P. (2004) Protective effect of growth hormone on neuronal apoptosis after hypoxia-ischemia in the neonatal rat brain. Neurosci. Lett., 354, 64–68.

  59. Cuzzocrea, S., Thiemermann, C. and Salvemini, D. (2004) Potential therapeutic effect of antioxidant therapy in shock and inflammation. Curr. Med. Chem., 11, 1147–1162.

  60. Monget, A. L., Richard, M. J., Cournot, M. P., Arnaud, J., Galan, P., Preziosi, P., Herbeth, B., Favier, A. and Hercberg, S. (1996) Effect of 6 month supplementation with different combinations of an associated of antioxidant nutrients on biochemical parameters and markers of the antioxidant defence system in the elderly. Eur. J. Clin. Nutr., 50, 443–449.

  61. Rinaldi, P., Polidori, M. C., Metastasio, A. et al. (2003) Plasma antioxidants are similarly depleted in mild cognitive impairment and in Alzheimer’s disease. Neurobiol. Aging, 24, 915–919.

  62. Agarwal, S. and Sohal, R. S. (1994) Aging and proteolysis of oxidized proteins. Arch. Biochem. Biophys., 309, 24–28.

  63. Starke-Reed, P. E. and Oliver, C. N. (1989) Protein oxidation and proteolysis during aging and oxidative stress. Arch. Biochem. Biophys., 275, 559–567.

  64. Van Remmen, H. and Richardson, A. (2001) Oxidative damage to mitochondria and aging. Exp. Gerontol., 36, 957–968.

  65. Chen, D., Cao, G., Hastings, T., Feng, Y., Pei, W., O’Horo, C. and Chen, J. (2002) Age-dependent decline of DNA repair activity for oxidative lesions in rat brain mitochondria. J. Neurochem., 81, 1273–1284.

  66. Esposito, L. A., Melov, S., Panov, A., Cottrell, B. A. and Wallace, D. C. (1999) Mitochondrial disease in mouse results in increased oxidative stress. Proc. Natl Acad. Sci., 96, 4820–4825.

  67. Kumari, M., Brunner, E. and Fuhrer, R. (2000) Minireview: mechanisms by which the metabolic syndrome and diabetes impair memory. J. Gerontol. Biol. Sci., 55A, B228–B232.

  68. Ludwig, D. S. (2003) Diet and development of the insulin resistance syndrome. Asia Pac. J. Clin. Nutr., 12, S4.

  69. Sonta, T., Inoguchi, T., Tsubouchi, H., Sekiguchi, N., Matsumoto, S., Utsumi, H. and Nawata, H. (2004) Evidence for contribution of vascular NAD(P)H oxidase to increased oxidative stress in animal models of diabetes and obesity. Free Radic. Biol. Med., 37, 115–123.

  70. Murata, M. and Kawanishi, S. (2004) Oxidative DNA damage induced by nitrotyrosine, a biomarker of inflammation. Biochem. Biophys. Res.

  71. Wu, L., Ashraf, H. M., Facci, M., Wang, R., Paterson, P. G., Ferrie, A. and Juurlink, B. H. (2004) Dietary approach to attenuate oxidative stress, hypertension, and inflammation in the cardiovascular system. Proc. Natl Acad. Sci., 101, 7094–7099.

  72. Sastre, J., Pallardo, F. V. and Vina, J. (2003) The role of mitochondrial oxidative stress in aging. Free Radic. Biol. Med., 35, 1–8.

  73. Hagen, T. M., Liu, J., Lykkesfeldt, J., Wehr, C. M., Ingersoll, R. T., Vinarsky, V., Bartholomew, J. C. and Ames, B. N. (2002) Feeding acetyl- L-carnitine and lipoic acid to old rats significantly improves metabolic function while decreasing oxidative stress. Proc. Natl Acad. Sci., 99, 1870–1875.

  74. Dhitavat, S., Ortiz, D., Rogers, E., Rivera, E. and Shea, T. B. (2005) Folate, vitamin E, and acetyl-L-carnitine provide synergistic protection against oxidative stress resulting from exposure of human neuroblastoma cells to amyloid-beta. Brain Res., 1061, 114–117.

  75. Sener, G., Tosun, O., Sehirli, A. O., Kacmaz, A., Arbak, S., Ersoy, Y. and Ayanoglu-Dulger, G. (2003) Melatonin and N-acetylcysteine have beneficial effects during hepatic ischemia and reperfusion. Life Sci., 72, 2707–2718.

  76. Kuo, H. W., Chang, S. F., Wu, K. Y. and Wu, F. Y. (2005) Chromium (VI) induced oxidative damage to DNA: increase of urinary 8-hydroxydeoxyguanosine concentrations (8-OHdG) among electroplating workers. Occup. Environ. Med., 60, 590–594.

  77. Garaj-Vrhovac, V. and Kopjar, N. (2003) The alkaline comet assay as biomarker in assessment of DNA damage in medical personnel occupationally exposed to ionizing radiation. Mutagenesis, 18, 265–271.

  78. Bolognesi, C., Abbondandolo, A., Barale, R. et al. (1997) Age-related increase of baseline frequencies of sister chromatid exchanges, chromosome aberrations and micronuclei in human lymphocytes. Cancer Epidemiol. Biomarkers Prev., 6, 249–256.

  79. Hauck, S. J., Aaron, J. M., Wright, C., Kopchick, J. J. and Bartke, A. (2002) Antioxidant enzymes, free-radical damage and response to paraquat in liver and kidney of long-living growth hormone receptor/binding protein gene-disrupted mice. Horm. Metab. Res., 34, 481–486.

  80. Bartke, A. and Brown-Borg, H. (2004) Life extension in the dwarf mouse. Curr. Top. Dev. Biol., 63, 189–225.

Return to the NUTRITION Section

Since 10-29-2018

                  © 1995–2023 ~ The Chiropractic Resource Organization ~ All Rights Reserved