Turkish Neurosurgery
THE EVALUATION OF SURVIVIN AND BCL-2 EXPRESSION ON THE MEDICAL RADIATION DOSES FOR NEURAL TUBE DEFECT DEVELOPMENT
Hüseyin Utku Adilay1, Salim Katar1, Bülent Güçlü3, Mevlüt Özgür Taşkapılıoğlu4, Eren Altun2, Recep Özdek1, Mehmet Tiryaki3, Ahmet Bekar4
1Balıkesir Üniversitesi, beyin ve sinir cerrahisi, Balıkesir,
2Balıkesir Üniversitesi, Pathology, Balıkesir,
3Dr.Lütfi Kırdar Kartal Eğitim ve Araştırma Hast., Neurosurgery, İstanbul,
4Uludağ Universty, Neurosurgery, Bursa,
DOI: 10.5137/1019-5149.JTN.32092-20.1

Aim:Neural tube defects are a group of birth defects characterized by incomplete closure of the neural tube during early gestation period. The aim of this study is to investigate the effects of different radiation doses on the development of the neural tube defect in chick embryos using computed tomography (CT) and assess its correlation with survivin and Bcl-2 expressions.Material and Methods:A total of 150 chicken eggs were used and grouped into five categories. In Group 1 (n = 30), the embryos were not exposed to radiation. In Group 2 (n = 30), the embryos were irradiated using lung cancer screening chest CT protocol. In Groups 3 and 4 (n = 30 each), the abdominopelvic and adult routine head CT protocols, respectively, were used to irradiate the embryos. In Group 5 (n = 30), the embryos were irradiated using adult brain perfusion CT protocol. Subsequently, the embryos were examined under a stereomicroscope to assess the presence of neural tube developmental abnormalities. Moreover, immunohistochemical staining was performed to determine the survivin and Bcl-2 expression levels.Results:The incidence of neural tube defect increased with the increase in the radiation dose. Moreover, no significant correlation was observed between the survivin and Bcl-2 expression levels and the radiation dose.Conclusion:Overall, the results of this study indicate that the radiation from CT may cause neural tube defect in chicken embryos.

Corresponding author : Salim Katar