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Clinac 600

Manufactured by Agilent Technologies
Sourced in United States

The Clinac 600 is a medical linear accelerator designed for radiation therapy treatment. It is used to generate high-energy X-rays or electrons for the treatment of cancer and other medical conditions. The Clinac 600 is capable of delivering precise and targeted radiation doses to the affected area, while minimizing exposure to surrounding healthy tissues.

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10 protocols using clinac 600

1

Establishing Radioresistant Breast Cancer Cell Lines

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MCF‐7RR and MDA‐MB‐231RR cell lines were established from their parental MCF‐7 and MDA‐MB‐231 cells. 1 × 106 parental cells were irradiated with a linear accelerator (Clinac 600; Varian Inc., Palo Alto, CA, USA) available at the National Institute of Cancer in Mexico City. Cells received 15 sequential fractions of 2 Gy·week−1, allowing irradiated cell populations a period of recovery between exposures. Non‐irradiated controls were handled identically to the irradiate cells without radiation exposure. All of the experiments were performed within 4–10 passages after the final irradiation.
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2

Radiotherapy and Exosome Depletion

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The UM-SCC6 human head-and-neck cancer cell line (authenticated by the American Type Culture Collection service; ATCC, Manassas, USA) was used as an experimental model because these cells are characterized by the wt p53 and a negative HPV status. Cells were cultured in Dulbecco’s Minimum Essential Medium (DMEM) supplemented with 10% (v/v) fetal bovine serum. Cells were seeded and incubated for 48 h prior to irradiation with a Clinac 600 (Varian Medical Systems, Palo Alto, USA; nominal energy of photon beam 6 MV) of up to 8 Gy at a dose rate 1 Gy per min. Immediately after irradiation (or mock irradiation in the case of control samples) standard cell culture medium was replaced with fresh medium supplemented with 5% (v/v) Gibco Exosome-Depleted FBS (Thermo Fisher Scientific, Waltham, USA, A2720801).
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3

Radiation Dosage Effects on Cells

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Cells were plated in 100-mm Ø tissue culture dishes, allowed to attach for 24 h, and treated with two different doses of radiation (8 and 10 Gy) at room temperature (1.8 Gy/min, 98 cm Source Surface Distance (SSD) by using a 6 MV photon linear accelerator (CLINAC 600 Varian).
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4

Gene Expression and ChIP-Seq Analysis After IR

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Any treatment started 48 h after inoculation of cells; all steps, with the exception of irradiation, were carried out at 37 °C and 5% CO2. For gene expression analysis cells were irradiated with 4 or 10 Gy IR dose at a 1Gy/min dose rate using 6 MeV photons (generated by linear accelerator Clinac 600, Varian), the medium was replaced with a fresh one, and then cells were harvested 4 h after irradiation. For ChIP-Seq analysis, wild-type cells were harvested 2 and 4 h after irradiation at 10 Gy. Additionally, cells were incubated with TNFα cytokine (10 ng/ml) (T0157; Sigma) and harvested after 30 min. of stimulation.
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5

Radiation-Induced Oxidative Stress Assay

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ADF Cells were plated in 25 cm2 tissue culture flasks, allowed to attach for 24 h and treated with three different doses of radiation (5,8 and 10 Gy) at room temperature (1.8 Gy/min, 98 cm Source Surface Distance (SSD) by using a 6 MV photon linear accelerator (CLINAC 600 Varian). After 72h, cells were processed using the Flow Cellect Oxidative Stress Characterization Kit. Flow Cellect (FCCH025111, Millipore)
Cells were analyzed on Guava EasyCyte Plus flow cytometer. The median fluorescence intensity (MFI) was calculated: an increase in oxidative stress is detected as a right shift in MFI from untreated sample to the treated sample.
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6

Clonogenic Assay for Cell Survival

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Cell survival was measured by clonogenic assay, according to Franken et al. [57 (link)]. Briefly, on day 0, between 150–20,000 cells, depending on the treatment, were seeded in triplicate in six-well plates and incubated under regular culture conditions. On day 1, cells were treated with vemurafenib, PRIMA-1Met, or both, and subsequently incubated under regular culture conditions. On day 2, cells were irradiated. Cells were irradiated in a 6-MV beam from a Clinac 600 linear accelerator (Varian Medical Systems, Palo Alto, CA, USA). The collimator opening was set to 40 × 40 cm2, which gives the possibility of irradiating several plates in one batch. In order to achieve a good dose homogeneity and electronic equilibrium, a 6-mm thick polystyrene build-up was put on top of the plates. Plates were placed on a 5-cm thick polystyrene phantom for adequate backscattering conditions. The dose rate was set to 4 Gy per minute, so that the full experiment took less than 20 minutes and can be easily accommodated in a clinically used linear accelerator. On day 14, cells were fixed and stained with 6% glutaraldehyde and 0.05% crystal violet. Colonies of at least 50 cells were counted. The survival fraction was calculated either relative to untreated samples.
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7

Neoadjuvant Chemoradiotherapy for Colorectal Cancer

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Neoadjuvant chemoradiotherapy comprised external beam radiation with concomitant continuous infusion of 5-fluorouracil 200 mg/m2/day throughout the course of radiation, which was interrupted during the weekends.
Pelvic radiotherapy was delivered for all patients using megavoltage photon beams (6 or 15 MV) from a linear accelerator (Clinac 600, Clinac 2100, or Varian, Varian Medical Systems, Palo Alto, CA, USA). All fields were irradiated daily, five days per week. In total, a dose of 45 Gy in 25 fractions (single dose 1.8 Gy) was administered to the intersection of the fields. The boost volume was treated to a dose of 5.4 Gy in three fractions (single dose 1.8 Gy).
Surgery was performed 4-6 weeks after the end of chemoradiotherapy.
The Common Toxicity Criteria for Adverse Events version 4.0 was applied to evaluate toxicity.
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8

Irradiation Effects on Monomeric BSA

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All chemicals were purchased from Sigma–Aldrich (Poznań, Poland). Irradiation experiments were performed using X-rays (Clinac 600, 6 MV, Varian) with dose of 2 Gy (1 Gy/min). Monomeric bovine serum albumin (BSA) was prepared from Cohn fraction V BSA suitable for radioimmunoassay (Sigma–Aldrich), as described [17 ].
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9

Radiation Dose-Response Evaluation

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Cells were plated in 100-mm Ø tissue culture dishes, allowed to attach for 24 h, and treated with different doses of radiation (5, 8 and 10 Gy) at room temperature (1.8 Gy/min, 98 cm Source Surface Distance (SSD) by using a 6 MV photon linear accelerator (CLINAC 600 Varian) [29 (link)].
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10

Standardized Radiation Exposure Protocol

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Cells were irradiated in a 6MV photon beam at a dose rate of about 4Gy/minon a Clinac 600 linear accelerator (Varian Medical Systems, Palo Alto, CA, USA). The collimator opening was set to 40 × 40 cm2, which allows the possibility of irradiating several plates at the same time. For adequate backscattering conditions, plates were placed on a 5 cm-thick polystyrene phantom. To achieve dose homogeneity and ensure electronic equilibrium, a 6 mm-thick polystyrene build-up slab covers the top of the plates.
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