Progress on Tritium Toxicity and Detoxification Strategies

Binghui Lu, Xinrui Yang, Jing Liu and Rong Li*, 
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Abstract

Tritium is a radioactive isotope of hydrogen that emits β-rays. Ingesting large doses of tritium can result in significant internal radiation damage to tissues and organs, causing chromosome damage, genomic instability, and even cancer. Therefore, the efficient promotion of tritium excretion and detoxification has become a crucial concern due to the extensive utilization of tritium. Conventional approaches involve administering diuretics and increased water intake, which can shorten the effective half-excretion period by 4 to 6 days. However, diuretic usage may lead to adverse reactions. In recent years, traditional Chinese medicines, such as Paichuanpian and Chahuangjing, have garnered attention for their potential in tritium elimination, with demonstrated low toxicity in animal experiments. Nevertheless, given the limited number of clinical cases involving internal tritium pollution, uncertainties persist regarding their clinical effects and toxicity levels. Hydrogen-rich water provides a simple, safe, nontoxic solution that has demonstrated promising results in antiradiation therapy and the treatment of various diseases. Experimental evidence suggests that hydrogen-rich water can also enhance excretion and detoxification processes while offering antioxidant benefits in animal models exposed to internal tritium. Therefore, it holds potential as an innovative approach for promoting tritium excretion and detoxification. This paper aims to compare the advantages and disadvantages of different measures and medications to provide insights into the development and enhancement of drugs specifically designed for promoting tritium excretion.

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氚毒性和解毒策略方面的进展
氚是氢的一种放射性同位素,能发射 β 射线。摄入大剂量的氚会对组织和器官造成严重的内部辐射损伤,导致染色体损伤、基因组不稳定甚至癌症。因此,由于氚的广泛使用,有效促进氚的排泄和解毒已成为一个至关重要的问题。传统的方法包括使用利尿剂和增加水的摄入量,这可以将有效的半排泄期缩短 4 到 6 天。然而,使用利尿剂可能会导致不良反应。近年来,传统中药,如排川片和茶黄精,因其在消除氚方面的潜力而备受关注,在动物实验中被证明具有低毒性。然而,由于涉及体内氚污染的临床病例数量有限,其临床效果和毒性水平仍存在不确定性。富氢水提供了一种简单、安全、无毒的解决方案,在抗辐射治疗和各种疾病的治疗方面取得了可喜的成果。实验证据表明,富氢水还能促进排泄和解毒过程,同时对暴露于体内氚的动物模型具有抗氧化作用。因此,富氢水有望成为促进氚排泄和解毒的创新方法。本文旨在比较不同措施和药物的优缺点,为开发和改进专门用于促进氚排泄的药物提供启示。
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