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Relative Biological Effectiveness of Carbon Ion Beams for Induction of Medulloblastoma with Radiation-specific Chromosome 13 Deletion in Ptch1+/- Mice. 碳离子束诱导髓母细胞瘤与 Ptch1+/- 小鼠辐射特异性 13 号染色体缺失的相对生物学效应
IF 2.5 3区 医学 Q2 BIOLOGY Pub Date : 2024-09-01 DOI: 10.1667/RADE-23-00229.1
Chizuru Tsuruoka, Mayumi Shinagawa, Yi Shang, Yoshiko Amasaki, Masaaki Sunaoshi, Tatsuhiko Imaoka, Takamitsu Morioka, Yoshiya Shimada, Shizuko Kakinuma

Carbon ion radiotherapy (CIRT) for pediatric cancer is currently limited because of the unknown risk of induction of secondary cancers. Medulloblastoma of Ptch1+/- mice offers a unique experimental system for radiation-induced carcinogenesis, in which tumors are classified into spontaneous and radiation-induced subtypes based on their features of loss of heterozygosity (LOH) that affect the wild-type Ptch1 allele. The present study aims to investigate in young Ptch1+/- mice the carcinogenic effect, and its age dependence, of the low-linear energy transfer (LET, ∼13 keV/µm) carbon ions, to which normal tissues in front of the tumor are exposed during therapy. We irradiated Ptch1+/- mice at postnatal day (P) 1, 4, or 10 with 290 MeV/u carbon ions (0.05-0.5 Gy; LET, 13 keV/µm) and monitored them for medulloblastoma development. Loss of heterozygosity of seven genetic markers on chromosome 13 (where Ptch1 resides) was studied to classify the tumors. Carbon ion exposure induced medulloblastoma most effectively at P1. The LOH patterns of tumors were either telomeric or interstitial, the latter occurring almost exclusively in the irradiated groups, allowing the use of interstitial LOH as a biomarker of radiation-induced tumors. Radiation-induced tumors developed during a narrow age window (most strongly at P1 and only moderately at P4, with suppressed tumorigenesis at P10). Calculated using previous results using 137Cs gamma rays, the values for relative biological effectiveness (RBE) regarding radiation-induced tumors were 4.1 (3.4, 4.8) and 4.3 (3.3, 5.2) (mean and 95% confidence interval) for exposure at P1 and 4, respectively. Thus, the RBE of carbon ions for medulloblastoma induction in Ptch1+/- mice was higher than the generally recognized RBE of 1-2 for cell killing, chromosome aberrations, and skin reactions.

由于诱发继发性癌症的风险未知,目前对小儿癌症的碳离子放射治疗(CIRT)受到限制。Ptch1+/-小鼠髓母细胞瘤为辐射诱导致癌提供了一个独特的实验系统,根据影响野生型Ptch1等位基因的杂合性缺失(LOH)特征,可将肿瘤分为自发亚型和辐射诱导亚型。本研究旨在研究低线性能量转移(LET,∼13 keV/µm)碳离子对幼年 Ptch1+/- 小鼠的致癌作用及其年龄依赖性。我们在小鼠出生后第 1、4 或 10 天用 290 MeV/u 碳离子(0.05-0.5 Gy;LET,13 keV/µm)照射 Ptch1+/- 小鼠,并监测它们的髓母细胞瘤发育情况。研究了第13号染色体(Ptch1所在位置)上七个遗传标记的杂合性缺失,以对肿瘤进行分类。碳离子暴露在P1阶段诱发髓母细胞瘤的效果最好。肿瘤的LOH模式为端粒或间质,后者几乎只发生在辐照组,因此间质LOH可作为辐射诱导肿瘤的生物标志物。辐射诱导的肿瘤发生在一个狭窄的年龄窗内(P1最强,P4一般,P10肿瘤发生受到抑制)。根据之前使用 137Cs 伽马射线的结果计算,在 P1 和 P4 暴露时,辐射诱发肿瘤的相对生物效应(RBE)值分别为 4.1(3.4,4.8)和 4.3(3.3,5.2)(平均值和 95% 置信区间)。因此,碳离子诱导 Ptch1+/- 小鼠髓母细胞瘤的 RBE 高于公认的细胞杀伤、染色体畸变和皮肤反应的 1-2 RBE。
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引用次数: 0
Estimating Impacts of p16 Status on Tumor Radiosensitivity in Head and Neck Cancer using Predictive Models. 利用预测模型估算 p16 状态对头颈癌肿瘤放射敏感性的影响
IF 2.5 3区 医学 Q2 BIOLOGY Pub Date : 2024-09-01 DOI: 10.1667/RADE-24-00066.1
Atsushi Kaida, Hitomi Nojima, Masahiko Miura

The intrinsic radiosensitivity index (RSI) and genomic-adjusted radiation dose (GARD) were reported to be able to predict the surviving fraction at 2 Gy and therapeutic effect when delivering actual treatment doses using the gene expression profiles of clinical cases. Given the impact of p16 status, a surrogate marker of the human papillomavirus (HPV) infection, on radiosensitivity, we attempted to apply the RSI and GARD to estimate p16-associated radiosensitivity in head and neck squamous cell carcinoma (HNSC). For this purpose, The Cancer Genome Atlas (TCGA) dataset was employed. In the GARD calculation, we assumed that p16-positive patients received 60 Gy in 30 fractions, while p16-negative patients received 70 Gy in 35 fractions. p16 positivity was associated with favorable characteristics compared to negative patients. The RSI and GARD analyses demonstrated increased radiosensitivity and high therapeutic effect in p16-positive patients, compared to p16-negative patients. Additionally, tumor microenvironmental conditions predicted by other models were also significantly affected by p16 status. Collectively, the models used in this study could be a promising tool for estimating p16-associated radiosensitivity in HNSC.

据报道,利用临床病例的基因表达谱,内在放射敏感性指数(RSI)和基因组调整放射剂量(GARD)能够预测2 Gy时的存活率和实际治疗剂量时的治疗效果。鉴于人乳头状瘤病毒(HPV)感染的替代标记物 p16 状态对放射敏感性的影响,我们尝试应用 RSI 和 GARD 估算头颈部鳞状细胞癌(HNSC)中与 p16 相关的放射敏感性。为此,我们采用了癌症基因组图谱(TCGA)数据集。在计算 GARD 时,我们假设 p16 阳性患者接受 60 Gy 分 30 次照射,而 p16 阴性患者接受 70 Gy 分 35 次照射。RSI和GARD分析表明,与p16阴性患者相比,p16阳性患者的放射敏感性更高,治疗效果更好。此外,其他模型预测的肿瘤微环境条件也受到 p16 状态的显著影响。总之,本研究中使用的模型可以作为一种很有前途的工具,用于估计与 p16 相关的 HNSC 放射敏感性。
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引用次数: 0
Dimethyl Sulfoxide Attenuates Ionizing Radiation-induced Centrosome Overduplication and Multipolar Cell Division in Human Induced Pluripotent Stem Cells. 二甲基亚砜可减轻电离辐射诱导的人类诱导多能干细胞中心体过度复制和多极细胞分裂。
IF 2.5 3区 医学 Q2 BIOLOGY Pub Date : 2024-08-30 DOI: 10.1667/RADE-24-00069.1
Mikio Shimada, Ryoichi Hirayama, Yoshihisa Matsumoto

Centrosomes are important organelles for cell division and genome stability. Ionizing radiation exposure efficiently induces centrosome overduplication via the disconnection of the cell and centrosome duplication cycles. Over duplicated centrosomes cause mitotic catastrophe or chromosome aberrations, leading to cell death or tumorigenesis. Pluripotent stem cells, including embryonic stem cells (ESCs) and induced pluripotent stem cells (iPSCs), can differentiate into all organs. To maintain pluripotency, PSCs show specific cellular dynamics, such as a short G1 phase and silenced cell-cycle checkpoints for high cellular proliferation. However, how exogenous DNA damage affects cell cycle-dependent centrosome number regulation in PSCs remains unknown. This study used human iPSCs (hiPSCs) derived from primary skin fibroblasts as a PSC model to address this question. hiPSCs derived from somatic cells could be a useful tool for addressing the radiation response in cell lineage differentiation. After radiation exposure, the hiPSCs showed a higher frequency of centrosome overduplication and multipolar cell division than the differentiated cells. To suppress the indirect effect of radiation exposure, we used the radical scavenger dimethyl sulfoxide (DMSO). Combined treatment with radiation and DMSO efficiently suppressed DNA damage and centrosome overduplication in hiPSCs. Our results will contribute to the understanding of the dynamics of stem cells and the assessment of the risk of genome instability for regenerative medicine.

中心体是细胞分裂和基因组稳定的重要细胞器。电离辐射照射可通过细胞与中心体复制周期的断开,有效诱导中心体过度复制。过度复制的中心体会造成有丝分裂灾难或染色体畸变,导致细胞死亡或肿瘤发生。多能干细胞,包括胚胎干细胞(ESC)和诱导多能干细胞(iPSC),可以分化成所有器官。为了保持多能性,多能干细胞表现出特定的细胞动态,如短G1期和沉默的细胞周期检查点,以实现高细胞增殖。然而,外源 DNA 损伤如何影响 PSCs 中依赖细胞周期的中心体数量调控仍是未知数。本研究使用源自原代皮肤成纤维细胞的人类 iPSCs(hiPSCs)作为 PSC 模型来解决这一问题。辐照后,与分化细胞相比,hiPSCs 表现出更高的中心体过度复制和多极细胞分裂频率。为了抑制辐射的间接影响,我们使用了自由基清除剂二甲基亚砜(DMSO)。辐射和二甲基亚砜联合处理可有效抑制 hiPSCs 中的 DNA 损伤和中心体过度复制。我们的研究结果将有助于了解干细胞的动态变化,并评估再生医学中基因组不稳定的风险。
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引用次数: 0
Harnessing Senescence for Antitumor Immunity to Advance Cancer Treatment. 利用衰老促进抗肿瘤免疫,推动癌症治疗。
IF 2.5 3区 医学 Q2 BIOLOGY Pub Date : 2024-08-28 DOI: 10.1667/RADE-24-00098.1
Pataje G S Prasanna

Considering the limitations and complexities of the cell-killing-based cancer treatment approaches, one could aim to integrate symbiotic advances in many energy delivery technologies and transformational pieces of evidence in research on senescence and immunomodulators to advance cancer treatment. Although senescent cells contribute to drug tolerance, resistance to therapy, tumorigenesis, maladapting cancer phenotypes, tumor relapse, recurrence, and metastasis, emerging pieces of evidence also demonstrate that acutely induced senescent cells in tumors can elicit a strong and lasting antitumor immune response juxtaposed to the immunologically silent apoptotic cells. This commentary is to help develop an unconventional conceptual framework to advance cancer treatment. Accordingly, it will involve transiently inducing senescent cells in tumors at optimal levels to prime the immune system with radiation, then eliminating senescent cells with senolytics (drugs that specifically eliminate senescent cells) to disrupt their positive feedback accumulation (to prevent tumor maladaptation and adverse effects in healthy cells) and unleash long-lasting antitumor immunity with immunomodulators. The approach is reasonably speculative and will require scientifically rigorous "fit-for-purpose," well-controlled preclinical research and development involving dose and schedule optimization of radiation and drugs, using representative in vitro and in vivo cancer models to obtain high-quality data to proceed to clinical studies.

考虑到基于细胞杀伤的癌症治疗方法的局限性和复杂性,我们可以将许多能量传递技术的共生进步与衰老和免疫调节剂研究中的变革性证据结合起来,推动癌症治疗。虽然衰老细胞会导致药物耐受性、抗药性、肿瘤发生、恶性肿瘤表型、肿瘤复发、复发和转移,但新出现的证据也证明,急性诱导的肿瘤衰老细胞能引起强烈而持久的抗肿瘤免疫反应,与免疫沉默的凋亡细胞形成对比。本评论旨在帮助制定一个非常规的概念框架,以推进癌症治疗。相应地,它将涉及以最佳水平短暂诱导肿瘤中的衰老细胞,用辐射为免疫系统提供能量,然后用衰老剂(专门消除衰老细胞的药物)消除衰老细胞,破坏它们的正反馈积累(防止肿瘤适应不良和对健康细胞的不利影响),并用免疫调节剂释放持久的抗肿瘤免疫力。这种方法具有合理的推测性,需要进行科学严谨的 "适合目的"、控制良好的临床前研究和开发,包括使用具有代表性的体外和体内癌症模型,优化辐射和药物的剂量和时间安排,以获得高质量的数据,进而开展临床研究。
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引用次数: 0
Mitigating the Effects of 1-Palmitoyl-2-linoleoyl-3-acetyl-rac-glycerol on Gastrointestinal Acute Radiation Syndrome after Total-Body Irradiation in Mice. 减轻 1-棕榈酰-2-亚油酰-3-乙酰-rac-甘油对小鼠全身辐照后胃肠道急性辐射综合征的影响
IF 2.5 3区 医学 Q2 BIOLOGY Pub Date : 2024-08-27 DOI: 10.1667/RADE-24-00126.1
Jinseon Jeong, Sojung Sun, Yong-Jae Kim, Jae Sam Lee, Jae Wha Kim

Total-body irradiation (TBI) with gamma rays can damage organisms in various unexpected ways and trigger several organ dysfunction syndromes, such as acute radiation syndrome (ARS). Hematopoietic cells and enterocytes are particularly sensitive to radiation due to their self-renewal ability and rapid division, which leads to hematopoietic ARS (H-ARS) and gastrointestinal ARS (GI-ARS). We previously showed that a lipid-based small molecule, 1-palmitoyl-2-linoleoyl-3-acetyl-rac-glycerol (PLAG), improved 30-day survival and alleviated H-ARS symptoms in BALB/c mice after a lethal dose (LD70/30) of gamma-ray TBI. In this study, we investigated the mitigating effects of PLAG on radiation-induced GI damage that occurs under the same conditions as H-ARS in BALB/c mice. Our study showed that PLAG facilitated the structural restoration of intestinal tissues by increasing villus height, crypt depth, crypt number, mucin-producing goblet cells, and proliferating cell nuclear antigen (PCNA)-positive crypt cells. PLAG significantly improved intestinal absorptive capacity and reduced intestinal injury-induced bacterial translocation. In addition, PLAG effectively inhibited radiation-induced necroptosis signaling activation in the intestinal crypt cells, which was responsible for sustained tissue damage and the release of high mobility group box 1 (HMGB1), a typical damage-associated molecular pattern. Overall, our findings support the radiation-mitigating potential of PLAG against GI-ARS after accidental radiation exposure.

伽马射线全身辐照(TBI)会以各种意想不到的方式损害生物体,并引发多种器官功能障碍综合征,如急性辐射综合征(ARS)。造血细胞和肠细胞具有自我更新能力和快速分裂特性,因此对辐射特别敏感,从而导致造血细胞急性辐射综合征(H-ARS)和胃肠道急性辐射综合征(GI-ARS)。我们以前的研究表明,一种基于脂质的小分子--1-棕榈酰-2-亚油酰-3-乙酰-rac-甘油(PLAG)能提高致死剂量(LD70/30)伽马射线创伤性脑损伤后 BALB/c 小鼠的 30 天存活率并缓解 H-ARS 症状。在这项研究中,我们调查了 PLAG 对辐射诱发的消化道损伤的缓解作用,这种损伤是在与 H-ARS 相同的条件下发生在 BALB/c 小鼠身上的。我们的研究表明,PLAG 可增加绒毛高度、隐窝深度、隐窝数量、产生粘液的小腺细胞和增殖细胞核抗原(PCNA)阳性隐窝细胞,从而促进肠组织结构的恢复。PLAG 能明显提高肠道吸收能力,减少肠道损伤引起的细菌转运。此外,PLAG 还能有效抑制辐射诱导的肠隐窝细胞坏死信号激活,这种信号激活是造成组织持续损伤和释放高迁移率基团框 1(HMGB1)的原因,而高迁移率基团框 1 是一种典型的损伤相关分子模式。总之,我们的研究结果表明,PLAG 对意外辐照后的 GI-ARS 具有辐射缓解潜力。
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引用次数: 0
Influence of Age on Leukemia Mortality Associated with Exposure to γ rays and 2-MeV Fast Neutrons in Male C3H Mice. 年龄对雄性 C3H 小鼠暴露于 γ 射线和 2-MeV 快中子后白血病死亡率的影响
IF 2.5 3区 医学 Q2 BIOLOGY Pub Date : 2024-08-27 DOI: 10.1667/RADE-23-00069.1
Kentaro Ariyoshi, Tatsuhiko Imaoka, Yasushi Ohmachi, Yuka Ishida, Masahiro Uda, Mayumi Nishimura, Mayumi Shinagawa, Midori Yoshida, Toshiaki Ogiu, Mutsumi Kaminishi, Takamitsu Morioka, Shizuko Kakinuma, Yoshiya Shimada

The relative biological effectiveness (RBE) of densely ionizing radiation can depend on the biological context. From a radiological perspective, age is an important factor affecting health risks of radiation exposure, but little is known about the modifying impact of age on the effects of densely ionizing radiation. Herein, we addressed the influence of age on leukemogenesis induced by accelerator-generated fast neutrons (mean energy, ∼2 MeV). Male C3H/HeNrs mice were exposed to 137Cs γ rays (0.2-3.0 Gy) or neutrons (0.0485-0.97 Gy, γ ray contamination 0.0105-0.21 Gy) at 1, 3, 8, or 35 weeks of age and observed over their lifetimes under specific pathogen-free conditions. Leukemia and lymphoma were diagnosed pathologically. Hazard ratio (HR) and RBE for myeloid leukemia mortality as well as the age dependence of these two parameters were modeled and analyzed using Cox regression. Neutron exposure increased HR concordant with a linear dose response. The increase of HR per dose depended on age at exposure, with no significant dose dependence at age 1 or 3 weeks but a significant increase in HR of 5.5 per Gy (γ rays) and 16 per Gy (neutrons) at 8 weeks and 5.8 per Gy (γ rays) and 9 per Gy (neutrons) at 35 weeks. The RBE of neutrons was 2.1 (95% confidence interval, 1.1-3.7), with no dependence on age. The development of lymphoid neoplasms was not related to radiation exposure. The observed increasing trend of radiation-associated mortality of myeloid leukemia with age at exposure supports previous epidemiological and experimental findings. The results also suggest that exposure at the susceptible age of 8 or 35 weeks does not significantly influence the RBE value for neutrons for induction of leukemia, unlike what has been documented for breast and brain tumors.

高强度电离辐射的相对生物效应(RBE)取决于生物环境。从放射学角度看,年龄是影响辐照健康风险的一个重要因素,但人们对年龄对强电离辐射效应的影响知之甚少。在此,我们研究了年龄对加速器产生的快中子(平均能量∼2 MeV)诱导的白血病发生的影响。雄性C3H/HeNrs小鼠在1、3、8或35周龄时暴露于137Cs γ射线(0.2-3.0 Gy)或中子(0.0485-0.97 Gy,γ射线污染0.0105-0.21 Gy),并在特定的无病原体条件下进行终生观察。白血病和淋巴瘤均经病理诊断。髓性白血病死亡率的危险比(HR)和RBE以及这两个参数的年龄依赖性均采用Cox回归法进行建模和分析。中子辐照增加的危险比与线性剂量反应一致。每剂量 HR 的增加取决于暴露年龄,1 周或 3 周时无明显剂量依赖性,但 8 周时 HR 显著增加,分别为 5.5 per Gy(γ 射线)和 16 per Gy(中子),35 周时分别为 5.8 per Gy(γ 射线)和 9 per Gy(中子)。中子的 RBE 为 2.1(95% 置信区间,1.1-3.7),与年龄无关。淋巴肿瘤的发生与辐照无关。所观察到的与辐射相关的骨髓性白血病死亡率随辐照年龄增加而上升的趋势支持了以前的流行病学和实验研究结果。研究结果还表明,在 8 周或 35 周的易感年龄受到辐照并不会显著影响中子诱发白血病的 RBE 值,这与乳腺癌和脑瘤的情况不同。
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引用次数: 0
Radiosensitivity-related Variation in MicroRNA-34a-5p Levels and Subsequent Neuronal Loss in the Hilus of the Dentate Gyrus after Irradiation at Postnatal Days 10 and 21 in Mice. 小鼠出生后第 10 天和第 21 天受到辐照后齿状回脊髓中与辐射敏感性相关的 MicroRNA-34a-5p 水平变化及随后的神经元丢失。
IF 2.5 3区 医学 Q2 BIOLOGY Pub Date : 2024-08-21 DOI: 10.1667/RADE-23-00248.1
Lian Liu, Hong Wang, Zhao Wu Ma, Feng Ru Tang

The radiosensitivity of mice differs between postnatal days 10 (P10) and 21(P21); these days mark different stages of brain development. In the present study, Ki67 and doublecotin (DCX) immunostaining and hematoxylin staining was performed, which showed that acute radiation exposure at postnatal day 10 induced higher cell apoptosis and loss in the hilus of the dentate gyrus at day 1 postirradiation than postnatal day 21. MicroRNA (miRNA) sequencing and real-time quantitative reverse transcription PCR (qRT-PCR) analysis indicated the upregulation of miRNA-34a-5p at days 1 and 7 days after irradiation at postnatal day 10, but not at postnatal day 21. Down-regulation of T-cell intracytoplasmic antigen-1 pathway (Tia1) was indicated by qRT-PCR at day 1 day but not day 7 after irradiation at postnatal day 10. Neurobehavioral testing in mature mice irradiated at postnatal day 10 demonstrated the impairment of short-term memory in novel object recognition and spatial memory, compared to those irradiated at postnatal day 21. Combined with our previous luciferase assay showing the direct interaction of miRNA34a-5p and Tia1, these findings suggest that radiation-induced abnormal miR-34a-5p/Tial interaction at day 1 after irradiation at postnatal day 10 may be involved in apoptosis of the dentate gyrus hilar, impairment of neurogenesis and subsequent short-term memory loss as observed in the novel object recognition and Barnes maze tests.

小鼠对辐射的敏感性在出生后第 10 天(P10)和第 21 天(P21)有所不同,这两天标志着大脑发育的不同阶段。本研究对小鼠进行了Ki67和双胞素(DCX)免疫染色和苏木精染色,结果表明,出生后第10天的急性辐射照射在辐射后第1天诱导的齿状回脊髓细胞凋亡和丢失高于出生后第21天。微RNA(miRNA)测序和实时定量反转录PCR(qRT-PCR)分析表明,miRNA-34a-5p在出生后第10天照射后第1天和第7天上调,而在出生后第21天则没有上调。qRT-PCR显示,T细胞胞浆内抗原-1通路(Tia1)在出生后第10天照射后第1天出现下调,但在第7天没有出现下调。对出生后第 10 天接受辐照的成熟小鼠进行的神经行为测试表明,与出生后第 21 天接受辐照的小鼠相比,出生后第 10 天接受辐照的小鼠在新物体识别和空间记忆方面的短期记忆受到了损害。结合我们之前进行的荧光素酶测定显示的 miRNA34a-5p 和 Tia1 的直接相互作用,这些研究结果表明,在出生后第 10 天接受辐照后的第 1 天,辐射诱导的 miR34a-5p/Tial 异常相互作用可能参与了在新物体识别和巴恩斯迷宫测试中观察到的齿状回细丝凋亡、神经发生障碍和随后的短期记忆丧失。
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引用次数: 0
Risks of Circulatory Diseases among Korean Radiation Workers Exposed to Low-dose Radiation. 暴露于低剂量辐射的韩国辐射工人患循环系统疾病的风险。
IF 2.5 3区 医学 Q2 BIOLOGY Pub Date : 2024-08-16 DOI: 10.1667/RADE-23-00148.1
Eun Shil Cha, Dalnim Lee, Hyoju Sung, Won Il Jang, Tae-Eun Kwon, Ho Yeon Jeong, Songwon Seo

High-dose radiation has been widely recognized as a risk factor for circulatory diseases. There is increasing evidence for risk of circulatory diseases in response to low and moderate radiation doses in recent years, but the results are not always consistent. We aimed to evaluate the associations between low-dose radiation exposure (<0.1 Gy) and the incidence of circulatory disease in a large cohort of Korean radiation workers. We collected data from a cohort of 187,001 radiation workers monitored for personal radiation dose since 1984 and linked with the National Health Insurance Service data from 2002 to 2021. Excess relative risks (ERRs) per 100 mGy were calculated to quantify the radiation dose-response relationship. The mean duration of follow-up was 13.3 years. A total of 12,705 cases of cerebrovascular disease (CeVD) and 19,647 cases of ischemic heart disease (IHD) were diagnosed during the follow-up period (2002-2021). The average cumulative heart dose was 4.10 mGy, ranging from 0 to 992.62 mGy. The ERR per 100 mGy with 10-year lagged cumulative heart doses was estimated at -0.094 (95% CI -0.248, 0.070) for CeVD and -0.173 (95% CI -0.299, -0.041) for IHD. The ERRs were not significantly changed after adjusting for confounding factors such as smoking, income, blood pressure, body mass index, and blood glucose level. A linear quadratic model was found to provide a better fit for the ERR of CeVD and IHD than a linear model (P = 0.009 and 0.030, respectively). There were no statistically significant variations in ERR/100 mGy estimates for either CeVD or IHD in terms of sex, attained age, and duration of employment; however, heterogeneity in the ERR/100 mGy estimates for CeVD among occupations was observed (P = 0.001). Our study did not find conclusive evidence supporting the association between occupational low-dose radiation and an increased risk of circulatory diseases. The significant negative ERR estimates for IHD need further investigation with a more extended follow-up period.

高剂量辐射已被广泛认为是循环系统疾病的风险因素。近年来,有越来越多的证据表明,中低剂量辐射会导致循环系统疾病,但结果并不总是一致的。我们的目的是评估低剂量辐射照射(例如:辐照)与循环系统疾病之间的关联。
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引用次数: 0
Dose Reconstruction for Epidemiological Studies among Ukrainian Chernobyl Cleanup Workers. 乌克兰切尔诺贝利清理工人流行病学研究的剂量重建。
IF 2.5 3区 医学 Q2 BIOLOGY Pub Date : 2024-08-15 DOI: 10.1667/RADE-23-00117.1
Vladimir Drozdovitch, Victor Kryuchkov, Elena Bakhanova, Petro Bondarenko, Konstantin Chizhov, Ivan Golovanov, Vadim Chumak

The present paper provides an overview of the methods and summarizes the results of estimating radiation doses and their uncertainties for Ukrainian-American epidemiological studies among the Chernobyl (Chornobyl) cleanup workers. After the Chernobyl accident occurred on April 26, 1986, more than 300,000 Ukrainian cleanup workers took part between 1986 and 1990 in decontamination and recovery activities at the site of the Chernobyl Nuclear Power Plant. The U.S. National Cancer Institute in collaboration with the Ukrainian National Research Center for Radiation Medicine conducted several epidemiological studies in this population. An important part of these studies was the reconstruction of the study participants' radiation doses and the assessment of uncertainties in doses. A method called realistic analytical dose reconstruction with uncertainty estimation (RADRUE) was used to calculate the doses from external irradiation during cleanup missions, which was the main exposure pathway for most study participants. At the initial phase of the accident during the atmospheric releases of radioactivity from the destroyed reactor, the cleanup workers also received doses from inhalation of radionuclides. In addition, study participants received doses at their places of residence, especially those who lived in highly contaminated areas. The radiation doses estimated for 2,048 male cleanup workers included in the Ukrainian-American epidemiological studies varied widely: (i) bone-marrow doses from external irradiation in the case-control study of leukemia of 1,000 cleanup workers ranged from 3.7 × 10-5 mGy to 3.3 Gy (mean = 92 mGy); (ii) thyroid doses in the case-control study of thyroid cancer in 607 persons from all exposure pathways combined were from 0.15 mGy to 9.0 Gy (mean = 199 mGy); (iii) gonadal doses in 183 cleanup workers from all exposure pathways combined in the study of germline mutations in the offspring after parental irradiation (trio study) ranged from 0.58 mGy to 4.1 Gy (mean = 392 mGy); (iv) thyroid doses in the human factor uncertainties study among 47 persons were from 20 mGy to 2.1 Gy (mean = 295 mGy); and (v) lung doses in the study of germline genetic variants associated with host susceptibility to COVID-19 estimated for 211 cleanup workers were from 0.024 mGy to 2.5 Gy (mean = 249 mGy). Doses of female cleanup workers were much lower than those of male cleanup workers: the mean doses for female cleanup workers were 27 mGy for 34 women included in the trio study and 56 mGy for 48 women participated in the study of germline genetic variants associated with host susceptibility to COVID-19. Uncertainties in dose estimates included two components: (i) inherent uncertainties arising from the stochastic random variability of the parameters used in exposure assessment and from a lack of knowledge about the true values of the parameters; and (ii) human factor uncertainties due to poor memory recall resulting in incomplete, inaccurate,

本文概述了切尔诺贝利(切尔诺贝利)清理工人中乌克兰裔美国人流行病学研究的辐射剂量及其不确定性的估算方法和结果。1986 年 4 月 26 日切尔诺贝利事故发生后,1986 年至 1990 年间,30 多万乌克兰清理工人参与了切尔诺贝利核电站现场的去污和恢复活动。美国国家癌症研究所与乌克兰国家辐射医学研究中心合作,对这一人群进行了多项流行病学研究。这些研究的一个重要部分是重建研究参与者的辐射剂量和评估剂量的不确定性。使用了一种名为 "带不确定性估计的现实分析剂量重建"(RADRUE)的方法来计算清理任务期间的外部辐照剂量,这是大多数研究参与者的主要辐照途径。在事故初期,被摧毁的反应堆向大气释放放射性时,清理人员也会因吸入放射性核素而受到辐射剂量。此外,研究参与者在其居住地也受到了辐射,特别是那些居住在高污染地区的人。乌克兰-美国流行病学研究中包括的 2,048 名男性清理工人估计的辐射剂量差别很大:(i) 在对 1,000 名清理工人进行的白血病病例对照研究中,外照射造成的骨髓剂量从 3.7 × 10-5 mGy 到 3.3 Gy 不等(平均值 = 92 mGy);(ii) 在对 607 人进行的甲状腺癌病例对照研究中,所有照射途径合计造成的甲状腺剂量从 0.15 mGy 到 9.0 Gy (平均值 = 199 mGy);(iii) 在父母辐照后子代生殖突变的研究(三重研究)中,183 名来自所有辐照途径的清理工人的性腺剂量介于 0.58 mGy 至 4.1 Gy(平均值 = 392 mGy);(iv) 47 人在人体因素不确定性研究中的甲状腺剂量为 20 mGy 至 2.1 Gy(平均值 = 295 mGy);(v) 在与宿主对 COVID-19 易感性相关的种系遗传变异研究中,估计 211 名清理工人的肺部剂量为 0.024 mGy 至 2.5 Gy(平均值 = 249 mGy)。女性清洁工人的剂量远低于男性清洁工人:34 名女性清洁工人参加了三人研究,其平均剂量为 27 mGy;48 名女性清洁工人参加了与宿主对 COVID-19 易感性相关的种系遗传变异研究,其平均剂量为 56 mGy。剂量估算的不确定性包括两部分:(i) 暴露评估中使用的参数的随机变异性和对参数真实值的不了解所产生的固有不确定性;以及 (ii) 暴露后很长时间对清理工人进行个人访谈时,由于记忆力差导致回答不完整、不准确或缺失而产生的人为因素不确定性。本文还讨论了评估清理工人辐射剂量和相关不确定性的方法的可能发展和改进。
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引用次数: 0
Rapamycin Reduces Carcinogenesis and Enhances Survival in Mice when Administered after Nonlethal Total-Body Irradiation. 非致命性全身辐照后服用雷帕霉素可减少小鼠的癌症发生并提高其存活率
IF 2.5 3区 医学 Q2 BIOLOGY Pub Date : 2024-08-15 DOI: 10.1667/RADE-24-00111.1
Anastasia L Sowers, Sangeeta Gohain, Elijah F Edmondson, Rajani Choudhuri, Murali C Krishna, John A Cook, James B Mitchell

The rationale of this study stems from the concern of a radiation-induced accident or terrorist-mediated nuclear attack resulting in large populations of people exposed to nonlethal radiation doses or after a course of definitive radiation therapy which could substantially increase the risk for cancer induction after exposure. Currently, there are no safe and effective interventions to reduce this increased cancer risk to humans. We have tested the hypothesis that the mTOR inhibitor, rapamycin, administered in the diet of mice would reduce or delay radiation-induced cancer when given after radiation exposure. A total-body irradiation (TBI) of 3 Gy was administered to female C3H/Hen mice. Immediately after TBI, along with untreated control groups, animals were placed on chow containing different concentrations of encapsulated rapamycin (14, 40, 140 mg/kg chow). Animals remained on the respective control or rapamycin diets and were followed for their entire lifespan (total of 795 mice). The endpoint for the study was tumor formation (not to exceed 1 cm) or until the animal reached a humane endpoint at which time the animal was euthanized and evaluated for the presence of tumors (pathology evaluated on all animals). Kaplan-Meier survival curves revealed that all three concentrations of rapamycin afforded a significant survival advantage by delaying the time at which tumors appeared and reduction of the incidence of certain tumor types such as hepatocellular carcinomas. The survival advantage was dependent on the rapamycin concentration used. Further, there was a survival advantage when delaying the rapamycin chow by 1 month after TBI. Rapamycin is FDA-approved for human use and could be considered for use in individuals exposed to nonlethal TBI from a nuclear accident or attack or after significant therapeutic doses for cancer treatment.

进行这项研究的原因是,人们担心辐射诱发的事故或恐怖分子发动的核袭击会导致大量人群受到非致命辐射剂量的照射,或在接受明确的放射治疗后,受照射后诱发癌症的风险会大大增加。目前,还没有安全有效的干预措施来降低人类癌症风险的增加。我们测试了一个假设,即在小鼠饮食中添加 mTOR 抑制剂雷帕霉素,可在辐照后减少或延缓辐射诱发的癌症。我们对雌性 C3H/Hen 小鼠进行了 3 Gy 的全身照射(TBI)。全身照射(TBI)后,立即让动物与未处理的对照组一起食用含有不同浓度雷帕霉素的饲料(14、40、140 毫克/千克饲料)。动物继续食用各自的对照组或雷帕霉素饲料,并对其整个生命周期(共 795 只小鼠)进行跟踪观察。研究的终点是肿瘤形成(不超过 1 厘米)或动物达到人道终点,届时对动物实施安乐死并评估是否存在肿瘤(对所有动物进行病理评估)。Kaplan-Meier生存曲线显示,三种浓度的雷帕霉素都能延缓肿瘤出现的时间,降低某些肿瘤类型(如肝细胞癌)的发病率,从而带来显著的生存优势。生存优势取决于所使用的雷帕霉素浓度。此外,在创伤性脑损伤后延迟一个月服用雷帕霉素还能提高生存率。雷帕霉素已获得美国食品及药物管理局(FDA)批准用于人类,可考虑用于因核事故或核攻击而遭受非致命性创伤性脑损伤的患者,或在使用大量治疗剂量治疗癌症后的患者。
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