IF 2.3 4区 医学 Q3 PHARMACOLOGY & PHARMACY
Dose-Response Pub Date : 2025-03-27 eCollection Date: 2025-01-01 DOI:10.1177/15593258251318305
Bobby R Scott
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引用次数: 0

摘要

背景:我们终生暴露于天然电离辐射和其他基因组压力源中,而辐射恐惧症给社会造成了巨大危害。辐射恐惧症的主要依据是无效的线性无阈值(LNT)癌症诱导假说,辐射防护系统(SRP)与此假说有关。公众大多不知道,与进化相关的基因组应激适应(基因适应)经过许多代人的进化,现已为所有生命形式提供了低剂量辐射防护。目标:帮助改进 SRP,使其与无效的辐射导致健康损害的 LNT 假说无关,并促进针对不同疾病的低剂量放射治疗。方法:根据已发表的 LNT 模型相关结果,生成原子弹爆炸幸存者的全固态癌症死亡风险剂量-反应关系。低剂量辐射预防肺癌的剂量-反应关系是根据一项使用超过 15,000 只小鼠进行研究的已发表数据,通过线性插值生成的。不确定性表征基于二项分布和泊松分布的蒙特卡罗计算。新的剂量表征工具被用于辐射致癌死亡率的阈值剂量-反应关系。结果:根据低剂量时缺失的关键不确定性进行调整后,原子弹爆炸幸存者的全固态癌症死亡风险从 LNT 过渡到阈值线性。低辐射剂量对小鼠肺癌的预防作用取决于辐射吸收剂量和类型。结论:SRP应与人群剂量阈值相联系,而不是无效的LNT假说。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Radiophobia Harm, Its Main Cause, and a Proposed Solution.

Background: We are exposed to natural ionizing radiation and other genomic stressors throughout life and radiophobia has caused much harm to society. The main basis for radiophobia is the invalid linear no-threshold (LNT) hypothesis for cancer induction, which the System of Radiological Protection (SRP) is linked to. Largely unknown to the public, evolution-associated genomic stress adaptation (gensadaptation) over many previous generations now provides protection to all lifeforms from low radiation doses. Objective: To help bring about an improved SRP not linked to the invalid LNT hypothesis for radiation-caused health detriment and to promote low-dose radiation therapy for different diseases. Methods: All-solid-cancer mortality risk dose-response relationships for A-bomb survivors were generated based on published LNT-modeling-related results. Dose-response relationships for lung cancer prevention by low-dose radiation were generated by linear interpolation based on published data from a study using > 15,000 mice. Uncertainty characterization was based on Monte Carlo calculations for binomial and Poisson distributions. New dose characterization tools were used for threshold dose-response relationships for radiation-caused cancer mortality. Results: The all-solid-cancer mortality risk for A-bomb survivors transitioned from LNT to threshold-linear when adjusted for key missing uncertainty at low doses. The prevention of lung cancer in mice by low radiation doses depends on the radiation absorbed dose and type. Conclusions: The SRP should be linked to population dose thresholds rather than the invalid LNT hypothesis and small likely harmless radiation doses could possibly be used in treating different diseases.

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来源期刊
Dose-Response
Dose-Response PHARMACOLOGY & PHARMACY-RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
CiteScore
4.90
自引率
4.00%
发文量
140
审稿时长
>12 weeks
期刊介绍: Dose-Response is an open access peer-reviewed online journal publishing original findings and commentaries on the occurrence of dose-response relationships across a broad range of disciplines. Particular interest focuses on experimental evidence providing mechanistic understanding of nonlinear dose-response relationships.
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