Ellender M, Harrison J D, Pottinger H, Thomas J M
National Radiological Protection Board, Didcot, Oxon, UK.
Int J Radiat Biol. 2001 Jan;77(1):41-52. doi: 10.1080/095530001453104.
To compare tumour induction in CBA/H mice, principally osteosarcoma and acute myeloid leukaemia, resulting from exposure to the alpha-emitting nuclides, uranium-233, plutonium-239 and americium-241, and to relate differences between the three nuclides to the pattern of dose delivery within tissues.
Each nuclide was administered intraperitoneally in citrate solution to three groups of adult male CBA/H mice at levels of activity which gave estimated life-time average skeletal doses of about 0.25-0.3 Gy, 0.5-1 Gy and 1-2 Gy. Animals were carefully monitored and sacrificed as soon as they showed signs of ill health; tumours were identified by standard histopathological techniques.
Statistical modelling by Cox regression showed that, considering all three nuclides together, there was a highly significant increase in risk of death from osteosarcoma or myeloid leukaemia with increasing dose rate. For osteosarcoma, the effect was significantly greater for 239Pu than 241Am, while separate analysis for 233U showed no significant increase with increasing dose rate. For example, the increase in relative risk of death from osteosarcoma for an increase in life-time average dose rate to bone of 1 mGyd(-1) was 4.2 (2.7-6.5) for 239Pu, 2.3 (1.4-3.4) for 241Am and 1.1 (0.4-3.1) for 233U. For myeloid leukaemia, there was no significant difference between 239Pu and 241Am in the effect of dose rate. The increase in relative risk from myeloid leukaemia for an increase in average dose rate of 1 mGyd(-1) was 1.8 (1.1-2.8) for 239Pu, 2.0 (1.4-2.9) for 241Am and 1.5 (0.8-2.7) for 233U. Significant increases in renal and hepatic carcinomas were also recorded in animals exposed to 233U and 241Am, respectively. Studies of the distribution of the nuclides within the skeleton, published separately, have shown differences in their retention in individual bones and within bone. The proportions of decays occurring near to endosteal bone surfaces and throughout bone marrow were in the order: 239Pu> 241Am>233U.
For osteosarcoma, the relative effectiveness of the nuclides in terms of average bone dose, in the order 239Pu>241Am>233U, is consistent with the proportion of dose delivered near to endosteal surfaces. For myeloid leukaemia, the greater effectiveness of 239Pu and 241Am than 233U is consistent with their accumulation in marrow.
比较CBA/H小鼠因暴露于发射α粒子的核素铀-233、钚-239和镅-241而诱发肿瘤的情况,主要是骨肉瘤和急性髓细胞白血病,并将这三种核素之间的差异与组织内的剂量传递模式联系起来。
将每种核素以柠檬酸盐溶液腹腔注射给三组成年雄性CBA/H小鼠,活性水平分别给予估计的终身平均骨骼剂量约0.25 - 0.3 Gy、0.5 - 1 Gy和1 - 2 Gy。对动物进行仔细监测,一旦出现健康不佳的迹象就立即处死;通过标准组织病理学技术鉴定肿瘤。
Cox回归统计建模表明,综合考虑这三种核素,骨肉瘤或髓细胞白血病导致的死亡风险随剂量率增加而显著升高。对于骨肉瘤,钚-239的影响显著大于镅-241,而对铀-233的单独分析显示其随剂量率增加无显著升高。例如,终身平均骨剂量率增加1 mGyd⁻¹时,钚-239导致骨肉瘤死亡相对风险增加4.2(2.7 - 6.5),镅-241为2.3(1.4 - 3.4),铀-233为1.1(0.4 - 3.1)。对于髓细胞白血病,钚-239和镅-241在剂量率影响方面无显著差异。平均剂量率增加1 mGyd⁻¹时,钚-239导致髓细胞白血病相对风险增加1.8(1.1 - 2.8),镅-241为2.0(1.4 - 2.9),铀-233为1.5(0.8 - 2.7)。分别暴露于铀-233和镅-241的动物中,还记录到肾癌和肝癌显著增加。分别发表的关于核素在骨骼内分布的研究表明,它们在个别骨骼和骨内的滞留存在差异。在内骨膜骨表面附近和整个骨髓中发生衰变的比例顺序为:钚-239>镅-241>铀-233。
对于骨肉瘤,就平均骨剂量而言,核素的相对有效性顺序为钚-239>镅-241>铀-233,这与在内骨膜表面附近传递的剂量比例一致。对于髓细胞白血病,钚-239和镅-241比铀-233更有效,这与它们在骨髓中的积累一致。