Augustine Alison Deckhut, Gondré-Lewis Timothy, McBride William, Miller Lara, Pellmar Terry C, Rockwell Sara
Division of Allergy, Immunology and Transplantation, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland 20892-6601, USA.
Radiat Res. 2005 Jul;164(1):100-9. doi: 10.1667/rr3388.
Current events throughout the world underscore the growing threat of different forms of terrorism, including radiological or nuclear attack. Pharmaceutical products and other approaches are needed to protect the civilian population from radiation and to treat those with radiation-induced injuries. In the event of an attack, radiation exposures will be heterogeneous in terms of both dose and quality, depending on the type of device used and each victim's location relative to the radiation source. Therefore, methods are needed to protect against and treat a wide range of early and slowly developing radiation-induced injuries. Equally important is the development of rapid and accurate biodosimetry methods for estimating radiation doses to individuals and guiding clinical treatment decisions. Acute effects of high-dose radiation include hematopoietic cell loss, immune suppression, mucosal damage (gastrointestinal and oral), and potential injury to other sites such as the lung, kidney and central nervous system (CNS). Long-term effects, as a result of both high- and low-dose radiation, include dysfunction or fibrosis in a wide range of organs and tissues and cancer. The availability of appropriate types of animal models, as well as adequate numbers of animals, is likely to be a major bottleneck in the development of new or improved radioprotectors, mitigators and therapeutic agents to prevent or treat radiation injuries and of biodosimetry methods to measure radiation doses to individuals.
世界各地的时事凸显了包括放射性或核攻击在内的各种形式恐怖主义日益增长的威胁。需要药品和其他方法来保护平民免受辐射,并治疗辐射所致损伤的患者。如果发生袭击,根据所使用装置的类型以及每个受害者相对于辐射源的位置,辐射暴露在剂量和性质方面将是不均匀的。因此,需要有方法来预防和治疗各种早期和缓慢发展的辐射所致损伤。同样重要的是开发快速准确的生物剂量测定方法,以估计个体的辐射剂量并指导临床治疗决策。高剂量辐射的急性效应包括造血细胞损失、免疫抑制、黏膜损伤(胃肠道和口腔)以及对其他部位如肺、肾和中枢神经系统(CNS)的潜在损伤。高剂量和低剂量辐射的长期效应包括广泛器官和组织的功能障碍或纤维化以及癌症。合适类型动物模型的可得性以及足够数量的动物,可能是开发新的或改进的辐射防护剂、减轻剂和治疗剂以预防或治疗辐射损伤以及开发测量个体辐射剂量的生物剂量测定方法的主要瓶颈。