Atomic Bomb Disease Institute, Nagasaki University Graduate School of Biomedical Sciences, 1-12-4 Sakamoto, Nagasaki 852-8523, Japan.
Jpn J Clin Oncol. 2012 Jul;42(7):563-8. doi: 10.1093/jjco/hys078. Epub 2012 May 28.
Absorption of energy from ionizing radiation by the genetic material in the cell leads to damage to DNA, which in turn leads to cell death, chromosome aberrations and gene mutations. While early or deterministic effects result from organ and tissue damage caused by cell killing, latter two are considered to be involved in the initial events that lead to the development of cancer. Epidemiological studies have demonstrated the dose-response relationships for cancer induction and quantitative evaluations of cancer risk following exposure to moderate to high doses of low-linear energy transfer radiation. A linear, no-threshold model has been applied to assessment of the risks resulting from exposure to moderate and high doses of ionizing radiation; however, a statistically significant increase has hardly been described for radiation doses below 100 mSv. This review summarizes our current knowledge of the physical and biological features of low-dose radiation and discusses the possibilities of induction of cancer by low-dose radiation.
细胞内遗传物质吸收电离辐射的能量会导致 DNA 损伤,进而导致细胞死亡、染色体异常和基因突变。虽然早期或确定性效应是由细胞杀伤引起的器官和组织损伤导致的,但后两者被认为与导致癌症发展的初始事件有关。流行病学研究已经证明了癌症诱发的剂量反应关系,并且对中等到高剂量低线性能量转移辐射暴露后的癌症风险进行了定量评估。线性无阈值模型已应用于评估暴露于中等到高剂量电离辐射所带来的风险;然而,在低于 100mSv 的辐射剂量下,几乎没有描述出具有统计学意义的增加。这篇综述总结了我们目前对低剂量辐射的物理和生物特征的认识,并讨论了低剂量辐射诱发癌症的可能性。