Radiation Epidemiology Branch, National Cancer Institute, 9609 Medical Center Drive, MSC 9778, Bethesda, MD 20892-9778, USA.
Medical Research Council, Harwell, Oxfordshire, UK.
Mutat Res. 2013 Jul-Sep;753(1):50-67. doi: 10.1016/j.mrrev.2013.04.001. Epub 2013 May 4.
In this article we review health effects in offspring of human populations exposed as a result of radiotherapy and some groups exposed to chemotherapy. We also assess risks in offspring of other radiation-exposed groups, in particular those of the Japanese atomic bomb survivors and occupationally and environmentally exposed groups. Experimental findings are also briefly surveyed. Animal and cellular studies tend to suggest that the irradiation of males, at least at high doses (mostly 1Gy and above), can lead to observable effects (including both genetic and epigenetic) in the somatic cells of their offspring over several generations that are not attributable to the inheritance of a simple mutation through the parental germline. However, studies of disease in the offspring of irradiated humans have not identified any effects on health. The available evidence therefore suggests that human health has not been significantly affected by transgenerational effects of radiation. It is possible that transgenerational effects are restricted to relatively short times post-exposure and in humans conception at short times after exposure is likely to be rare. Further research that may help resolve the apparent discrepancies between cellular/animal studies and studies of human health are outlined.
在本文中,我们回顾了因放射治疗而暴露于辐射的人群以及部分接受化疗的人群中后代的健康影响。我们还评估了其他辐射暴露人群(尤其是日本原子弹幸存者和职业及环境暴露人群)的后代的风险。实验研究结果也进行了简要综述。动物和细胞研究倾向于表明,雄性个体受到辐射照射,至少在高剂量(主要是 1Gy 及以上)时,可能会导致其后代的体细胞在几代中发生可观察到的影响(包括遗传和表观遗传),而这些影响不能归因于通过亲代生殖细胞遗传的简单突变。然而,对受照射人类后代的疾病研究并未发现对健康有任何影响。因此,现有证据表明,人类健康并未受到辐射的跨代效应的显著影响。跨代效应可能仅限于暴露后相对较短的时间内,并且人类在暴露后短时间内受孕的可能性很小。概述了进一步的研究,这些研究可能有助于解决细胞/动物研究和人类健康研究之间的明显差异。