Gyuleva Ilona, Djounova Jana, Rupova Ivanka
Radiation Medicine and Emergency, National Centre Radiobiology and Radiation Protection, Sofia, Bulgaria.
Dose Response. 2018 Aug 15;16(3):1559325818785564. doi: 10.1177/1559325818785564. eCollection 2018 Jul-Sep.
The aim of the present study is to assess the effects of low-dose occupational exposure on T helper response. One Hundred five employees working in Nuclear Power Plant, Kozloduy, Bulgaria and control group of 32 persons are included in this investigation. Flow cytometry measurements of T-cell populations and subpopulations and natural killer T cells are performed and levels of G, A, and M immunoglobulins and interleukin 2 (IL-2), IL-4, and interferon γ were determined. The data interpreted with regard to cumulative doses, length of service, and age. The results of the present study are not enough to outline a clear impact of occupational radiation exposure on T helper populations. Nevertheless, the observed even slight trends in some lymphocyte's populations and in cytokines profile give us the reason to assume a possibility of a gradual polarization of T helper 1 to T helper 2 immune response at dose range 100 to 200 mSv. The results of the present study indicate the need to perform a more detailed epidemiological survey including potential confounding and misclassifying factors and possible selection bias that could influence the results.
本研究的目的是评估低剂量职业暴露对辅助性T细胞反应的影响。本调查纳入了保加利亚科兹洛杜伊核电站的105名员工以及32人的对照组。对T细胞群体、亚群和自然杀伤T细胞进行了流式细胞术测量,并测定了G、A和M免疫球蛋白以及白细胞介素2(IL-2)、IL-4和干扰素γ的水平。根据累积剂量、服务年限和年龄对数据进行了解释。本研究结果不足以明确职业辐射暴露对辅助性T细胞群体的影响。然而,在某些淋巴细胞群体和细胞因子谱中观察到的即使是轻微趋势,也使我们有理由假设在100至200 mSv剂量范围内,辅助性T细胞1向辅助性T细胞2免疫反应逐渐极化的可能性。本研究结果表明,有必要进行更详细的流行病学调查,包括可能影响结果的潜在混杂和错误分类因素以及可能的选择偏倚。