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铯在生物学、胰腺癌以及高和低辐射暴露损伤中的争议——科学、环境、地缘政治和经济方面。

Cesium in Biology, Pancreatic Cancer, and Controversy in High and Low Radiation Exposure Damage-Scientific, Environmental, Geopolitical, and Economic Aspects.

机构信息

Department of Hygiene and Public Health, 61016 Rimini, Italy.

出版信息

Int J Environ Res Public Health. 2021 Aug 25;18(17):8934. doi: 10.3390/ijerph18178934.

DOI:10.3390/ijerph18178934
PMID:34501532
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8431133/
Abstract

Radionuclide contamination in terrestrial ecosystems has reached a dangerous level. The major artificial radionuclide present in the environment is cesium-137 (137-Cs). In humans, animals, and plants cesium ion (Cs+) behaves like potassium ion (K+) and it is localized mainly inside the cells. Pancreas and salivary glands secrete Cs in the intestine thus eliminating about 14% of ingested Cs with the feces, the remaining 86% is eliminated by the kidney with the urine. Ingested radiocesium can also cause in humans several cases of pancreatitis with secondary diabetes (type 3c), which are both on the rise in the world. The Author studied the correlation between the geographical map of mortality from pancreatic cancer (PC) and the map of nuclear plant accidents, atomic bomb testing, and radioactive fallout. The worldwide death rate of PC is increasing, but the exact cause is still not known. Published data in medical literature at World, European and Italian levels are reviewed and compared. 137-Cs, with a half-life of about 30 years, is still present in the environment for about 300-600 years. Autoradiographic studies in mice have shown that 137-Cs is concentrated in greater quantity in the pancreas, particularly in exocrine cells, where most malignant PCs originate. Some methods of radiocesium removal and PC prevention are also suggested. But there is still a persistent, and not entirely disinterested, the controversy between damage from high and low exposure to ionizing radiations.

摘要

陆地生态系统中的放射性核素污染已经达到了危险的水平。环境中主要的人工放射性核素是铯-137(137-Cs)。在人类、动物和植物中,铯离子(Cs+)的行为与钾离子(K+)相似,主要定位于细胞内部。胰腺和唾液腺在肠道中分泌 Cs,从而将约 14%的摄入 Cs 随粪便排出,其余 86%则通过肾脏随尿液排出。摄入的放射性铯也可能导致人类出现几种胰腺炎伴继发性糖尿病(3c 型)的情况,这两种疾病在全球范围内都呈上升趋势。作者研究了胰腺癌(PC)死亡率的地理图谱与核电厂事故、原子弹试验和放射性沉降物的图谱之间的相关性。全球范围内 PC 的死亡率正在上升,但确切原因仍不清楚。对世界、欧洲和意大利各级医学文献中的已发表数据进行了回顾和比较。半衰期约为 30 年的 137-Cs 在环境中仍存在约 300-600 年。对小鼠的放射自显影研究表明,137-Cs 在胰腺中更大量地浓缩,特别是在外分泌细胞中,大多数恶性 PC 起源于此。还提出了一些去除放射性铯和预防 PC 的方法。但是,关于电离辐射高暴露和低暴露的危害仍存在持续存在的、并非完全无利益相关的争议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c229/8431133/d090ab60b51b/ijerph-18-08934-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c229/8431133/bd727fac8258/ijerph-18-08934-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c229/8431133/f9a11644f66c/ijerph-18-08934-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c229/8431133/1c09ed06b698/ijerph-18-08934-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c229/8431133/25b500490469/ijerph-18-08934-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c229/8431133/6c45a86b2278/ijerph-18-08934-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c229/8431133/fed0b0097a8a/ijerph-18-08934-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c229/8431133/3284a874086d/ijerph-18-08934-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c229/8431133/08fa4db54ab9/ijerph-18-08934-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c229/8431133/1d06d8ef300c/ijerph-18-08934-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c229/8431133/bb1803438def/ijerph-18-08934-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c229/8431133/d090ab60b51b/ijerph-18-08934-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c229/8431133/bd727fac8258/ijerph-18-08934-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c229/8431133/f9a11644f66c/ijerph-18-08934-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c229/8431133/1c09ed06b698/ijerph-18-08934-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c229/8431133/25b500490469/ijerph-18-08934-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c229/8431133/6c45a86b2278/ijerph-18-08934-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c229/8431133/fed0b0097a8a/ijerph-18-08934-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c229/8431133/3284a874086d/ijerph-18-08934-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c229/8431133/08fa4db54ab9/ijerph-18-08934-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c229/8431133/1d06d8ef300c/ijerph-18-08934-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c229/8431133/bb1803438def/ijerph-18-08934-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c229/8431133/d090ab60b51b/ijerph-18-08934-g011.jpg

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The global, regional, and national burden of pancreatic cancer and its attributable risk factors in 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017.195 个国家和地区 1990-2017 年胰腺癌的全球、区域和国家负担及其可归因危险因素:2017 年全球疾病负担研究的系统分析。
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