Radiation and Nuclear Countermeasures Program (RNCP), National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health (NIH), Maryland, USA.
Chemical Medical Countermeasures Program, BARDA, Washington, DC, USA.
Disaster Med Public Health Prep. 2023 Oct 19;17:e552. doi: 10.1017/dmp.2023.176.
PURPOSE: To summarize presentations and discussions from the 2022 trans-agency workshop titled "Overlapping science in radiation and sulfur mustard (SM) exposures of skin and lung: Consideration of models, mechanisms, organ systems, and medical countermeasures." METHODS: Summary on topics includes: (1) an overview of the radiation and chemical countermeasure development programs and missions; (2) regulatory and industry perspectives for drugs and devices; 3) pathophysiology of skin and lung following radiation or SM exposure; 4) mechanisms of action/targets, biomarkers of injury; and 5) animal models that simulate anticipated clinical responses. RESULTS: There are striking similarities between injuries caused by radiation and SM exposures. Primary outcomes from both types of exposure include acute injuries, while late complications comprise chronic inflammation, oxidative stress, and vascular dysfunction, which can culminate in fibrosis in both skin and lung organ systems. This workshop brought together academic and industrial researchers, medical practitioners, US Government program officials, and regulators to discuss lung-, and skin- specific animal models and biomarkers, novel pathways of injury and recovery, and paths to licensure for products to address radiation or SM injuries. CONCLUSIONS: Regular communications between the radiological and chemical injury research communities can enhance the state-of-the-science, provide a unique perspective on novel therapeutic strategies, and improve overall US Government emergency preparedness.
目的:总结 2022 年题为“辐射和硫芥(SM)暴露于皮肤和肺部的重叠科学:考虑模型、机制、器官系统和医疗对策”的跨机构研讨会的报告和讨论。
方法:主题总结包括:(1)辐射和化学对策开发计划和任务概述;(2)药品和设备的监管和行业观点;(3)辐射或 SM 暴露后皮肤和肺部的病理生理学;(4)作用机制/靶点、损伤生物标志物;(5)模拟预期临床反应的动物模型。
结果:辐射和 SM 暴露引起的损伤有惊人的相似之处。这两种类型的暴露的主要结果都包括急性损伤,而迟发性并发症包括慢性炎症、氧化应激和血管功能障碍,这可能导致皮肤和肺部器官系统的纤维化。本次研讨会召集了学术和工业研究人员、医疗从业者、美国政府项目官员和监管机构,讨论肺部和皮肤特定的动物模型和生物标志物、新的损伤和恢复途径,以及解决辐射或 SM 损伤的产品的许可途径。
结论:放射损伤和化学损伤研究界之间的定期交流可以提高科学水平,为新的治疗策略提供独特的视角,并提高美国政府的整体应急准备能力。
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