Department of Medicine, National Jewish Health, Denver, CO, USA.
Disaster Med Public Health Prep. 2024 May 6;18:e86. doi: 10.1017/dmp.2023.238.
Nuclear and chemical weapons of mass destruction share both a tragic and beneficial legacy in mankind's history and health. The horrific health effects of ionizing radiation and mustard gas exposures unleashed during disasters, wars, and conflicts have been harnessed to treat human health maladies. Both agents of destruction have been transformed into therapies to treat a wide range of cancers. The discovery of therapeutic uses of radiation and sulfur mustard was largely due to observations by clinicians treating victims of radiation and sulfur mustard gas exposures. Clinicians identified vulnerability of leukocytes to these agents and repurposed their use in the treatment of leukemias and lymphomas. Given the overlap in therapeutic modalities, it goes to reason that there may be common mechanisms to target as protective strategies against their damaging effects. This commentary will highlight oxidative stress as a common mechanism shared by both radiation and sulfur mustard gas exposures and discuss potential therapies targeting oxidative stress as medical countermeasures against the devastating lung diseases wrought by these agents.
核武器和化学武器在人类历史和健康方面都有着悲惨和有益的双重遗产。在灾难、战争和冲突中释放的电离辐射和芥子气暴露对人类健康造成的可怕影响已被用于治疗人类健康疾病。这两种破坏剂都已转化为治疗多种癌症的疗法。人们发现辐射和芥子气的治疗用途主要是由于临床医生在治疗辐射和芥子气暴露的受害者时的观察。临床医生发现白细胞对这些药物的敏感性,并将其重新用于治疗白血病和淋巴瘤。鉴于治疗方式的重叠,有理由认为可能存在针对这些药物破坏性影响的共同机制作为保护策略。本评论将强调氧化应激作为辐射和芥子气暴露的共同机制,并讨论针对氧化应激的潜在治疗方法,作为针对这些药物引起的破坏性肺部疾病的医疗对策。