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[切尔诺贝利事故后受放射性核素污染地区居民的免疫系统]

[Immune system in residents of territories contaminated with radionuclides after Chernobyl accident].

作者信息

Asfandiiarova N S, Romadin A E, Kolcheva N G, Goncharenko L V, Shatrov V V, Saiamova E A, Shmel'kova N B, Shalkin V N

出版信息

Ter Arkh. 1998;70(1):55-9.

PMID:9532655
Abstract

AIM

Study of the immunity and nonspecific defense factors in subjects living at a territory contaminated with radionuclides at a density of 1-5 Ci/km2 after the Chernobyl accident.

MATERIALS AND METHODS

A total of 144 subjects aged 18 to 82 years living in the Sasovo region of the Ryazan district were examined. Three groups were distinguished with different density of contamination: 1) n = 54, 1-5 Ci/km2; 2) n = 36, conditionally pure territory; and 3) n = 54, living at the interface of the two territories. Blood analysis was carried out, nonspecific defense factors studied in the NBT test, and cellular and humoral immunity parameters investigated.

RESULTS

Values of the NBT test, levels of the natural inhibitory factor and IgA, counts and functional activities of T lymphocytes and their subpopulations differed but negligibly from those in subjects living at pure territories. On the other hand, the counts of large granular lymphocytes were decreased and the incidence of autoimmune reactions to thyroid hormone antigens increased in the population exposed to low-dose ionizing radiation, which might be due to incorporation of radioactive iodine.

CONCLUSION

The detected changes in the population exposed to low-dose radiation indicate that the history of exposure cannot be neglected, for such an exposure causes development of some diseases or alters their course.

摘要

目的

研究切尔诺贝利事故后,居住在放射性核素污染密度为1 - 5居里/平方公里地区的人群的免疫和非特异性防御因子。

材料与方法

对梁赞地区萨索沃区144名年龄在18至82岁之间的受试者进行了检查。根据污染密度不同区分出三组:1)n = 54,污染密度为1 - 5居里/平方公里;2)n = 36,条件纯净地区;3)n = 54,居住在两个地区交界处。进行了血液分析,在硝基蓝四唑试验中研究了非特异性防御因子,并调查了细胞和体液免疫参数。

结果

硝基蓝四唑试验值、天然抑制因子和IgA水平、T淋巴细胞及其亚群的数量和功能活性与居住在纯净地区的受试者相比有差异,但差异可忽略不计。另一方面,在低剂量电离辐射暴露人群中,大颗粒淋巴细胞数量减少,对甲状腺激素抗原的自身免疫反应发生率增加,这可能是由于放射性碘的摄入。

结论

在低剂量辐射暴露人群中检测到的变化表明,暴露史不可忽视,因为这种暴露会导致某些疾病的发生或改变其病程。

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