Title

Radiation Combined Injury: DNA Damage, Apoptosis, and Autophagy

DOI

10.4247/AM.2010.ABA004

Authors

Juliann C. Kiang;Bradley R. Garrison;Nikolai V. Gorbunov

Key Words

DNA damage ; apoptosis ; autophagy ; radiation injury ; combined injury ; free radical

PublicationName

調適醫學

Volume or Term/Year and Month of Publication

2卷1期(2010 / 04 / 30)

Page #

1 - 10

Content Language

英文

English Abstract

Radiation combined injury is defined as an ionizing radiation exposure received in combination with other trauma or physiological insults. The range of radiation threats we face today includes everything from individual radiation exposures to mass casualties resulting from a terrorist nuclear incident, and mans of these exposure scenarios include the likelihood of additional traumatic injury. Radiation combined injury sensitizes target organs and cells and exacerbates acute radiation syndrome. Organs and cells with high sensitivity to combined injury are the skin, the hematopoietic system, the gastrointestinal tract, spermatogenic cells, and the vascular system. Among its many effects, radiation combined injury results in decreases in lymphocytes, macrophages, neutrophils, platelets, stem cells, and tissue integrity; activation of the iNOS/NF-κB/NF-IL6 and p53/Bax pathways; and increases in DNA single and double strand breaks, TLR signaling, cytokine concentrations, bacterial infection, and cytochrome c release from mitochondria to cytoplasm. These alterations lead to apoptosis and autophagy and, as a result, increased mortality. There is a pressing need to understand more about the body's response to combined injury in order to be able to develop effective countermeasures, since few currently exist. In this review, we summarize what is known about how combined injury modifies the radiation response, with a special emphasis on DNA damage/repair, signal transduction pathways, apoptosis, and autophagy. We also describe current and prospective countermeasures relevant to the treatment and prevention of combined injury.

Topic Category 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學