It has been held for 50 years that bone marrow is amongst the most radiosensitive organs in the mammalian body. Indeed, there is very good experimental evidence that, following a mean lethal dose of whole-body irradiation, the most frequent cause of death is bone marrow failure: haemorrhage due to thrombocytopenia, or septicaemia due to agranulocytosis. Consequently, the successful grafting of bone marrow into lethally irradiated mice (Barnes and Loutit, 1955) offered a much desired tool to combat radiation damage to the bone marrow in man. The purpose of this paper, however, is to indicate that, even apart from the practical difficulties, there may not be good theoretical reasons for considering marrow grafting as an essential tool in combating radiation damage in man. Bone marrow is undoubtedly a markedly radiosensitive organ, but this statement does not mean necessarily that the bone marrow cells are more radiosensitive than any other cell (e.g. liver) in the body—especially if the term “radiosensitivi...
Read full abstract