Long-term Effects Of Radiation Research Articles

Nuclear, Biological, and Chemical Combined Injuries and Countermeasures on the Battlefield

The Armed Forces Radiobiological Research Institute (AFRRI) has developed a research program to determine the major health risks from exposure to ionizing radiation in combination with biological and chemical warfare agents and to assess the extent to which exposure to ionizing radiation compromises the effectiveness of protective drugs, vaccines, and other biological and chemical warfare prophylactic and treatment strategies. AFRRI's Defense Technology Objective MD22 supports the development of treatment modalities and studies to assess the mortality rates for combined injuries from exposure to ionizing radiation and Bacillus anthracis, and research to provide data for casualty prediction models that assess the health consequences of combined exposures. In conjunction with the Defense Threat Reduction Agency, our research data are contributing to the development of casualty prediction models that estimate mortality and incapacitation in an environment of radiation exposure plus other weapons of mass destruction. Specifically, the AFFRI research program assesses the effects of ionizing radiation exposure in combination with B. anthracis, Venezuelan equine encephalomyelitis virus, Shigella sonnei, nerve agents, and mustard as well as their associated treatments and vaccines. In addition, the long-term psychological effects of radiation combined with nuclear, biological, and chemical (NBC) injuries are being evaluated. We are also assessing the effectiveness of gamma photons and high-speed neutrons and electrons for neutralizing biological and chemical warfare agents. New protocols based on our NBC bioeffects experiments will enable U.S. armed forces to accomplish military operations in NBC environments while optimizing both survival and military performance. Preserving combatants' health in an NBC environment will improve warfighting operations and mission capabilities.

Placing Long-Term and Acute Radiation Effects in a Common Framework

No method presently exists for placing long-term risks from low-level radiation doses and acute radiation sickness (ARS) from high-level doses within a common framework useful for the military commander. This article proposes such a method. The Defense Threat Reduction Agency and its predecessor agencies pioneered the quantitative description of the impact of ARS on human performance capability and military unit effectiveness. One product of these efforts is the Radiation-Induced Performance Decrement (RIPD) software. RIPD software includes physiologically based models of ARS valid for both chronic and one-time radiation exposure. One key element of placing ARS and low-level radiation effects in a common framework is finding independent and dependent variables that have a common meaning for both. This paper examines the use of cumulative probability of effect vs. dose and time after exposure for establishing a common framework. The physiologically based models of upper gastrointestinal distress and fatigability and weakness from the RIPD software support this approach.

Long-term effects of irradiation before adulthood on reproductive function in the male rhesus monkey.

Today, many patients, who are often young, undergo total body irradiation (TBI) followed by bone marrow transplantation. This procedure can have serious consequences for fertility, but the long-term intratesticular effects of this treatment in primates have not yet been studied. Testes and epididymides of rhesus monkeys that received doses of 4-8.5 Gy of TBI at 2-4 yr of age were studied 3-8 yr after irradiation. In all irradiated monkeys, at least some seminiferous tubule cross-sections lacked germ cells, indicating extensive stem cell killing that was not completely repaired by enhanced stem cell renewal, even after many years. Testes totally devoid of germ cells were only found in monkeys receiving doses of 8 Gy or higher and in both monkeys that received two fractions of 6 Gy each. By correlating the percentage of repopulated tubules (repopulation index) with testicular weight, it could be deduced that considerable numbers of proliferating immature Sertoli cells were killed by the irradiation. Because of their finite period of proliferation, Sertoli cell numbers did not recover, and potential adult testis size decreased from approximately 23 to 13 g. Most testes showed some dilated seminiferous tubules, indicating obstructed flow of the tubular fluid at some time after irradiation. Also, in 8 of the 29 irradiated monkeys, aberrant, densely packed Sertoli cells were found. The irradiation did not induce stable chromosomal translocations in spermatogonial stem cells. No apparent changes were seen in the epididymides of the irradiated monkeys, and the size of the epididymis adjusted itself to the size of the testis. In the irradiated monkeys, testosterone and estradiol levels were normal, whereas FSH levels were higher and inhibin levels lower when testicular weight and spermatogenic repopulation were low. It is concluded that irradiation before adulthood has considerable long-term effects on the testis. Potential testis size is reduced, repopulation of the seminiferous epithelium is generally not complete, and aberrant Sertoli cells and dilated tubules are formed. The latter two phenomena may have further consequences at still longer intervals after irradiation.

Mantle irradiation alone for pathologic stage I and II Hodgkin’s disease: long-term follow-up and patterns of failure

Purpose: We performed a retrospective study to determine the long-term outcome, patterns of failure, and prognostic factors for patients with pathologic Stage I or II Hodgkin’s disease (HD) who were treated with mantle irradiation alone. Methods and Materials: The medical records of 145 patients with pathologic Stage I or II supradiaphragmatic Hodgkin’s disease treated with mantle irradiation alone between June 1967 and June 1991 were reviewed. Patterns of failure, overall survival (OS) rate, and progression-free survival (PFS) rate were determined. Univariate and multivariate analyses were performed to identify adverse prognostic factors for OS and PFS. The number of adverse prognostic factors per patient was counted, and a prognostic score was assigned to each patient. The log-rank test was used to compare the OS or PFS rates among patients with prognostic scores 0, 1, and 2. Results: The median patient age was 27 years (range 10–66), with almost even male to female distribution. Every patient had splenectomy and negative laparotomy (LAP). Fifty-one patients had Stage I disease (IA-49, IB-2) and 94 Stage II (IIA-89, IIB-5). The histologic subtypes were nodular sclerosing in 110, mixed cellularity in 28, lymphocyte predominance in 5, lymphocyte depleted in 1, and unclassified in 1. Twelve patients with Stage II disease had ≥ 3 sites of nodal involvement. Fifty-four patients had a prognostic score of 0, 70 of 1, and 21 of 2. The median follow-up time for the 109 surviving patients was 146 months (range 25–381). The 10- and 20-year actuarial OS rates for the whole group were 87.6% and 65.3%, respectively. The corresponding actuarial PFS rates were 75.3% and 74.2%, respectively. Thirty-six patients (9 Stage I, 27 Stage II) had relapses in a total of 41 sites. Failures by histology were 29 patients with nodular sclerosing, 6 with mixed cellularity, and 1 with lymphocyte predominance. Failures by sites were: trans-diaphragmatic, 22 (para-aortic nodes, 15; as the only site of progression in 12; visceral, 7; as the only site of progression in 5); within radiation field, 8; marginal miss, 8 (as the only site of failure in 2); and unknown, 3. The majority of the failures occurred within 5 years of diagnosis. Long-term side effects of radiation included cardiac complications in 30 patients, with 10- and 20-year actuarial cardiac complication rates of 12.6% and 35.1%, respectively; secondary solid tumors in 14, with 10- and 20-year actuarial rates of 2.3% and 25.7%, respectively; leukemia in 4; non- Hodgkin’s lymphoma in 4, with the 10- and 20-year actuarial rates for leukemia and non-Hodgkin’s lymphoma of 4.0% and 13.9%; and hypothyroidism in 38. Four adverse prognostic factors were identified for PFS: age ≥ 40 years, ≥ 3 sites of involvement, male sex, and constitutional symptoms. The prognostic score correlated with patients’ outcome as indicated by PFS and OS rates. Patients with a prognostic score of 0 did significantly better than those with a score of 1 or 2. Conclusion: In this select group of patients with pathologic Stage I and II Hodgkin’s disease treated with mantle irradiation alone, the OS and PFS rates at 10 and 20 years were comparable to those reported in the literature. The major pattern of disease progression was relapse below the diaphragm, therefore close surveillance of the abdomen is warranted. The prognostic score used in our series may predict the patient’s outcome, and might be worth testing in a prospective trial. In our series, patients with a prognostic score of 0 had excellent long-term survival, indicating adequate treatment with mantle irradiation alone. Late complications of the treatment pose a significant threat for the patient’s survival with long-term follow-up.

Effects of long-term ultraviolet radiation: the white form of Metridium senile (Anthozoa: Actiniaria) as a potential biological indicator for ultraviolet

Genetically identical individuals of the white form of Metridium senile were kept in the laboratory for 40 months, during almost 2 years of which they were irradiated with ultraviolet (UV) radiation simulating the shape of the solar UV spectrum. The living and experimental conditions were largely matched to the conditions in the sea anemones' natural habitat on the North Sea coast. Controls were shielded from direct radiation or irradiated with only the visible range of the spectrum; for the UV tests, the UV component corresponded either to the conditions in the natural habitat or to twice or 4 times this dose. All experiments were preceded by a several-month settling-in period, and UV irradiation was always begun at a low intensity. Under these conditions UV was not lethal but produced many parameter changes, of which only those that were irreversible for the entire duration of the experiment, from September 1992 to August 1994, are described here. The body mass fell significantly in all three UV-radiation modes. All irradiated animals positioned themselves so as to be less exposed to the radiation, and all changed colour from white to brown. These responses are discussed with reference to the potential of M. senile as an indicator or monitor for UV in the northern European coastal region. Field analyses are currently being conducted to demonstrate the extent to which the present results apply to field conditions.

Long-term effects of irradiation in the progeny of mammalian cells

It is shown that gamma-irradiation has remote consequences for mammalian cells cultivated in vitro. Many generations in the progeny of cells surviving acute and chronic irradiation at high and low doses are characterized by a number of abnormalities, including delayed cell death, the formation of micronuclei and giant cells, an increased frequency of sister chromatid exchanges, a reduced potential for repair, the loss of adaptive response, and increased radiosensitivity. These phenomena are regarded as manifestations of genomic instability induced by ionizing radiation.

Ultrastructure of the rat duodenal endocrine cells after prolonged irradiation.

We propose classification of duodenal endocrine cells of intact rats based on ultrastructural signs of secretory granules and subdivided these cells into 10 basic types. The effect of long-term irradiation in a total dose of 2.5 Gy on ultrastructural organization of duodenal apudocytes was studied. Irradiation induced nonspecific changes of cell organelles in apudocytes. Differences in the ultrastructural disorganization were detected between different types of apudocyte populations and between different types of endocrine cells. Under conditions of adaptation to radiation apudocytes released the secretory product not only through molecular extrusion and exocytosis, but also via degranulation.

T-cell responses to mitogens in atomic bomb survivors: a decreased capacity to produce interleukin 2 characterizes the T cells of heavily irradiated individuals.

Significant decreases in the fraction of lymphocytes that are CD4(+) and increases in serum levels of some classes of immunoglobulin have been reported to occur in atomic bomb (A-bomb) survivors and in victims of the Chernobyl nuclear plant accident. To investigate the long-term effects of nuclear radiation on cellular immunity in more detail, we used limiting dilution assays with peripheral blood mononuclear cell preparations to analyze the T-cell responses of 251 A-bomb survivors exposed to less than 0.005 Gy and 159 survivors exposed to more than 1.5 Gy. The percentages of CD2-positive cells that were capable of proliferating in response to phytohemagglutinin (PHA) in the presence of exogenous interleukin 2 (IL2) did not differ substantially between distally exposed and more heavily exposed survivors. The heavily exposed survivors appeared to possess fewer T cells that were capable of proliferating in response to concanavalin A (Con A) or of producing interleukin 2. Assuming that CD4 T cells were the ones primarily responsible for producing IL2 in response to Con A, we were able to estimate how many cells in any given CD4 T-cell population were actually producing IL2. The results indicated that peripheral blood samples from heavily exposed survivors contained significantly fewer IL2-producing CD4 T cells than did similar samples from distally exposed survivors, indicating that significant exposure to A-bomb radiation may have a long-lasting negative effect on the capacity of CD4 T-cell populations to produce IL2.

Modulation of radiation-induced cytokine elevation associated with esophagitis and esophageal stricture by manganese superoxide dismutase-plasmid/liposome (SOD2-PL) gene therapy.

Radiation of the esophagus of C3H/HeNsd mice with 35 or 37 Gy of 6 MV X rays induces significantly increased RNA transcription for interleukin 1 (Il1), tumor necrosis factor alpha (Tnf), interferon gamma inducing factor (Ifngr), and interferon gamma (Ifng). These elevations are associated with DNA damage that is detectable by a comet assay of explanted esophageal cells, apoptosis of the esophageal basal lining layer cells in situ, and micro-ulceration leading to dehydration and death. The histopathology and time sequence of events are comparable to the esophagitis in humans that is associated with chemoradiotherapy of non-small cell lung carcinoma (NSCLC). Intraesophageal injection of clinical-grade manganese superoxide dismutase-plasmid/liposome (SOD2-PL) 24 h prior to irradiation produced an increase in SOD2 biochemical activity in explanted esophagus. An equivalent therapeutic plasmid weight of 10 microgram ALP plasmid in the same 500 microliter of liposomes, correlated to around 52-60% of alkaline phosphatase-positive cells in the squamous layer of the esophagus at 24 h. Administration of SOD2-PL prior to irradiation mediated a significant decrease in induction of cytokine mRNA by radiation and decreased apoptosis of squamous lining cells, micro-ulceration, and esophagitis. Groups of mice receiving 35 or 37 Gy esophageal irradiation by a technique protecting the lungs and treating only the central mediastinal area were followed to assess the long-term effects of radiation. SOD2-PL-treated irradiated mice demonstrated a significant decrease in esophageal wall thickness at day 100 compared to irradiated controls. Mice with orthotopic thoracic tumors composed of 32D-v-abl cells that received intraesophageal SOD2-PL treatment showed transgenic mRNA in the esophagus at 24 h, but no detectable human SOD2 transgene mRNA in explanted tumors by nested RT-PCR. These data provide support for translation of this strategy of SOD2-PL gene therapy to studies leading to a clinical trial in fractionated irradiation to decrease the acute and chronic side effects of radiation-induced damage to the esophagus.

Dose-dependent induction of transforming growth factor β (TGF-β) in the lung tissue of fibrosis-prone mice after thoracic irradiation

Purpose: The lung is the major dose-limiting organ for radiotherapy of cancer in the thoracic region. The pathogenesis of radiation-induced lung injury at the molecular level is still unclear. Immediate cellular damage after irradiation is supposed to result in cytokine-mediated multicellular interactions with induction and progression of fibrotic tissue reactions. The purpose of this investigation was to evaluate the acute and long-term effects of radiation on the gene expression of transforming growth factor beta (TGF-β) in a model of lung injury using fibrosis-sensitive C57BL/6 mice. Methods and Materials: The thoraces of C57BL/6 mice were irradiated with 6 and 12 Gy, respectively. Treated and sham-irradiated control mice were sacrificed at times corresponding to the latent period (1, 3, 6, 12, 24, 48, 72 hours and 1 week postirradiation), the pneumonic phase (2, 4, 8, and 16 weeks postirradiation), and the beginning of the fibrotic phase (24 weeks postirradiation). The lung tissue from three different mice per dosage and time point was analyzed by a combination of polymerase chain reaction (PCR), immunohistochemistry, and light microscopy. The mRNA expression of TGF-β was quantified by competitive reverse transcriptase/polymerase chain reaction (RT-PCR); the cellular origin of the TGF-β protein was identified by immunohistochemical staining (alkaline phosphatase–anti-alkaline phosphatase [APAAP]). The cytokine expression on mRNA and protein level was correlated with the histopathological alterations. Results: Following thoracic irradiation with a single dose of 12 Gy, radiation-induced TGF-β release in lung tissue was appreciable already within the first hours (1, 3, and 6 hours postirradiation) and reached a significant increase after 12 hours; subsequently (48 hours, 72 hours, and 1 week postirradiation) the TGF-β expression declined to basal levels. At the beginning of the pneumonic phase, irradiation-mediated stimulation of TGF-β release reached maximal values at 2 and 4 weeks. The elevated levels of TGF-β mRNA during the latent phase have been found to correlate with immunohistochemical staining of alveolar macrophages. The most striking increase in TGF-β immunoreactivity was seen during the acute phase of pneumonitis. Throughout this observation period, type II pneumocytes and fibroblasts (apart from inflammatory cells) served as important sources of TGF-β expression. Increased TGF-β expression was detected prominently in regions of histopathologic radiation injury. After exposure to a single radiation dose of 6 Gy, the lung tissue revealed only a minor radiation-mediated TGF-β mRNA response. The modest upregulation ranged from 6 hours to 48 hours after irradiation. Corresponding to the only minor histopathologic changes after thoracic irradiation with 6 Gy, measurement of TGF-β mRNA levels during the later time points revealed no significant alterations in comparison to untreated control mice. Conclusions: This study demonstrates an acute and long-lasting increase in the expression of TGF-β in lung tissue following thoracic irradiation with 12 Gy. The predominant localization of TGF-β in areas of inflammatory cell infiltrates and fibrosis suggests involvement of this cytokine in the pathogenesis of radiation-induced pulmonal fibrosis. Further studies should be performed to explore the role of other cytokines in the development of radiation injury. An improved understanding of the underlying mechanisms of pulmonary fibrosis may eventually lead to modulatory intervention at the molecular level to modify the fibrotic process.

Voiding dysfunction after radiation to the prostate for prostate cancer

Radiation therapy is an increasingly common treatment for prostate cancer. Although radiotherapy is generally effective, it is not free of complications. Acute adverse effects of radiation are usually mild and managed on an outpatient basis. In contrast, long-term complications, although uncommon, may be debilitating or even life-threatening, requiring more invasive treatments or hospitalization. This article will review the pathophysiology of the acute and long-term effects of radiation on the lower urinary tract and implications for WOC nursing management of patients with voiding dysfunction following radiation therapy for prostate cancer.

Long-Term Effects of Natural Sunlight under Various Ultraviolet Radiation Conditions on Growth and Photosynthesis of Intertidal Ulva rigida (Chlorophyceae) Cultivated In Situ

Long-term effects of full-spectrum solar radiation, solar radiation without UVB, and solar radiation without total UV (UVA + UVB) radiation were studied in intertidal Ulva rigida C. Agardh (Chlorophyta). The experiment was carried out under natural conditions and at prevailing winter levels of UV radiation. Changes in relative growth rate, photosynthesis and pigment content were studied after 7 and 20 d of cultivation under the three solar radiation conditions. Relative growth rate was enhanced (50 %) in the absence of UVB radiation after one week, but no difference was found after 20 d. Pigment content (chlorophyll a, chlorophyll b and carotenoids) was significantly higher in the presence of UVB, suggesting an efficient protective-pigment mechanism. When UVB was removed, photosynthetic performance measured as oxygen exchange and fluorescence parameters exhibited higher values than under the other treatments after 7 d of incubation. When samples were cultivated under PAR alone, photosynthetic performance was always negatively affected compared to in the presence of UV radiation. On the whole, intertidal U. rigida exhibited a remarkable capacity to cope with fluctuating light conditions.

Radiation Effects on Materials in the Near-Field of a Nuclear Waste Repository

ABSTRACTThe long-term radiation effects on materials in the near-field of a nuclear waste repository have been evaluated using accelerated laboratory experiments with energetic electron or ion beam irradiation. The materials studied include: zeolites, layered silicates (smectite clay and mica), as well as crystalline silicotitanate (CST) which is an important ion exchange material for the chemical separation of high-level liquid radioactive wastes.In situ transmission electron microscopy (TEM) during irradiation by energetic electrons and ions has shown that all of the studied materials are susceptible to irradiation-induced amorphization. At room temperature, complete amorphization was observed after ionizing doses of 1010 ∼ 1012 Gy or displacement doses on the order of 0.1 dpa (equivalent to doses received in 400-1,000 years for a high-loading nuclear waste form). Amorphization may be preceded or accompanied by dehydration, layer spacing reduction and gas bubble formation. In the case of zeolites, CST and some layered silicates, radiation effects are significantly enhanced at higher temperatures. Our experiments have shown that amorphization or even partial amorphization will cause a dramatic reduction in ion exchange and sorption/desorption capacities for radionuclides, such as Cs and Sr. Because the near-field or chemical processing materials (e.g. zeolites or CST) will receive a substantial radiation dose after they have incorporated radionuclides, our results suggest that radiation effects may, in some cases, retard the release of sorbed or ion-exchanged radionuclides.

Radiation-Induced Segregation in 316 and 304 Stainless Steels Irradiated at Low Dose Rate

ABSTRACTAs part of the shutdown of the EBR-II reactor, structural materials were retrieved to analyze the effects of long-term irradiation on mechanical properties and microstructure. In this work, the effect of low dose rate irradiation (10−7 to 10−8 dpa/s) on grain boundary composition in 316 and 304 stainless steels was analyzed. Samples were taken from surveillance specimens and subassemblies irradiated in the reflector region of EBR-II at temperatures from 371-390°C to maximum doses of 30 dpa. The effects of dose, dose rate, and bulk composition on radiation- induced segregation are analyzed. In 316 stainless steel, changes in grain boundary chromium and nickel concentrations occur faster than changes in iron and molybdenum concentrations. In 304 stainless steel, decreasing the dose rate increases the amount of grain boundary segregation. For a dose of 20 dpa, chromium depletion and nickel enrichment are greater in 304 stainless steel than in 316 stainless steel, the difference most likely due to dose rate. In both 304 and 316 stainless steels, the presence of a grain boundary precipitate significantly changes the composition of the adjacent grain boundary.

Radioprotection by Antioxidantsa

The role of reactive oxygen species in ionizing radiation injury and the potential of antioxidants to reduce these deleterious effects have been studied in animal models for more than 50 years. This review focuses on the radioprotective efficacy and the toxicity in mice of phosphorothioates such as WR-2721 and WR-151327, other thiols, and examples of radioprotective antioxidants from other classes of agents. Naturally occurring antioxidants, such as vitamin E and selenium, are less effective radioprotectors than synthetic thiols but may provide a longer window of protection against lethality and other effects of low dose, low-dose rate exposures. Many natural antioxidants have antimutagenic properties that need further examination with respect to long-term radiation effects. Modulation of endogenous antioxidants, such as superoxide dismutase, may be useful in specific radiotherapy protocols. Other drugs, such as nimodipine, propranolol, and methylxanthines, have antioxidant properties in addition to their primary pharmacological activity and may have utility as radioprotectors when administered alone or in combination with phosphorothioates.

Long-term adverse effects of radiation inhibition of restenosis: radiation injury to the aorta and branch arteries in a canine model

Purpose: To determine the long-term effects of irradiation on large arteries in view of the possible use of radiation to prevent restenosis after angioplasty. Methods and Materials: Groups of dogs received 10–55 Gy single-dose alone, or in combination with 50 Gy in 2-Gy fractions, or 50–80 Gy in 2–2.7-Gy fractions to an 8-cm length of aorta and branch arteries. Single doses were delivered intraoperatively. Two or 5 years after irradiation, aortas and branch arteries were evaluated histomorphometrically to determine areas of intima, media, and adventitia, and qualitatively to determine other adverse effects. Results: Intimal area increased at single doses < 20 Gy and after all fractionated doses, but was normal at doses > 20 Gy 2 years after irradiation. Intimal area was greater at 5 years than at 2 years after irradiation. Adventitial area increased with increasing dose at 2 and 5 years after irradiation. Thrombosis of the aorta and branch arteries occurred at 4–5 years after irradiation with ED 50s of 29.7 Gy and about 25 Gy, respectively, but did not occur after fractionated irradiation. Conclusion: Intimal proliferation is inhibited at single doses > 20 Gy, but may be stimulated at single doses of < 20 Gy or after fractionated irradiation. Adventitial fibrosis increases with increasing dose and could contribute to adverse late vascular remodeling. Severe adverse effects were not evident until 4–5 years after irradiation at does of > 20 Gy to an 8-cm vessel length.

Late radiation injury following hyperfractionated craniospinal radiotherapy for primitive neuroectodermal tumor

Purpose: To document the late radiographic change following hyperfractionated craniospinal radiotherapy for primitive neuroectodermal tumor. Methods and Materials: We reviewed long-term MRI scans on 21 patients with standard risk and high risk primtive neuroectodermal tumor treated with hyperfractionated radiotherapy following surgical resection. High risk patients also received adjuvant chemotherapy. Long-term scans were defined as scan obtained at least 1 year from diagnosis. Clinical follow-up data was available on all patients. Results: Twelve of 21 patients had MRI evidence of necrosis, telangiectasia, white matter changes, basal ganglia change, or cerebral atrophy consistent with radiation injury. No patient required treatment for the radiographic change. Conclusions: Slightly over half of the patients had evidence of long-term radiation effect following craniospinal axis radiotherapy. However, no patient had frank clinical symptoms related to the radiographic findings.

Short- and Long-term Effects of Irradiation on Laryngeal Mucosa of the Rat

Although radiotherapy is often used to treat laryngeal carcinoma, there is little information on the effects of this treatment on laryngeal structures. Rats were irradiated to the head and neck region and the larynges were studied by light- and electron-microscopy and immunohistochemistry. Ten days after irradiation, a change in the ultrastructural appearance of the granules of the subglottic glands was observed. Substance P-, bombesin- and enkephalin-like immunoreactivity was increased in local ganglionic cells and glandular nerve fibres. The mast cells were reduced in number. At examination 4-6 months after irradiation, there were no obvious differences compared with controls concerning mast-cell numbers and neuropeptide expression. The ultrastructural changes seen in the subglottic glands remained to some extent. The results show that structural changes in the subglottic glands occur concomitantly with an increased expression of certain neuropeptides in the innervation of these glands, which implies a relationship between these two parameters. The mast cells respond drastically to irradiation, but in the long run, regeneration of these cells occurs.

Long-term effect of solar radiation on the orbit of an octagonal satellite orbiting around the Moon

A new radiation pressure model of the relay satellite of SELENE whose shape is like an octagonal pillar was developed. Equations describing long-term variation of the orbital elements due to the solar radiation pressure were also derived by using this model. No long-term variation of semimajor axis of the spacecraft appears during the “noshadowing” period. However, long-term variation of other orbital elements can be expressed by series in eccentricity. Since the eccentricity of the relay satellite is large ( e ≈ 0.4), the effect of solar radiation pressure cannot be neglected.

Subsequent quality of life for children irradiated for a brain tumor before age four years.

We wanted to evaluate survival and functional morbidity following radiation treatment of brain tumors in children less than 4 years old. Outcome was evaluated for 222 children who were less than 4 years old when they were irradiated at University of Toronto Centres, 1958-1995. The status of the survivors with regard to focal neurological defects, vision, hearing, and education at last follow-up was recorded. In 23 adult survivors older than 21 years at last follow-up, information was obtained with regard to higher education, occupation, and living arrangements. The overall 10-year survival rate was 40%, not significantly different than the 45% for 776 4-16-year-olds with irradiated brain tumors treated at the same institutions. Forty-five percent of the survivors had no major focal neurological, visual, or hearing defects. There were no major differences in the frequencies of these criteria or of schooling between 0-2- and 2-4-year-olds. Among adult survivors, older than 21 at last follow-up, 26% successfully completed higher education, 31% were in full-time employment, and 37% had never been employed. For medulloblastoma, the 5-year survival rate was 61% for 30 children less than 3 years old and treated from 1975-1995. This compared favorably with recent reports of survival following primary chemotherapy with delayed or omitted radiation treatment. Radiation treatment of a young child with a brain tumor was associated with cure in 1 of every 3 patients. Unfortunately, quality of life for many survivors was not good. Only one of every 3 adult survivors was able to have a normal life-style. This shortfall was the result of focal neurological defects which were present from the time of first treatment, and of the long-term effects of radiation treatment. The search for less toxic treatment remains appropriate, but is experimental and researchers must recognize that there may be a trade-off between morbidity and mortality.