Radiation induced thyroid cancer: fundamental and applied aspects

Aim: To describe the epidemiology and pathology of thyroid cancer in Ukraine, and to perform the molecular analysis of genetic alterations more frequently found to be associated to papillary carcinomas (PTC) in a selected group of PTC. Materials and Methods: Relationship between the thyroid cancer incidence and gender, age, and place of residence of subjects aged 0–18 years at the time of the Chernobyl accident (5427 subjects of thyroid cancer, among which 3996 (73.6%) were children aged 0 to 14 years at the time of the accident, and 1431 (26.3%) were adolescents aged 15 to 18 years was studied. Pathologically analyzed thyroid carcinomas were obtained from 640 patients (20–40 years old at the time of surgery and born before the Chernobyl accident), and from 90 patients (11–22 years old at the time of surgery and born after the accident). All patients were operated during 2006–2008. RET/PTC rearrangements and BRAFV600E mutation were analyzed in 35 cases of PTC. Results: A comparison between the thyroid cancer incidence rates in the 6 highest contaminated regions of Ukraine and in the other 21 regions shows the most significant difference between the rates for the last three years of follow-up, which confirms that a direct relationship is still present between the rise in thyroid cancer incidence and the post Chernobyl radiation exposure. Much lower incidence of thyroid cancer in subjects, who were born after the accident, additionally confirmed a direct relationship between the Chernobyl accident and thyroid cancer development at least in those who were aged up to 18 years at the time of the nuclear accident. Pathological results showed that with increasing latency the decrease has been noted in the percentage of PTC with solid structure, a decrease in invasive properties of tumors, as well as an increase in the percentage of PTC with papillary-follicular structure, encapsulated forms, and «small» carcinomas measuring up to 1 cm. Molecular-biological studies of PTC revealed more common RET/PTC1 and RET/PTC3 rearrangements (34.3% of cases), than BRAFV600E mutation (24%cases). Conclusion: After 22 years from the Chernobyl nuclear accident the number and incidence of thyroid cancer cases in Ukraine was steadily increased in the cohort of those who were children and adolescents at the time of the accident. Most common thyroid tumors (PTC) were characterized by significant changes in histological structure with increasing latency. PTC with any RET/PTC rearrangements had more aggressive behavior than BRAFV600E-positive tumors or PTC without gene alterations

Twenty years after the Chernobyl accident: Solid cancer incidence in various groups of the Ukrainian population

Several major international studies such as those performed on the A-bomb survivors, have shown a clear linkage between the exposure to ionizing radiation and the occurrence of various cancer types including leukemia. While these studies are mostly characterized by high dose rates, studies on populations exposed after the Chernobyl accident are in most cases characterized by low dose rates which are typical for occupational radiation protection. Here, data on more than 60,000 Ukrainian workers who participated in recovery operation works in Chernobyl in 1986-1987, more than 50,000 evacuees from the city of Prypyat and the 30 km zone, and about 360,000 residents of most contaminated territories are presented, which cover a period of observation from 1980 to 2004. For all cancers combined, statistically significant higher incidence rates than the national rates were found only for the recovery workers (standardized incidence ratio (SIR) 117.2%, 95% confidence interval: 114.1-120.3), while those for the other investigated groups were lower. In all groups under study a significant increase of thyroid cancer incidence rates has been registered. This increase appears to be associated, at least partly, with the fallout of radioiodine, and it was found not only in children, but also in adolescents and adults. For example, the most significant excess was found for male recovery workers corresponding to a factor of 8.0. It is important to keep in mind, however, that the contribution of confounding factors such as an intensified thyroid screening after the Chernobyl accident could not be quantified, in the present study. For female recovery workers there was also an excess of breast cancer over the national rates (SIR 190.6%; 95% confidence interval: 163.6-217.7%). An analysis of the two other groups (evacuees and residents of contaminated territories) gave controversial results: relative to the local standard there was a statistically significant excess, while comparison with the national level did not substantiate this conclusion. © 2007 Springer-Verlag

Ontogenetic vertebral growth patterns in the basking shark Cetorhinus maximus.

Age and growth of the basking shark Cetorhinus maximus (Gunnerus) was examined using vertebral samples from 13 females (261 to 856 cm total length [TL]), 16 males (311 to 840 cm TL) and 11 specimens of unknown sex (376 to 853 cm TL). Vertebral samples were obtained worldwide from museums and institutional and private collections. Examination of multiple vertebrae from along the vertebral column of 10 specimens indica led that vertebral morphology and band pair (alternating opaque and translucent bands) counts changed dramatically along an individual column. Smaller sharks had similar band pair counts along the length of the vertebral column while large sharks had a difference of up to 24 band pairs between the highest and lowest count along the column. Our evidence indicates that band pair deposition may be related to growth and not time in this species and thus the basking shark cannot be directly aged using vertebral band pair counts

Thyroid cancer incidence in Ukraine: trends with reference to the Chernobyl accident.

For the first time, a comparative analysis of thyroid cancer incidence in Ukraine after the Chernobyl accident was done in a cohort that is almost as large as the general population. On the basis of thyroid doses from radioactive iodine in individuals aged 1-18 years at the time of accident, geographic regions of Ukraine with low and high average accumulated thyroid doses were established and designated "low-exposure" and "high-exposure" territories, respectively. A significant difference of thyroid cancer incidence rates as a function of time between the two territories was found. That is, the increase in the incidence was higher in high-exposure regions than in low-exposure regions. The incidence rates varied substantially among the different attained age-groups, especially in the youngest one (up to 19 years old). The analysis that was adjusted for screening and technological effects also indicated that in the high-exposure regions, thyroid cancer incidence rates at the age of diagnosis of 5-9, 10-14 and 15-19 years were significantly higher in those born in 1982-1986 compared to those born in 1987-1991, while in the low-exposure regions, no significant difference was observed. The observed probable excess of radiation-induced thyroid cancer cases in adults exposed to radioactive iodine from the Chernobyl accident, especially in females, may be due to the high power of the present study. However, it should be noted that our investigation was not essentially free from ecological biases

Correlações entre protocolos de determinação do limiar anaeróbio e o desempenho aeróbio em nadadores adolescentes Correlations between anaerobic threshold determination protocols and aerobic performance in adolescent swimmers

O objetivo do presente estudo foi correlacionar as velocidades de limiar anaeróbio (LAn) obtidas a partir de concentrações fixas de lactato (VLAn 4 e VLAn 3,5mM), velocidade de lactato mínimo (VLac min) e velocidade crítica (VC) determinada a partir de diferentes distâncias e número de coordenadas: VC1 (50/100/200m), VC2 (100/200/400m), VC3 (50/100/200/400m) e VC4 (200/400m) com o desempenho nos 400m(s) em nadadores adolescentes. Fizeram parte da amostra 15 nadadores (10 meninos e cinco meninas = 14,7 &plusmn; 0,7 anos; 61,9 &plusmn; 8,5kg; 171,1 &plusmn; 8,8cm) de nível nacional, com experiência entre cinco e sete anos na natação competitiva. Para análise das correlações entre os índices e o desempenho nos 400m(s) foi utilizado o coeficiente de correlação de Pearson. O nível de significância adotado foi de p < 0,01. As correlações entre a VLAn 4mM, VLAn 3,5mM, VLac min e o desempenho nos 400m(s) foram de r = -0,63, r = -0,90 e r = -0,91, respectivamente (p < 0,01). As correlações entre a VC1 (50/100/200m), VC2 (100/200/400m), VC3 (50/100/200/400m), VC4 (200/400m) e o desempenho nos 400m(s) foram: r = -0,62, r = -0,97, r = -0,98 e r = -0,94, respectivamente (p < 0,01). Sugere-se que o LAn determinado a partir da concentração fixa de lactato de 3,5mM, bem como a VLac min e a VC obtidas por meio de distâncias maiores parecem ser os mais adequados índices preditores do desempenho aeróbio nos nadadores adolescentes estudados. Além disso, o número de coordenadas parece não influenciar a relação entre a VC e desempenho aeróbio.<br>The purpose of this study was to correlate the anaerobic threshold speeds (ATS) obtained from fixed lactate blood concentration (ATS 4 e ATS 3.5 mM), lactate minimum speed (Lac minS) and the critical speed (CS) determined from different distances and number of coordinates: CS1 (50/100/200 m), CS2 (100/200/400 m), CS3 (50/100/200/400 m) and CS4 (200/400 m) with the performance in 400 meters (s) in adolescent swimmers. The sample was constituted by 15 swimmers (10 boys and five girls = 14.7 &plusmn; 0.7 years; 61.9 &plusmn; 8.5 kg; 171.1 &plusmn; 8.8 cm) of national level, with five to seven years of experience in competitive swimming. The correlation between the indexes and the performance in 400 m (s) was made using Pearson correlation coefficients. Significance was set at p < 0.01. The correlations between ATS 4 mM, ATS 3.5 mM, Lac minS and the performance in 400 m (s) were: r = -0.63, r = -0.90 e r = 0.91, respectively (p < 0.01). The correlations between CS1 (50/100/200 m), CS2 (100/200/400 m), CS3 (50/100/200/400 m), CS4 (200/400 m) and the performance in 400 m (s) were: r = -0.62, r = -0.97, r = -0.98 e r = -0.94, respectively (p < 0.01). We suggest that ATS obtained from fixed lactate blood concentration of 3.5 mM, as well as Lac minS and the CS obtained through larger distances seem to be the most fitted indexes of prediction of the aerobic performance in the studied adolescent swimmers. Additionally, the number of coordinates seems no influencing the relation between CS and aerobic performance