Radon induced hyperplasia: effective adaptation reducing the local doses in the bronchial epithelium

There is experimental and histological evidence that chronic irritation and cell death may cause hyperplasia in the exposed tissue. As the heterogeneous deposition of inhaled radon progeny results in high local doses at the peak of the bronchial bifurcations, it was proposed earlier that hyperplasia occurs in these deposition hot spots upon chronic radon exposure. The objective of the present study is to quantify how the induction of basal cell hyperplasia modulates the microdosimetric consequences of a given radon exposure. For this purpose, numerical epithelium models were generated with spherical cell nuclei of six different cell types based on histological data. Basal cell hyperplasia was modelled by epithelium models with additional basal cells and increased epithelium thickness. Microdosimetry for alpha-particles was performed by an own-developed Monte-Carlo code. Results show that the average tissue dose, and the average hit number and dose of basal cells decrease by the increase of the measure of hyperplasia. Hit and dose distribution reveal that the induction of hyperplasia may result in a basal cell pool which is shielded from alpha radiation. It highlights that the exposure history affects the microdosimetric consequences of a present exposure, while the biological and health effects may also depend on previous exposures. The induction of hyperplasia can be considered as a radioadaptive response at the tissue level. Such an adaptation of the tissue challenges the validity of the application of the dose dose rate effectiveness factor from a mechanistic point of view. As the location of radiosensitive target cells may change due to previous exposures, dosimetry models considering the tissue geometry characteristic of normal conditions may be inappropriate for dose estimation in case of protracted exposures. As internal exposures are frequently chronic, such changes in tissue...Comment: 13 pages, 5 figures, 1 tabl

Non-linear relationship of cell hit and transformation probabilities in a low dose of inhaled radon progenies

Cellular hit probabilities of alpha particles emitted by inhaled radon progenies in sensitive bronchial epithelial cell nuclei were simulated at low exposure levels to obtain useful data for the rejection or support of the linear-non-threshold (LNT) hypothesis. In this study, local distributions of deposited inhaled radon progenies in airway bifurcation models were computed at exposure conditions characteristic of homes and uranium mines. Then, maximum local deposition enhancement factors at bronchial airway bifurcations, expressed as the ratio of local to average deposition densities, were determined to characterise the inhomogeneity of deposition and to elucidate their effect on resulting hit probabilities. The results obtained suggest that in the vicinity of the carinal regions of the central airways the probability of multiple hits can be quite high, even at low average doses. Assuming a uniform distribution of activity there are practically no multiple hits and the hit probability as a function of dose exhibits a linear shape in the low dose range. The results are quite the opposite in the case of hot spots revealed by realistic deposition calculations, where practically all cells receive multiple hits and the hit probability as a function of dose is non-linear in the average dose range of 10–100 mGy

The role of bronchial mucus layer thickness in radon dosimetry.

Abstract Radon is considered to be the second most important cause of lung cancer after smoking. Several investigations proved that at radon inhalation the most exposed parts are the central airways especially the carinal regions of these bifurcations. The radon progenies induced lung tumours show similar spatial distribution as the deposition density distribution of inhaled radon progenies. The bronchial mucus layer absorbs a significant part of the energy of the ionizing alpha-particles. Since the mucus layer thickness is not constant in the different airway generations, the microdosimetric parameters can be significantly influenced by the mucus thickness. Hence, it may be quite important to investigate the role of mucus layer thickness in radon microdosimetry, what is the main objective of this research. The major conclusions of this research are that the thickness of the mucus layer can basically influence the risk of inhaled radon progenies and the relationship between risk and exposure is slightly under linear in the analysed dose range applying an Initiation-Promotion Approach on a three-dimensional epithelium model. The effect of mucus thickness can be observed in every analysed microdosimetric quantities, hence mucus layer thickness cannot be neglected in radon dosimetry in the central airways

Quantitative analysis of the potential role of basal cell hyperplasia in the relationship between clonal expansion and radon concentration

Applying the two-stage clonal expansion model to epidemiology of lung cancer among uranium miners, it has been revealed that radon acts as a promoting agent facilitating the clonal expansion of already mutated cells. Clonal expansion rate increases non-linearly by radon concentration showing a plateau above a given exposure rate. The underlying mechanisms remain unclear. Earlier we proposed that progenitor cell hyperplasia may be induced upon chronic radon exposure. The objective of the present study is to test whether the induction of hyperplasia may provide a quantitative explanation for the plateau in clonal expansion rate. For this purpose, numerical epithelium models were prepared with different number of basal cells. Cell nucleus hits were computed by an own-developed Monte-Carlo code. Surviving fractions were estimated based on the number of cell nucleus hits. Cell division rate was computed supposing equilibrium between cell death and cell division. It was also supposed that clonal expansion rate is proportional to cell division rate, and therefore the relative increase in cell division rate and clonal expansion rate are the same functions of exposure rate. While the simulation results highly depend on model parameters with high uncertainty, a parameter set has been found resulting in a cell division rate exposure rate relationship corresponding to the plateau in clonal expansion rate. Due to the high uncertainty of the applied parameters, however, further studies are required to decide whether the induction of hyperplasia is responsible for the non-linear increase in clonal expansion rate or not. Nevertheless the present study exemplifies how computational modelling can contribute to the integration of observational and experimental radiation protection research.Comment: paper presented in the 17th International Symposium on Microdosimetry (MICROS 2017 - Venice, Italy, 5-10 November, 2017), 5 pages, 1 table, 6 figure

Centrális légúti radondepozíció és tisztulás

Abstract Most of the lung cancers of former uranium miners developed in the large central airways. Current computational fluid dynamics calculations indicate high primary deposition in this region. However, the cellular burden of the radon progenies deposited in the deep regions of the lung and clears up by the mucus layer may contribute to the health effects found in airway generations 2–5. In this work, the deposition distribution of inhaled radon progenies was computed by a developed version of the stochastic lung model. A clearance model was constructed to simulate the up clearing fractions of attached and non-attached radon progenies in each bronchial airway generations. Finally, the ratio of the primarily deposited and the up cleared fraction has been calculated in airway generation level at different breathing patterns and mucus velocities. The characteristic input data of the clearance model are the deposition pattern, the velocity of the mucus per generation, the length of the airways and the half life of radon progenies. Based on the results, in the central airways, the radiation burden of the up clearing, more deeply deposited, radon progenies can significantly be higher than the burden of the primarily deposited fraction in these central airways