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An interesting article on hereditary susceptibility to radiation

exposure (as in dental, chest, radiation therapy, etc.)

Arne

---------------------------------

Science News Online

Week of May 19, 2007; Vol. 171, No. 20

X-Ray Kin: Radiation risk is hereditary

Vastag

Susceptibility to radiation-induced tumors runs in families,

according to an unusual study.

[iMAGE]

In the 1950s, Jewish immigrants from North Africa and elsewhere

streamed into the new country of Israel. Many arriving children

carried a fungal scalp infection called tinea capitis, also known as

ringworm. Standard treatment included a quick dose of X rays that

zapped the fungus and induced temporary baldness. Unbeknownst to

anyone at the time, it also damaged the children's DNA.

Decades later, some people irradiated as youths developed tumors.

Particularly common were meningiomas, noncancerous tumors that grow

in the lining of the brain and spinal cord.

" We asked ourselves, 'Why does a certain person develop meningioma

following... irradiation and another does not?' " says Siegal

Sadetzki, an epidemiologist at Chaim Sheba Medical Center in Tel

Hashomer, Israel. Because tumor rates turned out to be much higher in

some families than in others, " we thought the answer must be

susceptibility, or genes, " says Sadetzki.

Tinea capitis is highly contagious, and the families involved were

relatively large, averaging nearly six children. This provided unique

circumstances for testing the idea of genetic susceptibility. If one

child had the fungus, then several siblings typically got it and all

received the radiation treatment.

Overall, fewer than 1 in 100 irradiated children developed

meningioma. However, the researchers found that in the

most-susceptible families, four out of five children developed it.

" This is really stunning, " says Sadetzki, who reports her group's

findings in the May Lancet Oncology.

Hall, a radiation researcher at Columbia University Medical

Center, calls the pattern " an incredible concentration of risk. "

Sadetzki points to one family's experience as particularly striking:

Of seven children, four were irradiated, and all four later developed

meningioma. In some susceptible families, Sadetzki and her colleagues

also noted radiation-associated cancers such as leukemia.

The new finding " upsets all of our ideas about patient protection

[from X rays], " says Hall. If susceptibility differences exist, " most

people in the population don't need to be stringently protected...

but the minority should be kept away from any radiation exposure. "

Currently, there is no way to determine which families might be at

high risk. " That's the $60,000 question, " says Hall.

The Israeli team doesn't yet know which genes account for the

increased sensitivity to radiation, but it has collected DNA and is

zeroing in on several possible genes. " These are the perfect families

[for trying] to locate the genes, " Sadetzki says.

Hall notes that scientists have suspected for years that some people

are more radiation sensitive than others. In animals, Hall has

identified a handful of genetic variations that might cause radiation

sensitivity. The variations occur in certain genes crucial for

cellular functions, such as repairing DNA damage, that are disrupted

by radiation.

Two candidate genes in people include BRCA1 and BRCA2, says Hall.

Mutations in these genes are already well known as risk factors for

breast cancer. If future research confirms the BRCA-radiation

connection, women carrying the mutations will face a double bind:

Getting mammograms to check for early breast cancer might increase

their risk for developing the disease.

Says Hall: " We have to figure out the genetics of this. "

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References:

Flint-Richter, P., and S. Sadetzki. 2007. Genetic predisposition for

the development of radiation-associated meningioma: An

epidemiological study. Lancet Oncology 8 (May):403-410. Abstract

available at http://dx.doi.org/10.1016/S1470-2045(07)70107-9.

Further Readings:

Hall, E.J. 2007. Cancer caused by x-rays & #151;a random event? Lancet

Oncology 8 (May):369-370. Abstract available at

http://dx.doi.org/10.1016/S1470-2045(07)70113-4.

Sources:

Hall

Center for Radiological Research

Columbia Medical Center

630 W 168th Street

New York, NY 10032

Siegal Sadetzki

Head, Cancer, and Radiation Epidemiology Unit

Gertner Institute

Chaim Sheba Medical Center

Tel Hashomer 52621

Israel

http://www.sciencenews.org/articles/20070519/fob1.asp

From Science News, Vol. 171, No. 20, May 19, 2007, p. 307.

Copyright © 2007 Science Service. All rights reserved.

---------------------------------

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