Beyond two-stage models for lung carcinogenesis in the Mayak workers: Implications for Plutonium risk.
    
    
        
    
    
        
        PLoS ONE 10:e0126238 (2015)
    
    
    
		
		
			
				Mechanistic multi-stage models are used to analyze lung-cancer mortality after Plutonium exposure in the Mayak-workers cohort, with follow-up until 2008. Besides the established two-stage model with clonal expansion, models with three mutation stages as well as a model with two distinct pathways to cancer are studied. The results suggest that three-stage models offer an improved description of the data. The best-fitting models point to a mechanism where radiation increases the rate of clonal expansion. This is interpreted in terms of changes in cell-cycle control mediated by bystander signaling or repopulation following cell killing. No statistical evidence for a two-pathway model is found. To elucidate the implications of the different models for radiation risk, several exposure scenarios are studied. Models with a radiation effect at an early stage show a delayed response and a pronounced drop-off with older ages at exposure. Moreover, the dose-response relationship is strongly nonlinear for all three-stage models, revealing a marked increase above a critical dose.
			
			
				
			
		 
		
			
				
					
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        Publikationstyp
        Artikel: Journalartikel
    
 
    
        Dokumenttyp
        Wissenschaftlicher Artikel
    
 
    
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        Schlagwörter
        Clonal Expansion Model; Induced Cell Inactivation; Biologically-based Model; Colon-cancer Data; Genomic Instability; Multistage Carcinogenesis; 2-mutation Model; Incidence Curves; Initiated Cells; Hazard Function
    
 
    
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        Sprache
        englisch
    
 
    
        Veröffentlichungsjahr
        2015
    
 
    
        Prepublished im Jahr 
        
    
 
    
        HGF-Berichtsjahr
        2015
    
 
    
    
        ISSN (print) / ISBN
        1932-6203
    
 
    
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	    Band: 10,  
	    Heft: 5,  
	    Seiten: ,  
	    Artikelnummer: e0126238 
	    Supplement: ,  
	
    
 
  
        
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            Verlag
            Public Library of Science (PLoS)
        
 
        
            Verlagsort
            Lawrence, Kan.
        
 
	
        
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        Begutachtungsstatus
        Peer reviewed
    
 
     
    
        POF Topic(s)
        30504 - Mechanisms of Genetic and Environmental Influences on Health and Disease
    
 
    
        Forschungsfeld(er)
        Radiation Sciences
    
 
    
        PSP-Element(e)
        G-501100-004
    
 
    
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        Erfassungsdatum
        2015-04-29