Cancers after Chornobyl: From Epidemiology to Molecular Quantification

An overview and new data are presented from cancer studies of the most exposed groups of the population after the Chornobyl accident, performed at the National Research Center for Radiation Medicine (NRCRM). Incidence rates of solid cancers were analyzed for the 1990−2016 period in cleanup...

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Main Authors: Dimitry Bazyka, Natalya Gudzenko, Iryna Dyagil, Iryna Ilienko, David Belyi, Vadim Chumak, Anatoly Prysyazhnyuk, Elena Bakhanova
Format: Article
Language:English
Published: MDPI AG 2019-09-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/11/9/1291
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author Dimitry Bazyka
Natalya Gudzenko
Iryna Dyagil
Iryna Ilienko
David Belyi
Vadim Chumak
Anatoly Prysyazhnyuk
Elena Bakhanova
author_facet Dimitry Bazyka
Natalya Gudzenko
Iryna Dyagil
Iryna Ilienko
David Belyi
Vadim Chumak
Anatoly Prysyazhnyuk
Elena Bakhanova
author_sort Dimitry Bazyka
collection DOAJ
description An overview and new data are presented from cancer studies of the most exposed groups of the population after the Chornobyl accident, performed at the National Research Center for Radiation Medicine (NRCRM). Incidence rates of solid cancers were analyzed for the 1990−2016 period in cleanup workers, evacuees, and the general population from the contaminated areas. In male cleanup workers, the significant increase in rates was demonstrated for cancers in total, leukemia, lymphoma, and thyroid cancer, as well as breast cancer rates were increased in females. Significantly elevated thyroid cancer incidence was identified in the male cleanup workers cohort (150,813) in 1986−2012 with an overall standardized incidence ratio (SIR) of 3.35 (95% CI: 2.91−3.80). A slight decrease in incidence rates was registered starting at 25 years after exposure. In total, 32 of 57 deaths in a group of cleanup workers with confirmed acute radiation syndrome (ARS) or not confirmed ARS (ARS NC) were due to blood malignancies or cancer. Molecular studies in cohort members included gene expression and polymorphism, FISH, relative telomere length, immunophenotype, micronuclei test, histone H2AX, and TORCH infections. Analysis of chronic lymphocytic leukemia (CLL) cases from the cohort showed more frequent mutations in telomere maintenance pathway genes as compared with unexposed CLL patients.
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spelling doaj.art-880dce8e476e438d91b59143c58d5d6b2023-08-02T04:18:56ZengMDPI AGCancers2072-66942019-09-01119129110.3390/cancers11091291cancers11091291Cancers after Chornobyl: From Epidemiology to Molecular QuantificationDimitry Bazyka0Natalya Gudzenko1Iryna Dyagil2Iryna Ilienko3David Belyi4Vadim Chumak5Anatoly Prysyazhnyuk6Elena Bakhanova7National Research Center for Radiation Medicine, 53 Melnikov str, Kyiv 04050, UkraineNational Research Center for Radiation Medicine, 53 Melnikov str, Kyiv 04050, UkraineNational Research Center for Radiation Medicine, 53 Melnikov str, Kyiv 04050, UkraineNational Research Center for Radiation Medicine, 53 Melnikov str, Kyiv 04050, UkraineNational Research Center for Radiation Medicine, 53 Melnikov str, Kyiv 04050, UkraineNational Research Center for Radiation Medicine, 53 Melnikov str, Kyiv 04050, UkraineNational Research Center for Radiation Medicine, 53 Melnikov str, Kyiv 04050, UkraineNational Research Center for Radiation Medicine, 53 Melnikov str, Kyiv 04050, UkraineAn overview and new data are presented from cancer studies of the most exposed groups of the population after the Chornobyl accident, performed at the National Research Center for Radiation Medicine (NRCRM). Incidence rates of solid cancers were analyzed for the 1990−2016 period in cleanup workers, evacuees, and the general population from the contaminated areas. In male cleanup workers, the significant increase in rates was demonstrated for cancers in total, leukemia, lymphoma, and thyroid cancer, as well as breast cancer rates were increased in females. Significantly elevated thyroid cancer incidence was identified in the male cleanup workers cohort (150,813) in 1986−2012 with an overall standardized incidence ratio (SIR) of 3.35 (95% CI: 2.91−3.80). A slight decrease in incidence rates was registered starting at 25 years after exposure. In total, 32 of 57 deaths in a group of cleanup workers with confirmed acute radiation syndrome (ARS) or not confirmed ARS (ARS NC) were due to blood malignancies or cancer. Molecular studies in cohort members included gene expression and polymorphism, FISH, relative telomere length, immunophenotype, micronuclei test, histone H2AX, and TORCH infections. Analysis of chronic lymphocytic leukemia (CLL) cases from the cohort showed more frequent mutations in telomere maintenance pathway genes as compared with unexposed CLL patients.https://www.mdpi.com/2072-6694/11/9/1291Chornobyl (Chernobyl)cleanup workersleukemiathyroid cancerbreast cancertelomere length
spellingShingle Dimitry Bazyka
Natalya Gudzenko
Iryna Dyagil
Iryna Ilienko
David Belyi
Vadim Chumak
Anatoly Prysyazhnyuk
Elena Bakhanova
Cancers after Chornobyl: From Epidemiology to Molecular Quantification
Cancers
Chornobyl (Chernobyl)
cleanup workers
leukemia
thyroid cancer
breast cancer
telomere length
title Cancers after Chornobyl: From Epidemiology to Molecular Quantification
title_full Cancers after Chornobyl: From Epidemiology to Molecular Quantification
title_fullStr Cancers after Chornobyl: From Epidemiology to Molecular Quantification
title_full_unstemmed Cancers after Chornobyl: From Epidemiology to Molecular Quantification
title_short Cancers after Chornobyl: From Epidemiology to Molecular Quantification
title_sort cancers after chornobyl from epidemiology to molecular quantification
topic Chornobyl (Chernobyl)
cleanup workers
leukemia
thyroid cancer
breast cancer
telomere length
url https://www.mdpi.com/2072-6694/11/9/1291
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AT natalyagudzenko cancersafterchornobylfromepidemiologytomolecularquantification
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AT vadimchumak cancersafterchornobylfromepidemiologytomolecularquantification
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