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Re: What is hormesis?



>Date:         Tue, 24 Mar 1998 23:41:20 +0530
>Reply-To: Medical Physics Mailing List <MEDPHYS@LISTS.WAYNE.EDU>
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>From: "Dr.K.S. Parthasarathy" <aerb@SOOCHAK.NCST.ERNET.IN>
>Subject:      Re: What is hormesis?
>X-cc:         Gautham Parthasarathy <parthga@Eng.Auburn.EDU>
>To: Multiple recipients of list MEDPHYS <MEDPHYS@LISTS.WAYNE.EDU>
>
>
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> Dear Dr Willcut,
>
>I wrote a note on Radiation Hormesis a few months ago in the Quarterly
>Newsletter published by the Indian Atomic Energy Regulatory Board. This
>may be of interest
>                                        Issues in Perspective
>
>                       Radiation Hormesis
>
>                       K.S. Parthasarathy
>
>
>          Exposure to high levels of  ionizing radiation can harm
>the  tissues  of  the human body.   This  has  been  demonstrated
>unequivocally.  Many who handled X-ray Units  carelessly,suffered
>extensive  skin  damage  and   became  marteers.   They  suffered
>clinically  identifiable effects.  Long term studies  of  exposed
>populations  such  as  the survivors of the  atomic  bombings  at
>Hiroshima and Nagasaki demonstrated that radiation exposure has a
>potential  for   inducing  cancers in  the  exposed  populations.
>These  can be inferred from epidemiological  studies.  But  there
>is  a  group of scientists who firmly believe that low  doses  of
>radiation  can  be  beneficial.  Dr. T.  Luckey  is  an  eloquent
>proponent  of  this theory.  He wrote  a  very  interesting  Book
>titled "Radiation Hormesis"
>
>          In  1987,  Dr.  Marshall  Brucer  wrote  an   eminently
>readable  feature  article titled "Radiation  Hormesis  after  85
>years" in the American Health Physics Society's  New letter.
>
>          Brucer introduces the topic by citing the  developments
>chronologically.   Our  pancreas secretes only when  food  passes
>through    the  stomach.   In  1902,  E.  Starling,  an   English
>Physiologist   discovered  that  an  acid  extract  of   duodenum
>contained 'secretin'  that when discharged into blood, stimulated
>the pancreas to secrete.  In 1904 Starling was the first to  coin
>the  term "hormone" (hormo in Greek mean to excite) to  designate
>any  substance produced in small amounts but carried in blood  to
>influence some other organ.
>
>          "Weak  stimulus  might  stimulate what  the  same,  but
>stronger  stimulus  inhibits".   Based  on  this   pharmaceutical
>principle practiced by ancients, Brucer argues that toxicity is a
>matter  of  dose.  A peg of whiskey, a whiff of nicotine  from  a
>cigarette,  caffeine in a cup of coffee all these  stimulate.   A
>single  intake of few liters of alcohol, half a gram of  nicotine
>or  caffeine will kill.  They stimulate at low doses and kill  at
>high doses.
>          Brucer pointed out that the word "hormesis" was  coined
>by  C Southam and J Ehrlich.  They found that  concentrations  of
>oak  bark  extract  inhibited fungal growth while  in  low  dose,
>stimulated   fungal  growth.  According  to   Brucer   Starling's
>'hormone' was modified to "hormesis" (phytopathology 33:517,1943)
>
>     During   the   1950s,  some   Agricultural   Chemists    fed
>antibiotics  to  live stock.  They thought  that  suppression  of
>flora  in the gut would decrease growth.  But poultry,  pigs  and
>cattle  fattened  enormously on a diet containing  low  doses  of
>antibiotics.  T. Luckey who was engaged in such studies  surveyed
>the   literature  later.   In  1981,  Luckey  revived  the   term
>'hormesis'  with  reference to ionizing radiation backing  it  up
>with  over 1250 articles. The effects observed include growth  of
>algae under X irradiation (1898), growth of peas (1908), increase
>in  life  span of invertebrates (1918) and  insects  (1919),  and
>seedling stimulation by X-rays (1927).
>
>          Brucer observed that before World War I and  continuing
>into  1930s   about ten articles a year referred  to  a  hormetic
>effect.  After  World War II, twenty articles per year  mentioned
>a  hormetic  effect.   He implied that hormesis  theory  did  not
>thrive  because  all new paper head  lines  highlighted  negative
>effects!!.  For  instance,  H. Muller  who  demonstrated  genetic
>effects  by irradiating fruitflies in 1927, predicted  a  genetic
>catastrophe  from atomic bomb explosiion. This lead  to  feverish
>publicity.   Brucer bemoans the fact that no publicity was  given
>the  disproof 35 years later.  The story of double headed  babies
>in  Hiroshima  &  Nagasaki was fiction; but it  made  good  copy.
>According  to Brucer "Health Physics and Genetics were  supported
>lavishly  by radiation hysteria and radiation biology became  the
>]most intensely researched science in history."
>
>         If the interaction of radiation with tissue is a  purely
>physical  mechanism, the probability for initiation of an  effect
>in  tissue  will be is proportional to the number  of  initiating
>particles  and hence to dose.  But this picture is too simple  as
>it  ignores the profound biological defence mechanisms.B.L  Cohen
>(Risk  Analysis,1995)  reviewed  the  evidence  that   biological
>defence mechanisms are stimulated by low level radiations.   When
>radiation  interacts  with  cells  they  may  induce   chromosome
>aberrations.   Several  studies  have  shown  that  frequency  of
>chromosome  aberrations  induced by a high dose of  radiation  is
>substantially reduced if the cells are pre-exposed  to low  level
>dose.
>
>     Cohen  cites  a  few cases of protection  afforded  by  pre-
>exposure  to low doses.  Low level radiation enhances  production
>of  repair  enzymes.  Linear no threshold  concept  is  a  simple
>theory.   When  the  dose  is  low, the  time  interval   between
>irradiation  and appearance of tumor is observed to  be  large.In
>view  of the latency period, an exposed person may die  of  other
>causes  before  cancer can develop. Cohen argues that there is  a
>"practical threshold" for radiation induced cancer. Based on  the
>radon-lung  cancer  relationship,  Cohen  demonstrated  that  the
>linear no threshold theory fails very badly in the low dose,  low
>dose rate region.
>
>     The  International Commission on Radiological Protection  in
>its  publication no 60 stated thus: " There is some  experimental
>evidence  that  radiation  can  act to  stimulate  a  variety  of
>cellular  functions  including  proliferation  and  repair.  Such
>simulation    is    not   necessarily   beneficial.    In    some
>circumstances,radiation   appears also to  enhance  immunological
>responses  and  to  modify balance of hormones in  the  body.  In
>particular radiation may be able to stimulate the repair of prior
>radiation  damage,  thus decreasing its consequences. or  may  be
>able  to improve immunological surveillance, thus  strenghthening
>the body's natural mechanisms" .ICRP went on to suggest that  the
>experimental data on such effects  have been inconclusive, mainly
>because of statistical difficulties at low doses. The  Commission
>unequivocally stated that the available data on hormesis are  not
>sufficient to take them into account in radiological protection
>
>     Since  this  report was published, some more work  has  been
>completed.   Whether  these  will  make  any  impact   to   force
>rethinking  of  ICRP's  conclusions will have  to  be  seen.  The
>answers  to  the important questions will have to  probably  come
>from molecular biologists. They have also to find explanations to
>the new findings of 'genomic instability'.  The debate on effects
>of low level radiation appears to generate more heat than  light.
>In  many  m]eetings, the debates generate lot of sound  and  fury
>signifying  nothing. Living  tissue with DNA packed  with  genetic
>information will continue to be an enigma at least for a few more
>decades.
>
>Dr.K.S.Parthasarathy
>
>
>
>
>========================================================================
>Atomic Energy Regulatory Board,
>Niyamak Bhavan, Anushaktinagar,
>Bombay - 400 094. INDIA
>
>Tel : 5572989/90/91/93/94       FAX : 5562344 / 5565717
>email : aerb@soochak.ncst.ernet.in
>========================================================================
>
>
>On Fri, 20 Mar 1998, Virgil M. Willcut wrote:
>
>>
>>          ** Mail from Medphys Listserver **
>> If you reply to this message, it will be posted on Medphys for all the
>> subscribers to review ...
>>
>>
>>      I have seen the term hormesis used several times on the listserver.
>>      Could someone explain, in lay terms for the non-radiobioligist, what
>>      this phenomenon is?
>>
>>      Thanks
>>
>>      Virgil Willcut
>>      virgil.willcut@sih.net
>>
>