Medical Radiology and Radiation Safety. 2021. Vol. 66. № 4. P. 89–100

To the Question About Pharmacological Protection During Irradiation
in Non-infecting Doses: Maybe, Necessary?
Part 1.
General Overview of Medical-tactical and Phenomenological Aspects

A.V. Ivanchenko1, V.A. Basharin2, I.S. Drachev1, A.B. Seleznev1, A.Yu. Bushmanov3

1Scientific Research Testing Institute of Military Medicine, St. Petersburg, Russia.

2S.M. Kirov Military Medical Academy, St. Petersburg, Russia.

3A.I. Burnasyan Federal Medical Biophysical Center, Moscow, Russia

Contact person: Alexander Viktorovich Ivanchenko, This email address is being protected from spambots. You need JavaScript enabled to view it.

ABSTRACT

Purpose: Review of modern concepts of the biological effect of ionizing radiation in medium doses on a living organism and the consequences of radiation in order to assess the need for the use of drugs suitable for the purpose of modifying the effects; stimulation of discussion on the issue under consideration.

Results: The conditions of origin and the list of possible radiation effects from irradiation at medium doses of the 0.1–1 Gy range were assessed, the scale and phenomenology of the consequences were assessed as a subject of modification by antiradiation agents.

Conclusions: Pharmacological support (use of PLC) under conditions of short-term and prolonged irradiation with a low dose rate and in the dose range of 0.2–1 Gy seems to be necessary due to the reality of deterministic effects when the dose limits are exceeded (partly at the premorbid or preclinical level, with pronounced psychogenic reactions – components of the final state), as well as with the possibility of stochastic effects in excess of spontaneous ones, although, according to approximate estimates, with an insignificant frequency.

Key words: irradiation, average doses, antiradiation agents, disputable use

For citation: Ivanchenko A.V., Basharin V.A., Drachev I.S., Seleznev A.B., Bushmanov A.Yu. To the Question About Pharmacological Protection During Irradiation in Non-infecting Doses: Maybe, Necessary? Part 1.Ggeneral Overview of Medical-Tactical and Phenomenological Aspects. Medical Radiology and Radiation Safety. 2021;66(4):89-100.

DOI: 10.12737/1024-6177-2021-66-4-89-100

References

1. Koterov AN. Spells about genome instability after low-dose irradiation. Medical Radiology and Radiation Safety. 2004; 49(4): 55-72. (In Russian).

2. Koterov AN. Low Doses of Ionizing Radiation: Approaches to Determining the Range. In the book: Radiation Medicine. Ed. L.A. Ilyin. Vol. 1. M.: Izd.AT, 2004, S. 871-925. (In Russian).

3. Koterov AN. Low doses and low dose rates of ionizing radiation: regulation and realities of the XXI century. Medical Radiology and Radiation Safety. 2009; 54. (3): 5-26. (In Russian).

4. Koterov AN. Small doses of radiation: facts and myths. Basic concepts and genome instability. - M .: Publishing house of FMBC im. A.I.Burnazyan FMBA of Russia, 2010, 283 p. (In Russian). (http://fmbcfmba/org/default,asp?id=6000

5. Recommendations-2003 of the European Committee on Radiation Risk. Identification of health consequences of exposure to ionizing radiation in low doses for the purposes of radiation protection. Regulated edition. Brussels. 2003. Translated from English. M. 2004. (In Russian).

6. Moskalev AA, Shaposhnikov MV. Genetic mechanisms of exposure to ionizing radiation in low doses. - SPb .: Nauka, 2009.137 p. (In Russian).

7. ICRP Publication 118. ICRP report on tissue reactions, early and long-term effects in normal tissues and organs - threshold doses for tissue reactions in the context of radiation protection. Translation from English. Chelyabinsk. 2012. 384 p. 

(In Russian). 

8. Koterov AN. From very small to very large doses of radiation: new data on the establishment of ranges and their experimental epidemiological justification. Medical Radiology and Radiation Safety. 2013; 58(2): 5-21. (In Russian).

9. Kudryashov YB. Radiation biophysics (ionizing radiation). Ed. VK. Mazurik and M.F. Lomanov. M. Fizmatlit. 2004. (In Russian).

10. Vorontsov IV, Zhilyaev EG, Karpov VN, Ushakov IB. Small Radiation Impacts and Human Health (Essays on Systems Analysis). - M .; Voronezh: Voronezh State University, 2002. - 276 p. (In Russian).].

11. Kellerer AM. 5th Symposium on Microdosimetry. EUR 5452. Eds J.Booz, H.G.R.Smith. – Luxembourg: Comission jf the European Communities, P. 409-442

12. International Comission jn Radiation Units and Measurements. ICRU, 1983. Microdosimetry, Rep. 36/ - Bethesda:ICRP. 

13. Bond VP, Feinengen LE, Booz J. What is low dose of radiation? In./ J. Radiat. Biol., 1988, 53, No. 1, P. 1-12

14. Booz J, Feinengen LE. A microdosimetric understanding of low-dose radiation effects. Int. J. Radiat. Biol., 1988, 53, No. 1, P. 13-21

15. United Nations. UNSCEAR 1986. Rep. to the General Assembly, with Scientific Annexes. Annex. B. Dose-relationships for radiatijn-induced cancer. - United Nations, New York, 1986, P. 165-262

16. United Nations. UNSCEAR 1994. Rep. to the General Assembly, with Scientific Annexes. Annex. B. Adaptive responses to radiation in cells and organisms. - United Nations, New York, 1994, P. 185-272

17. United Nations. UNSCEAR 2000. Rep. to the General Assembly, with Scientific Annexes. Annex. G. Biological effects at low radiations doses. – New York, 2000, P. 73-175

18. National Council on Radiation and Measurements. Influence of dose and distribution in time on dose-response relationship for low-LET radiations. 1980. NCRP Report 64. Prepared by NCRP Scientific Committee 40. – Bethesda, Maryland, USA: ТСКЗю 1980

19. United Nations. UNSCEAR 2006. Rep. to the General Assembly, with Scientific Annexes. Volume I. Annex. A. Epidemiological studies of radiation and cancer. - United Nations, New York, 2008, P. 17-322 

20. Rumyantseva GM, Chinkina OV, Bezhina LN. Radiation incidents and public mental health. - M .: FGU GNTs SSP, 2009, 288 p. (In Russian).

21. Rumyantseva GM, Chinkina OV, Shishkov SN. Expert Evaluation of Mental Disorders in People Exposed to Elevated Radiation Exposures: A Guide for Physicians and Psychologists. - M .: FGU GNTSSSP, 2011, 260 p. (In Russian).

22. Kudyasheva A. The effect of small doses of ionizing radiation. Bulletin IB, 2009; 2: 2-6. (In Russian).

23. Ivanov IV. Initial reactivity of the organism and radiation exposure in small doses. - M .: Publishing house of RMAPO, 2010, 272 p. (In Russian).

24. Repin MV, Repina LA. Rapid analysis of dicentrics in human blood lymphocytes after exposure to ionizing radiation in low doses. Rad. biology. Radioecology, 2011; 4 (51): 411-418 (In Russian).

25. Beinke C, Neineke V. Highpotential for methodical improvements of FISH-based translocation analysis for retrospective radiation biodosimetry. Health Phys., 2012, 103, No.2, P.127-132

26. Smith GM. What is low dose?  J.Radiol. Prot., 2010, 30, No. 1, P. 93-101

27. Wakoford R, Tawn EJ. The meaning of low dose and low dose-rate. J. Radiol. Prot., 2010, 30, No. 1, P. 1-3

28. Rozhdestvensky LM. Fundamentals of the biological effect of ionizing radiation (the dual nature of the effect of radiation on biological objects). Lecture 1. FMBC them. A.I.Burnazyan. (In Russian). (https://ozlib.com/857156/tehnika/osnovy_biologicheskogo_deystviya_ioniziruyuschego_izlucheniya_dualnyy_harakter_deystviya_radiatsii_bioobekt#293)

29. Radiation safety standards NRB-99/2009. Sanitary rules and regulations SanPiN 2.6.1.2523-09. (In Russian).

30. Geraskin SA. The critical nature of modern concepts and approaches to assessing the biological effect of small doses of ionizing radiation. Radiats. biol. Radioecology, 1995; 35(5): 563-571. (In Russian).

31. Gotlib VYa, Pelevina II, Konoplya EF. et al. Some aspects of the biological action of small vines of radiation. Radiobiology, 1991; 31(3): 318-325. (In Russian).

32. Koterov AN, Biryukov AP. The possibility of determining of anomalies and pathologies in the offspring of liquidators of Chernobyl accident by non-radiation factors. Int. J. Low Radiation (Paris), 2011, 8, No. 4, P. 256-312

33. Koterov AN, Zharkova GP, Biryukov AP. Tandem of radiation epidemiology and radiobiology for the practice of radiation protection. Medical radiol. and radiation. Safety, 2010; 4 (55): 55-84 (In Russian).

34. III International Symposium "Chronic Radiation Exposure: Medical and Biological Effects". Medical Radiology and Radiation Safety. 2006; 51(2): 24-30 (In Russian).

35. United Nations. UNSCEAR 2012. Rep. to the General Assembly, with Scientific Annexes. Biological mechanism of radiation action at low doses. - United Nations, New York, 2012, 45pp.

36. Tubiana M, Arengo A, Averbeck D, Masse R. Low-dose risk assessment: comments on the summary of the international workshop. Radiat. Res., 2007, 167, No. 6, P. 742-744

37. Martin CJ, Sutton DG, Wright EG. The radiobiology/radiation protection interface in health-care. J. Radiat. Prot., 2009, 29, 2A, P. A1-A20.

38. Dauer LT, Brooks AL, Hoel DG, et al. Review and evaluation of apdated researches on the health effects associated with low dose ionizing radiation. Radiat. Prot. Dosim., 2010, No. 2, P. 103-136.

39. Averbeck D. Does scientific evidence support a change from the LNT model for low-dose radiation risk extrapolation? Health Phys., 2009, 97, No. 5, P.493-504

40. Petin VG, Pronkevich MD. Analysis of the effect of low dose radiation on human cancer. Radiation and risk, 2012; 21(1): 39-57 (In Russian).

41. Muirhead CR, Cox R, Statler JW, et al. Estimates of late radiation risks to the UK population. Doc. NRBP, 1993, 4, P.13-157

42. United Nations. UNSCEAR 2000. Rep. to the General Assembly, with Scientific Annexes. Annex. F. Influence of dose and dose rate on stochastic effects of radiation. – New York, 1993, P. 619-727

43. BEIR VII Report 2006. Phase 2. Health Risks from Exposure to Low Levels Ionizing Radiation. Committee to Assess Health Risks from Exposure to Low Levels Ionizing Radiation, National Research Council. http://www.nap.edu/catalog/11340.html

44. Koterov AN. Radiation-induced genome instability under the action of low doses of radiation in scientific publications and in documents of international organizations. Medical Radiology and Radiation Safety. 2009; 54(4): 5-13 (In Russian).

45. Kutkov VA. Quantities in radiation protection and safety. Scientific and informational journal on radiation safety ANRI (Equipment and news of radiation measurements), 2007; 3 (50): 2-25 (In Russian).

46. Tsyb AF, Budagov RS, Zamulaeva IA. et al. Radiation and pathology: Textbook. Benefit. Ed. A.F. Tsyba.- M .: Higher. shk., 2005, 341 p. (In Russian).

47. Yarmonenko SP, Vainson AA. Radiobiology of man and animals. - M. Vyssh. shk., 2004, 549 p. (In Russian).

48. Guskova AK, Galstyan IA, Gusev IA. The accident at the Chernobyl nuclear power plant (1986-2011): health consequences, doctor's thoughts. Edited by A.K. Guskova. - M .: FMBC im. A.I.Burnazyan, 2011, 254 p. (In Russian).]

49.. Guskova AK, Baysogolov GD. Human radiation sickness (essays). - M.: Medicine, 1971, 380 p. (In Russian).].

50. Publication 103 of the International Commission on Radiation Protection (ICRP). Transl. from English / Ed. M.F. Kiselev and N.K. Shandala. Moscow: Ed. LLC PKF "Alana", 2009. (In Russian).

51. Ionizing radiation, radiation safety. Dosimetric control of external occupational exposure. General requirements. Methodical instructions. MU 2.6.1.25-2000. (In Russian).

52. Guskova AK. Lessons from the half-century development of radiation medicine and the principles of targeted training of medical specialists for its needs. Materials of Russian. scientific. conf. Medical aspects of radiation and chemical safety ". October 11-12, 2001 St. Petersburg. VMedA. 2001.S. 26-32. (In Russian).

53. L.A. Ilyin. Fundamentals of regulation of permissible levels of radiation exposure to humans and biota. Lecture 6. FMBC them. A.I.Burnazyan. (In Russian). (https://ozlib.com/857245/tehnika/fundamentalnye_osnovy_reglamentatsii_dopustimyh_urovney_radiatsionnogo_vozdeystviya_cheloveka_biotu)

54. Ilyin LA. Realities and myths of Chernobyl. - 2nd ed. - M .: Alara Limited, 1996. (In Russian).

55. Ilyin LA. Radiation accidents: medical consequences and experience of anti-radiation protection. Med. Radiology and Radiation. safety, 1998, 1: 8-17. (In Russian).

56. Rozhdestvensky LM. The threshold of stochastic effects of ionizing radiation: arguments "PRO" and "CONTRA". Applied implementation. Radiation biology. Radioecology, 2011, 5(51): 576-594. (In Russian).

57. Ilyin LA, Kryuchkov VP, Osanov DP, Pavlov DA. Exposure levels of participants in the elimination of the consequences of the Chernobyl accident in 1986-1987 and verification of dosimetric data. Rad. biology. Radioecology, 1995; 6 (35): 803-828. (In Russian).

58. Ilyin LA, Soloviev VYu. Immediate medical consequences of radiation incidents on the territory of the former USSR. Medical Radiology and Radiation Safety. 2004; 49(6): 37-48 (In Russian).

59. Soloviev VYu, Barabanova AV, Bushmanov AYu, Guskova AK, Ilyin LA. Analysis of the medical consequences of radiation incidents on the territory of the former USSR (based on the materials of the register of the Federal State Budgetary Institution SSC FMBC named after A.I.Burnazyan, FMBA of Russia). Medical Radiology and Radiation Safety. 2013; 58(1): 36-42. (In Russian).

60. Guskova AK. Medical consequences of the accident at the Chernobyl nuclear power plant. Main results and unresolved problems. Medical Radiology and Radiation Safety. 2010; 55(3):17-28 (In Russian).

61. Alekseeva OG. The state of immunity in acute and chronic radiation sickness. Diss. doct. Med. sciences. - M., 1961. 437 p. (In Russian).

62. Tubiana M. Dose-effect relationship and estimation of the carcinogenic effects of low doses of ionizing radiation: The joint report of the Academie des Sciences (Paris) and of the Academie Nationale de Medicine.//Int.J.Radiat.Oncjl. Biol. Phys., 2005, 63, No. 2, P. 317-319

63. Kuzin AM. Radiation hormesis. In the book: Radiation medicine. Guideline 64. for medical researchers, health care providers and radiation safety specialists. Under total. ed. acad. RAMS L.A. Ilyin. T 1. Theoretical foundations of radiation medicine. - M.: Ed. AT, 2004, S. 861-871. (In Russian).

64. Buldakov LA, Kalistratova VS. Radiation effects on the body: positive effects. - M .: Inform-Atom, 2005, 246 p. (In Russian).

65. Pollycove M., Feinendegen L.E. Radiation hormesis: the biological response to low doses of ionizing radiation. Health Effects of Low-Level Radiation, BNES, 2002, P.1-12

66. UNSCEAR 2006. Rep. to the General Assembly, with Scientific Annexes. Annex. C.Non targeted and delayed effects of exposure to ionizing radiation. - UN. – New York, 2009, P. 1-79.

67. Sutherland BM, Bennett PV, Cintron-Torres N, et al. Clustered DNA damages induced in human hematopoietic cells by low doses of ionizing radiation. J/Radiat. Res., 2002, 43, Suppl, P.S149-S152

68. Little DB. Non-targeting effects of ionizing radiation: conclusions as applied to low-dose exposures.Radiation Biology. Radioecology, 2007; 3 (47): 262-272 (In Russian).

69. Mazurik VK, Mikhailov VF, Ushenkova LN, et al. The relationship between the content of reactive oxygen species and the state of the DNA structure in bone marrow cells in mice in dynamics after the general exposure to γ-radiation. Radiation biology. Radioecology, 2003; 6 (43): 625-632 (In Russian).

70. Radiation medicine. Ed. LA Ilyin. Vol. 1. Theoretical foundations of radiation medicine. M.: Publishing house AT, 2004, pp. 871-925 (In Russian).

71. Grebenyuk AN, Legeza VI, Nazarov VB, Timoshevsky AA. Medical means of prevention and therapy of radiation injuries. Tutorial. - SPb: LLC "FOLIANT Publishing House". 2011; 92 p. (In Russian).

72. Stavitsky RV, Lebedev LA, Mekheechev AV, et al. Some questions of the action of small doses of ionizing radiation.Medical Radiology and Radiation Safety. 2003; 48(1): 30-39 (In Russian).

73. Suvorova LA, Nugis VYu. Dynamics of peripheral blood parameters after a single exposure to a person in low doses. Medical Radiology and Radiation Safety. 2009; 54(5): 42-48 (In Russian).

74. Guskova AK. Radiation and the human brain. Medical Radiology and Radiation Safety. 2001; 46(5): 47-55 (In Russian).

75. Astrov VV. Substantiation of the expediency of using new adaptogens during occupational exposure at low doses. Abstract of dissertation for the degree of candidate of medical sciences. Research Institute of Military Medicine of the Ministry of Defense of the Russian Federation. St. Petersburg. 1996. (In Russian).

76. Akleev AV, Kosenko MM, Krestinina LYu, et al. Health of the population living in the radioactively contaminated territories of the Ural region. Ed. prof. A.V. Akleev. - M .: RADEKON, 2001.194 p. (In Russian).

77. Sanitary Consequences of Discharge of Industrial Wastewater from Base 10 into the Techa River. Report on R&D. IBF MZ USSR. - M., 1957. 323 p. (In Russian).

78. Study of the consequences of the impact of uranium fission products in the coastal regions of the rivers T., I., To.: Report on research. IBF MZ USSR. M., 1965. -134 p. (In Russian).

79. Study of the sanitary and hygienic situation and the state of health of the population in the area contaminated with liquid radioactive waste of the plant No. 817: Report on research. IBF MZ USSR. - M. 1961. -348 p. (In Russian).

80. Antushevich AE, Boyko VN, Botkevich LG. and other Influence of small doses of ionizing radiation on the state of health of people. In collection: Rehabilitation and compensatory processes in radiation injuries. Materials conf. SPb. 1992.S. 6-8. (In Russian).

81. Legeza VI, Abdul YuA, Zhilyaev EG. The dynamics of the restoration of immunological shifts under irradiation in "small doses". In collection: Rehabilitation and compensatory processes in radiation injuries. Materials conf. SPb. 1992.S. 116-118. (In Russian).

82. Tsybalova LM, Golovanova AK, Veselkova AV. et al. Acute respiratory diseases and virus carriers among nuclear weapons testers and liquidators of radiation accidents in the remote period. Materials of Russian. Scientific Conf. Medical aspects of radiation and chemical safety". October 11-12, 2001 St. Petersburg. VMedA. 2001. P.175-176. (In Russian).

83. Shalnova GA, Ulanova AM, Maltsev VN. The reaction of the immune system to the action of ionizing radiation in small doses. VI Congress on radiation research (radiobiology, radioecology, radiation safety): Abstracts. Report T. II (sections VII-XIV). M., October 25-28, 2010 - Moscow: RUDN, 2010.- P.97. (In Russian).

84. Vasin MV. Means of prevention and treatment of radiation injuries: Textbook. Benefit. Moscow: Bureau of Operative Printing of the State Research Institute of Military Medicine of the Ministry of Defense of the Russian Federation, 2000.264 p. (In Russian).

85. Ushakov IB, Soldatov SK. Adaptive-compensatory mechanisms for restoring hematological parameters in liquidators-pilots after the accident at the Chernobyl nuclear power plant. In collection: Rehabilitation and compensatory processes in radiation injuries. Materials conf. SPb. 1992.S. 201. (In Russian).

86. Lukina EA, Levina AA, Shefel YuV, et al. Dysfunction of the system of mononuclear phagocytes in liquidators of the consequences of the Chernobyl accident. In collection: Rehabilitation and compensatory processes in radiation injuries. Materials conf. SPb. 1992.S. 121-122. (In Russian).

87. Clinical aspects of the effect of low doses of radiation on humans. Materials for interns, students and doctors. Long-term effects of exposure to low doses of the body. (In Russian). http://www.medinterm.ru/terms-823-1.html.

88. Pelevina II, Aleshchenko AV, Antoshchina MM, et al. Molecular biological features of the long-term consequences of the Chernobyl accident. VI Congress on radiation research (radiobiology, radioecology, radiation safety): Abstracts. Dokl. T. II (sections VII-XIV). M., October 25-28, 2010 - Moscow: RUDN, 2010.-P.9. (In Russian).

89. Radiation medicine. Ed. LA Ilyin. T.3. Radiation hygiene. M .: Izd. AT, 2002: S.608. In Russian).

90. Rozhdestvensky LM. Acute issues of ensuring radiation safety in radiation accidents: radiobiological, radiation-medical and organizational support of countermeasures in the event of an accident at the Chernobyl nuclear power plant. Med. radiology and radiation safety, 2017; 2 (62): 66-70 (In Russian).

91. Guskova AK. Medical consequences of the Chernobyl accident: main results and unresolved problems. Actual problems of toxicology and radiobiology: Abstracts. Dokl. Russian scientific. Conf. From international Learning, St. Petersburg, May 19-20, 2011 - St. Petersburg: 2011, pp. 4-5. (In Russian).

92. Ushakov IB, Fedorov VP. Neuromorphological correlates of neuropsychiatric disorders in liquidators of radiation accidents. VII Congress on Radiation Research. Radiobiology. Radioecology. Radiation safety. M. 21-24 October 2014 Abstracts. Dokl. M. 2014.S. 126. (In Russian).

93. Dose dependences of non-stochastic effects, basic concepts and quantities used in the ICRP. Publications 41, 42 of the ICRP. Per. from English Publ. 41, 42.1987.88 p. (In Russian).

94. Moroz BB, Deshevoy YuB. Modifying effect of γ-irradiation in low doses on the reactions of the hematopoietic system under emotional stress. Radiobiology, radioecology, radiation safety. M., October 14-17, 1997 Abstracts. Dokl. T.1 P.159-160. (In Russian).

95. Deshevoy YB, Moroz BB, Lebedev VG, et al. Emotional stress and radiation pathology. IV Congress on Radiation Research. M. 20-24 November 2001 Abstracts. Doc., Vol. 2. M.2001. P. 362. (In Russian).

96. Grishko GN. The state of free radical processes and the antioxidant system in blood plasma and erythrocytes under the isolated and combined action of low doses of radiation and stress. IV Congress on Radiation Research. M. 20-24 November 2001 Abstracts. Dokl., Vol. 2. M. 2001.S. 384. (In Russian).

97. Deshevoy YuB, Moroz BB, Lyrshchikova AV. et al. Bone marrow hematopoiesis in emotional stress reactions of varying intensity against the background of the action of ionizing radiation in a low dose. Radiation biology. Radioecology. 2004;1 (44): 56-61. (In Russian).

98. Rolevich IV, Malenchenko AF, Sushko SN, et al. Response of alveolar macrophages to the combined effects of ionizing radiation and stress. Radiobiology, radioecology, radiation safety. M., October 14-17, 1997 Abstracts. Dokl. Vol. 1 p. 69-70. 

(In Russian).

99. Radiation: Doses. Effects. Risk. Ed. "Mir". M. 1985. (In Russian).

100.Lapsha VI, Bocharova VN, Rolevich IV, et al. Structural and functional changes in the sympathoadrenal system under prolonged exposure to ionizing radiation in low doses and emotional stress. III International Symposium "Mechanisms of Action of Small Doses". M. December 3-6, 2002. Abstracts. Dokl. P.98. (In Russian).

101.Ushakov IB, Boyarintsev VV, Petrov VM, Shtemberg AS. Yesterday, today and tomorrow of space radiobiology. Actual problems of toxicology and radiobiology: Abstracts. report Russian Scientific Conf. with international participation, St. Petersburg, May 19-20, 2011 - St. Petersburg: "Foliant" Publishing House, 2011. P.10-11. (In Russian).

102.Ivanchenko AV, Sosyukin AE, Vasilyuk VB. Promising directions of early diagnostics of production-related pathology in workers of nuclear shipbuilding and ship repair enterprises. –Current problems of toxicology and radiobiology: Abstracts. report Russian scientific. conf. from international participation, St. Petersburg, May 19-20, 2011 - St. Petersburg: LLC "Foliant Publishing House", 2011.- P.5. 

(In Russian).

103.Vitvitsky VN, Soboleva LS, Shevchenko VA. Modification of mutagenic effects of gamma radiation with chromium (VI) and lead (II) salts. Radiobiology, radioecology, radiation safety. M., October 14-17, 1997 Abstracts. Dokl. T.2 S.222-223. (In Russian).

104.Ivanov SD, Kovanko EG. Development of long-term effects of radiation-chemical impacts. Radiobiology, radioecology, radiation safety. M., October 14-17, 1997 Abstracts. Dokl. T.2. S.224-225. (In Russian).

105.Saltanova IV, Skurat VV. Problems of assessing environmental risk under the combined action of radiation and a chemical carcinogen. IV Congress on Radiation Research. M. 20-24 November 2001 Abstracts. Doc., Vol. 2. M.2001. P. 374. 

(In Russian).

106.Rolevich IV, Morzak GI. Influence of long-term combined radiation-chemical action and emotional stress on the adaptation processes of the organism. Small doses. International materials. scientific. Conf., dedicated to the 25th anniversary of the Institute of Radiobiology (Gomel, September 26-28, 2012). Minsk. Institute of Radiology. 2012.S. 112-114. (In Russian).

107.Kovalenko AN. Exo- and endogenous factors contributing to the development of organic changes in the brain of victims in connection with the Chernobyl accident: analysis of the problem (literature review). AMS of Ukraine, 2000, Vol. 6, No. 4, pp. 686-702. (In Russian).

108.Legeza VI. Medical consequences of exposure to low doses of ionizing radiation on the body. In the book: Clinical Radiology: Textbook Ed. Yu.Sh. Khalimov. - SPb: Foliant, 2020 .224 p. (In Russian).

109.Azizova TV, Vlasenko EV, Grigorieva ES, et al. Indicators of morbidity and mortality from ischemic heart disease in a cohort of workers at the Mayak Production Association exposed to chronic irradiation. Medical Radiology and Radiation Safety. 2011; 56(3): 28-36. (In Russian).

 PDF (RUS) Full-text article (in Russian)

Conflict of interest. The authors declare no conflict of interest.

Financing. The study had no sponsorship.

Contribution. Article was prepared with equal participation of the authors.

Article received: 16.02.2021. 

Accepted for publication: 20.04.2021.