НАУЧНЫЙ И ИНФОРМАЦИОННО-АНАЛИТИЧЕСКИЙ ЖУРНАЛ

ISSN 1024-6177 (Print), ISSN 2618-9615 (Online)

Медицинская радиология и радиационная безопасность. 2016. Том 61. № 5. С. 27-41

РАДИАЦИОННАЯ ЭПИДЕМИОЛОГИЯ

А.Н. Котеров, Л.Н. Ушенкова, А.П. Бирюков, А.С. Самойлов

Частота генных перестроек RET/PTC в папиллярных карциномах щитовидной железы в странах мира в зависимости от времени после аварии на Чернобыльской атомной электростанции (pooled-анализ). Возможный вклад факторов диагностики, «агрессивной хирургии», облучения и возраста<

Федеральный медицинский биофизический центр им. А.И. Бурназяна ФМБА России, Москва, e-mail: Этот адрес электронной почты защищен от спам-ботов. У вас должен быть включен JavaScript для просмотра.

РЕФЕРАТ

На основе объединенного анализа (pooled-анализа) первичных данных из сформированной базы молекулярно-эпидемиологических источников по частоте генных перестроек RET/PTC в папиллярных карциномах щитовидной железы, развившихся спонтанно и после аварии на Чернобыльской атомной электростанции (ЧАЭС), были продемонстрированы спадающие хро-нологические тренды для показателей RET/PTC1, RET/PTC3 и RET/PTC суммарно для когорт из Европы, США + Канады и стран Азиатско-Тихоокеанского региона. Указанный тренд для RET/PTC3 и RET/PTC суммарно был аналогичен обнаруженному и для карцином чернобыльской этиологии (Белоруссия, Россия и Украина), хотя для уровня RET/PTC1 в этом случае видимая временная зависимость отсутствовала. Выявленный тренд не мог быть обусловлен ни хронологическими изменениями в степени дифференцировки карцином, ни фактором различного возраста опухоленосителей.

В связи с невозможностью объяснить радиационным фактором аварии на ЧАЭС обнаруженные хронологические изменения частоты RET/PTC в карциномах разных континентов и регионов, сделан вывод о преобладающем вкладе «человеческого фактора», связанного со «сверхоценкой» и «сверхдиагностикой» ранних форм опухолей щитовидной железы в связи с тревогой после чернобыльского инцидента. По-видимому, эти факторы, плюс инструментальное улучшение на тот период, вкупе с «агрессивной хирургией», имели место по всему миру. В результате всюду выявлялись более ранние формы оккультных карцином и микрокарцином, частота RET/PTC в которых выше, чем в обычных опухолях. С отдалением времени обследования от года аварии на ЧАЭС частоты выявления названных субъективных факторов уменьшалась.

Ключевые слова: объединенный (pooled) анализ, генные перестройки RET/PTC, щитовидная железа, папиллярная карцинома, завышенные оценки, время после чернобыльской аварии

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Для цитирования: Koterov A.N., Ushenkova L.N., Biryukov A.P., Samoilov A.S. RET/PTC Gene Rearrangements Frequency in Papillary Thyroid Carcinoma Worldwide Depending on Time after Chernobyl Nuclear Power Plant Accident (Pooled-Analysis). Possible Contribution of Factors of Diagnosis, 'Aggressive Surgery', Radiation, and Age // Медицинская радиология и радиационная безопасность. 2016. Т. 61. № 5. С. 27-41. English.

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