http://www.abc.net.au/science/news/stories/s820717.htm

Low doses of X-rays may be damaging to genes
Tuesday, 1 April  2003
  
 Even a handful of regular x-rays may cause damage to DNA (Pic: Science
Museum of Minnesota)
  
Even low doses of radiation may cause damage to genes, German researchers
have discovered, questioning the safety of routine X-rays and current
models of risk assessment.

Dr Kai Rothkamm and Dr Markus Lobrich of Saarland University in Germany,
exposed cell cultures to the kind of radiation levels experienced during
routine diagnostic X-rays, and analysed their impact on DNA, the nucleic
acid at the heart of cells that carries all our genetic information.

They were surprised to find the X-rays produced damage to cellular DNA
which took considerably longer to repair than damage from higher
radiation doses. Their results appear in today's issue of the journal,
Proceedings of the National Academy of Sciences.

"It's a good paper," said Dr Pam Sykes, a respected medical radiation
specialist at Flinders Medical Centre in Adelaide. "The group have been
able to measure at a 100-fold lower level than previously achieved."

In the past, research has measured the effects of high X-ray doses, and
extrapolated these results to the low-dose rates that are more relevant
to public health concerns. But in this latest study, the scientists
looked at the lower radiation levels directly.

"The unit the paper is referring to is the equivalent of about 20 chest
X-rays, or one spinal X-ray," Sykes told ABC Science Online. "A dental
X-ray would be less again."

The researchers used a novel fluorescent marker to count the total number
of double-strand breaks in DNA per cell at different times after
exposure; this type of damage is usually linked to cancer and hereditary
disease. 

The researchers were working with cell cultures, not people, but their
fluorescent marker has the potential to become a diagnostic tool, she
said. "In the future, this new research may lead to the ability for the
doctor to take blood and see what damage is being done," predicted Sykes.
"It is providing a system where we can start monitoring people."

The test could be used for patients having to undergo a series of X-rays,
or for people who have been exposed to high levels of environmental
radiation, such as in the case of the 1986 nuclear reactor accident at
Chernobyl in the Ukraine, she suggested.

The paper does not indicate that X-rays should not be used, she said. "If
you are having a spinal X-ray it is for an important reason. You must
weigh the risk of the damage against the outcome of the X-ray."

Sykes noted that the researchers administered the radiation at a much
higher rate than would be given in a standard X-ray. As a comparison, the
background radiation an average person would receive over a year would be
about 2 milligrays (mGy) - a unit of measurement for absorbed radiation.
"In the experiment, the [cell] culture was being exposed to 1 mGy over a
few minutes," she said.

Repair slower

However, the researchers noted that the damage from low radiation levels
lingered days to weeks longer than damage induced by more powerful
levels. They observed that when the cell cultures multiplied, the numbers
of double-strand breaks decreased.

This might be because instead of repairing the damage, the body simply
gets rid of these damaged cells with induced cell death, the duo
suggested. In high doses of radiation, more cells b damaged - too many to
kill off - so the body repairs the damage instead.

The new finding challenges current models of risk assessment, which
assume that DNA repair is equally efficient regardless of X-ray dose. The
authors propose that there is a threshold level of damage, above which
repair mechanisms operate efficiently, but below which repair of
double-strand breaks is impaired.

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