Doença rara causada por radiação, resultante da exposição global do corpo a grandes doses de radiação penetrante (>0,7 Gray) num período de tempo muito curto (geralmente minutos) e caracterizada por síndrome medular óssea com pancitopenia (cujos sintomas leves podem ocorrer com 0,3 Gray), síndrome gastrointestinal resultando essencialmente em infecção fatal, desidratação e desequilíbrio eletrolítico (ocorrendo em doses >10 Gray), e síndrome do sistema cardiovascular/nervoso central com diarreia aquosa, convulsões, coma e morte em três dias após a exposição (ocorrendo em doses >50 Gray). A síndrome se desenvolve em quatro estágios clínicos (doença prodrômica/latente/manifestada/recuperação ou morte) de duração variável.
Introdução
O que você precisa saber de cara
Visão geral
A Síndrome aguda de radiação (também conhecida como doença da radiação) é uma condição rara que ocorre após exposição intensa e de curta duração a altas doses de radiação ionizante. A prevalência estimada é de 1 a 9 casos por 1.000.000 de pessoas, e pode afetar indivíduos de todas as idades. A síndrome não é hereditária, sendo causada exclusivamente por exposição ambiental ou acidental à radiação.[1][3]
Sinais e sintomas
Os sintomas da Síndrome aguda de radiação são variados e dependem da dose e da duração da exposição. Os mais comuns incluem: fadiga, fraqueza muscular, dor de cabeça (cefaleia), tontura (vertigem), febre, vômitos, diarreia, perda de consciência e convulsões. Alterações na pele são frequentes, como descamação, úlceras, hiperpigmentação (escurecimento), hipopigmentação (clareamento), inflamação, atrofia (afinamento), hiperceratose (espessamento) e telangiectasias (vasinhos visíveis). No sangue, ocorre redução de plaquetas (trombocitopenia), linfócitos (linfopenia) e granulócitos (granulocitopenia), o que pode levar a sangramentos anormais. Outros sinais incluem pressão baixa (hipotensão), inflamação pulmonar (pneumonite intersticial) e catarata.[1][3]
Causas genéticas
Diagnóstico
O diagnóstico é baseado na história de exposição à radiação e nos sintomas clínicos. Exames laboratoriais podem mostrar alterações no sangue, como linfopenia, granulocitopenia e trombocitopenia. Testes genéticos não são utilizados para o diagnóstico, pois a condição não tem causa genética. No entanto, estão disponíveis 336 testes genéticos relacionados a outras condições que podem ser considerados no diagnóstico diferencial, conforme dados do GenCC.[1][4]
Tratamento e manejo
O tratamento da Síndrome aguda de radiação é de suporte e visa controlar os sintomas e prevenir complicações. Medidas incluem hidratação, controle de infecções, transfusões de sangue para tratar sangramentos e uso de medicamentos para aliviar náuseas, vômitos e diarreia. Não há medicamentos específicos aprovados exclusivamente para a síndrome. O manejo deve ser realizado em ambiente hospitalar especializado. No Brasil, a condição não possui cobertura específica pelo Sistema Único de Saúde (SUS).[1]
Prognóstico e qualidade de vida
O prognóstico depende da dose de radiação recebida e da rapidez do atendimento. Casos leves podem ter recuperação completa, enquanto exposições muito altas podem ser fatais. A qualidade de vida pode ser afetada por sequelas como fadiga crônica, catarata e alterações permanentes na pele. O acompanhamento médico contínuo é importante para monitorar complicações tardias.[1][3]
Conteúdo informativo gerado e mantido automaticamente a partir de fontes oficiais (Orphanet, HPO, OMIM, SUS). Não substitui avaliação médica.
Doença rara causada por radiação, resultante da exposição global do corpo a grandes doses de radiação penetrante (>0,7 Gray) num período de tempo muito curto (geralmente minutos) e caracterizada por síndrome medular óssea com pancitopenia (cujos sintomas leves podem ocorrer com 0,3 Gray), síndrome gastrointestinal resultando essencialmente em infecção fatal, desidratação e desequilíbrio eletrolítico (ocorrendo em doses >10 Gray), e síndrome do sistema cardiovascular/nervoso central com diarreia aquosa, convulsões, coma e morte em três dias após a exposição (ocorrendo em doses >50 Gray). A síndrome se desenvolve em quatro estágios clínicos (doença prodrômica/latente/manifestada/recuperação ou morte) de duração variável.
Escala de raridade
<1/50kMuito rara
1/20kRara
1/10kPouco freq.
1/5kIncomum
1/2k
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Sinais e sintomas
O que aparece no corpo e com que frequência cada sintoma acontece
Visão geral
A Síndrome aguda de radiação (também conhecida como doença da radiação) é uma condição rara que ocorre após exposição intensa e de curta duração a altas doses de radiação ionizante. A prevalência estimada é de 1 a 9 casos por 1.000.000 de pessoas, e pode afetar indivíduos de todas as idades. A síndrome não é hereditária, sendo causada exclusivamente por exposição ambiental ou acidental à radiação.[1][3]
Sinais e sintomas
Os sintomas da Síndrome aguda de radiação são variados e dependem da dose e da duração da exposição. Os mais comuns incluem: fadiga, fraqueza muscular, dor de cabeça (cefaleia), tontura (vertigem), febre, vômitos, diarreia, perda de consciência e convulsões. Alterações na pele são frequentes, como descamação, úlceras, hiperpigmentação (escurecimento), hipopigmentação (clareamento), inflamação, atrofia (afinamento), hiperceratose (espessamento) e telangiectasias (vasinhos visíveis). No sangue, ocorre redução de plaquetas (trombocitopenia), linfócitos (linfopenia) e granulócitos (granulocitopenia), o que pode levar a sangramentos anormais. Outros sinais incluem pressão baixa (hipotensão), inflamação pulmonar (pneumonite intersticial) e catarata.[1][3]
Causas genéticas
Diagnóstico
O diagnóstico é baseado na história de exposição à radiação e nos sintomas clínicos. Exames laboratoriais podem mostrar alterações no sangue, como linfopenia, granulocitopenia e trombocitopenia. Testes genéticos não são utilizados para o diagnóstico, pois a condição não tem causa genética. No entanto, estão disponíveis 336 testes genéticos relacionados a outras condições que podem ser considerados no diagnóstico diferencial, conforme dados do GenCC.[1][4]
Tratamento e manejo
O tratamento da Síndrome aguda de radiação é de suporte e visa controlar os sintomas e prevenir complicações. Medidas incluem hidratação, controle de infecções, transfusões de sangue para tratar sangramentos e uso de medicamentos para aliviar náuseas, vômitos e diarreia. Não há medicamentos específicos aprovados exclusivamente para a síndrome. O manejo deve ser realizado em ambiente hospitalar especializado. No Brasil, a condição não possui cobertura específica pelo Sistema Único de Saúde (SUS).[1]
Prognóstico e qualidade de vida
O prognóstico depende da dose de radiação recebida e da rapidez do atendimento. Casos leves podem ter recuperação completa, enquanto exposições muito altas podem ser fatais. A qualidade de vida pode ser afetada por sequelas como fadiga crônica, catarata e alterações permanentes na pele. O acompanhamento médico contínuo é importante para monitorar complicações tardias.[1][3]
Conteúdo informativo gerado e mantido automaticamente a partir de fontes oficiais (Orphanet, HPO, OMIM, SUS). Não substitui avaliação médica.
Partes do corpo afetadas
+ 9 sintomas em outras categorias
Características mais comuns
Os sintomas variam de pessoa para pessoa. Abaixo estão as 24 características clínicas mais associadas, ordenadas por frequência.
Linha do tempo da pesquisa
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Genética e causas
O que está alterado no DNA e como passa nas famílias
Nenhum gene associado encontrado
Os dados genéticos desta condição ainda estão sendo catalogados.
Diagnóstico
Os sinais que médicos procuram e os exames que confirmam
Tratamento e manejo
Remédios, cuidados de apoio e o que precisa acompanhar
Onde tratar no SUS
Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)
🇧🇷 Atendimento SUS — Síndrome agudo de radiação
Selecione um estado ou use sua localização para ver resultados.
Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.
Pesquisa ativa
Ensaios clínicos abertos e novidades científicas recentes
Ensaios em destaque
Pesquisa e ensaios clínicos
9 ensaios clínicos encontrados.
Publicações mais relevantes
Differential modulation of haematopoietic and oxidative injury by PARP-1 and ATR kinase inhibition in a murine model of acute irradiation.
Temporal Modulation of Acute Radiation Injury by Post-Exposure PARP-1 versus ATR Kinase Inhibition. PARP-1 and ATR inhibitors have been employed as radiosensitizers in cancer therapy. In addition to this, there is little evidence about the role of these chemicals after a dose of radiation, specifically in relation to reducing damage to healthy cells rather than increasing it. The goal of this study was to determine if PARP-1 or ATR kinase inhibitors, when delayed administered, could decrease the severity of the condition caused by an acute dose of radiation and compare the impact of PARP-1 and ATR inhibitors. Mice of the C57BL/6 strain were subjected to a total body irradiation dose of 2.5 Gy γ-rays. In each experiment, thirty minutes following exposure to IR, either the PARP inhibitor, olaparib at 50 mg/kg or the ATR kinase inhibitor VE-821 at 25 mg/kg was injected intraperitoneally into the mice. The parameters of blood were measured at the same time as oxidative stress, including the activity of superoxide dismutase and levels of malondialdehyde. Examination of DNA damage and repair dynamics was done through the use of γ-H2AX immunofluorescence. Following exposure to ionising radiation, mice which had received a PARP inhibitor showed less marked haemoglobin reduction and less radiation-induced leucopenia than control mice exposed to radiation alone. The modifications were accompanied by a decrease in lipid peroxidation plus enhanced antioxidant activity. This observation that PARP inhibition enhances repair of DNA double-strand breaks is consistent with earlier data from other researchers. In contrast the protective effects of the ATR kinase inhibitor were not apparent when administered after the DNA damage had been inflicted in any of the parameters examined. While administering PARP inhibitors following the exposure to ionising radiation was found to reduce the severity of the condition experienced by the subject, as a result of acute radiation syndrome, the same was not seen when the treatment with ATR inhibitors was given to affected subjects. The results of this study show the significance of administering therapeutic agents at the right time to stop the injury to normal cells when DNA repair pathways are activated by exposure to ionising radiation.
Breaking through the radiation dilemma: development and clinical translation of anti-radiation drugs.
The need for effective prevention and treatment of nuclear radiation injuries is underscored by historical nuclear incidents, ongoing challenges such as nuclear wastewater management, and the expanding use of radiation in medicine and industry. Despite the approval of a limited set of drugs such as potassium iodide, Prussian blue, cytokines for hematopoietic acute radiation syndrome (H-ARS), current countermeasures are hindered by a narrow scope of application, significant side effects, and a profound mechanistic knowledge gap. While novel drug development has expanded into various mechanisms such as targeting DNA damage repair and anti-inflammation, yielding promising directions like novel nano-delivery systems, the overall clinical translation rate remains low. To address these challenges, this review synthesizes literature from the past 3 decades with the following aims: (1) to provide an updated analysis of the molecular mechanisms of radiation injury, highlighting newly discovered targets; (2) to critically evaluate drugs across clinical, trial, and preclinical stages; and (3) to introduce a transformative paradigm. The application of artificial intelligence (AI) in drug discovery, is a prospect not systematically explored in prior reviews. We posit that integrating mechanistic insights with AI-driven approaches represents a promising path forward. Finally, we propose future directions aimed at overcoming the specific challenges facing AI in this field, including the development of strategies to mitigate model "black-box" effects, the establishment of secure and ethical frameworks for sharing sensitive radiation injury data, and the creation of specialized, high-quality databases to address the critical issue of data scarcity.
Pre-Exposure Prophylaxis with Vasculotide Enhances Survival and Alleviates Hematopoietic and Gastrointestinal Injury Following Lethal Total Body Irradiation.
No US Food and Drug Administration (FDA)-approved prophylaxis is currently available for Acute Radiation Syndrome (ARS), which remains a significant threat to military and civilian populations. In this study, we investigated Vasculotide (VT), a Tie2 receptor agonist mimic, as a novel pre-exposure prophylaxis designed to stabilize the vascular endothelium, one of primary targets of radiation-induced damage. To evaluate its efficacy, female B6D2F1/J mice were exposed to 9.5 Gy total body irradiation (TBI), with VT administered subcutaneously at 12 and 2 h prior to exposure. Assessments included 30-day survival, biomarkers of vascular injury, proinflammatory cytokine/chemokine profiling, and evaluation of hematopoietic (H) and gastrointestinal (GI) recovery. Our findings demonstrate that VT significantly increased 30-day survival in a dose-dependent manner, achieving a 30% survival advantage at the 20 μg/kg dose. Furthermore, VT provided robust protection against radiation-induced vascular activation and injury, effectively alleviating damage to the bone marrow (BM) and GI tract. Taken together, these results identify VT as a promising prophylactic countermeasure for ARS. By targeting the Tie2 pathway to preserve vascular integrity, VT addresses a critical gap in medical countermeasures, offering a viable strategy to enhance survival and accelerate multi-organ recovery in radiological mass-casualty scenarios.
Single-Cell Profiling of ANKRD26 Thrombocytopenia Reveals Progenitor Expansion and Polyploid Apoptosis via JUNB-p21.
ANKRD26-related thrombocytopenia (THC2) is a rare inherited platelet disorder caused by germline variants in the 5' untranslated region (UTR) of ANKRD26. While prior studies using in vitro models or isolated case reports have suggested impaired megakaryopoiesis as a central mechanism, detailed insights have remained elusive-primarily due to the rarity, fragility, and heterogeneity of megakaryocytes. Here, we present a comprehensive, cross-validated analysis of bone marrow samples from four independent THC2 patients, integrating single-cell transcriptomics and ex vivo functional profiling. Across all patients, we analyzed CD34⁺ hematopoietic stem and progenitor cells (HSPCs) (47,281 THC2-HSPCs vs. 51,907 control cells) and primary megakaryocytes (pMKs) (7,309 THC2-pMKs vs. 5,077 controls), uncovering a consistent pattern of megakaryocyte progenitors (MkP) expansion and a marked reduction in polyploid megakaryocytes-indicating a conserved pathophysiologic phenotype. In our index patient, we identified the 5'UTR single-nucleotide variant in ANKRD26 that led to significantly elevated expression across four megakaryocyte-lineage subsets-spanning multipotent progenitors, common myeloid progenitors, megakaryocyte-erythroid progenitors, and MkPs-as well as in terminally enriched pMKs. Spatial transcriptomics and confocal imaging localized ANKRD26 to the centrosome, implicating it in mitotic regulation during megakaryocyte maturation. Mechanistically, we discovered that elevated ANKRD26 induces apoptosis in polyploid megakaryocytes via JUNB-mediated transcriptional activation of CDKN1A (p21)-operating independently of the canonical p53-PIDDosome axis. This multi-patient study provides the most comprehensive cellular and molecular portrait of ANKRD26-driven thrombocytopenia to date, offering novel insights into defective megakaryopoiesis and identifying candidate therapeutic targets to restore platelet production.
Extracellular vesicles from mesenchymal stromal cells primed with synthetic toll-like receptor 4 agonists treat hematopoietic acute radiation syndrome.
Whole-body exposure to ionizing radiation can lead to cellular DNA damage to bone marrow (BM), causing lethal hematopoietic acute radiation syndrome (H-ARS). Extracellular vesicles (EVs) from human BM-derived mesenchymal stromal cells were primed with CRX-527 (CRX), a synthetic TLR4 agonist, characterized and tested as a radiomitigator therapy. Using a xenogeneic H-ARS mouse model, a single in vivo treatment with CRX-EVs administered 4 or 24 hours after lethal irradiation significantly improved weight loss, clinical scores and prolonged survival compared to control treatments. Ex vivo generation of CRX-EV educated monocytes (CRX-EEMos) were also effective in a H-ARS model when administered 24 hours after lethal irradiation. CRX-EVs or CRX-EEMos significantly promoted hematopoiesis in BM and potentially the spleen, leading to restoration of peripheral complete blood counts. CRX-EEMos showed increased gene expression of IL-6 and IL-10: enriched for PD-L1 but low for CD16 in CD14-expressing monocytes. Antisense inhibition of Let-7 microRNAs in CRX-EEMos suppressed IL-10 gene expression and protein secretion, implicating a novel role for Let-7 in radioprotection. CRX-EVs can effectively treat H-ARS by increasing the secretion of anti-inflammatory molecules while stimulating monocytes to promote hematopoiesis in BM. The potential for large-scale production of CRX-EVs as an "off-the-shelf" treatment for H-ARS makes them a potential medical countermeasure for radiological and nuclear threats.
Publicações recentes
Impact of Dose Administration Schedule and Orthovoltage X-ray Beam Quality on Survival and Dose Response Relationships in C57BL/6J Mouse Models of Acute Radiation Syndrome.
Design and synthesis of O-benzoyl amidoxime derivatives as novel TLR2/1 agonists with potent anti-radiation activity in mice.
Integration of protein and metabolomic blood biomarkers enhances classification of radiation exposure in X-irradiated humanized mice.
A Defined Patho-Mechanism for Acute Radiation Syndrome Death and a Three-Drug Regimen to Prevent It.
Radiomitigators: Breakthroughs in Post-Radiation Recovery.
📚 EuropePMC314 artigos no totalmostrando 197
1,2-propanediol ameliorated radiation-induced intestinal injury in mice.
Scientific reportsDifferential modulation of haematopoietic and oxidative injury by PARP-1 and ATR kinase inhibition in a murine model of acute irradiation.
PloS oneIntelligent model for stratification of acute radiation syndrome severity in humans.
International journal of radiation biologyBreaking through the radiation dilemma: development and clinical translation of anti-radiation drugs.
Pharmaceutical science advancesRoxadustat induced fetal hemoglobin in anemic CKD patients: a dual-center real-world observational cohort study.
BMC nephrologyCharacterization of the Sequence of Cytopenia after Total-body Irradiation using Unsupervised Machine Learning.
Radiation researchPre-Exposure Prophylaxis with Vasculotide Enhances Survival and Alleviates Hematopoietic and Gastrointestinal Injury Following Lethal Total Body Irradiation.
International journal of molecular sciencesA Review of Ionizing Radiation-Induced Senescence of Bone Marrow Mesenchymal Stem/Stromal Cells: Mechanisms and Therapeutic Strategies.
Current issues in molecular biologyGlutamine alleviates radiation-induced intestinal injury in rats via the mTOR/Notch1 axis.
Frontiers in oncologyMeeting the Challenges of Cytokine Administration During Nuclear Incident Response.
Disaster medicine and public health preparednessHYPERCORTICISM IN THE PATHOGENESIS OF ACUTE RADIATION SICKNESS AND CONDITIONS OF INCREASED RADIORESISTANCE.
Georgian medical newsCytokine use in the hematopoietic subsyndrome of acute radiation syndrome (H-ARS): implications for the role of cytokines in a mass casualty radiologic/nuclear (R/N) emergency.
Journal of radiological protection : official journal of the Society for Radiological ProtectionBone Marrow Colony Stimulating Factors (CSF) and Stem Cell Therapy as Medical Countermeasures (MCM) for Treatment of Hematopoietic-Acute Radiation Syndrome: A Systematic Review.
Disaster medicine and public health preparednessInfluence of Cell Size Changes after Irradiation on Reliability of an Impedance Measurement-based Hematology Analyzer.
Radiation researchRadioprotective Effect of ε-Aminocaproic Acid in Acute Total-Body Gamma Irradiation in Rats.
Life (Basel, Switzerland)Development of an Extended-release Formulation of Radioprotectin-1 for Mitigation of Gastrointestinal Acute Radiation Syndrome.
Radiation researchSingle-Cell Profiling of ANKRD26 Thrombocytopenia Reveals Progenitor Expansion and Polyploid Apoptosis via JUNB-p21.
BloodExtracellular vesicles from mesenchymal stromal cells primed with synthetic toll-like receptor 4 agonists treat hematopoietic acute radiation syndrome.
Stem cells translational medicineEvaluation of CBC-derived inflammatory markers in Wistar rats exposed to high-dose whole-body X-ray irradiation.
International journal of radiation biologyRapid Radiation Dose Estimation Techniques for Initial Patient Triage.
Health physicsGhrelin mitigates partial body irradiation-induced gastrointestinal acute radiation syndrome by promoting intestinal stem cell regeneration.
Molecular medicine (Cambridge, Mass.)European approach for acute radiation syndrome's management facing radiological and nuclear threats: A call for arms - CORRIGENDUM.
Disaster medicine and public health preparednessA Case Report on Glaucoma and Anterior Segment Abnormalities in Axenfeld-Rieger Syndrome.
Annals of African medicineRadioprotection redefined: drug discovery at the intersection of tardigrade biology and translational pharmacology.
Frontiers in pharmacologySenescent SPP1+ macrophages remodel the tumor microenvironment and promote the progression of early-stage lung adenocarcinoma featured with mixed ground glass nodule.
Molecular cancerThe Complex Role of MAPK/ERK Signaling Pathway in Different Types of Thrombocytopenia.
Current issues in molecular biologyA multi-omics approach exploring the gut-liver axis following combined radiation exposure and burn injury in a Sinclair minipig model.
Scientific reportsApplicability of a four-gene set for H-ARS severity prediction in peripheral blood samples of irradiated minipigs.
International journal of radiation biologyProgrammable no-nonspecific genetic analytical system via dual-circle-based rolling circle amplification with an efficient CRISPR/Cas12a biosensing strategy.
Scientific reportsEuropean Approach for Acute Radiation Syndrome's Management Facing Radiological and Nuclear Threats: A Call for Arms.
Disaster medicine and public health preparednessRadiation emergency medical countermeasures: Current formulary, identified gaps, and future approaches.
Animal models and experimental medicineDose Optimization and Receptor Utilization of Prostaglandin E Analogs for Radioprotection and Radiomitigation of H-ARS and DEARE.
Radiation researchSpleen Transcriptome of Nonhuman Primates Exposed to High Doses of Total- or Partial-Body Radiation: Comparisons with Jejunum and Lung.
Radiation researchMetabolic alterations in erythrocytes associated with long-term hypoxia at high altitude.
BMC genomicsMitigation of Radiation-induced Cardiotoxicity by Subcutaneous "Protective Wounding".
Radiation researchDevelopment of PLX-R18, a promising and novel countermeasure for radiation-associated injuries.
Drug discovery todayHuman bone marrow niche organoids for disease modeling and therapeutic application in hematopoietic syndrome.
BiomaterialsTranscriptome Analysis Identifies Functional and Prognostic Hypoxia-Associated Genes in Multiple Myeloma.
International journal of laboratory hematologyAdult Medical Countermeasures: Antidotes and Cytokines for Radiological and Nuclear Incidents and Terrorism.
Disaster medicine and public health preparednessAnalysis of the Metabolomic Profile in Serum of Mice Treated with RadioDefender, a Novel Radiation Medical Countermeasure.
Radiation researchProphylactic Administration of BIO 300, A Radiation Medical Countermeasure, Improves Erythrocyte-Associated Parameters in the Rhesus Macaque Model.
Military medicineActivation of Angiotensin-Converting Enzyme 2 Mitigates Gastrointestinal Acute Radiation Syndrome.
International journal of radiation oncology, biology, physicsAbscopal Brain Proteomic Changes Associated with Microbiome Alterations Induced by Gastrointestinal Acute Radiation Syndrome in Swine.
International journal of molecular sciences16,16 dimethyl-prostaglandin E2 Administration Prior to Lethal Irradiation Ameliorates Long-term Immune Suppression.
Radiation researchDevelopment of Nanocarrier-Based Oral Pegfilgrastim Formulations for Mitigating Hematopoietic Acute Radiation Syndrome.
Advanced functional materialsEriocalyxin B confers radioprotection of hematopoietic stem and progenitor cells via granulocyte colony-stimulating factor induction.
International immunopharmacologyAdvanced Medical Countermeasures and Devices for Use During a Radiological or Nuclear Emergency.
Disaster medicine and public health preparednessComparison of sensitivity of rhesus and cynomolgus macaque for acute radiation effects.
Scientific reportsNew opportunities and current challenges using animal models for the discovery of novel countermeasures for acute radiation syndrome.
Expert opinion on drug discoveryBone marrow-targeted thrombopoietin delivery via engineered platelet-derived vesicle-loaded dissolving microneedles for treating ionizing radiation-induced injury.
Materials today. BioBalancing Regeneration and Resistance: Targeting DCLK1 to Mitigate Gastrointestinal Radiation Injury and Oncogenesis.
CancersPlasma and Fecal Metabolites Combined with Gut Microbiome Reveal Systemic Metabolic Shifts in 60Co Gamma-Irradiated Rats.
MetabolitesCell death and iron deposition in the liver in two murine models of acute radiation syndrome.
PloS onePreconditioning with Rapamycin Improves Therapeutic Potential of Placenta-Derived Mesenchymal Stem Cells in Mouse Model of Hematopoietic Acute Radiation Syndrome.
International journal of molecular sciencesImidazolyl ethanamide pentandioic acid promotes hematopoietic recovery following sublethal radiation in a murine model.
International journal of radiation biologyRadiosensitizing the SUMO stress response intensifies single-dose radiotherapy tumor cure.
JCI insightGastrointestinal acute radiation syndrome: current knowledge and perspectives.
Cell death discoveryIdentification of Potential Prophylactic Medical Countermeasures Against Acute Radiation Syndrome (ARS).
International journal of molecular sciencesCharacterization of Two Stable Biodosimeters for Absorbed Ionizing Radiation Dose Estimation in Multiple Combined Injury Models.
Radiation researchDSUP modified mesenchymal stem cells exert significant radiation protective effect by enhancing the hematopoietic niche.
Stem cell research & therapyThe Radioprotective Effects of 16, 16 dimethyl Prostaglandin E2 on Survival and Hematopoiesis are Mediated Through Co-Stimulation of the EP3 and EP4 Receptors.
Radiation researchRaffinose-metabolizing bacteria impair radiation-associated hematopoietic recovery via the bile acid/FXR/NF-κB signaling pathway.
Gut microbesMesoporous polydopamine nanoparticles coated with metal-polyphenol networks for demethylation therapy of lung cancer.
Medical oncology (Northwood, London, England)Identifying radiation-induced symptoms from an interview survey.
Journal of radiation researchLethality Assessments for Acutely Irradiated Cynomolgus Macaques Under Subject-based Care.
Radiation researchCytokine therapy of acute radiation syndrome.
Best practice & research. Clinical haematologyMitochondrial uncoupler 2,4-dinitrophenol (DNP) confers protection from the acute effect of ionizing radiation by regulating redox homeostasis in radio-sensitive organs of C57BL/6 mice.
International journal of radiation biologyDual Role of α-MSH in Colitis Progression: Mediating Neutrophil Differentiation via Bone Marrow.
Journal of inflammation researchSTING directly interacts with PAR to promote apoptosis upon acute ionizing radiation-mediated DNA damage.
Cell death and differentiationMIIST305 mitigates gastrointestinal acute radiation syndrome injury and ameliorates radiation-induced gut microbiome dysbiosis.
Gut microbesCentral Nervous System Response Against Ionizing Radiation Exposure: Cellular, Biochemical, and Molecular Perspectives.
Molecular neurobiologyPharmacokinetic and Metabolomic Studies with BBT-059 in Nonhuman Primates Exposed to Total-Body Gamma Radiation.
Radiation researchDietary methionine supplementation promotes mice hematopoiesis after irradiation.
Military Medical ResearchN-acetyl-L-tryptophan provides radioprotection to mouse and primate models by antagonizing the TRPV1 receptor and substance P inhibition.
International journal of radiation biologyCell-based and extracellular vesicle-based MSC therapies for acute radiation syndrome affecting organ systems.
Journal of radiation researchRadiation-Resistant Bacteria Deinococcus radiodurans-Derived Extracellular Vesicles as Potential Radioprotectors.
Advanced healthcare materialsAlterations in Gut Microbiota Correlate With Hematological Injuries Induced by Radiation in Beagles.
International journal of microbiologyTranscriptome of the murine duodenum during recovery after a lethal dose of total body irradiation.
bioRxiv : the preprint server for biologyManagement of Casualties from Radiation Events.
European burn journalIEPA, a novel radiation countermeasure, alleviates acute radiation syndrome in rodents.
International journal of radiation biologyClinical Significance of Complement and Coagulation Cascades Genes for Patients With Acute Lymphoblastic Leukemia.
International journal of laboratory hematologyNanoradiosentizers with X ray-actuatable supramolecular aptamer building units for programmable immunostimulatory T cell engagement.
BiomaterialsX-ray Fluorescence Microscopy to Develop Elemental Classifiers and Investigate Elemental Signatures in BALB/c Mouse Intestine a Week after Exposure to 8 Gy of Gamma Rays.
International journal of molecular sciencesAdvanced Electrospun Composites Based on Polycaprolactone Fibers Loaded with Micronized Tungsten Powders for Radiation Shielding.
PolymersDehydroepiandrosterone and Its Metabolite 5-Androstenediol: New Therapeutic Targets and Possibilities for Clinical Application.
Pharmaceuticals (Basel, Switzerland)Interleukin-12 sustained release system promotes hematopoietic recovery after radiation injury.
MedCommHistone deacetylase inhibitor, Trichostatin A mitigates ionizing radiation induced redox imbalance by regulating NRF2/GPX4/PINK1/PARKIN signaling in mice intestine.
Molecular biology reportsMitigating the Effects of 1-Palmitoyl-2-linoleoyl-3-acetyl-rac-glycerol on Gastrointestinal Acute Radiation Syndrome after Total-Body Irradiation in Mice.
Radiation researchAnti-Ceramide ScFv Prophylaxis for First Responders to a Limited Nuclear Attack.
Cellular physiology and biochemistry : international journal of experimental cellular physiology, biochemistry, and pharmacologyPreliminary Promising Findings for Manganese Chloride as a Novel Radiation Countermeasure Against Acute Radiation Syndrome.
Military medicineBIO 300: A Prophylactic Radiation Countermeasure for Acute Radiation Syndrome.
Military medicineSignificant Reduction of Radiation-Induced Death in Mice Treated with PrC-210 and G-CSF after Irradiation.
Radiation researchEffect of Age at Time of Irradiation, Sex, Genetic Diversity, and Granulopoietic Cytokine Radiomitigation on Lifespan and Lymphoma Development in Murine H-ARS Survivors.
Radiation researchAssessing the Mental Model State of Emergency Responders in the Context of Radiological Dispersal Device (RDD) Incidents: A Multi-state Study.
Health physicsBiomarkers for Radiation Biodosimetry and Correlation with Hematopoietic Injury in a Humanized Mouse Model.
Radiation researchManagement of acute radiation syndrome.
Transfusion clinique et biologique : journal de la Societe francaise de transfusion sanguineMICROBIOME AND INFLAMMASOME ALTERATIONS FOUND DURING RADIATION DOSE FINDING IN A SINCLAIR MINIPIG MODEL OF GASTROINTESTINAL ACUTE RADIATION SYNDROME.
Shock (Augusta, Ga.)Cell Therapies for Acute Radiation Syndrome.
International journal of molecular sciencesRole of Neurotransmitters in Steady State Hematopoiesis, Aging, and Leukemia.
Stem cell reviews and reportsAn Overview of Appropriate Medical Practice and Preparedness in Radiation Emergency Response.
CureusAn Overview of Radiation Countermeasure Development in Radiation Research from 1954 to 2024.
Radiation researchEffects of radiation mitigating amino acid mixture on mice of different sexes.
Frontiers in public healthProteomic analysis of plasma at the preterminal stage of rhesus nonhuman primates exposed to a lethal total-body dose of gamma-radiation.
Scientific reportsPathology of acute sub-lethal or near-lethal irradiation of nonhuman primates prophylaxed with the nutraceutical, gamma tocotrienol.
Scientific reportsGATA binding protein 2 mediated ankyrin repeat domain containing 26 high expression in myeloid-derived cell lines.
World journal of stem cellsEffects of combined ciprofloxacin and Neulasta therapy on intestinal pathology and gut microbiota after high-dose irradiation in mice.
Frontiers in public healthAssessment of Hematopoietic Response to Total Body Irradiation in a Rat Experimental Model.
Annals of plastic surgeryTransplantation of Donor-Recipient Chimeric Cells Restores Peripheral Blood Cell Populations and Increases Survival after Total Body Irradiation-Induced Injury in a Rat Experimental Model.
Archivum immunologiae et therapiae experimentalisSerum sSelectin-L is an early specific indicator of radiation injury.
HeliyonDonor-Recipient Chimeric Cell Transplantation as the Bridging Therapy for Mitigating Total Body Irradiation-Induced Injury.
Stem cells and developmentRethinking the Role of Biodosimetry to Assess Risks for Acute Radiation Syndrome in Very Large Radiation Events: Reconsidering Legacy Concepts.
Radiation researchPharmacokinetic and Metabolomic Studies with a Promising Radiation Countermeasure, BBT-059 (PEGylated interleukin-11), in Rhesus Nonhuman Primates.
Radiation researchFG-4592 protected haematopoietic system from ionising radiation in mice.
ImmunologyThrombopoietin mimetic stimulates bone marrow vascular and stromal niches to mitigate acute radiation syndrome.
Stem cell research & therapyHealth Effects of Ionizing Radiation on the Human Body.
Medicina (Kaunas, Lithuania)Ferroptosis, Inflammation, and Microbiome Alterations in the Intestine in the Göttingen Minipig Model of Hematopoietic-Acute Radiation Syndrome.
International journal of molecular sciencesGastrointestinal Acute Radiation Syndrome: Mechanisms, Models, Markers, and Medical Countermeasures.
Radiation researchDelayed effects of radiation exposure in a C57L/J mouse model of partial body irradiation with ~2.5% bone marrow shielding.
Frontiers in public healthAcute Impacts of Ionizing Radiation Exposure on the Gastrointestinal Tract and Gut Microbiome in Mice.
International journal of molecular sciencesRadioprotective effectiveness of a novel delta-tocotrienol prodrug on mouse hematopoietic system against 60Co gamma-ray irradiation through inducing granulocyte-colony stimulating factor production.
European journal of medicinal chemistryDevelopment of a Point-of-Care Microfluidic RNA Extraction Slide for Gene Expression Diagnosis after Irradiation.
Radiation researchNovel Perspectives on Thrombopoietin Receptor Agonists Applications.
HamostaseologieApplicability of Gene Expression in Saliva as an Alternative to Blood for Biodosimetry and Prediction of Radiation-induced Health Effects.
Radiation researchLarge-scale bioreactor production of extracellular vesicles from mesenchymal stromal cells for treatment of acute radiation syndrome.
Stem cell research & therapyEffects of Hemorrhage on Hematopoietic Cell Depletion after a Combined Injury with Radiation: Role of White Blood Cells and Red Blood Cells as Biomarkers.
International journal of molecular sciencesValidating a Four-gene Set for H-ARS Severity Prediction in Peripheral Blood Samples of Irradiated Rhesus Macaques.
Radiation researchHistopathological studies of nonhuman primates exposed to supralethal doses of total- or partial-body radiation: influence of a medical countermeasure, gamma-tocotrienol.
Scientific reportsSequential administration of delta-tocotrienol ameliorates radiation-induced myelosuppression in mice and non-human primates through inducing G-CSF production.
Biochemical and biophysical research communicationsProduct Development within the National Institutes of Health Radiation and Nuclear Countermeasures Program.
Radiation researchSerum microRNA profile of rhesus macaques following ionizing radiation exposure and treatment with a medical countermeasure, Ex-Rad.
Scientific reportsFluacrypyrim Protects Hematopoietic Stem and Progenitor Cells against Irradiation via Apoptosis Prevention.
Molecules (Basel, Switzerland)Development of a Radiation-induced Pulmonary Fibrosis Partial Body Irradiation Model in C57BL/6 Mice.
Radiation researchFSL-1: A Synthetic Peptide Increases Survival in a Murine Model of Hematopoietic Acute Radiation Syndrome.
Radiation researchDAMPs and radiation injury.
Frontiers in immunologyNatural-history Characterization of a Murine Partial-body Irradiation Model System: Establishment of a Multiple-Parameter Based GI-ARS Severity-Scoring System.
Radiation researchKnowledge, Attitude and Awareness of Oman Emergency Physicians and Residents Regarding Radiation Emergencies - CORRIGENDUM.
Disaster medicine and public health preparednessThe Influence of Computed Tomography Contrast Agent on Radiation-Induced Gene Expression and Double-Strand Breaks.
Radiation researchKnowledge, Attitude and Awareness of Oman Emergency Physicians and Residents Regarding Radiation Emergencies.
Disaster medicine and public health preparednessValidation of genes for H-ARS severity prediction in leukemia patients - interspecies comparison, challenges, and promises.
International journal of radiation biologyChronic Ouabain Targets Pore-Forming Claudin-2 and Ameliorates Radiation-Induced Damage to the Rat Intestinal Tissue Barrier.
International journal of molecular sciencesBlood product use for radiological/nuclear trauma: product development and US regulatory considerations.
Trauma surgery & acute care openDevelopment of Drug Products for the Treatment of Acute Radiation Syndrome.
Disaster medicine and public health preparednessACUTE RADIATION SICKNESS IN HUMAN: ETIOPATHOGENESIS, CLINIC, DIAGNOSIS AND TREATMENT (LECTURE).
Problemy radiatsiinoi medytsyny ta radiobiolohiiThe potential value of 5-androstenediol in countering acute radiation syndrome.
Drug discovery todayHumanized Mice as a Model to Assess the Response of Human Hematopoietic Stem Cells to Irradiation.
Bulletin of experimental biology and medicineThe TLR2/TLR6 ligand FSL-1 mitigates radiation-induced hematopoietic injury in mice and nonhuman primates.
Proceedings of the National Academy of Sciences of the United States of AmericaPharmacokinetics and Biodistribution of 16,16 dimethyl Prostaglandin E2 in Non-Irradiated and Irradiated Mice and Non-Irradiated Non-Human Primates.
Radiation researchDevelopment of a Multi-Organ Radiation Injury Model with Precise Dosimetry with Focus on GI-ARS.
Radiation researchAn Experimental Model of Proton-Beam-Induced Radiation Dermatitis In Vivo.
International journal of molecular sciencesRole of microbiota in radiation-induced small-bowel damage.
Journal of radiation researchSex differences in radiation research.
International journal of radiation biologyIron Deposition in the Bone Marrow and Spleen of Nonhuman Primates with Acute Radiation Syndrome.
Radiation researchMitigation of acute radiation syndrome (ARS) with human umbilical cord blood.
International journal of radiation biologyHistological assessment of intestinal injury by ionizing radiation.
Methods in cell biologyPrediction of Acute Radiation-Induced Lung Toxicity After Stereotactic Body Radiation Therapy Using Dose-Volume Parameters From Functional Mapping on Gallium 68 Perfusion Positron Emission Tomography/Computed Tomography.
International journal of radiation oncology, biology, physicsOverlapping Science in Radiation and Sulfur Mustard Exposures of Skin and Lung: Consideration of Models, Mechanisms, Organ Systems, and Medical Countermeasures: Overlapping science in radiation and sulfur mustard injuries to lung and skin.
Disaster medicine and public health preparednessHumanized mouse models for inherited thrombocytopenia studies.
PlateletsAnti-ceramide Single-Chain Variable Fragment Mitigates Gastrointestinal-Acute Radiation Syndrome and Improves Marrow Reconstitution, Rendering Near-Normal 90-Day Autopsies.
International journal of radiation oncology, biology, physicsCR6-Interacting Factor-1 Promotes Osteoclastogenesis Through the NF-κB Signaling Pathway after Irradiation.
Radiation researchProtein biomarkers for radiation injury and testing of medical countermeasure efficacy: promises, pitfalls, and future directions.
Expert review of proteomicsRacecadotril Versus Loperamide in Acute Radiation Enteritis: A Randomized, Double-Masked, Phase 3, Noninferiority Trial.
International journal of radiation oncology, biology, physicsThe NIAID/RNCP Biodosimetry Program: An Overview.
Cytogenetic and genome researchPEGylated thrombopoietin mimetic, JNJ‑26366821 a novel prophylactic radiation countermeasure for acute radiation injury.
Scientific reportsPharmacokinetic and Pharmacodynamic Bioequivalence of Pegfilgrastim-cbqv Delivered via a Prefilled Autoinjector and Prefilled Syringe in Healthy Male Participants.
Advances in therapyTherapeutic mechanism of Liangxue-Guyuan-Yishen decoction on intestinal stem cells and tight junction proteins in gastrointestinal acute radiation syndrome rats.
Journal of radiation researchEvaluating transport conditions of conventional, widely used EDTA blood tubes for gene expression analysis in comparison to expensive, specialized PAXgene tubes in preparedness for radiological and nuclear events.
International journal of radiation biologyDevelopment of radiation countermeasure agents for acute radiation syndromes.
Animal models and experimental medicineUnited States' regulatory approved pharmacotherapies for nuclear reactor explosions and anthrax-associated bioterrorism.
Expert opinion on drug safetyEmploying High-Fidelity Simulation for the High-Risk, Low-Frequency Diagnosis and Management of Acute Radiation Syndrome (ARS).
MedEdPORTAL : the journal of teaching and learning resourcesPrC-210 Protects against Radiation-Induced Hematopoietic and Intestinal Injury in Mice and Reduces Oxidative Stress.
Antioxidants (Basel, Switzerland)Involvement of extracellular vesicles in the progression, diagnosis, treatment, and prevention of whole-body ionizing radiation-induced immune dysfunction.
Frontiers in immunologyOpen-Source Intelligence for Detection of Radiological Events and Syndromes Following the Invasion of Ukraine in 2022: Observational Study.
JMIR infodemiologySex as a Factor in Murine Radiation Research: Implications for Countermeasure Development.
Cytogenetic and genome researchAssessment of uncertainties in threshold doses for tissue reactions following acute external radiation exposure.
Radiation protection dosimetryRadiation Injuries: Acute Radiation Syndrome in Children.
Pediatric annalsBiological sex differences in renin angiotensin system enzymes ACE and ACE2 regulate normal tissue response to radiation injury.
Frontiers in physiologyBlocking TRAIL-DR5 signaling pathway with soluble death receptor 5 fusion protein mitigates radiation-induced injury.
Frontiers in pharmacologyProteomics and secreted lipidomics of mouse-derived bone marrow cells exposed to a lethal level of ionizing radiation.
Scientific reportsThe Acute Radiation Syndrome-Mitigator Romiplostim and Secreted Extracellular Vesicles Improved Survival in Mice Acutely Exposed to Myelosuppressive Doses of Ionizing Radiation.
BiomoleculesRadiation-Induced Gene Expression Changes Used for Biodosimetry and Clinical Outcome Prediction: Challenges and Promises.
Cytogenetic and genome researchAn open-label multiyear study of sargramostim-treated Parkinson's disease patients examining drug safety, tolerability, and immune biomarkers from limited case numbers.
Translational neurodegenerationTranscriptome profile changes in the jejunum of nonhuman primates exposed to supralethal dose of total- or partial-body radiation.
BMC genomicsSeverity scoring systems for radiation-induced GI injury - prioritization for use of GI-ARS medical countermeasures.
International journal of radiation biologyEffects of Chinese herbal diet on hematopoiesis, immunity, and intestines of mice exposed to different doses of radiation.
HeliyonPlasma metabolomic signatures from patients following high-dose total body irradiation.
Molecular omicsRadiosensitivity of rhesus nonhuman primates: consideration of sex, supportive care, body weight, and age at time of exposure.
Expert opinion on drug discoveryFurther Characterization of Multi-Organ DEARE and Protection by 16,16 Dimethyl Prostaglandin E2 in a Mouse Model of the Hematopoietic Acute Radiation Syndrome.
Radiation researchRelease of Interferon-β (IFN-β) from Probiotic Limosilactobacillus reuteri-IFN-β (LR-IFN-β) Mitigates Gastrointestinal Acute Radiation Syndrome (GI-ARS) following Whole Abdominal Irradiation.
CancersAnalysis of the Proteomic Profile in Serum of Irradiated Nonhuman Primates Treated with Ex-Rad, a Radiation Medical Countermeasure.
Journal of proteome researchCombined radiation injury and its impacts on radiation countermeasures and biodosimetry.
International journal of radiation biologyLongitudinal multi-omic changes in the transcriptome and proteome of peripheral blood cells after a 4 Gy total body radiation dose to Rhesus macaques.
BMC genomicsThe progression of radiation injury in a Wistar rat model of partial body irradiation with ∼5% bone marrow shielding.
International journal of radiation biologyThe delayed effects of acute radiation exposure (DEARE): characteristics, mechanisms, animal models, and promising medical countermeasures.
International journal of radiation biologyA C57L/J Mouse Model of the Delayed Effects of Acute Radiation Exposure in the Context of Evolving Multi-Organ Dysfunction and Failure after Total-Body Irradiation with 2.5% Bone Marrow Sparing.
Radiation researchrhTPO Ameliorates Radiation-Induced Long-Term Hematopoietic Stem Cell Injury in Mice.
Molecules (Basel, Switzerland)Cytosolic Release of Mitochondrial DNA and Associated cGAS Signaling Mediates Radiation-Induced Hematopoietic Injury of Mice.
International journal of molecular sciencesWhere are the medical countermeasures against the ARS and DEARE? A current topic relative to an animal model research platform, radiation exposure context, the acute and delayed effects of acute exposure, and the FDA animal rule.
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Publicações científicas
Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.
- Differential modulation of haematopoietic and oxidative injury by PARP-1 and ATR kinase inhibition in a murine model of acute irradiation.
- Breaking through the radiation dilemma: development and clinical translation of anti-radiation drugs.
- Pre-Exposure Prophylaxis with Vasculotide Enhances Survival and Alleviates Hematopoietic and Gastrointestinal Injury Following Lethal Total Body Irradiation.
- Single-Cell Profiling of ANKRD26 Thrombocytopenia Reveals Progenitor Expansion and Polyploid Apoptosis via JUNB-p21.
- Extracellular vesicles from mesenchymal stromal cells primed with synthetic toll-like receptor 4 agonists treat hematopoietic acute radiation syndrome.
- Impact of Dose Administration Schedule and Orthovoltage X-ray Beam Quality on Survival and Dose Response Relationships in C57BL/6J Mouse Models of Acute Radiation Syndrome.
- Design and synthesis of O-benzoyl amidoxime derivatives as novel TLR2/1 agonists with potent anti-radiation activity in mice.
- Integration of protein and metabolomic blood biomarkers enhances classification of radiation exposure in X-irradiated humanized mice.
- A Defined Patho-Mechanism for Acute Radiation Syndrome Death and a Three-Drug Regimen to Prevent It.
- Radiomitigators: Breakthroughs in Post-Radiation Recovery.
Bases de dados e fontes oficiais
Identificadores e referências canônicas usadas para montar este verbete.
- ORPHA:454831(Orphanet)
- MONDO:0033938(MONDO)
- GARD:21896(GARD (NIH))
- Busca completa no PubMed(PubMed)
- Artigo Wikipedia(Wikipedia)
- Q275459(Wikidata)
Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.
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Síndrome agudo de radiação
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