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Global Translational Medicine                                                       Low-dose radiation



            the less the contribution of radioactive contamination   after low-dose, low-rate exposures and recommending
            compared with the natural radioactive background and   more  stringent standards  of radiological  protection are
            other carcinogens. The relationship between dose and   discussed in detail here. Such recommendations for dose
            effect may become inversely related according to the   rates  compatible with the  natural  radiation  background
            concept  of  hormesis.  A  corresponding  graph,  plotted   are non-sensical. Concerns were raised about ideological
            based on experimental data, with a sagging of the dose–  changes in the  Russian professional literature in 2005–
            effect curve below the background cancer risk within the   2007,  sometimes accompanied by  the  manipulation  of
            dose range of 0.1 – 700 mGy, is depicted in the review.    statistical data and overemphasis on the risk from low-dose
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            The dose–effect relationships after low-dose exposures   exposures to ionizing radiation. Considering the history
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            should be clarified in lifelong animal experiments with   of statistical manipulation in the former SU,  further
            known doses and dose rates. Animal studies can provide   clarifications are necessary. Furthermore, the article points
            reliable information; however, dose reconstructions in   out that some conclusions about the health risks associated
            human populations are often inaccurate and, as discussed   with low-dose, low-dose-rate radiation are not sufficiently
            above, partly comparable with doses from the natural   substantiated. Although associations with cardiovascular
            radiation background. In this direction, further studies on   and CeVD are suggested, data may not be sufficient to
            the relative biological effectiveness of radiation in different   confirm causal relationships at low doses. Thus, further
            animal species  would better quantify the radiosensitivity   epidemiological studies and large-scale animal experiments
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            of the species, thus enabling more precise extrapolations   are  required.  The  article  mentions  the  possibility  that
            to humans.                                         low-dose radiation could have beneficial health effects
                                                               (hormesis effect). This topic must be carefully discussed to
              Nuclear power has returned to the agenda due to
            concerns about increasing global energy demand,    reach conclusions based on solid evidence. Thus far, the
                                                               causal relationships at the low-dose level remain unclear.
            declining fossil fuel reserves, and climate changes. NPPs   The quality of diagnosis may affect the results. Specifically,
            emit  virtually  no  greenhouse  gases  in  comparison  with   the potential for overdiagnosis, that is, excessively
            coal, oil, or gas.  Hopefully, nuclear fission will be replaced   diagnosed mild conditions in exposed individuals, may
                        5
            in the future by fusion, which is intrinsically safer. Fusion   distort the findings, necessitating a re-evaluation. Some
            offers a potential source of clean power generation with   studies have reported a link between radiation exposure
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            an abundant supply of raw materials.  More international   and cardiovascular diseases; however, their risk estimates
            trust  and cooperation  would  enable the  construction   appear higher than those in other studies, raising doubts
            of NPPs in optimally suitable places, notwithstanding   about  reliability. Selection, self-selection, and ideological
            national borders, considering all sociopolitical, geographic,   bias should be considered when evaluating data reliability.
            and geologic factors.                              Discussions  of  radiation  risks,  including  those  from  the
              The optimal approach for radiation protection is to   Chernobyl disaster and contaminations in the Urals, may
            determine the threshold dose for carcinogenic effects and   be influenced by political and economic interests related to
            establish regulations to ensure that doses are kept well   the development of the nuclear power industry. This article
            below the threshold,  as low as reasonably achievable,   stresses that the Russian literature overemphasizes the risks
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            considering economic and societal factors. To determine   associated with low-dose radiation, which requires thorough
            threshold doses, large-scale animal experiments using   investigations based on solid scientific evidence. In this
            different species are the most reliable tool. In the author’s   regard, more long-term and rigorous studies are necessary.
            opinion, the current safety norms are exceedingly    In summary, studies of human populations exposed to
            restrictive. Increasing limits must be accompanied by   low-dose, low-rate ionizing radiation, though important,
            measures guaranteeing their observance. Strictly observed   will unlikely add much reliable information on the dose–
            realistic safety regulations would bring more benefit for   effect relationships, hormesis, and DDREF. Factors such as
            public health than excessive restrictions that would be   screening effect, selection, self-selection, and ideological
            violated in countries that disregard international law.   biases will contribute to the emergence of new reports on
            Excessive restrictions are harmful to the economy.  enhanced risks associated with a moderate increase in the
            8. Conclusions                                     radiation background, which would not establish causality.
                                                               Reliable  results can be derived from lifelong animal
            This  perspective  article  focuses  on  radioactive   experiments. The lifespan is a sensitive endpoint that can
            contamination in the Urals, where the consequences were   measure the net harm or potential benefit (within a certain
            more severe in the long term than those after the Chernobyl   range according to the concept of hormesis) from low-dose
            accident. Recent publications claiming cardiovascular risks   exposures.


            Volume 4 Issue 1 (2025)                         62                              doi: 10.36922/gtm.7229
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