Experimental drugs might prevent radiation damage

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SCRawl
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Experimental drugs might prevent radiation damage

Post by SCRawl »

From here.
USA Today wrote:Experimental drug blocks radiation damage
Posted 19h 26m ago
WASHINGTON (AP) — Scientists mimicked one of cancer's sneaky tricks to create a drug that promises to prevent a serious side effect of cancer treatment — radiation damage — or offer an antidote during a nuclear emergency.

A single dose of the experimental drug protected both mice and monkeys from what should have been lethal doses of radiation, researchers report in Friday's edition of the journal Science. A study to see if the compound is safe in people could begin as early as this summer.

It's still early-stage research, and other efforts to create radiation protectants haven't yet panned out. But specialists are closely watching the work — and the government is helping to fund it — because it's a new approach to protecting the body's most radiation-sensitive tissues from being blasted.

"It has important implications for radiation exposure," said Dr. David Kirsch, a Duke University radiation oncologist who wasn't involved in the drug research.

Radiation is a powerful tool to destroy cancer cells. But certain healthy tissues are especially sensitive to it, too, particularly the bone marrow and gastrointestinal tract. That vulnerability can limit how much radiation physicians are able to give cancer patients.

And when it comes to radiation emergencies, such as the Chernobyl accident, full-body exposure to high doses can cause an extremely lethal "GI syndrome" that has no treatment.

It turns out that radiation doesn't kill healthy cells in the same way that it kills cancer cells. Instead, bone marrow and GI cells overreact to what should be reparable damage and commit suicide, through a well-known process called apoptosis, explained Andrei Gudkov of the Roswell Park Cancer Institute, who led development of the drug code-named CBLB502.

Learning that was the "eureka" moment, Gudkov said. Apoptosis is the body's way of stopping defective cells, with damaged genes, from spreading. Tumors grow because cancer cells block apoptosis in various ways, including by activating a normally dormant cell-signaling pathway called "nuclear factor-KappaB" or NFKB.

Gudkov's team decided to try activating that same pathway in healthy tissue, to see if it could keep radiation-blasted cells from triggering their suicide program.

"We imitated a tumor trick," is how Gudkov puts it.

The team knew that flagellin, a protein from normal gut bacteria, can wake up NFKB. So they created a drug based on that natural protein.

In a series of experiments, they injected the drug into mice and rhesus monkeys anywhere from 15 minutes to an hour before exposing the animals to lethal doses of full-body radiation. The drug dramatically improved the animals' survival, protecting against both bone marrow and GI destruction, with no obvious side effects.

The drug also improved survival when given to mice an hour after fairly high radiation doses, although not the very highest.

A final experiment showed the drug didn't block radiation from treating the tumors of the mice even as it protected their healthy tissue.

Gudkov founded a company called Cleveland Biolabs Inc. that is working to bring the drug to market — both for use in cancer radiotherapy and for biodefense. The Defense Department and other government agencies are helping to fund the research.

"For many years, the radiation oncology community has tried to develop radioprotectants" based on different biology, said Dr. Richard Kolesnick of Memorial Sloan-Kettering Cancer Center, who has long researched radiation's effects. "This new information on the mechanisms of tissue damage to the GI tract has resulted in a potentially important new drug to prevent this lethal GI syndrome after a radiation accident or potential terrorist attack."

Duke's Kirsch agreed that the animal experiments suggest the drug has potential for radiation emergencies. But he stressed that a cancer role is less clear, because cancer patients' biggest trouble comes with late-stage radiation effects, the cumulative buildup of damage. "That's what's dose-limiting," he said.
I actually considered posting this in the PST forum, if only because it seems to work like the otherwise magical "inoculations" against radiation damage we've seen there. I'm surprised as hell that such a thing is possible, but it could be used as a vindication of concept for those on the Trek wankery side of the equation (of which, I may as well state, I am not one).

Edit: I actually did post it in PST, by accident. It's now here, as I think it should be.
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Singular Intellect
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Post by Singular Intellect »

I'm actually not surprised this is possible, frankly.

The body's regenerative and protective capabilites always struck me as theoritically capable of defending against higher levels of radiation than we might expect from normally dangerous exposure.

I was never quite on the side that understood why the suggestion of artificial boosts and assistance to human defenses against radiation was so 'utterly ridiculas'.
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Post by Resinence »

but it could be used as a vindication of concept for those on the Trek wankery side of the equation
Hmm, I don't think so actually. From the vague description given, it just turns off a "defense system" that causes cells to kill themselves in case of damage to prevent cancer (also wasn't there research being done that pinpointed cell apoptosis as the main killer after blood-oxygen deprivation or heart attacks?), that is being triggered by the cell damage done by heavy doses of ionizing radiation. I'd say there would still be extensive cell damage, it would just prevent complete cell destruction. So it's not really a "radiation blocker" but more of a "stop your bone-marrow from killing itself due to unwanted reactions" drug.
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Post by Ryushikaze »

Bubble Boy wrote:I'm actually not surprised this is possible, frankly.

The body's regenerative and protective capabilites always struck me as theoritically capable of defending against higher levels of radiation than we might expect from normally dangerous exposure.

I was never quite on the side that understood why the suggestion of artificial boosts and assistance to human defenses against radiation was so 'utterly ridiculas'.
It's ridiculous in that it's considered before simpler methods, such as shielding against the stuff in the first place. This is being suggested as a LAST line of defense, which is where it should be.
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Post by Darth Wong »

It's quite feasible to boost our ability to repair radiation damage. However, the idea of being able to resist radiation levels that overwhelm starship shielding and punch through armoured hulls is fucking retarded. That's what they do in ST.

Note: this does NOT actually prevent radiation damage. It only boosts the body's ability to repair that damage. Obviously, the level of damage cannot be too severe.
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Post by Sea Skimmer »

The resistance of mammals to radiation poisoning already varies radically with species, so tests conducted on mice and monkeys may end up having little relevance for humans, but we can still be hopeful.
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Post by Resinence »

Darth Wong wrote:It's quite feasible to boost our ability to repair radiation damage. However, the idea of being able to resist radiation levels that overwhelm starship shielding and punch through armoured hulls is fucking retarded. That's what they do in ST.
I can't say I've run across a trekky claiming that, but I can definitely believe they have. But wouldn't that kind of radiation level also burn the shit out of anything unshielded like personnel, regardless of wonder drugs, due to the thermal radiation that normally accompany's strong ionizing emitters? I mean I'm pretty sure they have to keep nuclear waste cool with water/climate control and it's not even close to anything that would be able to get through an armoured starships hull...
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Post by Singular Intellect »

Ryushikaze wrote:
Bubble Boy wrote:I'm actually not surprised this is possible, frankly.

The body's regenerative and protective capabilites always struck me as theoritically capable of defending against higher levels of radiation than we might expect from normally dangerous exposure.

I was never quite on the side that understood why the suggestion of artificial boosts and assistance to human defenses against radiation was so 'utterly ridiculas'.
It's ridiculous in that it's considered before simpler methods, such as shielding against the stuff in the first place. This is being suggested as a LAST line of defense, which is where it should be.
Oh I agree, along with the added purpose of being a tool for radiation treatment of cancer.
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Post by Darth Wong »

OK, let's put it this way: we can develop drugs that will help you heal more quickly from a stab wound. This does not mean we can innoculate you against stab wounds! See the difference?
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Post by Kanastrous »

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Post by DrMckay »

Oh, good. Now we have anti-radiation meds for when the Cylons attack...
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Post by Singular Intellect »

Darth Wong wrote:OK, let's put it this way: we can develop drugs that will help you heal more quickly from a stab wound. This does not mean we can innoculate you against stab wounds! See the difference?
Unless of course the innoculation in question causes your body to harden and thicken your skin by a siginificant margn. :wink:
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Post by Nephtys »

Remember Vault-Dwellers, don't forget to take your Rad-X Pills on any trip to the surface!

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Anyway. Apoptosis is a natural function to limit the creation of cancerous cells by damage. Since radiation exposure will cause one of four effects in decreasing order normally anyway.

1. Fatal damage to a cell
2. Reparable Damage to a cell.
3. Mutation, non-reproducing. Harmless.
4. Mutation, reproducing. IE, tumor.

This drug apparently limits mild radiation damage from radiation-related treatments or other brief exposures by preventing cell self-destruction in cases where it may not need to be destroyed. Basically, reducing the occurances of 'case 1' for 'case 2' as above.

Bubble Boy, 'higher' levels of radiation is going to pretty much going to kill you no matter what, as long as you have human pluming and squishies. Your cell membranes are going to rupture as high-energy photons pass through them, leaving your internals into bleeding messes. There's no preventative measure against literally having individual cells stabbed to death.
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Post by Broomstick »

I expect that in cases where such a drug (should it ever become feasible) prevents death from radiation by inhibiting apoptosis you'd still have the significantly increased risk of cancer down the line that heavy radiation exposure poses.

Still, it would have been nice to have something like this available at, say, Chernobyl. I doubt it would have saved everyone's life, but it might have saved a few. Granted, some of those likely would have died some years later due to cancer, but that could have been 5, 10, or more years of life in which to watch children grow up, take walks with loved ones, and so forth. And some might have lived long term, since cancer is a statistical probability with radiation exposure and not a certainty in many cases.
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