Century had established that dividing epithelial cells in the GZ were critical to ionizing radiation (IR)-induced cataract [16] as preventing the proliferation of these cells was an efficient radioprotection mechanism [17]. Exposure to high doses (15 Gy) also decreased cell density in this region and disrupted cell organization in the GZ and MR [16]. Recently, a large body of epidemiological evidence from atomic-bomb survivors, clean-up workers, healthcare professionals who use X-rays [18?21] and others has led to the proposed new threshold for radiation cataractogenesis of 0.5 Gy. Indeed, the International Commission on Radiological Protection (ICRP) has recently recommended an occupational equivalent dose limit of 0.02 Sv yr21 (averaged over 5 years, with no single year more than 0.05 Sv yr21) to prevent radiationinduced cataracts [22]. This recommendation has now been incorporated into the revised EU Basic Safety Standards (BSS) [23], a mark of the importance to LOXO-101 side effects people’s health and well-being. There are, however, no dose-response data for low-dose (less than 0.5 Gy) IR sensitivity of the eye lens. It has been suggested that low-dose IR might cause effects in nonlinear proportion with dose in the lens epithelium [24]. There is also uncertainty in the literature about whether cataract is a deterministic or stochastic consequence of (low-dose) IR equivalent dose [18,25,26]. The current recommended annual exposure limits have also been challenged [27,28]. It is therefore a very important scientific and societal goal to establish the biological responses to low-dose IR. It is well known that IR causes double strand breaks (DSBs) in DNA, either by direct or indirect means. The purpose and sequence of events involved in the initial DNA damage response and the protein complexes involved in ARQ-092 cancer repair processes have been extensively researched [29?2]. One of the key players in initiating the repair of DSBs is the histone variant H2AX [33], activating the downstream pathways that are both intricate in DNA context and cell cycle specific in terms of the protein complexes involved [31,34]. The role of modification of H2AX was discovered when IR was used to generate DSBs, which induced the specific phosphorylation of H2AX on serine 139 (S139), to give rise to gH2AX [35]. This is now a well-established marker for DSBs [36,37]. After phosphorylation of S139 in H2AX, the scaffolding protein MDC-1 (mediator of DNA damage checkpoint protein 1) is recruited to help build specific protein complexes needed for the processing of DSBs. One of these is the MRN (Mre11/ RAD50/Nbs1) complex, which is critical for the early (less than 1 h) response to DNA DSBs. Formation of this complex allows other repair proteins to bind [32], including BRCA1 (breast cancer 1, early onset) and its partner BARD1 (BRCA1associated RING domain 1), 53BP1 (tumour suppressor p53-binding protein 1) and RAD51. 53BP1 is a marker for non-homologous end joining (NHEJ) mediated repair, while RAD51 is a recombinase involved in DSB repair by homologous recombination (HR). Interestingly, RAD51 is thought to bind cyclin D1, which can also participate in the repair ofDSBs [38,39]. In the lens, cyclin D1 levels correlate with cell proliferation in the GZ at the lens periphery [11,40]. This zone is also believed to be most sensitive to IR damage [12,13]. Compromising the levels of several DNA repair proteins, such as Atm (ataxia telangiectasia mutated) [41] and RAD9 [42] increased the radiosensitivi.Century had established that dividing epithelial cells in the GZ were critical to ionizing radiation (IR)-induced cataract [16] as preventing the proliferation of these cells was an efficient radioprotection mechanism [17]. Exposure to high doses (15 Gy) also decreased cell density in this region and disrupted cell organization in the GZ and MR [16]. Recently, a large body of epidemiological evidence from atomic-bomb survivors, clean-up workers, healthcare professionals who use X-rays [18?21] and others has led to the proposed new threshold for radiation cataractogenesis of 0.5 Gy. Indeed, the International Commission on Radiological Protection (ICRP) has recently recommended an occupational equivalent dose limit of 0.02 Sv yr21 (averaged over 5 years, with no single year more than 0.05 Sv yr21) to prevent radiationinduced cataracts [22]. This recommendation has now been incorporated into the revised EU Basic Safety Standards (BSS) [23], a mark of the importance to people’s health and well-being. There are, however, no dose-response data for low-dose (less than 0.5 Gy) IR sensitivity of the eye lens. It has been suggested that low-dose IR might cause effects in nonlinear proportion with dose in the lens epithelium [24]. There is also uncertainty in the literature about whether cataract is a deterministic or stochastic consequence of (low-dose) IR equivalent dose [18,25,26]. The current recommended annual exposure limits have also been challenged [27,28]. It is therefore a very important scientific and societal goal to establish the biological responses to low-dose IR. It is well known that IR causes double strand breaks (DSBs) in DNA, either by direct or indirect means. The purpose and sequence of events involved in the initial DNA damage response and the protein complexes involved in repair processes have been extensively researched [29?2]. One of the key players in initiating the repair of DSBs is the histone variant H2AX [33], activating the downstream pathways that are both intricate in DNA context and cell cycle specific in terms of the protein complexes involved [31,34]. The role of modification of H2AX was discovered when IR was used to generate DSBs, which induced the specific phosphorylation of H2AX on serine 139 (S139), to give rise to gH2AX [35]. This is now a well-established marker for DSBs [36,37]. After phosphorylation of S139 in H2AX, the scaffolding protein MDC-1 (mediator of DNA damage checkpoint protein 1) is recruited to help build specific protein complexes needed for the processing of DSBs. One of these is the MRN (Mre11/ RAD50/Nbs1) complex, which is critical for the early (less than 1 h) response to DNA DSBs. Formation of this complex allows other repair proteins to bind [32], including BRCA1 (breast cancer 1, early onset) and its partner BARD1 (BRCA1associated RING domain 1), 53BP1 (tumour suppressor p53-binding protein 1) and RAD51. 53BP1 is a marker for non-homologous end joining (NHEJ) mediated repair, while RAD51 is a recombinase involved in DSB repair by homologous recombination (HR). Interestingly, RAD51 is thought to bind cyclin D1, which can also participate in the repair ofDSBs [38,39]. In the lens, cyclin D1 levels correlate with cell proliferation in the GZ at the lens periphery [11,40]. This zone is also believed to be most sensitive to IR damage [12,13]. Compromising the levels of several DNA repair proteins, such as Atm (ataxia telangiectasia mutated) [41] and RAD9 [42] increased the radiosensitivi.
