Medical Countermeasures for Radiation Exposure and Related Injuries: Characterization of Medicines, FDA-Approval Status and Inclusion into the Strategic National Stockpile
Identifieur interne : 000304 ( Ncbi/Merge ); précédent : 000303; suivant : 000305Medical Countermeasures for Radiation Exposure and Related Injuries: Characterization of Medicines, FDA-Approval Status and Inclusion into the Strategic National Stockpile
Auteurs : Vijay K. Singh ; Patricia L. P. Romaine ; Thomas M. SeedSource :
- Health Physics [ 0017-9078 ] ; 2015.
Abstract
World events over the past decade have highlighted the threat of nuclear terrorism as well as an urgent need to develop radiation countermeasures for acute radiation exposures and subsequent bodily injuries. An increased probability of radiological or nuclear incidents due to detonation of nuclear weapons by terrorists, sabotage of nuclear facilities, dispersal and exposure to radioactive materials, and accidents provides the basis for such enhanced radiation exposure risks for civilian populations. Although the search for suitable radiation countermeasures for radiation-associated injuries was initiated more than half a century ago, no safe and effective radiation countermeasure for the most severe of these injuries, namely acute radiation syndrome (ARS), has been approved by the United States Food and Drug Administration (FDA). The dearth of FDA-approved radiation countermeasures has prompted intensified research for a new generation of radiation countermeasures. In this communication, the authors have listed and reviewed the status of radiation countermeasures that are currently available for use, or those that might be used for exceptional nuclear/radiological contingencies, plus a limited few medicines that show early promise but still remain experimental in nature and unauthorized for human use by the FDA.
Url:
DOI: 10.1097/HP.0000000000000279
PubMed: 25905522
PubMed Central: 4418776
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<series><title level="j">Health Physics</title>
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<front><div type="abstract" xml:lang="en"><title>Abstract</title>
<p>World events over the past decade have highlighted the threat of nuclear terrorism as well as an urgent need to develop radiation countermeasures for acute radiation exposures and subsequent bodily injuries. An increased probability of radiological or nuclear incidents due to detonation of nuclear weapons by terrorists, sabotage of nuclear facilities, dispersal and exposure to radioactive materials, and accidents provides the basis for such enhanced radiation exposure risks for civilian populations. Although the search for suitable radiation countermeasures for radiation-associated injuries was initiated more than half a century ago, no safe and effective radiation countermeasure for the most severe of these injuries, namely acute radiation syndrome (ARS), has been approved by the United States Food and Drug Administration (FDA). The dearth of FDA-approved radiation countermeasures has prompted intensified research for a new generation of radiation countermeasures. In this communication, the authors have listed and reviewed the status of radiation countermeasures that are currently available for use, or those that might be used for exceptional nuclear/radiological contingencies, plus a limited few medicines that show early promise but still remain experimental in nature and unauthorized for human use by the FDA.</p>
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<pmc article-type="review-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Health Phys</journal-id>
<journal-id journal-id-type="iso-abbrev">Health Phys</journal-id>
<journal-id journal-id-type="publisher-id">HP</journal-id>
<journal-title-group><journal-title>Health Physics</journal-title>
</journal-title-group>
<issn pub-type="ppub">0017-9078</issn>
<issn pub-type="epub">1538-5159</issn>
<publisher><publisher-name>Lippincott Williams & Wilkins</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">25905522</article-id>
<article-id pub-id-type="pmc">4418776</article-id>
<article-id pub-id-type="publisher-id">HP140158</article-id>
<article-id pub-id-type="doi">10.1097/HP.0000000000000279</article-id>
<article-id pub-id-type="art-access-id">00006</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Review Paper</subject>
</subj-group>
</article-categories>
<title-group><article-title>Medical Countermeasures for Radiation Exposure and Related Injuries: Characterization of Medicines, FDA-Approval Status and Inclusion into the Strategic National Stockpile</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Singh</surname>
<given-names>Vijay K.</given-names>
</name>
<xref ref-type="aff" rid="aff1">*†</xref>
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<contrib contrib-type="author"><name><surname>Romaine</surname>
<given-names>Patricia L.P.</given-names>
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<xref ref-type="aff" rid="aff1">*</xref>
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<contrib contrib-type="author"><name><surname>Seed</surname>
<given-names>Thomas M.</given-names>
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<xref ref-type="aff" rid="aff1">‡</xref>
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</contrib-group>
<aff id="aff1">*Radiation Countermeasures Program, Armed Forces Radiobiology Research Institute, Bethesda, MD; †Department of Radiation Biology, F. Edward Hébert School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD; ‡Tech Micro Services, Bethesda, MD.</aff>
<author-notes><corresp id="cor1">For correspondence contact: Vijay K. Singh, Radiation Countermeasures Program, Armed Forces Radiobiology Research Institute, 8901 Wisconsin Avenue, Bethesda, MD 20889‐5603, or email at <email>vijay.singh@usuhs.edu</email>
.</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>6</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="epub"><day>08</day>
<month>5</month>
<year>2015</year>
</pub-date>
<volume>108</volume>
<issue>6</issue>
<fpage>607</fpage>
<lpage>630</lpage>
<history><date date-type="accepted"><day>05</day>
<month>1</month>
<year>2015</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2015 Health Physics Society</copyright-statement>
<copyright-year>2015</copyright-year>
<copyright-holder>Lippincott Williams & Wilkins</copyright-holder>
<license><license-p>This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License, where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially.</license-p>
</license>
</permissions>
<self-uri xlink:type="simple" xlink:href="hp-108-607.pdf"></self-uri>
<abstract><title>Abstract</title>
<p>World events over the past decade have highlighted the threat of nuclear terrorism as well as an urgent need to develop radiation countermeasures for acute radiation exposures and subsequent bodily injuries. An increased probability of radiological or nuclear incidents due to detonation of nuclear weapons by terrorists, sabotage of nuclear facilities, dispersal and exposure to radioactive materials, and accidents provides the basis for such enhanced radiation exposure risks for civilian populations. Although the search for suitable radiation countermeasures for radiation-associated injuries was initiated more than half a century ago, no safe and effective radiation countermeasure for the most severe of these injuries, namely acute radiation syndrome (ARS), has been approved by the United States Food and Drug Administration (FDA). The dearth of FDA-approved radiation countermeasures has prompted intensified research for a new generation of radiation countermeasures. In this communication, the authors have listed and reviewed the status of radiation countermeasures that are currently available for use, or those that might be used for exceptional nuclear/radiological contingencies, plus a limited few medicines that show early promise but still remain experimental in nature and unauthorized for human use by the FDA.</p>
</abstract>
<kwd-group><title>Key words</title>
<kwd>bone marrow</kwd>
<kwd>gamma radiation</kwd>
<kwd>health effects</kwd>
<kwd>radiation effects</kwd>
</kwd-group>
<custom-meta-group><custom-meta><meta-name>OPEN-ACCESS</meta-name>
<meta-value>TRUE</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
<affiliations><list></list>
<tree><noCountry><name sortKey="Romaine, Patricia L P" sort="Romaine, Patricia L P" uniqKey="Romaine P" first="Patricia L. P." last="Romaine">Patricia L. P. Romaine</name>
<name sortKey="Seed, Thomas M" sort="Seed, Thomas M" uniqKey="Seed T" first="Thomas M." last="Seed">Thomas M. Seed</name>
<name sortKey="Singh, Vijay K" sort="Singh, Vijay K" uniqKey="Singh V" first="Vijay K." last="Singh">Vijay K. Singh</name>
</noCountry>
</tree>
</affiliations>
</record>
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