Human metabolism of radiocaesium revisited

In situ synthesis of Prussian blue nanoparticles within a biocompatible reverse micellar system for in vivo Cs+uptake

A Prussian blue reverse micellar system forin vivoCs⁺uptake exhibiting high efficiency and a significant dose effect.

Considerations on the ICRP model predictions of the transfer of (137)Cs from food to the milk and urine of lactating mothers

A recent work has shown that the current ICRP biokinetic model for the transfer of caesium radionuclides from food to human breast milk was able to describe with satisfactory accuracy (137)Cs activity concentrations in human breast samples collected a few weeks after the Chernobyl accident as well as in samples collected some years later. However, systematic discrepancies were observed for the predictions of the activity concentrations in urine samples. In the present work, modifications to the model were investigated with the aim of improving the agreement between model predictions and data. It turned out that the disagreement for the urine data was ascribable to the mathematical simplifications used by the ICRP to describe urinary excretion in the first few days after delivery. However, the predictive performances of the model remained unchanged even when differences in the bioavailability of caesium from the ingested food types were considered or metabolic interactions between caesium and potassium were introduced into the model formulation.

Alimentary tract absorption (f1 values) for radionuclides in local and regional fallout from nuclear tests

This paper presents gastrointestinal absorption fractions (f1 values) for estimating internal doses from local and regional fallout radionuclides due to nuclear tests. The choice of f1 values are based on specific circumstances of weapons test conditions and a review of reported f1 values for elements in different physical and chemical states. Special attention is given to fallout from nuclear tests conducted at the Marshall Islands. We make a distinction between the f1 values for intakes of radioactive materials immediately after deposition (acute intakes) and intakes that occur in the course of months and years after deposition, following incorporation into terrestrial and aquatic foodstuffs (chronic intakes). Multiple f1 values for different circumstances where persons are exposed to radioactive fallout (e.g., local vs. regional fallout and coral vs. continental tests) are presented when supportive information is available. In some cases, our selected f1 values are similar to those adopted by the International Commission on Radiological Protection (ICRP) (e.g., iodine and most actinides). However, f1 values for cesium and strontium derived from urine bioassay data of the Marshallese population are notably lower than the generic f1 values recommended by ICRP, particularly for acute intakes from local fallout (0.4 and 0.05 for Cs and Sr, respectively). The f1 values presented here form the first complete set of values relevant to realistic dose assessments for exposure to local or regional radioactive fallout.

Clinical effects of cesium intake

The knowledge about cesium metabolism and toxicity is sparse. Oral intake of cesium chloride has been widely promoted on the basis of the hypothesis referred to as "high pH cancer therapy", a complimentary alternative medicine method for cancer treatment. However, no properly confirmed tumor regression was reported so far in all probability because of neither theoretical nor experimental grounds for this proposal. The aim of the present review was to resume and discuss the material currently available on cesium salts and their applications in medicine. The presence of cesium in the cell does not guarantee high pH of its content, and there is no clinical evidence to support the claims that cancer cells are vulnerable to cesium. Cesium is relatively safe; signs of its mild toxicity are gastrointestinal distress, hypotension, syncope, numbness, or tingling of the lips. Nevertheless, total cesium intakes of 6 g/day have been found to produce severe hypokalemia, hypomagnesemia, prolonged QTc interval, episodes of polymorphic ventricular tachycardia, with or without torsade de pointes, and even acute heart arrest. However, full information on its acute and chronic toxicity is not sufficiently known. Health care providers should be aware of the cardiac complications, as a result of careless cesium usage as alternative medicine.