Evidence map›Paper›PMID 33293042›Full record

ReviewEnvironment international2021

Low dose ionizing radiation effects on the immune system.

Katalin Lumniczky, Nathalie Impens, Gemma Armengol, Serge Candéias, Alexandros G Georgakilas, Sabine Hornhardt, Olga A Martin, Franz Rödel, Dörthe Schaue

Open access · goldAbstract readReview
In one paragraph

Review in Environment international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 102 papers.

0numbers the graph read from it
0cells of the map it votes in
102citing papers in PubMed
11.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

102 citing papers in PubMed, 225 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Impact of Low-Dose X-Ray Radiation Exposure on Lung Cancer Progression.International journal of molecular sciences · 2026
    Article
  4. Review
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  11. The Effects of Radioimmunotherapy and Antibiotics on Biofilm-Associated Implant Infections in a Preclinical Rat Model.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2026
    Article
  12. Article
  13. Review
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  15. Article
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  20. Article

42 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 5 countries.

Katalin LumniczkyNational Public Health Centre, Department of Radiation Medicine, Budapest, Albert Florian u. 2-6, 1097, Hungary. Electronic address: lumniczky.katalin@nnk.gov.hu.
Nathalie ImpensBelgian Nuclear Research Centre, Biosciences Expert Group, Boeretang 200, 2400 Mol, Belgium. Electronic address: nimpens@sckcen.be.
Gemma ArmengolUnit of Biological Anthropology, Department of Animal Biology, Plant Biology and Ecology, Faculty of Biosciences, Universitat Autònoma de Barcelona, 08193-Bellaterra, Barcelona, Catalonia, Spain. Electronic address: gemma.armengol@uab.cat.
Serge CandéiasUniversité Grenoble-Alpes, CEA, CNRS, IRIG-LCBM, 38000 Grenoble, France. Electronic address: serge.candeias@cea.fr.
Alexandros G GeorgakilasDNA Damage Laboratory, Physics Department, School of Applied Mathematical and Physical Sciences, National Technical University of Athens (NTUA), Zografou 15780, Athens, Greece. Electronic address: alexg@mail.ntua.gr.
Sabine HornhardtFederal Office for Radiation Protection (BfS), Ingolstaedter Landstr.1, 85764 Oberschleissheim, Germany. Electronic address: shornhardt@bfs.de.
Olga A MartinPeter MacCallum Department of Oncology, The University of Melbourne, Melbourne 3052, Victoria, Australia. Electronic address: olga.martin@petermac.org.
Franz RödelDepartment of Radiotherapy and Oncology, University Hospital, Goethe University Frankfurt am Main, Theodor-Stern-Kai 7, 60590 Frankfurt am Main, Germany. Electronic address: franz.roedel@kgu.de.
Dörthe SchaueDepartment of Radiation Oncology, David Geffen School of Medicine, University of California at Los Angeles (UCLA), Los Angeles, CA 90095-1714, USA. Electronic address: dschaue@mednet.ucla.edu.
Belgian Nuclear Research Centre · BEFederal Office for Radiation Protection · DEMRS Training & Rescue · GBNational Public Health Laboratory · NPPeter MacCallum Cancer Centre · AU

Funding

Acute radiation injury alters microRNA profiles that predict late tissue-specific damageU01AI148322 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SCHAUE, DORTHE · 2020 to 2024
$2.4M
Myeloid reprogramming in response to acute radiation tissue damageR01CA226875 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SCHAUE, DORTHE · 2019 to 2023
$1.8M
NCI NIH HHS R01 CA226875NIAID NIH HHS U01 AI148322
6 · The paper itself

Abstract

Ionizing radiation interacts with the immune system in many ways with a multiplicity that mirrors the complexity of the immune system itself: namely the need to maintain a delicate balance between different compartments, cells and soluble factors that work collectively to protect, maintain, and restore tissue function in the face of severe challenges including radiation damage. The cytotoxic effects of high dose radiation are less relevant after low dose exposure, where subtle quantitative and functional effects predominate that may go unnoticed until late after exposure or after a second challenge reveals or exacerbates the effects. For example, low doses may permanently alter immune fitness and therefore accelerate immune senescence and pave the way for a wide spectrum of possible pathophysiological events, including early-onset of age-related degenerative disorders and cancer. By contrast, the so called low dose radiation therapy displays beneficial, anti-inflammatory and pain relieving properties in chronic inflammatory and degenerative diseases. In this review, epidemiological, clinical and experimental data regarding the effects of low-dose radiation on the homeostasis and functional integrity of immune cells will be discussed, as will be the role of immune-mediated mechanisms in the systemic manifestation of localized exposures such as inflammatory reactions. The central conclusion is that ionizing radiation fundamentally and durably reshapes the immune system. Further, the importance of discovery of immunological pathways for modifying radiation resilience amongst other research directions in this field is implied.

Indexed as

NeoplasmsRadiation, IonizingDose-Response Relationship, RadiationHumansImmune SystemInflammationDNA damage responseEpidemiological dataImmune systemInflammationLow-dose ionizing radiation

Identifiers

PMID33293042
PMCPMC8784945
OpenAlexW3112447071

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.