The LNT posited that the dose-response for ionizing radiation-induced mutations was linear, extending down to single ionizations. It suggested that all genetic damage was cumulative and irreversible. LNT was recommended by the US National Academy of Sciences (NAS) in 1956 [10], which led to the abolition of the previous threshold model, set at around 500 mGy/year in 1934. LNT primarily relied on Drosophila data to predict genetic effects in humans. Intriguingly, human data from Hiroshima and Nagasaki were deliberately excluded from its consideration [11]. In 2006, NAS reaffirmed the use of LNT for assessing cancer risk from radiation, citing data from Hiroshima and Nagasaki [12]. However, Sutou [13] raised concerns, highlighting eight drawbacks in NAS's presentation. Indeed, survivors of atomic bombings in these cities have shown longer lifespans and lower cancer risk [14]. Accumulated data suggest that low-dose radiation is essential, mid-dose radiation may have a hormetic effect, and high-dose radiation is hazardous [15]. Hormesis and LNT are fundamentally incompatible. If hormesis holds true, LNT is invalidated, and vice versa. Our studies lend support to the validity of hormesis as a model.
The US Environmental Protection Agency (EPA) came into existence in 1970 and sought guidance from NAS on how to regulate carcinogens. NAS recommended the application of the LNT model to carcinogens [16]. Given the difficulties in directly establishing thresholds, our research has focused on investigating hormetic dose-responses. In previous studies [7, 8], we demonstrated the feasibility of establishing thresholds in both cell activity and cell proliferation tests. In the present study, we have confirmed that the mutagens we tested induce hormesis in the micronucleus test, adding a piece of evidence to the growing body of proof against LNT.
Detecting hormetic responses is difficult when the baseline micronuclei frequency is low (Fig. 1). To overcome this difficulty, we employed challenge tests (Fig. 2) and cross-reaction tests (Fig. 3), because Preconditioning is hormesis [17]. Both challenge and cross-reaction tests confirmed the induction of hormesis by mutagens (Fig. 2, 3). Of particular significance is the observation that hormesis occurs not only among different chemicals but also between chemicals and radiation sources [18, 19]. This suggests that hormesis is not divided into distinct categories of chemical and radiation hormesis. Instead, it indicates that living organisms employ common defense mechanisms to respond to a range of external stressors and challenges.
The Keap1-Nrf2 pathway functions as a cellular defense system against oxidative and xenobiotic stresses caused by ROS and electrophiles, respectively. Under normal, unstressed conditions, Nrf2, a transcription factor, is continually captured by Keap1 and subsequently degraded via the ubiquitin-proteasome pathway. However, when cells are exposed to ROS or electrophiles, this degradation of Nrf2 is halted. As a result, Nrf2 moves to the nucleus, where it promotes the transcription of over 100 genes associated with antioxidation and detoxification. Ionizing radiation itself is imperceptible, but its primary biological impact lies in the generation of reactive oxygen species (ROS). ROS function as signal mediators and are recognized by the Keap1-Nrf2 system, one of the two major systems responsible for regulating ROS [20].
Another major system responsible for handling ROS is the NF-κB/IκB system [21]. NF-κB proteins constitute a family of transcription factors that regulate the expression of numerous genes, pivotal not only in ROS management but also in inflammation, immunity, cell growth, differentiation, development, and apoptosis. Oxygen, despite its essential role in sustaining life, can paradoxically be one of the most toxic substances in our environment. Mitochondria, crucial cellular components, are a significant source of ROS production, estimated at a staggering 109 ROS/cell/day [22]. To put this into perspective, the rate of double-strand DNA breaks per cell per day caused by background radiation (1 mGy) is calculated to be 10− 4, whereas those induced by endogenous ROS are calculated to be 10− 1. This highlights that endogenous ROS pose a substantially greater hazard than natural radiation.
Given this context, it's reasonable to assume that many of the enzymes induced by the NF-κB/IκB system play vital roles in hormetic responses. The Keap1-Nrf2 and NF-κB/IκB systems govern numerous genes, and they do not function independently. For instance, enzymes like glutathione-S-transferase, which regulates ROS levels along with other enzymes like superoxide dismutase, catalase, and glutathione peroxidase, are induced by both systems. This interplay underscores the complexity of cellular responses to oxidative stress.
We conducted an assessment of gene expression changes after mutagenic treatments using RT-PCR. The genes examined included GAPDH (control), p21, GADD45A, TOP2A, MCM, TP53, and GSTP1, which play roles in cell cycle regulation, apoptosis, DNA repair, and other crucial cellular processes. Among these six genes, p21 and GADD45A exhibited dose- and time-dependent induction in response to MMC, EMS, and H2O2 treatments. Notably, this induction was observed at relatively higher dose levels where cytotoxic effects became apparent, whereas micronuclei induction occurred at lower dose levels. This observation suggests that hormesis occurs under physiological conditions and that cellular responses, accompanied by gene induction, manifest at higher dose levels coinciding with cytotoxicity. While it may be tempting to simplify this induction as a response to halt the cell cycle for DNA repair, it's essential to acknowledge the limitations of our study. We examined a relatively small number of genes, and our analysis relied on a single detection system. Therefore, the full complexity of cellular responses to these mutagenic treatments may not be fully captured in this simplified explanation.
Calabrese and Baldwin [23] have defined two distinct types of hormesis: Direct Stimulation Hormesis (DSH) and Overcompensation Stimulation Hormesis (OCSH). DSH represents a steady-state adaptive response, reflective of normal physiological dynamics. In contrast, OCSH begins with the disruption of homeostasis, followed by modest overcompensation, reestablishment of homeostasis, and the adaptive nature of the process. DSH typically results in a dose-response curve that exhibits a reverse U-shaped or J-shaped pattern, as observed in our prior studies [7, 8]. On the other hand, when OCSH occurs, it leads to various curve shapes, including an S-shaped curve consisting of concave and convex segments, a J-shaped curve, or a typical reverse U-shaped curve. Given the involvement of numerous mechanisms in hormesis induction, the expression patterns are intricate, and responses are both time- and dose-dependent.