Journal
BONE MARROW TRANSPLANTATION
Volume 29, Issue 11, Pages 935-939Publisher
NATURE PUBLISHING GROUP
DOI: 10.1038/sj.bmt.1703568
Keywords
transplantation; radiation; neutron; gamma-ray; bystander effect
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Accidental exposure to acute high-dose total body neutron radiation is rare. We report a 35-year-old man exposed to a total body dose of 5.4 Gy neutron- and 8.5-13 Gy gamma-radiation in a radiation criticality accident. He received a blood stem cell transplant from his HLA-identical sister. There was bone marrow recovery with complete donor chimerism. Random chromatid breaks were observed in donor cells suggesting a bystander effect of neutron exposure. The subject died 82 days after the accident (75 days post transplant) from multiorgan failure.
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