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Specimens of lung adenocarcinoma (AdCa) from Russian nuclear workers ( n  = 54) exposed to alpha particles and gamma rays and from individuals non-exposed to radiation ( n  = 21) were examined using immunohistochemistry. Estimated significant associations with alpha dose were negative for Ki-67 and collagen IV in AdCa. Associations with gamma-ray dose were negative for tissue inhibitor of matrix metalloproteinase 2 and caspase 3 and positive for matrix metalloproteinase 2 and leukemia inhibiting factor in AdCa. The findings provide some evidence supporting alterations in apoptosis, cell proliferation and extracellular matrix in lung tissues affected by chronic radiation exposure that can contribute to radiogenic cancerogenesis.

Immunohistochemical Analysis of Lung Adenocarcinoma in Russian Mayak Nuclear Workers