Wf. Heidenreich et al., Two-step model for the risk of fatal and incidental lung tumors in rats exposed to radon, RADIAT RES, 151(2), 1999, pp. 209-217
Data from 4276 rats with radon exposures up to 10,000 WLM at rates up to 10
00 WL are analyzed with a two-step clonal expansion model. The age dependen
ces of the hazard for the risks for fatal and for incidental tumors are ver
y different. Therefore, two different parameterizations of the model are us
ed in the two cases. In both cases radiation acts only on the initiating mu
tation and the clonal expansion, but not on the second mutation. Average ex
posure rates of 5 WL for fatal tumors and 0.5 WL for incidental tumors doub
le the rate of spontaneous mutations. While the fatal tumors show a linear
increase in the effective clonal expansion rate up to about 100 WL average
exposure rate and a saturation at higher exposure rates, the incidental tum
ors follow a step-like behavior of this parameter. It is proposed that only
the fatal lung tumors among the rats be used for generalizations to models
for lung cancer in humans. The fitted model for fatal tumors shows an inve
rse dose-rate effect at average exposure rates above 20 WL, However, below
10 WL the lung cancer risk per unit exposure decreases with increasing dura
tion of exposure. Between 10 and 20 WL, the difference in ERR/WLM between a
cute and protracted exposure is small. (C) 1999 by Radiation Research Socie
ty.