The British Nuclear Fuels pie facility at Sellafield performs a range
of nuclear-related activities. The site has been in operation since 19
50 and has, in general, employed a stable work force, many of whom hav
e accumulated relatively high occupational exposures to ionizing radia
tion. This paper compares the physical dosimetry with two biological e
nd points for evaluating radiation exposure: fluorescence in situ hybr
idization with whole-chromosome painting probes to quantify stable chr
omosome aberrations (translocations and insertions), and glycophorin A
(GPA) analysis of variant erythrocytes. For the cytogenetic analyses,
81 workers were evaluated in five dose categories, including 23 with
minimal radiation exposure (less than or equal to 50 mSv) and 58 with
exposures ranging from 173 to 1108 mSv, all but 3 being >500 mSv. In a
univariate analysis, the mean stable chromosome aberration frequencie
s showed a significant increase with dose category (P = 0.032), and wi
th cumulative dose when dose is treated as a continuous variable (P =
0.015). The slope of the dose response for stable aberrations is 0.79
+/- 0.22 aberrations per 100 cells per sievert (adjusted for smoking s
tatus), which is less than that observed among atomic bomb survivors,
and suggests a dose and dose-rate effectiveness factor for chronic exp
osure of about 6. Analyses of the data for GPA N/O and N/N variants fr
om 36 workers revealed no correlation with dose. Neither was there a c
orrelation between the frequencies of N/O GPA variants and stable aber
rations, although a weak negative association was observed between N/N
variant frequency and stable aberrations (r = -0.38, P = 0.05). These
results provide clear evidence for the accumulation of stable aberrat
ions under conditions of chronic occupational exposure to ionizing rad
iation and show that stable chromosome aberrations are a more sensitiv
e indicator for chronic radiation exposure than GPA variants. In compa
rison with human studies of brief exposure, chronic low-dose exposures
appear substantially less effective for producing somatic effects as
reflected by stable chromosome aberrations. (C) 1997 by Radiation Rese
arch Society.