Human fetuses do not register chromosome damage inflicted by radiation exposure in lymphoid precursor cells

Human fetuses are generally thought to be highly sensitive to radiation exposure since diagnostic, low-dose X rays (5-50 mSv) have been suggested to increase the risk of childhood leukemia by about 50%. In contrast, animal studies generally did not demonstrate a high radiosensitivity of fetuses and the underlying causes for the discrepancy are not understood. Here, we examined atomic-bomb survivors exposed in utero for translocation frequency in blood lymphocytes at 40 years of age. Contrary to our expectation of higher radiosensitivity in fetuses than in adults, the frequency did not increase with dose except for a small, but statistically significant increase (<1%) at doses below 0.1 Sv. Although an upward convex, humped dose response has been observed in other instances, the peak usually lies at doses above a few Gy, and few examples are known showing the peak response at such low doses. We interpret the results as indicating that fetal lymphoid and/or their precursor cells are sensitive to elimination through apoptosis when damaged. Our results provide a biological basis to resolve the long-standing controversy that substantial risk of childhood leukemia is implicated in human fetuses exposed to low-dose diagnostic X rays whereas animal studies composed mainly of exposures to higher doses consistently fail to confirm it