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posure to Sr-90, Sr-89, and Sr-85. Health

Phys., 10:171, 1964.

13. Rivera, J.: Stable strontium concentration in three bones of the human skeleton. HASL

Report 140, p. 303, U. S. Atomic Energy

Commission, Health and Safety Laboratory,

New York, October 1, 1963.

14. International Commission on Radiological Pro-tection, ICRP Report 6, New York:

Per-gamon Press, 1964.

15. Beninson, D., Ramos, E., and Touzet, R.:

Strontium in children. HASL Report 165,

U. S. Atomic Energy Commission, Health

and Safety Laboratory, New York, January

1, 1966.

16. Marcus, C. S., and Wasserman, R. H.:

Com-pariscm of intestinal discrimination between

calcium-47, strontium-85, and barium-133.

Amer. J. Physiol., 209:5, 1965.

17. Della Rosa, R. J., Wolf, H., and Calvert, S.:

Discrimination in beagle puppies: The

effect of extended ‘nursing’ on the

deposi-tion and retention of strontium in bone and

teeth. UCD 472-112, AEC Research and

Development Report, Biology and

Medi-in bone tissue of the population of the

So-viet Union in 1959-1963. UDC 612.014.482:

546.42, State Committee on the Use of

Atomic Energy USSR, Atomizdat, Moscow,

1964.

19. Federal Radiation Council Staff Report No. 7,

May, 1965. Available at the Superintendent

of Documents, U. S. Government Printing

Office, Washington, D.C.

20. Hallden, N. A., Fisenne, I. M., and Harley,

J. H., Radium-226 in human diet and bone.

Science, 140:1327, 1963.

21. Hailden, N. A., and Harley, J. H.:

Radium-226 in diet and human bone from San Juan,

Puerto Rico. Nature, 4955:240, 1964.

22. Harley, N. H., Fisenne, I. M., and Harley,

J. H.: Radium-226 in infant diet and bone.

Presented at the Eleventh Meeting on

Bio-assay and Analytical Chemistry,

Albuquer-que, New Mexico, October 8-9, 1965.

23. Mitchell, H. H., Hamilton, T. S., Steggerda,

F. R., and Bean, H. \V.: The chemical

com-position of the adult human body and its

bearing on the biochemistry of growth.

J. Biol. Chem., 158:625, 1945.

DISCUSSION

DR. KORNBERC: When Doctor Rivera said

that the principal objective of these

mea-surements was to verify a model of

strontium9#{176} metabolism and not primarily to document bone strontium9#{176} levels, he im-plied that there is no pediatric significance of peacetime radioactive fallout, at least as far as strontium9#{176} is concerned, and I am

inclined to agree. But, before examining

whether such is the case, it may be

inter-esting to compare the results the Health

and Safety Laboratory obtained from

hu-mans with some we obtained from the

mini-ature pig. We chose this animal because of

the many physiological characteristics it

shares with humans.

Seven years ago we began a long-term

experiment designed to find what quantity of strontium9#{176} ingested daily would not

pro-duce demonstrable damage.

One of the early findings by McClellan

was that the “observed ratio” used in the

model Dr. Rivera tested varied with age of

the animals. The ability of the bone to discriminate against dietary strontium9#{176}

changed over a sixfold range-from a

bone-diet K of 1.2 at 15 days old to 0.2 at 250

days old. It appears that a correction of

nearly this magnitude was applied to the

model Dr. Rivera tested.

The changing nature of discrimination is

exemplified in strontium to calcium ratios

in sow’s milk as compared to their diet.

Figure 23 shows how the factor changed

significantly with time post-partum,

per-haps reflecting the effects of increased

strontium and calcium turnover from diet

to milk.

Despite such variations with age and

diet, the accuracy with which strontium9#{176} to

calcium levels in food can be used to

pre-dict strontium9#{176} to calcium levels in human

bone is excellent, and Dr. Rivera and the

Health and Safety Laboratory are to be

complimented.

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-J

0

0) .0 U)O

5

I-w 0

0 as

(,c-) 0

24

0.30

- (Mo ANIMALS 4, 5,6,7, 8, AND 9

(B). ANIMALS 1,2, AND 3

0.20

(B)y0.079+O.0024X

0.10

o #{176} (A)y=O.085+O.0008X

0 10 20 30

DAYS POST-PARTUM

40

SUPPLEMENT 237

FIG. 23. Changes in discrimination of strontium relative to calcium with time post-partum in sows’

milk compared to sows’ diet.

we found the average concentration of

strontium#{176}#{176}in vertebrae of our

experimen-tal pigs higher than the average for the

skeleton by a factor of about two. Figure 24 illustrates the variation in strontium9#{176}

deposition and the corresponding dose rate

in a vertebrae taken from one of these ani-mals. At certain stages of growth of teeth,

the strontium was even higher in the

man-dible.

But, perhaps the finding of most

rele-vance is that after feeding pigs 5 Ci

strontium9#{176} per day for 6 years (starting

pre-conception in sows), we have seen no

biological effect. This is something more

than 100,000 times the peak mean daily

in-take of strontium#{176}#{176}Dr. Rivera reported for

the New York diet in 1963. Whether a

life-time of exposure to 5 iCi per day will also

be without effect remains to be seen. It

probably won’t be, since we have noted

leu-kemia induced in a few animals fed 25 Ci

per day for 4 years. But what, in fact, pro-duces the biological effect is the radiation dose from strontium#{176}#{176},which is about 2,000

rads or more. To accumulate such a dose

from the peak dietary levels noted by Dr.

Rivera would take from one-half to one

million years. I doubt there are many other toxic substances in the biosphere that have such a margin of safety.

DR. RIVERA: The variations are a

prob-lem. I meant to mention that the way this

diet is constructed is rather strange and I

am frequently asked for whom the diet is

intended. I hesitate to say that itis a diet of

an average adult person. We took diet

sta-tistics compiled by the Department of

Agri-culture on the consumption of something

like 219 separate items. We grouped these

into categories (19) which could be

ana-lyzed and, from the statistics obtained,

computed the consumption per week per

family. We divided this by the number of

persons per family, which happened to be

3.3, and took this as per capita intake. We assume our data refers to adult intakes and

indeed this seems to be so because we can

fit the model very accurately for adults. The variability is great and one of the chief

problems we have is trying to learn how

well our model fits in ages where we don’t

have lots of bone samples, that is, for ages

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140

100

60

20

0

FIG. 24. Autoradiograph and radiation dose rate projection of lumbar vertebrae

of animal fed 3.1 tCi Sr per day for 3 months starting at 9 months of age.

> CD

vu

. CD

there iS no problem. We have many

sam-ples and we can verify our model very vel1;

but, for younger groups we have few

sam-ples and it is ilard to tell whether we are agreeing with the model or not. Certainly, we are not off by more than a factor of two. One of the things that is needed, and I

am trying to do, is to find some way to

use other people’s data, such as that from

Poland, the United Kingdom and Japan.

They all have bone data and diet data, but

not enough, and our problem is to normal-ize the data so that we can put it together

and see whether it fits a single model or

not. This is hard to do, but hopefully, we

should be able to do it. We should then be

able to see if there are variations that can be statistically observed in turnover rates

and discrimination factors as a function of age.

DR. EISENBUD: I am not sure that this is

exactly relevant to the current discussion,

but it is a question that bothers me and I

don’t see another place to bring it up. As I

look at the mathematics of the dose

re-sponse curve and tile fact that a linear non-threshold dose response curve is an inher-ent assumption in the calculations

estimat-ing population damage, it seems to me

sim-ply to be an algebraic basis and derives

from the mathematics of the curves. What

is of interest is the mean dose to the popu-lation. In calculating tile damage to a

pop-ulation, deviations from the mean have to

cancel out because the dose response curve

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SUPPLEMENT 239 resolution of significance of the deviations

from the mean in estimates of dose to the

bone, to the thyroid, etc.

Dn. CHARLES: I shall follow through with

what Dr. Eisenbud has to say-this

devia-tion from the mean is a little disturbing be-cause it does not take into consideration from the practical standpoint of clinical

practicing physicians the wide gamut of

human sensitivities. Dr. Kornberg, on your

bone sample data, could you project just

what the mean dose is to the bone? I think

that in all bone the concentration of the

strontium9#{176} is at the highly active growth centers. In these highly active growth cen-ters the cells are more active and more sen-sitive. How do you predict with any

mathe-matical formula how these cells will

re-spond to the concentration of the radioac-tivity in this area

One other question to Dr. Rivera. I don’t

think he meant to suggest that because a

youngster consumes a lot of milk with a

fa-vorable strontium to calcium ratio, the

extra calcium will protect that youngster.

DR. PIcERmNG: Our studies of the

de-veloping skeleton in the monkey fetus have

involved, among other things, the investiga-tion of calcium5 and strontium9#{176} uptake,

distribution, and turnover. They have

re-vealed many points pertinent to this discus-sion. By way of introduction, the young

de-veloping monkey fetus (conception age 50

days) has only 2 mg of calcium in its

skele-ton. Its subsequent phenomenal rate of

growth is reflected by the fact that the fetal

skeleton at term (conception age 167 ± 7

days) has nearly 2,000 times that amount of

calcium. I should like to present a few of

the observed features of calcium

metabo-lism in this rapidly developing skeleton. The ratio of calcium to strontium#{176}#{176}uptake

by the skeleton remained constant during

fetal life, indicating that placental transport

mechanisms did not vary with advancing

gestation. However, the nature of bone

crystal did change remarkably. As fetal life

advanced bone crystal progressively

ma-tured and the crystal maturation was

reflected strikingly by a changing calcium to phosphorus ratio. In earliest fetal life the ratio was less than 1.0 and as term was ap-proached it approximated 1.5. The calcium tite is 1.67. The crystal population in various

to phosphorus ratio of mature hydroxy

apa-areas of the skeleton thus increasingly

ma-tured with advancing gestation. Various

areas were of a different degree of maturity at any given time.

We have found that the calcium and

strontium#{176}#{176}uptake in any area of bone at

any time bore a direct relationship to the

calcium to phosphorus ratio of the crystal population and thus to crystal maturity. In

fact, essentially all uptake of those

ele-ments at any given time by any single area

was due to this process of continuing

matu-ration. Such uptake did not reflect new

bone formation as characterized by, and

re-lated to, the laying down of new organic

elements and their mineralization. The

proximity and metabolic activity of the

many and varied cellular constituents of

bone to the crystal elements changed

dra-matically as fetal life advanced. On the

basis of these and related studies in the

skeletons of many primate fetuses of exact-ly known gestation, I would like to caution physical scientists against quantitatively predicting likely effects of specific amounts of isotopes (calcium and strontium#{176}#{176},etc.) in various areas of the fetal skeleton at any given age or as age advances.

DR. SPENCER: For the interpretation of

strontium9#{176} to calcium ratios of bone, it

would be important to know the dietary

calcium intake of the infants and children. In our studies in adults we have found that the intestinal calcium to strontium

discrimi-nation is greatly decreased when the

di-etary calcium intake is high while the renal

strontium to calcium discrimination

re-mains unchanged. In view of these changes

in calcium to strontium absorption, the

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1968;41;236

Pediatrics

DISCUSSION

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