Lung damage by thoron progenies versus possible damage redemption by lung stem cells: a perspective

Purpose: Natural radiation is the major source of human exposure to ionizing radiation. About 52% of the total dose received from the high natural background radiations (HNBR) areas are due to inhalation dose from radon (²²²Rn)/thoron (²²⁰Rn) and their progenies. Hence, we reviewed the biological effects of ²²²Rn/²²⁰Rn and their progenies on lung tissue, and the possible role of lung stem cells in salvaging the damage caused by ²²²Rn/²²⁰Rn and their progenies. Materials and Method: We have extensively reviewed articles among several hits obtained in PubMed, Scopus, and Elsevier databases with keywords ‘Radon/Thoron’ OR Thoron progeny/Radon progeny OR ‘Thoron/Radon inhalation and lungs’, and proceed for further analysis. Also, databases related to oxidative damage to lung stem cells by radiation and the repair mechanisms involved by the lung stem cells were also included. Results: Based on the existing epidemiological data on radon in residential buildings, we found that evidence exists on the association of radon induced lung carcinogenesis, but the data regarding the role of thoron induced lung damage is very limited and inconclusive. We also found that limited information has been provided based on ecological designs, leading to poor documentation of health statistics, in particular, organ-specific cancer rates. Finally, we tried to elucidate the possible mechanisms of lung injury induced by thoron inhalation and the probable role of lung stem cell toward the redemption of such oxidative damages. Conclusion: Existing epidemiological data on thoron inhalation and associated health outcomes are limited and inconclusive. Further, in vivo experiments, with respect to radon/thoron inhalation dose rate ranges corresponding to the HNBR areas will be helpful in understanding the cellular and molecular effects.