480 ~ FLIEDNER, ANDREWS, CRONKITE AND BOND Table 3.—Mitotic Indices 3.5 Years after the Exposure (Feulgen-stained Squash Preparation) Individuals High dose group A B Cc D E Slides Counted Cells Counted per Slide 5 5 5 5 5 1000 1000 1000 1000 1000 Range of Mitoses per 1000 Cells 6-14 7-12 8-11 5-13 12-18 Mean Low dose group F G H Comparisons* Seven healthy ‘comparisons 5 5 5 38 1000 1000 1000 1000 Mean x Standard Deviation 9.6 9.2 9.4 9.0 13.6 4.13 1.87 1,09 1.07 2.59 10.16 1.94 (p > 0.05 compared to normal) 6-11 3-12 6-14 8.8 7.4 8.6 1.92 3.5 3.12 Mean 8.27 0.59 2-18 8.97 1.0 *Data taken from Fliedneret al.: Acta. haemat. 22:65, 1959. cent, metaphase 77.2 per cent, anaphase 5.9 per cent, and telephase 1.6 per cent. In the low dose group, the respective values were: prophase 21 per cent, metaphase 71 per cent, anaphase 6.5 per cent and telephase 2.5 per cent. In bone marrow smears of the exposed men prepared 3.5 years after the accident, 100 mitoses were counted on each individual and classified into erythropoietic, myelopoietic, and others; the latter including all mitoses which were not clearly erythropoietic or myelocytic as well as those that occurred in megakaryocytes, plasma cells and unclassified cell types. These values are given in table 4 and comparedto similar data previously obtained on normal persons.?® The data show that the distribution of mitoses is about the same for the high dose, the low dose and the control group. It is obvious, however, that a number of the mitotic figures seen in the high dose group, and a smaller number in the low dose group were considered abnormal. Mitoses considered abnormal in these preparations showed one or more chromosomes or fragments obviously excluded from further karyokinesis (aberrant chromosomes), or clearly visible single or multiple chromosome bridges in late anaphase or telephase. In 138 mitoses counted in smears of two “normal” controls, only two such abnormal mitoses with an aberrant chromosome were seen. Since no particular search for these abnormalities was made in the other contro] smears counted previously, it is not certain what the exact frequency of such abnormal mitoses is in healthy persons. DISCUSSION The findings presented indicate that cytologic abnormalities were present in the marrow after accidental whole body irradiation not only during the first weeks after exposure but even 3.5 years later. These abnormalities oc- IU 2228

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