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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="1.1d1" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher">REMEDIUM</journal-id><journal-title-group><journal-title>REMEDIUM</journal-title></journal-title-group><issn publication-format="print">1561-5936</issn><issn publication-format="electronic">2658-3534</issn><publisher><publisher-name>Joint-Stock Company Chicot</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">1377</article-id><article-id pub-id-type="doi">10.32687/1561-5936-2021-25-4-3-8</article-id><article-categories><subj-group subj-group-type="heading"><subject>Review article</subject></subj-group></article-categories><title-group><article-title>Biocompatible drugs-protectors against radiation exposure: a modern view on the problem</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>Khabriev</surname><given-names>R. U.</given-names></name><bio></bio><email>-</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Mingazova</surname><given-names>E. N.</given-names></name><bio></bio><email>elmira_mingazova@mail.ru</email><xref ref-type="aff" rid="aff-1"/><xref ref-type="aff" rid="aff-2"/><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Sidorov</surname><given-names>V. V.</given-names></name><bio></bio><email>-</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Gureev</surname><given-names>S. A.</given-names></name><bio></bio><email>-</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Yusupova</surname><given-names>M. M.</given-names></name><bio></bio><email>-</email><xref ref-type="aff" rid="aff-4"/></contrib></contrib-group><aff id="aff-1">N. A. Semashko National Research Institute of Public Health</aff><aff id="aff-2">Pirogov Russian National Research Medical University</aff><aff id="aff-3">Kazan State Medical University</aff><aff id="aff-4">A. I. Burnazyan Federal Medical Biophysical Center of the FMBA of Russia</aff><pub-date date-type="epub" iso-8601-date="2021-12-16" publication-format="electronic"><day>16</day><month>12</month><year>2021</year></pub-date><issue>4</issue><fpage>3</fpage><lpage>8</lpage><history><pub-date date-type="received" iso-8601-date="2022-03-29"><day>29</day><month>03</month><year>2022</year></pub-date></history><permissions><copyright-statement>Copyright © 2021,</copyright-statement><copyright-year>2021</copyright-year></permissions><abstract>The article provides an overview of current ideas about clinically promising radioprotective agents that have the ability to potentially mitigate radiation exposure, for example, to special contingents (military personnel and emergency services). Particular attention is paid to research on the potential of a potential radioprotector/radiomitigator to block radiation-induced mutagenesis and hence carcinogenesis, since some medical procedures (e. g., computed axial tomography) are associated with exposure to low doses of radiation. An ideal radiosensitizer to be used as an adjunct to radiotherapy would be one with low toxicity, high radiosensitizing efficacy for hypoxic cells, the least effect on normal cells, and minimal impact on other treatments. There are the following groups of drugs that counteract ionizing radiation: preventing initial radiation injury; repairing molecular damage caused by radiation; stimulating the proliferation of surviving stem cells and precursor cells (immunomodulators, growth factors and cytokines). The mechanisms of action of radioprotectors are divided into 10 categories: trapping free radicals; increased DNA repair; cell synchronization; modulation of genes sensitive to oxidation-reduction; modulation of growth factors and cytokines; suppression of apoptosis; drug repurposing; interaction and chelation of radionuclides; tissue regeneration therapies such as gene therapy and stem cell therapy.</abstract><kwd-group xml:lang="en"><kwd>radioprotective agents</kwd><kwd>radioprotectors</kwd><kwd>radiomitigators</kwd><kwd>radiosensitizers</kwd><kwd>antiradiation measures</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>радиозащитные средства</kwd><kwd>радиопротекторы</kwd><kwd>радиомитигаторы</kwd><kwd>радиосенсибилизаторы</kwd><kwd>противорадиационные меры</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Nukala U., Thakkar S., Krager K. J., Breen Ph.J., Compadre C. M., Aykin-Burns N. Antioxidant tocols as radiation countermeasures (challenges to be addressed to use tocols as radiation countermeasures in humans) // Antioxidants. 2018. Vol. 7, N 2. P. 33.</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Ross G. M. Induction of cell death by radiotherapy // Endocr. Relat. Cancer. 1999. Vol. 6, N 1. P. 41-44.</mixed-citation></ref><ref id="B3"><label>3.</label><mixed-citation>Kashiwakura I. Overview of radiation-protective agent research and prospects for the future // Jpn J. Health Physics. 2017. Vol. 52, N 4. P. 285-295.</mixed-citation></ref><ref id="B4"><label>4.</label><mixed-citation>Research on health effects of low-level ionizing radiation exposure: opportunities for the Armed Forces Radiobiology Research Institute // Military Medicine. 2017. Vol. 182, N 9. P. 1675-1676.</mixed-citation></ref><ref id="B5"><label>5.</label><mixed-citation>Kuruba V., Gollapalli P. Natural radioprotectors and their impact on cancer drug discovery // Radiat. Oncol. 2019. Vol. 36, N 4. P. 265-275.</mixed-citation></ref><ref id="B6"><label>6.</label><mixed-citation>Citrin D., Cotrim A. P., Hyodo F., Baum B. J., Krishna M. C., Mitchell J. B. Radioprotectors and mitigators of radiation-induced normal tissue injury // Oncologist. 2010. Vol. 15, N 4. P. 360-371.</mixed-citation></ref><ref id="B7"><label>7.</label><mixed-citation>Ryan J. L., Krishnan S., Movsas B., Coleman C. N., Vikram B., Yoo S. S. Decreasing the adverse effects of cancer therapy: an NCI workshopon the preclinical development of radiation injury mitigators/protectors // Radiat. Res. 2011. Vol. 176, N 5. P. 688-691.</mixed-citation></ref><ref id="B8"><label>8.</label><mixed-citation>Singh P. K., Krishnan S. Vitamin E analogs as radiation response modifiers // Evid. Based Complement. Alternat. Med. 2015. Vol. 2015. P. 741301.</mixed-citation></ref><ref id="B9"><label>9.</label><mixed-citation>Kamran M. Z., Ranjan A., Kaur N., Sur S., Tandon V. Radioprotective agents: strategies and translational advances // Med. Research Rev. 2016. Vol. 36, N 3. P. 461-493.</mixed-citation></ref><ref id="B10"><label>10.</label><mixed-citation>Kuntic V. S., Stankovic M. B., Vujic Z. B., Brboric J. S., Uskokovic-Markovic S. M. Radioprotectors - the evergreen topic // Chem. Biodiver. 2013. Vol. 10, N 10. P. 1791-1803.</mixed-citation></ref><ref id="B11"><label>11.</label><mixed-citation>Rosen E. M., Day R., Singh V. K. New approaches to radiation protection // Front. Oncol. 2015. Vol. 20, N 4. P. 381.</mixed-citation></ref><ref id="B12"><label>12.</label><mixed-citation>Mishra K. N., Moftah B. A., Alsbeih G. A. Appraisal of mechanisms of radioprotection and therapeutic approaches of radiation countermeasures // Biomed. Pharmacother. 2018. Vol. 106. P. 610-617.</mixed-citation></ref><ref id="B13"><label>13.</label><mixed-citation>Hussain M. J., Kumar S., Sinha P., Dowlath N., Arunachalam K., Balasubramani R. et al. Effects of radiation and role of plants in radioprotection: a critical review // Sci. Total Environ. 2021. Vol. 779. P. 146431.</mixed-citation></ref><ref id="B14"><label>14.</label><mixed-citation>Xie J., Zhao M., Wang C., Zhu S., Niu W., Yong Y. et al. External use of nano-graphdiyne hydrogel for skin radioprotection via both physically shielding of low-energy X-ray and chemically scavenging of broad-spectrum free radicals // Chem. Eng. J. 2022. Vol. 430, N 2. P. 132866.</mixed-citation></ref><ref id="B15"><label>15.</label><mixed-citation>Kuo B., Szabó E., Chin S., Balogh L. A., Norman D., Inoue A. et al. The LPA2 receptor agonist radioprotectin-1 spares Lgr5-positive intestinal stem cells from radiation injury in murine enteroids // Cell Signal. 2018. Vol. 51. P. 23-33.</mixed-citation></ref><ref id="B16"><label>16.</label><mixed-citation>Horne G. P., Zarzana C. A., Daubaras D., Pilgrim C., Rae C., Faulkner R. et al. Probing activated radioprotection of simple hydrophilic phosphonic acids in aqueous solution // Radiat Phys Chem. 2019. Vol. 170, N 6. P. 108636.</mixed-citation></ref></ref-list></back></article>
