Current state of yusho and prospects for therapeutic strategies

The mass food poisoning incident yusho occurred in Japan in 1968. It was caused by the ingestion of rice bran oil contaminated with polychlorinated biphenyls and various dioxins and dioxin-like compounds including polychlorinated dibenzo-p-dioxins and polychlorinated dibenzofurans (PCDFs). Notably, PCDFs were found to contribute to approximately 65% of the total toxicity equivalent in the blood of yusho patients. Lipophilic dioxins are retained in the body for a longer period than previously estimated. Victims suffered from characteristic skin manifestations associated with non-specific systemic symptoms, neurological symptoms, and respiratory symptoms. The severe symptoms seen in the initial phase subsequently faded, but recently, improvements have scarcely been observed. The Yusho Group has been researching treatments for this condition. Several clinical trials with chelating agents or dietary fibers aimed at accelerating the excretion of compounds. While some treatments increased dioxin excretion, none provided satisfactory symptom relief. Concurrently, various phytochemicals and herbal extracts have been found to possess biological activities that suppress dioxin-induced toxicity via aryl hydrocarbon receptor or activate the antioxidant nuclear factor-erythroid 2-related factor-2 (NRF2) signal pathway, making them promising therapeutic candidates. Here, we summarize the current status of yusho and findings of clinical trials for yusho patients and discuss the treatment prospects.

     

The Fukushima Nuclear Power Plant accident and exposures in the environment

The Great East Japan Earthquake has occurred on March 11, 2011, in the Tohoku District of Japan. Due to the earthquake, big tsunamis were induced, and they rushed to the Fukushima Nuclear Power Stations, causing severe accidents. Radioactive materials including I-131, Cs-137 and so on were emitted from the plant to the environment. The Japanese government, Fukushima prefectural government and other local governments have struggled against the accidents. The restricted area and deliberate evacuation area are set by the government, and the residents are evacuated. The dose rates in and around Fukushima Prefecture have been monitored by the governments and other involved organizations. Fukushima government has started the health management survey for all residents in Fukushima Prefecture including the questions on their activities for the estimations of their external doses.