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A review of radiation countermeasures focusing on injury-specific medicinals and regulatory approval status: part II. Countermeasures for limited indications, internalized radionuclides, emesis, late effects, and agents demonstrating efficacy in large animals with or without FDA IND status

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Pages 870-884 | Received 04 Jan 2017, Accepted 30 May 2017, Published online: 28 Jun 2017

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Vijay K. Singh, Meera Srivastava & Thomas M Seed. (2023) Protein biomarkers for radiation injury and testing of medical countermeasure efficacy: promises, pitfalls, and future directions. Expert Review of Proteomics 20:10, pages 221-246.
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Vojtěch Chmil, Alžběta Filipová & Aleš Tichý. (2023) Looking for the phoenix: the current research on radiation countermeasures. International Journal of Radiation Biology 99:8, pages 1148-1166.
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Shivani Bansal, Sunil Bansal, Brian L. Fish, Yaoxiang Li, Xiao Xu, Jose A. Fernandez, John H. Griffin, Heather A. Himburg, Marjan Boerma, Meetha Medhora & Amrita K. Cheema. (2023) Analysis of the urinary metabolic profiles in irradiated rats treated with Activated Protein C (APC), a potential mitigator of radiation toxicity. International Journal of Radiation Biology 99:7, pages 1109-1118.
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Hillard M Lazarus, John McManus & Robert Peter Gale. (2022) Sargramostim in acute radiation syndrome. Expert Opinion on Biological Therapy 22:11, pages 1345-1352.
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Vijay K. Singh, Oluseyi O. Fatanmi, Stephen Y. Wise, Alana Carpenter, Sara Nakamura-Peek, Artur A. Serebrenik & Michael D. Kaytor. (2022) A novel oral formulation of BIO 300 confers prophylactic radioprotection from acute radiation syndrome in mice. International Journal of Radiation Biology 98:5, pages 958-967.
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Lisa S. Carnell. (2021) Spaceflight medical countermeasures: a strategic approach for mitigating effects from solar particle events. International Journal of Radiation Biology 97:sup1, pages S125-S131.
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Vijay K. Singh & Thomas M Seed. (2020) Pharmacological management of ionizing radiation injuries: current and prospective agents and targeted organ systems. Expert Opinion on Pharmacotherapy 21:3, pages 317-337.
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N. Yeddanapudi, M. A. Clay, D. P. Durham, C. M. Hoffman, M. J. Homer & J. M. Appler. (2020) Informing CONOPS and medical countermeasure deployment strategies after an improvised nuclear device detonation: the importance of delayed treatment efficacy data. International Journal of Radiation Biology 96:1, pages 4-11.
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Vijay K. Singh & Thomas M. Seed. (2019) The efficacy and safety of amifostine for the acute radiation syndrome. Expert Opinion on Drug Safety 18:11, pages 1077-1090.
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Angela M. Groves & Jacqueline P. Williams. (2019) Saving normal tissues – a goal for the ages. International Journal of Radiation Biology 95:7, pages 920-935.
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Vijay K. Singh, Madison Simas & Harvey Pollard. (2018) Biomarkers for acute radiation syndrome: challenges for developing radiation countermeasures following animal rule. Expert Review of Molecular Diagnostics 18:11, pages 921-924.
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Articles from other publishers (45)

Lydia Bensemmane, Fabien Milliat, Xavier Treton & Christine Linard. (2023) Systemically delivered adipose stromal vascular fraction mitigates radiation-induced gastrointestinal syndrome by immunomodulating the inflammatory response through a CD11b+ cell-dependent mechanism. Stem Cell Research & Therapy 14:1.
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Bowen Guan, Deguan Li & Aimin Meng. (2023) Development of radiation countermeasure agents for acute radiation syndromes. Animal Models and Experimental Medicine 6:4, pages 329-336.
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Masaru Yamaguchi & Ikuo Kashiwakura. (2023) The Acute Radiation Syndrome-Mitigator Romiplostim and Secreted Extracellular Vesicles Improved Survival in Mice Acutely Exposed to Myelosuppressive Doses of Ionizing Radiation. Biomolecules 13:5, pages 837.
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Alana D. Carpenter, Yaoxiang Li, Brianna L. Janocha, Stephen Y. Wise, Oluseyi O. Fatanmi, Manoj Maniar, Amrita K. Cheema & Vijay K. Singh. (2023) Analysis of the Proteomic Profile in Serum of Irradiated Nonhuman Primates Treated with Ex-Rad, a Radiation Medical Countermeasure. Journal of Proteome Research 22:4, pages 1116-1126.
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Hua Guan, Wen Zhang, Dafei Xie, Yuehua Nie, Shi Chen, Xiaoya Sun, Hongling Zhao, Xiaochang Liu, Hua Wang, Xin Huang, Chenjun Bai, Bo Huang, Pingkun Zhou & Shanshan Gao. (2023) Cytosolic Release of Mitochondrial DNA and Associated cGAS Signaling Mediates Radiation-Induced Hematopoietic Injury of Mice. International Journal of Molecular Sciences 24:4, pages 4020.
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Rahul Checker, H.N. Bhilwade, Shivani R. Nandha, Raghavendra S. Patwardhan, Deepak Sharma & Santosh K. Sandur. (2023) Withaferin A, a steroidal lactone, selectively protects normal lymphocytes against ionizing radiation induced apoptosis and genotoxicity via activation of ERK/Nrf-2/HO-1 axis. Toxicology and Applied Pharmacology 461, pages 116389.
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Darren Fernandes & Jervoise Andreyev. 2023. Intestinal Failure. Intestinal Failure 269 287 .
Sushil K. Shakyawar, Nitish K. Mishra, Neetha N. Vellichirammal, Lynnette Cary, Tomáš Helikar, Robert Powers, Rebecca E. Oberley-Deegan, David B. Berkowitz, Kenneth W. Bayles, Vijay K. Singh & Chittibabu Guda. (2022) A Review of Radiation-Induced Alterations of Multi-Omic Profiles, Radiation Injury Biomarkers, and Countermeasures. Radiation Research 199:1.
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Vijay K. Singh & Thomas M Seed. (2022) Armed Forces Radiobiology Research Institute/Uniformed Services University of the Health Sciences perspective on space radiation countermeasure discovery. Life Sciences in Space Research 35, pages 20-29.
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Brock J. Sishc, Janice Zawaski, Janapriya Saha, Lisa S. Carnell, Kristin M. Fabre & S. Robin Elgart. (2022) The Need for Biological Countermeasures to Mitigate the Risk of Space Radiation-Induced Carcinogenesis, Cardiovascular Disease, and Central Nervous System Deficiencies. Life Sciences in Space Research 35, pages 4-8.
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Daisuke Watase, Shuichi Setoguchi, Nami Nagata-Akaho, Shotaro Goto, Hirofumi Yamakawa, Ayano Yamada, Mitsuhisa Koga, Yoshiharu Karube, Kazuhisa Matsunaga & Jiro Takata. (2022) Cationic N,N-Dimethylglycine Ester Prodrug of 2R-α-Tocotrienol Promotes Intestinal Absorption via Efficient Self-Micellization with Intrinsic Bile Acid Anion. Molecules 27:9, pages 2727.
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Leif Stenke, Christel Hedman, Marita Lagergren Lindberg, Karin Lindberg & Jack Valentin. (2022) The acute radiation syndrome—need for updated medical guidelines. Journal of Radiological Protection 42:1, pages 014004.
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Marina Filimonova, Alina Saburova, Ljudmila Shevchenko, Victoria Makarchuk, Anna Shitova, Olga Soldatova, Vitaly Rybachuk, Alexander Kosachenko, Kirill Nikolaev, Grigory Demyashkin, Vyacheslav Saburov, Sergey Koryakin, Petr Shegay, Andrey Kaprin, Sergey Ivanov & Alexander Filimonov. (2022) 1-Isobutanoil-2-isopropylisothiourea Phosphate, T1082: A Safe and Effective Prevention of Radiotherapy Complications in Oncology. International Journal of Molecular Sciences 23:5, pages 2697.
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Yoshiaki Sato, Masaru Yamaguchi & Ikuo Kashiwakura. (2022) An Analysis of the Serum Metabolomic Profile for the Radiomitigative Effect of the Thrombopoietin Receptor Agonist Romiplostim in Lethally Whole-Body-Irradiated Mice. Metabolites 12:2, pages 161.
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Arun Kumar, Sandeep Choudhary, Somesh Kumar, Jawahar S. Adhikari, Seema Kapoor & Nabo K. Chaudhury. (2022) Role of melatonin mediated G-CSF induction in hematopoietic system of gamma-irradiated mice. Life Sciences 289, pages 120190.
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Vijay K. Singh, Harold M. Swartz & Thomas M. Seed. (2021) Radiation Medical Countermeasures and Use of EPR Biodosimetry to Facilitate Effectiveness of Applied Clinical Procedures. Applied Magnetic Resonance 53:1, pages 289-303.
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Amrita K. Cheema, Yaoxiang Li, Jatinder Singh, Ryan Johnson, Michael Girgis, Stephen Y. Wise, Oluseyi O. Fatanmi, Michael D. Kaytor & Vijay K. Singh. (2021) Microbiome study in irradiated mice treated with BIO 300, a promising radiation countermeasure. Animal Microbiome 3:1.
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Thomas J MacVittie & Ann M Farese. (2021) Recent advances in medical countermeasure development against acute radiation exposure based on the US FDA animal rule. Journal of Radiological Protection 41:4, pages S438-S453.
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Hillard M Lazarus, James O Armitage & Robert Peter Gale. (2021) Role of molecularly-cloned hematopoietic growth factors after acute high-dose radiation exposures. Journal of Radiological Protection 41:4, pages S478-S489.
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Ann M. Farese, Michel Drouet, Francis Herodin, Jean-Marc Bertho, Karla D. Thrall, Simon Authier, Melanie Doyle-EiseleThomas J. MacVittie. (2021) Acute Radiation Effects, the H-ARS in the Non-human Primate: A Review and New Data for the Cynomolgus Macaque with Reference to the Rhesus Macaque. Health Physics 121:4, pages 304-330.
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D.C.R. Fernandes & H.J.N. Andreyev. (2021) Gastrointestinal Toxicity of Pelvic Radiotherapy: Are We Letting Women Down?. Clinical Oncology 33:9, pages 591-601.
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Marina Filimonova, Alina Saburova, Victoria Makarchuk, Ljudmila Shevchenko, Valentina Surinova, Vadim Yuzhakov, Nina Yakovleva, Larisa Sevankaeva, Vyacheslav Saburov, Sergey Koryakin, Petr Shegay, Andrey Kaprin, Sergey Ivanov & Alexander Filimonov. (2021) The Ability of the Nitric Oxide Synthases Inhibitor T1023 to Selectively Protect the Non-Malignant Tissues. International Journal of Molecular Sciences 22:17, pages 9340.
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Xuejiao Li, Xinxin Wang, Longfei Miao, Yuying Guo, Renbin Yuan, Jingming Ren, Yichi Huang & Hongqi Tian. (2021) Design, Synthesis, and Biological Evaluation of a Novel Aminothiol Compound as Potential Radioprotector. Oxidative Medicine and Cellular Longevity 2021, pages 1-15.
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Yaoxiang Li, Michael Girgis, Stephen Y. Wise, Oluseyi O. Fatanmi, Thomas M. Seed, Manoj Maniar, Amrita K. Cheema & Vijay K. Singh. (2021) Analysis of the metabolomic profile in serum of irradiated nonhuman primates treated with Ex-Rad, a radiation countermeasure. Scientific Reports 11:1.
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Balazs J. Bene, William F. Blakely, David M. Burmeister, Lynnette Cary, Suyog J. Chhetri, Catherine M. Davis, Sanchita P. Ghosh, Gregory P. Holmes-Hampton, Sergey Iordanskiy, John F. Kalinich, Juliann G. Kiang, Vidya P. Kumar, R. Joel Lowy, Alexandra Miller, Mohammad Naeem, David A. Schauer, Lien Senchak, Vijay K. Singh, Aure J. Stewart, Elih M. Velazquez & Mang Xiao. (2021) Celebrating 60 Years of Accomplishments of the Armed Forces Radiobiology Research Institute1. Radiation Research 196:2.
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Vijay K. Singh & Thomas M Seed. (2021) Repurposing Pharmaceuticals Previously Approved by Regulatory Agencies to Medically Counter Injuries Arising Either Early or Late Following Radiation Exposure. Frontiers in Pharmacology 12.
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Aneta Cheda, Ewa M. Nowosielska, Jerzy Gebicki, Andrzej Marcinek, Stefan Chlopicki & Marek K. Janiak. (2021) A derivative of vitamin B3 applied several days after exposure reduces lethality of severely irradiated mice. Scientific Reports 11:1.
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Seo-Young Kwak, Sehwan Shim, Sunhoo Park, Hyewon Kim, Sun-Joo Lee, Min-Jung Kim, Won-Suk Jang, Young-heon Kim & Hyosun Jang. (2021) Ghrelin reverts intestinal stem cell loss associated with radiation-induced enteropathy by activating Notch signaling. Phytomedicine 81, pages 153424.
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Vijay K. Singh & Thomas M. Seed. (2021) Entolimod as a radiation countermeasure for acute radiation syndrome. Drug Discovery Today 26:1, pages 17-30.
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Robert Peter Gale & James O. Armitage. (2021) Use of molecularly-cloned haematopoietic growth factors in persons exposed to acute high-dose, high-dose rate whole-body ionizing radiations. Blood Reviews 45, pages 100690.
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Masaru Yamaguchi, Marino Suzuki, Moeri Funaba, Akane Chiba & Ikuo Kashiwakura. (2020) Mitigative efficacy of the clinical dosage administration of granulocyte colony-stimulating factor and romiplostim in mice with severe acute radiation syndrome. Stem Cell Research & Therapy 11:1.
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Changhui Ge, Fei Su, Hanjiang Fu, Yuan Wang, Baolei Tian, Bin Liu, Jie Zhu, Yong Ding & Xiaofei Zheng. (2020) RNA Profiling Reveals a Common Mechanism of Histone Gene Downregulation and Complementary Effects for Radioprotectants in Response to Ionizing Radiation. Dose-Response 18:4, pages 155932582096843.
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Mayuri Bandekar, Dharmendra K. Maurya, Deepak Sharma, Rahul Checker, Vikram Gota, Nigamananda Mishra & Santosh K. Sandur. (2020) Xenogeneic transplantation of human WJ-MSCs rescues mice from acute radiation syndrome via Nrf-2-dependent regeneration of damaged tissues. American Journal of Transplantation 20:8, pages 2044-2057.
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Merriline Satyamitra, Lynnette Cary, Dylan Dunn, Gregory P. Holmes-Hampton, Lawrence J. Thomas & Sanchita P. Ghosh. (2020) CDX-301: a novel medical countermeasure for hematopoietic acute radiation syndrome in mice. Scientific Reports 10:1.
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Crawford R M Foster. (2020) Emergency preparedness: Ionising radiation incidents and medical management. BMJ Military Health 166:1, pages 21-28.
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A. N. Grebenyuk & V. D. Gladkikh. (2020) Modern Condition and Prospects for the Development of Medicines towards Prevention and Early Treatment of Radiation Damage. Biology Bulletin 46:11, pages 1540-1555.
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John S. Parrish & Gilbert Seda. (2019) Disasters Resulting from Radiologic and Nuclear Events. Critical Care Clinics 35:4, pages 619-631.
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