MOLECULAR MECHANISMS OF URINARY BLADDER CANCEROGENESIS AFTER THE CHERNOBYL NUCLEAR POWER ACCIDENT

Biopsy material of urine bladder was researched in 159 men without clinical symptoms of urinary bladder deseases, which were perfomed trans-bladded adenomectomy for benign hyperplasia of prostate, and 5 women with a chronic cystitis. It is established that in a group of patients, living at the territory polluted by 137Cs (5–30) and (0,5–5) km2, and with a specific activity in urine Cs (6.47±1.43) and (1.23±1.00) accordingly, dysplasia urothelium was detected in 97 and 83 % and the numerous cancer zones — in situ with neoplastic changes in 73 and 64 %. The overexpression of p38 MAPK and subunit NF-kB — p65 and p50 in urothelial cells was detected, that is evidence of an important role of the oxidative stress development in a pathogenesis of chronic atipic cystitis (“Chernobyl cystitis”), which develops as a result of chronic long action of ionizing radiation in persons living at the territories polluted by 137Cs radionucleotides.