Radiation hormesis is the hypothesis that ionizing radiation is benign at low levels of exposure, and that doses at the level of natural background radiation can be beneficial. This is in contrast to the linear no threshold (LNT) model which posits that the negative health effects of ionizing radiation are proportional to the dose. Although a few papers have been published supporting the theory of radiation hormesis, scientific consensus has now developed against the theory.
Radiation hormesis has been rejected by both the United States National Research Council (part of the National Academy of Sciences) and the National Council on Radiation Protection and Measurements (a body commissioned by the United States Congress). In addition, the United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR) wrote in its most recent report:
Until the [...] uncertainties on low-dose response are resolved, the Committee believes that an increase in the risk of tumour induction proportionate to the radiation dose is consistent with developing knowledge and that it remains, accordingly, the most scientifically defensible approximation of low-dose response. However, a strictly linear dose response should not be expected in all circumstances.
This is a reference to the fact that very low doses of radiation have only marginal impacts on individual health outcomes. It is therefore difficult to detect the 'signal' of decreased or increased morbidity and mortality due to low-level radiation exposure in the 'noise' of other effects.
Radiation hormesis debate
Proponents advance the hypothesis that those genes that repair damage due to radiation are activated and reduce damage from other causes, which would otherwise be imperfectly repaired.
Cadmium poisoning is cited as one model. It is known that many toxic metals can induce oxidative stress in tissue which may result in free radical induced damage. Also it is known that prior exposure to a small dose of cadmium can mitigate the effects of a second larger dose, this suggests that the first lower dose of the poison stimulates the DNA repair processes in the exposed tissue. 
While most authorities agree that the LNT model is most appropriate, a small number of studies have proposed radiobiological hormesis, suggesting that radiation levels of 100 mSv/year may actually be positive or at least neutral to health. Indeed there have been claims that humans live in a subclinical deficiency of ionising radiation. proposing that chronic exposure to low level radiation protects cells from radiation damage by promoting DNA repair machinery, resulting in improved fitness. Evidence supporting the hypothesis is drawn from in vitro tests (on samples of cells) and in some epidemiological studies. These studies include:
- Three studies found that chronic-exposure to low level radiation may exert a protective effect upon cells.
- A study of cosmic radiation and DNA damage in cosmonauts, found that cosmonauts who flew on two or more missions had a level of DNA damage equal to people who never flew in space. The effects of microgravity or acquired resistance to cosmic radiation i.e. hormesis, was suggested.
- One study found that a 200 mGy X-ray dose protects mice against both further X-ray exposure and ozone gas.
- One study that found increased antioxidant defense activity in the kidneys of mice exposed to a full body exposure low level gamma radiation.
- One study found that preexposure to radiation (50 to 100 mGy for four hours) results in a small reduction of the ability of an 8 Gy dose to damage DNA in intact cells due to a shift in the cell cycle.
- One study found that moderate internal exposure to plutonium results in a reduction of the risk of cancer.
- An article in the "Townsend Letter: The Examiner of Alternative Medicine" suggested that a small dose of radiation may be beneficial.
However, none showed this benefit to last for more than 24 hours, making the usefulness questionable.
Another question is the effect of prolonged exposure to radiation on health. Again, the vast preponderance of studies have upheld the linear no threshold theory, but epidemiological studies are very difficult, as an example, people with longer life-spans are more likely to get cancer, so those who are occupationally exposed have better health on average because they had a job--they are thus more likely to get cancer regardless of their exposure. Two examples include:
- One study found that pilots, who are exposed to elevated levels of cosmic radiation, are more prone to brain, rectal and prostate cancers whilst flight crews are twice as susceptible to breast cancer, despite being healthier overall than the general public.
Rejecting radiation hormesis
The notion of radiation hormesis has been rejected by the National Research Council's (part of the National Academy of Sciences) 16 year long study on the Biological Effects of Ionizing Radiation. "The scientific research base shows that there is no threshold of exposure below which low levels of ionizing radiation can be demonstrated to be harmless or beneficial. The health risks – particularly the development of solid cancers in organs – rise proportionally with exposure" says Richard R. Monson, associate dean for professional education and professor of epidemiology, Harvard School of Public Health, Boston . See the National Academies Press book Health Risks from Exposure to Low Levels of Ionizing Radiation: BEIR VII Phase 2.
- The possibility that low doses of radiation may have beneficial effects (a phenomenon often referred to as “hormesis”) has been the subject of considerable debate. Evidence for hormetic effects was reviewed, with emphasis on material published since the 1990 BEIR V study on the health effects of exposure to low levels of ionizing radiation. Although examples of apparent stimulatory or protective effects can be found in cellular and animal biology, the preponderance of available experimental information does not support the contention that low levels of ionizing radiation have a beneficial effect. The mechanism of any such possible effect remains obscure. At this time, the assumption that any stimulatory hormetic effects from low doses of ionizing radiation will have a significant health benefit to humans that exceeds potential detrimental effects from radiation exposure at the same dose is unwarranted .
- In chronic low-dose experiments with dogs (75 mGy/d for the duration of life), vital hematopoietic progenitors showed increased radioresistance along with renewed proliferative capacity (Seed and Kaspar 1992). Under the same conditions, a subset of animals showed an increased repair capacity as judged by the unscheduled DNA synthesis assay (Seed and Meyers 1993). Although one might interpret these observations as an adaptive effect at the cellular level, the exposed animal population experienced a high incidence of myeloid leukemia and related myeloproliferative disorders. The authors concluded that “the acquisition of radioresistance and associated repair functions under the strong selective and mutagenic pressure of chronic radiation is tied temporally and causally to leukemogenic transformation by the radiation exposure” (Seed and Kaspar 1992) . See also Hormesis under "Non-acceptance".
- Health Risks from Exposure to Low Levels of Ionizing Radiation: BEIR VII Phase 2
- Abstract of a study showing that radiation increases the rate of natural antioxidant (glutathione) production. The study found that this does not act as a radiation protection, but seems to protect against other cellular insults such as oxidation.
- History of the idea by a supporter of the concept.
- Radiation Hormesis Overview by T. D. Luckey, who wrote a book on the subject (Luckey, T. D. (1991). Radiation Hormesis. Boca Raton, FL: CRC Press. ISBN 0-8493-6159-1)
- Radiation Hormesis: Demonstrated, Deconstructed, Denied, Dismissed, and Some Implications for Public Policy by Joel M. Kauffman: "evidence is presented that chronic doses up to 100 times those of normal ambient (including medical) exposures are beneficial..."
- http://books.nap.edu/catalog/11340.html Health Risks from Exposure to Low Levels of Ionizing Radiation: BEIR VII Phase 2
- UNSCEAR 2000 REPORT Vol. II: Sources and Effects of Ionizing Radiation: Annex G: Biological effects at low radiation doses. page 160, paragraph 541. Available online at .
- Wahba, Z. Z.; Hernandez, L.; Issaq, H. J.; Waalkes, M. P. (1990): Involvement of sulfhydryl metabolism in tolerance to cadmium in testicular cells. Toxicology and Applied Pharmacology, 104:157-166.
- Waalkes, M. P.; Perantoni, A. (1986): Isolation of a novel metal-binding protein from rat testes: characterization and distinction from metallothionein. Journal of Biological Chemistry, 261:13079-13103.
- Waalkes, M. P.; Rehm, S.; Riggs, C.W.; et al. (1988): Cadmium carcinogenesis in male Wistar (Crl:(WI)BR) rats: dose-response analysis of tumor induction in the prostate and testes, and at the injection site. Cancer Research, 48:4656-4663.
- Rugstad, H. E.; Norseth, T. (1975): Cadmium resistance and content of cadmium-binding protein in cultured human cells. Nature, 257:136-137.
- Luckey T (1999). "Nurture with ionizing radiation: a provocative hypothesis.". Nutr Cancer 34 (1): 1-11. PMID 10453435.
- Jennifer, L. & Prekeges, M.S., (2003): Radiation Hormesis, or, Could All That Radiation Be Good for Us? Journal of Nuclear Medicine Technology, 31(1), 11–17. 
- Johansson, L.; (2002): Hormesis, an update of the present position. European Journal of Nuclear Medicine and Molecular Imaging. 30(6):921-933. 
- Feinendegen, L.E. & Neumann, R.D.; (2006): The issue of risk in complex adaptive systems: the case of low-dose radiation induced cancer. Human & Experimental Toxicology. 25(1):11-17 
- Luckey, T.D., (2007): Documented optimum and threshold for ionising radiation. International Journal of Nuclear Law, 1(4), 378 – 409. 
- Pollycove, M.; (2007): Radiobiological Basis of Low-Dose Irradiation in Prevention and Therapy of Cancer. Dose-Response. 5(1):26-38. 
- Feinendegen, L.E.; |(2005): Evidence for beneficial low level radiation effects and radiation hormesis. British Journal of Radiology. 78:3-7 
- Azzam, E. I.: Radiation Research, 1994, 138(1), S28-S31
- Azzam, E.I., de Toledo, S.M., Raaphorst, G.P., Mitchel, R.E.J., 1996. Low-Dose Ionizing Radiation Decreases the Frequency of Neoplastic Transformation to a Level below the Spontaneous Rate in C3H 10T1/2 Cells. Radiation Research, 146(4):369-373. doi:10.2307/3579298 
- Ghiassi-nejad, M.; Mortazavi, S. M. J.; Cameron, J. R.; Niroomand-rad, A.; Karam, P. A., (2002): Very high background radiation areas of Ramsar, Iran: preliminary biological studies. Health Physics. 82(1):87-93. 
- Durante, M., Snigiryova, G., Akaeva, E. et al. (2003): Chromosome aberration dosimetry in cosmonauts after single or multiple space flights. Cytogenetic and Genome Research, 103(1-2):40-46. 
- Miyachi, Y.: The British Journal of Radiology, 2000, 73, 298-304
- Pathak, C.M.,Avti, P.K.,; Kumar, S.,; Khanduja, K.L. and Sharma, S.C. (2007): Whole Body Exposure to Low-dose Gamma Radiation Promotes Kidney Antioxidant Status in Balb/c Mice. Journal of Radiation Research, 48(2), 113-120. 
- Cramers, P.; Atanasova, P.; Vrolijk, H.; Darroudi, F.; van Zeeland, A. A.; Huiskamp, R.; Mullenders, L. H.; Kleinjans, J.C.: )
- Kendall, G.M. et al.: Mortality and occupational exposure to radiation; First analysis of the National Registry for Radiation Workers. British Medical Journal, 1992; 304: 220.
- Mortazavi, M.; Ghiassi-Nejad, P.A.; Karam, T.; Ikushima, A.; Niroomand-Rad, J.R.; Cameron, (2006): Cancer incidence in areas with elevated levels of natural radiation. International Journal of Low Radiation, 2(1-2), 20–22.