“…Translocations, complex chromosomal rearrangements and micronuclei in peripheral blood lymphocytes (see above) are also potentially useful to estimate cumulated red bone marrow doses resulting from protracted mixed exposure to internal and external IR following moderate to high doses, although further work is needed for complete validation [12,56,59,60,268]. Gender specific mRNA and miRNA gene expression patterns to internal 239 Pu exposure have been deciphered in former Mayak workers [269,270], which are promising markers of internal alpha-particle exposure and warrant further validation.…”