-
**the interaction of radiation in cells is a probability function or a matter of:
chance
-
the initial deposition of energy occurs very rapidly – within a period of:
10-17 seconds
-
is radiation interaction in a cell selective or nonselective?
nonselective
-
as a generalization, visible changes in
the cell's tissues and organs resulting from ionizing radiation are not:
- not unique
- they cannot be distinguished from damage produced by other types of trauma
-
biologic changes resulting from radiation occur only after a period of time known as a ___________ which depends on ___________ and varies from _____________________.
- latent period
- dose and type of response
- minutes to weeks to years
-
results of ionizing radiation interacting directly with macromolecules (DNA, RNA, proteins, etc.):
direct effect
-
**absorption of ionizing radiation by the medium in which organelles are suspended, primarily water:
indirect effect
-
label A and B:

- A. direct effect
- B. indirect effect
-
**atom or atom group carrying an unpaired electron and no charge:
free radical
-
**a free radical is highly reactive because the unpaired electron will pair up with another electron even if it has to:
break a chemical bond
-
**explain what is happening in the diagram:
- radiolysis of water
 - radiation comes in, interacts with water (H2O), an electron is ejected (ionization), and the water molecule becomes positive
-
**after radiolysis of water explain what can occur:
 - free radical (-e) occurring after radiolysis attaches to a 2nd water molecule and gives it a negative charge (making it an anion).
-
**after radiolysis, give a common reaction at this stage and explain it:
 - following radiolysis, a positive water molecule can become a positively charged hydrogen ion and hydroxyl free radical
-
**after radiolysis, give a common reaction at this stage and explain it:
 - following radiolysis, a negative water molecule can become a negatively charged hydroxyl ion and a hydrogen free radical
-
**describe what can occur with the following ion pair H+ and OH-
- the ion pair may combine to form a water molecule (HOH). no damage would occur.
- the ions may chemically react with cellular macromolecules
-
**an example of an action of free radicals includes that they could come together. show what this would create with the free radicals H* and OH*
 - no damage/harm occurs
-
**an example of an action of free radicals includes that they could join with other free radicals, possibly forming a new molecule. show what this combination results in:
 - hydrogen peroxide occurs, which is a bad reaction because this chemical breaks down cells; acts as a toxin/poison
-
list three common actions of free radicals:
- combine with each other
- join with other free radicals, possibly forming a new molecule
- react with normal molecules or biologic macromolecules, forming new or damaged structures
-
**A free radical can combine with oxygen and form a:
(give an example)
- new free radical

-
**show a chemical reaction we discussed that is an example of when a free radical may react with a biologic molecule:
 - R=any organic molecule
- H=hydrogen
- (RH) removing the H forms a biologic free radical
-
an indirect interaction usually produces __________ due to the presence of _________.
-
**if oxygen is present, R* and H* may react with oxygen to form:
- RO2*
- HO2*
- can react with other organic molecules to cause biologic damage
-
list the steps of the process of an indirect effect leading to biologic effects:
- xray photon
- fast electron
- ion radical
- free radical
- chemical changes
- biologic effects
-
the rate at which ionizing radiation deposits energy as it travels through matter:
LET (linear energy transfer)
-
**what is LET measured in?
- keV/µm
- (keV of micrometers)
-
**which has more LET, gamma or alpha and beta?
alpha and beta are lower energy, therefore more attenuation, therefore have a higher LET as compared to gamma radiation
-
produce ionizations that are distant from each other:
- low LET radiations
- (ex. x and g rays)
-
produce many ionizations in a short distance:
- high LET radiations
- (ex. a and neutrons)
-
LET of x-ray, photoelectrons, and compton electrons:
0.3 to 10 keV/µm
-
-
**dose from 250 kVp x-ray divided by the dose from another radiation source to produce the same biologic response:
relative biologic effect (RBE)
-
if the LET increases, what happens to the RBE?
increases
-
a point mutation that commonly occurs with low-let radiations (high energy ionizing radiations):
- single-strand break
- repair enzymes can fix
-
creates a frame shift mutation that can make a change in DNA:
- double-strand break
- not as easily repaired as a single-strand break
-
with what type of radiation is a double-strand break more common?
high LET, low energy ionizing radiation
-
if a double-strand break is further exposed to radiation, what can result?
additional breaks of the sugar-phosphate molecular chain
-
what can occur if a double-strand break occurs in the same rung of DNA?
- results in cleaved or broken chromosome
- if it divides, the daughter cell will receive incorrect genetic material
- result can be death or impaired function of the daughter cell
-
**usually the interaction of high energy/low LET with DNA causes a loss or change in nitrogenous base on the DNA called a:
mutation
-
the chemical unions created between atoms by the single sharing of one or more pairs of electrons:
- covalent cross-link
- (at low energies, this process is caused from indirect action)
-
radiation induced chromosomal breaks manifest during which phase(s) of cell division?
-
what types of cells are subject to chromosome breakage?
both somatic and reproductive cells
-
chromosomal _____________ are when two or more segments appear.
fragments
-
what are some occurrences that can happen when chromosomal fragments appear?
- they can rejoin to the original state
- they can fail to rejoin and create an aberration (lesion or anomaly)
- they can rejoin other broken ends and create new chromosomes that may not look structurally altered when compared to the original
-
what are the two types of chromosome anomalies?
- chromosome aberrations
- chromatid aberrations
-
when do chromosome aberrations take place?
in early interphase (G1), before DNA synthesis has taken place
-
when do chromatid aberrations take place?
in late interphase (G2), after DNA synthesis has taken place
-
label the types of damage that can occur in DNA:
- A. one side rail severed
- B. both side rails severed
- C. cross-linking
- D. rung breakage
-
after a low radiation dose, most cellular radiation damage that results in late somatic effects occurs because of:
point lesions
-
areas on DNA molecules caused by the breaking of a single chemical bond:
point lesions
-
**experimental data strongly supports that _____ is the irreplaceable master, or key, molecule that serves as the vital target.
-
**KNOW the 7 key cellular effects of irradiation:
- instant death
- reproductive death
- apoptosis/interphase death
- mitotic/genetic death
- mitotic delay
- interference of function
- chromosome breakage
-
what exposure amount can cause cell death?
- a gamma dose of 1000Gy can cause cell death in seconds or a few minutes
- not caused in diagnostic exposure
- ex. nuclear bomb
-
in cell death, if enough cells of the same kind are killed, what can happen?
a particular tissue or organ can be destroyed or seriously impaired
-
what exposure amount can cause reproductive death?
1-10Gy
-
what is a positive aspect of reproductive death?
it can prevent damage to further generations
-
**when a cell dies without attempting division during the interphase portion:
apoptosis (programmed cell death)
-
occurs when a cell dies after one or more divisions:
mitotic death
-
does mitotic death or apoptosis usually require more radiation dose to occur?
- apoptosis
- (small doses can cause mitotic death)
-
failure of the cell to start dividing:
mitotic delay
-
what exposure amount can cause mitotic delay?
1 rad
-
reasons for mitotic delay:
- irradiation causing alteration of a chemical involved with mitosis
- proteins required for cell division not being synthesized
- change in the rate of DNA synthesis after irradiation
-
what occurs with the interference of function as an effect of irradiation?
- permanent or temporary interference of cell function
- no affect on cell’s ability to divide
- repair enzymes can fix damage and allow cell to function as normal with the exception of a small delay
-
the potential result when ionizing radiation interacts with a DNA macromolecule:
- chromosomal breakage
- (this can result in lost of genetic material and cause genetic mutations in future generations)
-
**when broken ends of the chromosome rejoin with no visible damage:
restitution
-
denoting a chromosome fragment without a centromere:
acentric
-
chromosome having two centromeres:
dicentric
-
transportation of two segments of nonhomologous chromosomes:
translocation
-
nonhomologous means:
not identical
-
when a broken chromosome segment is turned upside down:
inversion
-
when the broken fragments relocate to opposite arms of the chromosome:
inversion
-

what is happening on the chromosomal level for this to occur?
acentric marker chromosome originating from 3q
-

what is happening on the chromosomal level for this to occur?
a child with bisatellited, dicentric chromosome 15 arising from a maternal paracentric inversion of chromosome 15q
-
how does downs syndrome occur?
occurs when there are three strands in the 21st chromosome "pair"
-
a condition classified by a flattened nose and face, upward slanting eyes, single palmar crease, short fifth finger that curves inward, widely separated first and second toes and increased skin creases:
trisomy 21
-
**a chromosome map produced when enlarged photographs of a cell’s chromosomes are cut out and each is paired with its sister chromosome:
karyotype
-
karyotypes of human somatic cells show:
- 22 autosome pairs
- 1 pair of sex chromosomes
-
**records the relationship between an irradiated cell and the absorbed dose to determine radiosensitivity and is constructed from data obtained by a series of experiments:
cell survival curve
-
**what type of LET curve offers a survival shoulder?
a low LET
-
cell survival curve increases with:
decreased dose and low LET
-
list what these stand for:
LET
RBE
OER
- LET: linear energy transfer
- RBE: radiation biologic effect
- OER: oxygen enhancement ratio
-
if you have an increased RBE, what has happened to the LET? to the OER?
both have increased (direct relationships)
-
states that the radiosensitivity of cells is directly proportional to their reproductive activity and inversely proportional to their differentiation:
law of bergonie and tribondeau
-
who observed the effects of ionizing radiation on testicular germ cells in rabbits and when?
- j. bergonie and l. tribondeau
- 1906
-
the higher the metabolic rate of the cell, the _______ the sensitivity to radiation.
higher
-
hemopoetic cells are _____ sensitive to radiation than CNS cells.
- more
- (hemopoetic not as mature,constantly reproducing)
-
cells respond differently to ionizing radiation depending on:
- metabolic rate
- maturity
- differentiation
-
**describe how metabolic rate, maturity, and differentiation affect radiographic sensitivity:
- higher metabolic rate: sensitivity increases
- more maturity: sensitivity decreases
- more differentiation: sensitivity decreases
-
**know sensitivity doses for the following:
hematologic depression
whole body dose
neutrophils
thrombocytes
CNS
spermatogonia
ova
- hematologic depression: 25 rads
- whole body dose: 500 rads
- neutrophils: 50 rads
- thrombocytes: 100-1000 rads
- CNS: 5000 rads
- spermatogonia: 200 rads temp, 500-600 rads permanent
- ova: 500 rads, single exposure permanent damage
-
undifferentiated (less specialized) and have rapid cell division:
immature cells
-
differentiated (more specialized) and have slow cell division:
mature cells
-
mature cells have ________ sensitivity than immature cells.
less
-
small cell lung spreads quickly and is _____________ as opposed to non-small cell.
well-differentiated
-
**the only safe dose of radiation is:
no dose at all
-
- single break, one arm, one chromosome
- can have restitution, no damage
-
- single break, one arm, two chromosomes
- can form acentric fragments & dicentric chromosome
- translocation can occur
-
- double break, one arm, one chromosome
- deletion or inversion can occur
-
- single break, both arms, one chromosome
- inversion can occur
- can result in acentric fragments and ring formation
- possible functional alterations or cell death
-
-
-
- translocation
- genetic material is rearranged but chromosome looks fine; inheritable characteristics are changed
- a mutation is produced
-
- inversion
- change in gene sequence with possible functional alterations or cell death
-
-
- deletion
- loss of part of a chromosome or chromatid (genetic information)
- aberration is produced
-
- ring formation
- loss of genetic information
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