-
a cell that is specialized functionally and/or morphologically
can be mature cell or end cell in a population
differentiated
-
cell that is not specialized.
immature cell whose primary function is to divide
undifferentiated
-
three categories of cells
- stem cells
- transit cells
- static cells
-
-cyte =
-blast =
- -cyte = mature
- -blast = immature
-
stem cells primary function is to divide to:
- maintain its own population
- produce cells for another population
-
stems cells are
undifferentiated
-
basal cells of epidermis
myoblast of bone marrow
osteoblast in the bone
intestinal crypt cells
used to treat severely burned patients
stem cells
-
cells that are on their way from the stem cell compartment to the mature cell compartment
transit cells
-
5 cell populations
- vegitative intermitotic cells (VIM) LEAST MATURE
- differentitating intermitotic cells (DIM)
- multipotential connective cells
- reverting postmitotic cells (RPM)
- fixed postmitotic cells (FPM) MOST MATURE
-
cell populations were defined by
- Dr. Robert J Rubin
- Dr. David Casarett
-
rapidly dividing undifferentiated cells that have a short lifetime
most radiosensitive
vegetative intermitotic cells (VIM)
-
examples of VIM
- basal cells
- crypt cells
- type A sperm
- erythroblasts
-
cells produced by the division of VIM cells.
actively mitotic but more differentiated than VIM.
more radioresistant thatn VIM
differentiating intermitotic cells (DIM)
-
examples of DIM
intermediate and B type sperm
-
cells divide irregularly and are more differentiated than DIM cells
more radioresistant than DIM
Multipotential connective cells
-
examples of multipotential connective cells
- endothelial cells (line blood vessels)
- fibroblasts (connective tissue)
-
cells that do not normally divide, however, they retain the ability to divide under certain circumstances.
more differentiated and usually long lived
reverting postmitotic cells (RPM)
-
reverting postmitotic cells are more radioresistant except
lymphocytes
-
examples of RPM
- liver cells
- mature lymphocytes
-
cells do not divide and are highly differentiated
most radioresistant
fixed postmitotic cells FPM
-
examples of FPM
- nerve cells
- muscle cells
- erythrocytes (RBC)
- spermatozoa
-
types of cell damage
- reproductive death
- mitotic or genetic death
- interference of function
- interphase death
- mitotic delay
- chromosomal breakage
-
cell permanently loses it ability to reproduce
cells lives continuing to metabolize and synthesize nucleic acids and protein
100-1000 rads (1-10 Gy)
reproductive death
-
when a cell has been irridated and dies without attempting division
governed by radiosensitivity of cell
more radiosensitive=smaller dose required
- interphase death
- aka nonmitotic death
- aka nondivision death
-
interphase death for cells in hemopoetic system would require than central nervous system cells
less dose
-
interphase death for radiosensitive cells such as lymphocytes or spermatogonia requires cGy (rad), where interphase death for more radioresistant cells such as those in bone requires cGy (rad)
- a few hundred
- several thousand
-
occurs when a cell dies after one or more divisions. can be caused by small doses of radiation. mitotic process is slowed or permanently inhibited. cell death can occur after permanent inhibition
mitotic or genetic death
-
the radiation dose required to produce mitotic death is than the dose needed to produce interphase death in slowl dividing cells or in non-dividing cells
less
-
failure of a cell to start dividing on time.
can result from as little as Gy (rad)
- mitotic delay
- 0.01 Gy (1 rad)
-
permanent or temporary idependent of the cell's ability to divide can occur as a result of exposure to ionizing radiation.
if repair enzymes can fix the damage. the cell can recover and continue to function.
interference of function
-
occurs when:
ionizing radiation interacts directly with many DNA molecules (direct effect)
free radicals interact with DNA with many DNA molecules (inderect effect)
chromosome breakage
-
since chromosome breakage may result in a loss of genetic material this can lead to in the future generations
genetic mutations
-
the study of genetics of cells in particular cell chromosomes
cytogenetics
-
when damage to DNA is severe (breakage of many bonds and strands) the chromosome may be fragmented
chromosome breaks
-
for a cell to die following radiation exposure, its target molecule must be inactivated
Target theory
-
experimental evidence suggests that the target molecule is and that there is of radiation to the target molecule
-
Effect
Blood count changes
Vomiting (threshold)
Mortality (threshold)
LD50/60 (with minimal supportive care)
LD50/60 (with supportive medical treatment)
100% mortality (with best available treatment)
320-360 rem
480-540 rem
800 rem
-
a method of displaying th eradiation sensitivity of a particular cell type and are plotted
- cell survival curve
- in vitro
-
in glassware or an artificial environment, outisde the living body
in vitro
-
-
in vitro assays:
- cells harvested from culture and plated out
- dishes are irridated at different levels
- the number of colonies are counted after a specific time
- number of colonies compared to control sample
- survival curves generated
-
single target, single hit applies to:
- enzymes
- viruses
- bacteria
- other simple cells
- (no survival curve)
-
multi target, single hit applies to:
- human cells
- mammalian cells
-
the radiation dose sufficient to kill 63% of the cells. (37% surviving).
D37
-
quais-threshold dose. the width of the shoulder region of a cell survival curve
Dq
-
determined by extrapolation of the linear portion of the curve back to its intersection with the y axis
extrapolation number
-
an expression of radiosensitivitym, mean lethal dose. dose required to reduce cells surviving to 37% o nthe multi target single hit model.
D0
-
the lower the D0 the more the cell
radiosensitive
-
factors affecting radiation response.
- physical
- biological
- chemical
-
energy transfer per length of travel (keV/micrometer)
higher LET produces higher response
LET
-
alpha and beta are LET
xray and gamma are LET
-
dose of standard radiation (200-250 kvp) to produce an effect compared to the dose of test radiation to produce the same effect
Higher = greater response
RBE
-
dose delivered continuously but at a lower dose rate
allows for higher overall doses to be achieved which is helpful when treating cancer
protraction
-
dose delivered approx the same time each day but over a course of several days or weeks.
lowers radiation response but allow for good cells to repair
fractionation
-
the vast majority of intracellular repair is finished by post irridation
6 hours
-
tissue is more sensitive to radiation when irridated in the oxygenated state than when irridated under anoxic or hypoxic conditions
oxygen effect
-
dose necessary under anoxic condition to produce a given effect divided by dose necessary under aerobic conditions to produce the same effect
OER
-
oxygen radiation response
increases
-
are more sensitive than middle age if considering age only
infants and geriatrics
-
are more sensitive than
this high tolerance is thought to be contributed to what?
- males
- females
- hormones(estrogen)
-
very sensitive cells need time than less sensitive cells
more recovery
-
dose given in a short span of time as oppesed to a long span will require time
more recovery
-
malnourishment the probabiblity of radiation response
increases
-
undifferentiated cells are sensitive and divide
-
differentiated cells are sensitive and divide
-
is more sensitive than mitotic
interphase
-
drugs used to protect against ionizing raditation:
steroids
-
drugs used to increase the effectiveness of radiation therapy in destroying unwanted cells
- radiation sensitizers
- (chemo drugs)
-
ionizing radiation is more effective against cells that are actively mitotic, undifferentiated, and have a long dividing future
law of bergonie and tribondeau
-
cells with high radiosensitivity
- lymphoid organs
- bone marrow
- blood
- testes
- ovaries
- intestines
-
cells with fairly high radiosensitivity
skin and other organs with epitheleal cell lining (cornea, oral cavity, esophagus, rectum, bladder, vagina, uterine, cervix, ureters)
-
cells with moderate radiosensitivity
- optic lens
- stomach
- growing cartilage
- fine vasculature
- growing bone
-
cells with fairly low radiosensitivity
- mature cartilage or bones
- salivary glands
- respiratory organs
- kidneys
- liver
- pancreas
- thyroid
- adrenal and pituitary gland
-
cells with low radiosensitivity
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