Chapter 7: Molecular and Cellular Radiation Biology Flashcards

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1
Q

Branch of biology concerned with the effects of ionizing radiation on living systems

A

Radiation Biology

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2
Q

What does Radiation Biology include of:

A
  • The sequence of events occurring after the absorption of energy from ionizing radiation
  • The action of the living system to compensate for the consequences of this energy assimilation
  • Injury to the living system that may occur from irradiation
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3
Q

is a complex interconnected living system composed of very large numbers of various types of cells, most of which may be damaged by radiation.

A

The human body

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4
Q

Damages living systems by ionizing the atoms comprising the molecular structure of these systems

A

Ionizing radiation

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5
Q

what does ionization mean?

A

removal of an electron

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5
Q

free radicals are considered your what

A

your biological damage

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6
Q

Biologic damage begins with the ionization produced by various types of radiation such as:

A
  • x-rays
  • gamma rays
  • alpha particles
  • beta particles
  • protons
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7
Q

Ionized atoms will not what?

A

ionized atoms will not bond properly in molecules

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8
Q

x-rays are considered

A

man made and can penetrate through more

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9
Q

gamma rays, alpha particles, and beta particles are considered

A

natural

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10
Q

Can only travel so far
- effect heavier
- more superficial can’t penetrate

A

alpha particles

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11
Q

is composed of two protons and two neutrons and therefore carries an electric charge of +2

has a number of 20

A

Alpha particles

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11
Q

what charge do electrons have?

A

electrons have a negative charge

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12
Q

What 3 things varies among the different types of radiation?

A
  • charge
  • mass
  • energy
    *These attributes determine the extent to which different radiation modalities transfer energy into biologic tissue.
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13
Q

What are the three important concepts that help us to understand the way ionizing radiation causes injury and how the effects may vary in biologic tissue?

A
  1. Linear energy transfer (LET)
  2. Relative biologic effectiveness (RBE)
  3. Oxygen enhancement ratio (OER)
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14
Q

What kind of relationship does LET and RBE have?

A

directly proportional

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14
Q

AS LET increases

A

RBE also increases

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15
Q

As LET increases

A

biological damage also increases

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16
Q

The average energy deposited per unit length of track by ionizing radiation as it passes through and interacts with a medium along its path

A

Linear Energy Transfer (LET)

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17
Q

What does LET stand for

A

Linear Energy Transfer

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18
Q

what units is LET described in

A

Is described in units of keV/μm

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19
Q

Is a very important factor in assessing potential tissue and organ damage from exposure to ionizing radiation

A

LET

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19
Q

Radiation categories according to LET:

A

Low-linear energy transfer radiation
High-linear energy transfer radiation

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20
Q

1 micron [µm] =

A

10 ^−6 m

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21
Q

Examples of Low LET radiation:

A

-X-rays
- Gamma Rays
- Electrons

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21
Q

Low LET has?

A

Low RBE
Higher energy

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22
Q

Low LET are able to

A

pass through not a lot is deposited less damaging

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23
Q

Examples of high LET Radiation:

A

-alpha particles
-ions of heavy nuclei
-charged particles released from interactions between neutrons and atoms
-low energy neutrons

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24
Q

High LET has

A

high RBE
less energy

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24
Q

High LET is

A

deposited energy as it goes through its path more damaging

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25
Q

When LET increases, the chance of a significant biologic response in the radiosensitive DNA macromolecule also

A

increases

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25
Q

Because of a property known as wave-particle duality, x-rays and gamma rays, can also be referred to as streams of moving particles called photons, each of which has

A

no mass* and no charge

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26
Q

When low-LET radiation interacts with biologic tissue, it causes damage to a cell primarily through an indirect action that involves the production of molecules called

A

free radicals

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27
Q

Because low-LET radiation generally causes sub-lethal damage to DNA,

A

repair enzymes can usually reverse the cellular damage.

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28
Q

High-LET radiation includes particles that possess substantial:

A

mass and charge.

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29
Q

For radiation protection, high-LET radiation is of most significant concern when internal contamination is possible, that is, when a radionuclide has been:

A
  • Implanted
  • Ingested
  • Injected
  • Inhaled
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29
Q

Describes the relative capabilities of radiation with differing LETs to produce a particular biologic reaction

A

Relative Biologic Effectiveness (RBE)

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30
Q

What does RBE stand for

A

Relative Biologic Effectiveness

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31
Q

is the ratio of the dose of a reference radiation (conventionally 250-kVp x-rays) to the dose of radiation of the type in question that is necessary to produce the same biologic reaction in a given experiment. The reaction is produced by a dose of the test radiation delivered under the same conditions.

A

RBE of the type of radiation being used

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31
Q

What is the mathematical expression for RBE?

A

RBE= dose in Gyt from 250 kvp x-rays (reference radiation) over dose in Gyt of test radiation

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31
Q

math equation for RBE

A

bigger number over smaller number

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31
Q

least resistant means

A

most sensitive

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32
Q

Most resistant means

A

least sensitive

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33
Q

the concept of RBE alone is not practical for specifying radiation protection dose levels in humans. To overcome this limitation, a radiation weighting factor (WR) is employed to calculate the equivalent dose (EqD) to determine the ability of a dose of any kind of ionizing radiation to cause biologic damage.

True or false

A

True

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33
Q

The ratio of the radiation dose required to cause a particular biologic response of cells or organisms in any oxygen-deprived environment to the radiation dose required to cause an identical response under normal oxygenated conditions

A

Oxygen Enhancement Ratio (OER)

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33
Q

when the radiation dose is high, how much OER does xrays and gamma rays have

A

In general, x-rays and gamma rays have an OER of about 3.0 when radiation dose is high.

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33
Q

when the radiation dose is low, how much is the OER

A

ER may be less (approximately 2.0) when radiation doses are below 2 Gyt.

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34
Q

the more oxygen that is present in the cell

A

the more sensitive it is to radiation

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35
Q

What is the OER ratio

A

radiation dose required to cause biologic responce without O2 over Radiation dose required to cause biologic response with O2

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35
Q

OER math formula

A

without oxygen over with oxygen

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36
Q

without oxygen is called

A

anoxic

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37
Q

low oxygen

A

hypoxic

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38
Q

cells that are anoxic are

A

3x more resistent least sensitive

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39
Q

high LET have an OER of

A

1.0

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39
Q

blood cells have a lot of oxygen meaning

A

they are more sensitive

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39
Q

blood cells have a count of

A

0.25

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40
Q

blood cells are easily repaired but once they get to the muscle tissue

A

they are not easily repaired

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40
Q

In living systems, biologic damage stemming from exposure to ionizing radiation may be observed on three levels:

A
  • Molecular
  • Cellular
  • Organic systems
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41
Q

Any visible radiation-induced injuries of living systems at the cellular or organic level always begin with damage at what level

A

at the molecular level.

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41
Q

results in the formation of structurally changed molecules that may impair cellular functioning.

A

Molecular Damage

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41
Q

what happens to the energy as there is an increase in LET and increase in RBE

A

decrease in energy

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42
Q

what happens to energy when there is a decrease in LET and RBE

A

increase in energy

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43
Q

somatic

A

yourself

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44
Q

genetic

A

future generations

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45
Q

Three things that can happen in the molecular, cellular, or organic systems:

A
  1. it can be repaired if there’s no damage
  2. it can be repaired but (mutated)
  3. cell death
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46
Q

Because energy from ionizing radiation can alter a human cell’s constituent molecules, such exposure may disturb the cell’s chemical balance and ultimately the way it operates. The affected cell can then no longer perform its normal task.

A

Effects of Irradiation on Somatic and Genetic Cells

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47
Q

If a sufficient quantity of somatic cells are affected,

A

entire body processes may be disrupted.

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47
Q

If radiation damages the germ cells, the damage may be passed

A

on to future generations in the form of genetic mutations.

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47
Q

Cells of the human body are highly what? Each cell has a predetermined task to perform, and each cell’s function is governed and defined by the structures of its constituent molecules.

A

highly specialized

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48
Q

There are two classifications of ionizing radiation interaction on a cell.

A

Direct action (e.g., in DNA)
Indirect action (e.g., in H2O)

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48
Q

directly hitting DNA (more common with Alpha particles)

A

Direct action

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48
Q

is high LET direct or indirect

A

direct action

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48
Q

hitting something else not DNA more likely to get because our body is made of 80% of water

A

indirect action

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48
Q

is low LET direct or indirect

A

indirect action

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49
Q

when you have an indirect hit you create what

A

free radicals which creates biological damage

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50
Q

is direct or indirect more likely to happen

A

Indirect —-Because the human body is 80% water and less than 1% DNA, essentially all effects of low-LET irradiation in a living cell result from indirect action.

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50
Q

what happens when free radicles comes in contact with DNA

A

there will be cell death

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51
Q

what does a indirect hit create

A

indirect hit creates free radicals, those free radicals cause more biological damage

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51
Q

most common form of biological damage

A

free radicals

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52
Q

biological damage occurs as a result of DNA inaccurate / functioning high LET

A

direct action

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53
Q

most are these interact with water ( 80 to 85 %) produce free radicals

A

indirect action

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53
Q

refers to the dissociation of molecules by ionizing radiation

A

Radiolysis

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53
Q

What are the steps of Radiolysis of water

A

Ionization of water molecules
Production of free radicals
Production of undesirable chemical reactions and biologic damage
Production of cell-damaging substances
Organic free radical formation

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54
Q

when it hits the water molecule it can ionize that water molecule if that happens there’s no damage it can restabilize

A

ionization of water moleucles

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55
Q

ionization of water molecules has a charge of

A

positive charge

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55
Q

free radical is what kind of charge

A

negative charge

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55
Q

they are unstable and can break apart into smaller molecules

A

production of free radicals

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55
Q

radiation with water can form

A

ion pair

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56
Q

2/3ths of your radiation damage is caused by your

A

free radical

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56
Q

2/3ths of your radiation damage is caused by your free radical

A

production of undesirable chemical reactions and biologic damage

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56
Q

altered areas of chemical bond

A

point lesions

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56
Q

free radical hydroxyl

A

OH

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56
Q

hydrogen peroxide

A

production of cell damaging substances

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57
Q

chemical symbol for hydrogen peroxide

A

OH + OH = H2O2

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57
Q

hydrogen peroxide in the body is

A

extremely damaging when it comes to radiation cellular damage

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58
Q

very poisonous to the cell

A

hydrogen peroxide

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59
Q

are believed to be among the primary substances that produce biologic damage directly after the interaction of radiation with water.

A

hydroperoxyl radical and hydrogen peroxide

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59
Q

small scale change of disruption original molecule is destroyed and is replaced by radicals

A

organic free radical formation

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60
Q

only effecting the one side of rungs (DNA)

A

single strand break

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61
Q

Ionizing radiation interacts with DNA macromolecule, transfers energy, and ruptures one of the molecule’s chemical bonds possibly severing one of the sugar-phosphate chain side rails (called a point mutation)
- Repair enzymes are often capable of reversing this damage

A

single strand break

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62
Q

a single alteration along the sequence of nitrogenous bases can result in

A

a gene abnormality

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62
Q

Point lesions commonly occur with

A

Low-LET radiation

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62
Q

-can be cell death (not commonly repaired)
-usually happens with alpha what type of break?

A

double strand break

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62
Q

one chemical find side rail on strand
point mutation
low LET
repair enzyme can repair

A

DNA single strand break

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62
Q

high LET
not usually repaired what type of break?

A

double strand break

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63
Q

what type of radiation does Double strand break happen with

A

Occur more commonly with densely ionizing (high-LET) radiation.

64
Q

Further exposure of the affected DNA macromolecule to ionizing radiation can lead to additional breaks in the sugar-phosphate molecular chain(s).
Breaks may also be repaired but are not repaired as easily as single-strand breaks.
If repair does not take place, further separation may occur in the DNA chains, threatening the life of the cell.
- getting it twice there’s two breaks in it
- there could be cell death

A

Double strand break

65
Q

some types of chromosomal damage that are caused explicitly by high-LET radiation are related to double-strand breaks of DNA. Because the chance of reversing this type of injury is meager, the possibility of a lethal alteration of nitrogenous bases within the genetic sequence is now far more significant.

A

double strand break

66
Q

Result is a cleaved or broken chromosome with each new portion containing an unequal amount of genetic material
If damaged chromosome divides, each new daughter cell will receive an incorrect amount of genetic material culminating in the death or impaired functioning of the new daughter cell.

A

double strand break in same rung of dna

67
Q

a double strand break in the same rung of the DNA molecular structure causes complete chromosomes breakage resulting in a cleaved or broken chromosome

A

low chance of survival cell death

67
Q

Interactions of ionizing radiation with DNA molecules may cause the loss of or change in a nitrogenous base in the DNA chain.

A

Mutation

68
Q

Direct consequence of this damage is an alteration of the base sequence,

A

a mutation

68
Q

May not be reversible and may cause acute consequences for the cell

A

mutation

69
Q

If cell remains viable, incorrect genetic information will be transferred to one of the two daughter cells when the cell divides.

A

mutation

69
Q

Alteration of the nitrogen base sequence on the DNA chain caused by the action of ionizing radiation directly on a DNA molecule

A

is not going to function properly mutation

69
Q

What does A bond with

A

A bonds with T

70
Q

What does C bond with

A

C bonds with G

70
Q

A + T

A

bond

70
Q

C + G

A

bond

71
Q

is U seen in DNA or RNA

A

RNA

72
Q

T and A

A

mutation

73
Q

is the process of chemically joining two or more molecules by a covalent bond, which is the sharing of one or more pairs of electrons between the molecules

A

covalent cross - links

73
Q

Chemical unions created between atoms by the single sharing of one or more pairs of electrons
Initiated by high-energy radiation (alpha, beta)
Following irradiation, some molecules can fragment or change into small, spurlike molecules that become very interactive (sticky) when they themselves are exposed to radiation, causing these molecules to attach to other macromolecules or to other segments of the same macromolecule chain.
Can occur in many different patterns

A

Covalent cross-links

74
Q

Chemical unions created between atoms by the single sharing of one or more pairs of electrons
Initiated by high-energy radiation
(happens because of alpha, beta)

A

Covalent CROSS LINKS

75
Q

between the same DNA strand

A

intrastrand cross link

76
Q

between 2 different strands not going to function

A

interstrand cross link

77
Q

creating cell death mutations. sticking to other cells

A

covalent cross links

78
Q

same DNA strand

A

intrastrand

79
Q

2 different ones

A

interstrand

80
Q

Large-scale structural changes in a chromosome produced by ionizing radiation may be as grave for the cell as are radiation-induced changes in DNA.

A

Effects of Ionizing Radiation on Chromosomes

81
Q

Radiation-induced chromosome breaks in both

A

somatic and reproductive cells

82
Q

two or more chromosomal fragments are produced. Each of these fragments contains a fractured extremity. These broken ends are chemically very active and therefore have a strong tendency to adhere, or chemically combine, to another similar end.

A

Chromosomal fragments

83
Q

The fractured fragments can:

A
  • Rejoin in their original configuration
  • Fail to rejoin and create an aberration (lesion or anomaly)
  • Join to other broken fragments and thereby create new chromosomes that may not appear structurally altered compared with the chromosome before irradiation
84
Q

seen in your metaphase stage

A

chromosome anomalies

85
Q

Two types of chromosome anomalies have been observed at metaphase. They are:

A

Chromosome aberrations and
Chromatid aberrations

86
Q

happens early interphase, break is visible in next mitosis phase
each daughter cell will have damage

A

chromosome aberrations

87
Q

result when irradiation occurs early in interphase, before DNA synthesis takes place. In this situation, the break caused by ionizing radiation is in a single strand of chromatin, which is the original chromosome

A

chromosome aberrations

87
Q

1 daughter cell is effected

A

chromotid abberations

88
Q

Summary of structural changes caused by ionizing radiation

A
  • A single-strand break in one chromosome
  • A break in one chromatid
  • A single-strand break in separate chromosomes
  • A strand break in separate chromatids
  • More than one break in the same chromosome
  • More than one break in the same chromatid
  • Chromosome stickiness, or clumping together
89
Q

most sensitive stage

A

metaphase

90
Q

the breaks rejoin in the original configuration with no visible damage. no injury to the cell occurs because the chromatid has been restored to its original condition. The process of healing by is believed to be how 95% of single-chromosome breaks mend.

A

restitution

91
Q

a part of the chromosome or chromatid is lost at the next cell division, thus creating an aberration known as an acentric fragment , which results in a cell mutation.
- fully separated off
- forms differently

A

deletion

92
Q

a grossly misshapen chromosome may be produced. Ring chromatids, dicentric chromosomes, and anaphase bridges are examples of such distorted chromosomes and chromatids . This results in a cell mutation.
- it can only divide up to a certain point then you will get cell death

A

Broken end ararrangment

93
Q

whereby the chromatid’s genetic material has been rearranged, yet the chromatid appears normal. Translocations are examples of such rearrangements (Fig. 7.14). This results in a cell mutation
- they rebound with the opposites ones

A

Broken-end rearrangement without visible damage to the chromatids

94
Q

Consequences to the cell from structural changes within the nucleus:

A
  • Restitution
  • deletion
  • broken end rearrangment
  • broken end rearrangment without visible damage to the chromatids
94
Q

concept of radiation damage to specific sensitive locations resulting from discrete and random events is known as

A

target theory

94
Q

molecule that maintains normal cell function is believed to be present in every cell.

A

a master or key molecule

95
Q

what molecule is necessary for the survival of the cell

A

Master, or key, molecule is necessary for the survival of the cell.

95
Q

what may be used to explain cell death and nonfatal cell abnormalities caused by exposure to radiation.

A

target theory

96
Q

if master key gets hit

A

it will die

96
Q

if your DNA dies then

A

the cell will die

97
Q

DNA is directly or indirectly inactivated by exposure radiation to the cell will cause death. random event that causes radiation damage

A

target theory

97
Q

Ionizing radiation can adversely affect

A

the cell

97
Q

Damage to the cell’s nucleus reveals itself in one of the following ways:

A
  • Instant death
  • Reproductive death
  • Apoptosis, or programmed cell death (interphase death)
  • Mitotic, or genetic, death
  • Mitotic delay
  • Interference with function
98
Q

indirect can be lasting/fixed with or without oxygen

A

without oxygen

99
Q

-greater than diagnostic studies
-1000 Gy over period of seconds or minutes
- you will see it in a diagnostic study

A

instant death

99
Q

results from exposure of cells to doses or ionizing radiation in the range of 1-10 Gy
more than 10 Gyt loses ability to procreate

A

reproductive death

100
Q

programmed cell death
interphase death
dies without attempting to divide again

A

apopotosis

101
Q

A non-mitotic, or non-division, form of cell death that occurs when cells die without attempting division during the interphase portion of the cell life cycle is

A

Apoptosis

101
Q

what are the other names for apoptosis

A

programmed cell death (interphase death)

101
Q

In apoptosis the cell shrinks and produces tiny membrane-enclosed structures called

A

blebs

102
Q

occurs when a cell dies after one or more divisions. Even relatively small doses of radiation have a possibility of causing this type of cell death. The radiation dose required to produce mitotic death is less than the dose needed to produce apoptosis in slowly dividing cells or non-dividing cells.

A

mitotic death

103
Q

the failure of the cell to start dividing on time. After this delay the cell may resume its normal mitotic function.
- exposed as little as .01gy just before division

A

mitotic delay

103
Q

Exposing a cell to as little as 10 cGyt of ionizing radiation just before it begins dividing can cause

A

Mitotic delay

104
Q

reasons for mitotic delay:

A
  1. Alteration of a chemical involved in mitosis
  2. Proteins required for cell division not being synthesized
  3. A change in the rate of DNA synthesis after irradiation
105
Q

Permanent or temporary interference with cellular function independent of the cell’s ability to divide can also be brought about by exposure to ionizing radiation. If repair enzymes are able to repair the damage, the cell can recover and continue to function properly. Otherwise, the cell will be unable to reproduce or will die.

A

Interference with function

105
Q

temporary or permanent repair enzymes come in to help

A

interference with function

105
Q

mitotic death is less of a dose than

A

apoptosis

106
Q

The segmenting of a chromosome due to the breaking of one or both of the sugar–phosphate chains of a DNA ladder-like structure, which is a potential outcome when ionizing radiation interacts with a DNA macromolecule.
- occurs with DNA is during mitosis permanent problems genetic mulatity

A

chromosome breakage

107
Q

true or false
cells vary in their radiosensitivity

A

true

107
Q

is a classic method of displaying the sensitivity of a particular type of cell to radiation.

A

cell survival curve

108
Q

how is the cell survival curve obtained

A

Curve is constructed from data obtained by a series of experiments.

108
Q

high LET is more damaging than

A

low LET

108
Q

radiosensitivity of a certain type of cell

A

cell surviving curve

109
Q

radiosensitive cells are considered

A

immature, have oxygen, sensitive to radiation, non specialized, rapid cell division germ cells and lymphocytes

110
Q

examples of Radiosenistive cells

A

BASAL CELLS OF SKIN
BLOOD CELLS SUCH AS LYMPHOCYTES AND ERYTHROCYTES
INTESTINAL CRYPT CELLS
REPRODUCTIVE (GERM) CELLS

111
Q

most sensitive part in your GI tract

A
111
Q

radioinsensitive cells are considered to be

A

highly specialized, more mature, no oxygen, insensitive to radiation, divide slower rate, nerve and muscles

111
Q

examples of radioinsensitive cells

A

brain cells
muscle cells
nerve cells

112
Q

immature, nonspecialized, rapid cells division- germ cells, lymphocytes

A

radiosensitive

112
Q

more mature, specialized divide slower rate- nerve, muscle

A

radioinsensitive

113
Q

Amount of radiation energy transferred to biologic tissue
Plays a major role in determining the amount of biologic response
As LET increases, the ability of the radiation to cause biologic effects also generally increases until it reaches a maximal value.
LET can influence cell radiosensitivity.

A

CELL RADIOSENSITIVITY

113
Q

Oxygen enhances the effects of ionizing radiation on biologic tissue by increasing tissue radiosensitivity.
During diagnostic imaging procedures, fully oxygenated human tissues are exposed to x-radiation or gamma radiation.
In radiotherapy, when radiation is used to treat certain types of cancerous tumors, high-pressure (hyperbaric) oxygen has sometimes been used in conjunction with it to increase tumor radiosensitivity.

A

OXYGEN ENHANCEMENT

113
Q

the more oxygen

A

the more sensitive it is

113
Q

if oxygen is present when a tissue is irradiated

A

more freeradicals will be formed in the tissue this increases the indirect damage potential of the radiation

114
Q

oxygen present =free radicals
increased indirect damage
increased oxygen , increased radiosensitivity

A

oxygen enhancement

114
Q

Observed the effects of ionizing radiation on testicular germ cells of rabbits they had exposed to x-rays

A

Law of Bergoiné and Tribondeau

114
Q

Established that radiosensitivity was a function of the metabolic state of the cell receiving the exposure

A

Law of Bergoiné and Tribondeau

114
Q

States that the radiosensitivity of cells is directly proportional to their reproductive activity and inversely proportional to their degree of differentiation

A

Law of Bergoiné and Tribondeau

115
Q

Although the law was initially applied only to germ cells, it is true for all types of cells in the human body.

A

Law of Bergoiné and Tribondeau

115
Q

The most pronounced radiation effects occur in cells having the least maturity and specialization or differentiation, the greatest reproductive activity, and the longest mitotic phases.

A

Law of Bergoiné and Tribondeau

115
Q

the embryo-fetus, which contains a large number of immature nonspecialized cells, is much more susceptible to radiation damage than is an adult or even a child

A

Law of Bergoiné and Tribondeau

115
Q

the more immature it is

A

the more sensitive it is

116
Q

the more mature it is

A

the less sensitiveit is

117
Q

Equal doses of ionizing radiation produce different degrees of damage in different kinds of human cells because of differences in cell radiosensitivity.
The more mature and specialized in performing functions a cell is, the less sensitive it is to radiation.

A

Effects of ionizing radiation on human cells

118
Q

immature/nonspecialized -more sensitive

A

Law of Bergoiné and Tribondeau

118
Q

white blood cells are more sensitive than

A

nerve endings

119
Q

Effects of ionizing radiation on human cells
Blood cells

A

-Hematologic depression
-Depletion of immature blood cells
-Repopulation after a period of recovery
-Effects on stem cells of the hematopoietic system
-Whole-body doses in excess of 5 Gyt
-Effects of ionizing radiation on lymphocytes
- Effects of ionizing radiation on neutrophils

120
Q

.25 Gy whole body in a few days- exceeds dose for population
-blood tests not valid for dosimetry purpose

A

hemotologic depression

121
Q

Most blood cells are manufactured in the bone marrow. Radiation causes a decrease in the number of immature blood cells (stem or precursor) produced in the bone marrow and hence a reduction, ultimately, in the number of mature blood cells in the bloodstream. The higher the radiation dose received by the bone marrow, the higher will be the resulting cell depletion

A

depletion of immature blood cells

122
Q

after recovery , bone marrow can repopulate if wasnt destroyed
-recovery depends on dose
-less than 1Gy=weeks
-1-10 Gy + greater than 10 =
can cause permanent decrease

A

repopulation

122
Q

If the bone marrow cells have not been destroyed by exposure to ionizing radiation, they can repopulate after a period of recovery. The time necessary for recovery depends on the magnitude of the radiation dose received. If a relatively low dose (less than 1 Gyt) of radiation is received, bone marrow repopulation occurs within weeks after irradiation. Large (1 to 10 Gyt) to very high (10 or more Gyt) doses, which severely deplete the number of bone marrow cells, require a more extended recovery period. Very high doses of radiation can cause a permanent decrease in the number of stem cells.

A

Repopulation after a period of recovery.

122
Q

Radiation primarily affects the stem cells of the hematopoietic (blood-forming) system. Erythrocytes, also known as red blood cells because of their reddish color due to the presence of hemoglobin, are the primary carriers of oxygen to the tissues and organs of the body. These transport cells are among the most radiosensitive of human cells. As with all cells, however, that develop from an immature, undifferentiated state to a mature, functional state, the mature red blood cells, which do not have a cell nucleus, are much less radiosensitive. Because the population of circulating red blood cells is high and their life span is long, depletion of red blood cells is not usually the cause of death in high-dose irradiation (i.e., several Gyt delivered to the whole body). Death, if it occurs, is typically caused by infection that cannot be overcome by the immune system because of the destruction of myeloblasts (an immature cell of bone marrow that is the most basic precursor of granulocyte white blood cells) and internal hemorrhage resulting from destruction of megakaryoblasts (cells that are the ancestors of platelets

A

Effects on stem cells of the hematopoietic system.

123
Q

this is your blood forming system

A

Effects on stem cells of the hematopoietic system.

124
Q

red blood cells are called and what do they do

A

erythocytes

124
Q

your white blood cells are called what and what do they do

A

leukocytes help fight off infections

124
Q

RBC -oxygen to tissues and organs
-among most radiation (mature vs immature)
-not usually cause of death - Increase repopulation

A

erythrocytes (stem cells)

125
Q

single most sensitive cell in body

A

lymphocyte

125
Q

true or false
diagnostic xrays are considered low LET radiation

A

true

126
Q

-defines the ability or aerobic conditions to enhance the effectiveness of radiation
-increasing the oxygenation of a cell increases the cells sensitivity to radiation
-is a numeric description of the oxygen effect. OER for human tissues has a max of approx. 3.0

A

oxygen effect

127
Q

True or false
there is a master key in every cell

A

true

128
Q

Cell death without attempting to divide

A

Apoptosis (interphase death) or programmed cell death

128
Q

if there is a shoulder in the graph what does this mean?

A

can be repaired

128
Q

if there is no shoulder in the graph what does this mean

A

cell death

128
Q

Humans who receive whole-body doses above 5 Gyt may die within 30 to 60 days because of effects related to initial depletion of the stem cells of the hematopoietic system.

A

Whole-body doses in excess of 5 Gyt.

129
Q

if you get a body dose of 5 or more gray you can die within

A

30 or 60 days because you are depleting your blood supply

129
Q

The lethal dose in animals is usually specified as LD 50/30 (the dose that produces death in 50% of the subjects within 30 days

A

LD (lethal dose)

129
Q

LD 50/60 what does it stand for

A

50 stands for % of the population and 60 represents # how many days

129
Q

without medical treatment what is the lethal dose for humans

A

3.0 to 4.0 grays

129
Q

what dose starts depleting white blood cells (lymphocytes)

A

0.25

130
Q

what is the normal white blood cell count of an adult range

A

5000 to 10,000

130
Q

if you lose your white blood cells

A

the body can’t fight off infections

130
Q

When significant numbers of lymphocytes are functionally damaged by radiation exposure, the body loses its natural ability to combat infection and becomes very susceptible to bacterial and viral antigens.

A

Effects of ionizing radiation on lymphocytes.

131
Q

A whole-body dose of 0.5 Gyt of ionizing radiation will noticeably reduce the number of neutrophils present in the circulating blood, causing a person to be susceptible to infection.

A

Effects of ionizing radiation on neutrophils

131
Q

another type of white blood cell

A

Neutrophils

131
Q

A dose of radiation higher than 0.5 Gyt lessens the number of platelets in the circulating blood, A dose of radiation in the range of 1 to 10 Gyt, will significantly deplete these cells, and it will take approximately 2 months for them to repopulate. During this period wound clotting will be highly compromised.

A

effects of ionizing radiation on thrombocytes

132
Q

inability to clot

A

hemophilia

132
Q

A dose of radiation higher than 0.5 Gyt lessens the number of platelets

A

in the circulating blood

133
Q

have received radiation doses within the diagnostic radiology range. Prime candidates for developing such irregularities are patients either for whom high-level fluoroscopy was employed or for whom very long fluoroscopic exposure times occurred (e.g., cardiac catheterization and other specialized invasive procedures)

A

Radiation exposure during diagnostic imaging procedures.

133
Q

A therapeutic dose of ionizing radiation, especially doses delivered to locations that include blood-forming organs, decreases the blood count. Consequently, patients who are undergoing radiation therapy treatment are monitored frequently (in the form of weekly or biweekly complete blood counts, also known as CBCs) to determine whether all of their functioning blood constituent counts are adequate.

A

Monitoring of patients undergoing radiation therapy treatment.

134
Q

wear radiation badge

A

Occupational radiation exposure monitoring.

135
Q

is wearing your radiation badge a form of protection

A

no

136
Q

what is the occupational dose annually

A

50 milli sieverts

136
Q

covers your body tissue and highly sensitive to radiation

A

epithelial tissues

136
Q

lines and covers body tissue. The cells of these tissues lie close together, with few or no substances between them. found in your intestine lining

A

epithelial tissue

136
Q

contains fibers that affect the movement of an organ or part of the body. Since muscle tissue cells are highly specialized and do not divide, they are relatively insensitive to radiation. there’s no oxygen

A

muscle tissue

137
Q

are men or women more sensitive to radiation

A

women

138
Q

does not divide , they are mature , no oxygen
embryo more sensitive than human nerve tissue

A

nervous tissue

138
Q

The “young” spermatogonia, however, are unspecialized and divide rapidly, and therefore these germ cells are very radiosensitive

A

sperm

138
Q

is reproduced every single day

A

sperm

138
Q

is younger sperm or older ovaries more sensitive

A

younger sperm

139
Q

no oxygen they do not die

A

muscle tissue

140
Q

true or false
immature ova are more sensitive

A

true

140
Q

what dose causes more permanent sterility

A

5 to 6 gray

140
Q

what does it mean if its more immature

A

more sensitive

141
Q

what dose cause temporary sterility

A

2-3 gray

142
Q

what does it mean if its more mature

A

less sensitive

143
Q

is this lethal or survival
12 gray over a couple of days

A

survival

144
Q

is this lethal or survival
12 gray in 3 minutes

A

lethal

145
Q

(pulse in fluoro)
Small increments
-continuously amount of fluoro over time

A

protraction

145
Q

-Radiation therapy
-dosage over time
-break into several equal parts (period of recovering)
- a series of small dosage over time because there’s a period of recovery in between

A

fractionation

146
Q
A
146
Q
A
147
Q
A
148
Q
A
149
Q
A
149
Q
A
149
Q
A
150
Q
A
150
Q
A
151
Q
A
152
Q
A
152
Q
A