Hall Book Ch 4 Flashcards

1
Q

Mammalian cells propagate and proliferate by mitosis. When a cell divides, two progeny cells are produced, each of which carries a chromosome complement
identical to that of the parent cell. After an interval of time has elapsed, each of the progeny may undergo a further division. The time between successive divisions is known as the ( ) or, as it is commonly called, the ( ).

A

mitotic cycle time, cell cycle time (Tc)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q
If a population of dividing cells is observed with a conventional light microscope, the only event in the entire cell cycle that can be identified and
distinguished is (     ), or division itself. Just before the cell divides to form two progeny cells, the chromosomes (which are diffuse and scattered in the nucleus in the period between mitoses) condense into clearly distinguishable forms. 

In addition, in monolayer cultures of cells just before mitosis, the cells round up and become loosely attached to the surface of the culture vessel. This whole process of mitosis—in preparation for which the cell rounds up, the chromosome material condenses and the cell divides into two and then stretches out again and attaches to the surface of the culture vessel—lasts only about 1 hour. The remainder of the cell cycle, the ( ), occupies all of the intermitotic period. No events of interest can be identified with a conventional microscope during this time.

A

mitosis, interphase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Because cell division is a cyclic phenomenon repeated in each generation of
the cells, it is usual to represent it as a circle, as shown in Figure 4.1. The
circumference of the circle represents the ( ); the period of mitosis is represented by M.

The remainder of the cell cycle can be further subdivided by using some marker of DNA synthesis. The original technique was ( ), introduced by Howard and Pelc in 1953.

A

full mitotic cycle time for the cells (TC), autoradiography

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

The basis of the technique to study cell cycle, illustrated in Figure 4.2, is to feed the cells
( ), a basic building block used for making DNA, which has been labeled
with ( ).

Cells that are actively synthesizing new DNA as part of the process of replicating their chromosome complements incorporate the ( ).

Then, the surplus ( ) is flushed from the system, the cells are fixed and stained so that they may be viewed easily, and the preparation of cells is coated with a very thin layer of nuclear (photographic) emulsion.

A

thymidine, radioactive tritium (3H-TdR), radioactive thymidine, radioactive thymidine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

FIGURE 4.2 Cell-labeling techniques. Top panels: The principle of
( ), which may be applied to cells in culture growing as a
monolayer on a glass microscope slide or to thin sections cut from a tumor or
normal tissue.

Cells in the DNA synthetic phase (S) take up ( ).

After the cells are fixed and stained so that they are visible by light microscopy,
they are covered with a layer of ( ) and left for several weeks in a cool refrigerator.

As β-particles from the tritiated thymidine pass through the emulsion, they form latent images that appear as black grains when the emulsion is subsequently developed and fixed.

If cells are stained and autoradiographed immediately after incorporation of the tritiated thymidine, cells that are labeled are in ( ).

If staining and autoradiography are delayed for 6 to 8 hours after the pulse label, some cells may move from S to M, and labeled mitotic cells are observed (top right panel).

A

autoradiography, tritiated thymidine, nuclear (photographic) emulsion, S phase (top middle panel)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

The lengths of the various phases of the cycle can be determined in this way.
Bottom panels: The principle of cell cycle analysis using ( )
as the DNA precursor instead of radioactively labeled thymidine. The
bromodeoxyuridine is incorporated into cells in ( ) phase.

It can be recognized by the use of a ( ) stain (which is purple) or a monoclonal antibody to ( ).

The antibody is tagged with a fluorescing dye (e.g., fluorescein), which shows up bright green under a fluorescence microscope.

If cells are stained immediately after labeling with bromodeoxyuridine, those staining darkly are in ( ) phase (bottom middle panel).

If staining is delayed for 6 to 8 hours, cells incorporating bromodeoxyuridine
may move from ( ), and a darkly staining mitotic cell is seen (bottom right
panel). (Courtesy of Dr. Charles Geard.)

A

5-bromodeoxyuridine, S, Giemsa, bromodeoxyuridine-substituted DNA, S, S to M

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q
(           ) from cells that have incorporated radioactive thymidine pass
through the (            ) and produce a (             ) image. 

When the emulsion is subsequently developed and fixed, the area through which a β-particle has passed appears as a ( ). It is then a comparatively simple matter to view the preparation of cells and to observe that some of the cells have black spots or
“grains” over them, which indicates that they were actively synthesizing DNA at
the time radioactive thymidine was made available.

Other cells do not have any grains over their nuclei; this is interpreted to mean that the cells were not actively making DNA when the radioactive label was made available to them.

Examples of labeled cells are shown in Figure 4.3. If the cells are allowed to
grow for some time after labeling with tritiated thymidine so that they move into
mitosis before being fixed, stained, and autoradiographed, then a labeled mitotic
cell may be observed (see Fig. 4.3A).

A

β-Particles, nuclear emulsion, latent, black spot

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

FIGURE 4.3 A: Autoradiograph of Chinese hamster cells in culture flash-labeled with tritiated thymidine. The black grains over some cells indicate that
they were synthesizing DNA when they were labeled. Also shown is a labeled
mitotic cell. This cell was in S phase when the culture was flash-labeled but
moved to M phase before it was stained and autoradiographed. B: Color
photomicrograph showing cells labeled and unlabeled with bromodeoxyuridine.
Cells were grown in the presence of bromodeoxyuridine and then fixed and
stained 20 hours later. Incorporated bromodeoxyuridine stains ( ).

The purple-stained interphase cell (upper right) was in S phase during the time the
bromodeoxyuridine was available. Also shown is a first-generation mitotic cell
(upper left), which had been in S phase at the time the bromodeoxyuridine was
available and had moved to M phase by the time it was fixed and stained. It can
be identified as first generation because both chromatids of each chromosome
are stained uniformly.

A second-generation mitotic cell (lower right) passed through two S phases during bromodeoxyuridine availability. One chromatid of each chromosome is ( ) because both strands of the DNA double helix have incorporated bromodeoxyuridine. One chromatid is lighter because only one strand of the DNA has incorporated bromodeoxyuridine. (Courtesy of Dr. Charles Geard.)

A

purple, darker

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

The use of tritiated thymidine to identify cells in the DNA synthetic phase
(S) has been replaced largely by the use of ( ), which differs
from thymidine only by the substitution of a bromine atom for a methyl group.

If this halogenated pyrimidine is fed to the cells, it is incorporated into DNA in
place of (         ), and its presence can be detected by using an appropriate
stain (see Fig. 4.3B).
A

5-bromodeoxyuridine, thymidine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Cells that have incorporated bromodeoxyuridine appear darkly stained a bright ( ) color. To identify cells that are in ( ) phase and have incorporated bromodeoxyuridine even more readily, one can use a ( ) antibody against (
), which fluoresces brightly under a fluorescence microscope.

A

purple, S, fluorochrome-tagged, bromodeoxyuridine-substituted DNA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Examples of stained and unstained cells are shown in Figure 4.3B. If time is allowed between labeling with bromodeoxyuridine and staining, then a cell may move from (
) phase, and a stained mitotic cell is observed (see Fig. 4.3B).

If the cell is in the ( ) mitosis after bromodeoxyuridine incorporation, both chromatids of each chromosome are ( ) stained, as shown in the Figure 4.3B (upper left), but by the (
) mitosis, one chromatid is stained darker than the other (lower right in Fig. 4.3B)

A

S to M, first, equally, second,

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

By using either of these techniques, it can be shown that cells synthesize
DNA only during a discrete well-defined fraction of the cycle, the S phase.
There is an interval between mitosis and DNA synthesis in which no label is
incorporated. This first “gap” in activity was named ( ) by Howard and Pelc, and
the nomenclature is used today.

After DNA synthesis has been completed, there is a second gap before mitosis, ( ).

All proliferating mammalian cells, whether in culture or growing normally in
a tissue, have a cycle of mitosis (M), followed by G1, S, and G2, after which
mitosis occurs again. The relative lengths of these various constituent parts of
the cell cycle vary according to the particular cells studied.

If cells stop progressing through the cycle (i.e., are arrested), they are said to be in ( ) (Fig. 4.4).

A

G1, G2, G0

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

The use of bromodeoxyuridine has two advantages over conventional
autoradiography using tritiated thymidine.

First, it does not involve ( ) material.

Second, it greatly ( ) the time to produce a result because if cells
are coated with emulsion to produce an autoradiograph, they must be stored in a
refrigerator for about a month to allow ( )
to produce a latent image in the emulsion.

A

radioactive, shortens, β-particles from the incorporated tritium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

FIGURE 4.4 Update of the phases of the cell cycle, showing how they are
regulated by the periodic activation of different members of the ( ) family.

Various ( ) complexes are required to phosphorylate several protein substrates, which drive key events, including the initiation of ( ) and the onset of ( ).

A

cyclin-dependent kinase (Cdk), Cdk–cyclin, DNA replication, mitosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

The characteristics of two cell lines commonly used for in vitro culture are
summarized in Table 4.1. HeLa cells have a total cell cycle time of about ( )
hours, which is more than double that of the Chinese hamster cell, which has a
cell cycle time of about 11 hours.

Mitosis lasts only a relatively short time, about ( ), and is not very different for those two cell lines or for most others. The S phase is 8 hours for HeLa cells and 6 hours for hamster cells; in all cell lines studied in culture or growing in vivo, the S phase never exceeds about ( ) hours.

The ( ) period is very similar in HeLa and hamster cells; in fact, the difference in
the total cell cycle time between these two cell lines is accounted for almost
entirely by the difference in the length of the G1 period.

A

24, 1 hour, 15, G2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

This is an important point: The difference among mammalian cell cycle
times in different circumstances, varying from about ( ) hours for a hamster cell
grown in culture to ( ) of hours for stem cells in some self-renewal tissues,
is the result of a dramatic variation in the length of the ( ) period. The remaining
components of the cell cycle (M, S, and G2) vary comparatively little among
different cells in different circumstances.

A

10, hundreds, G1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

The description of the principal phases of the cell cycle (M, G1, S, and G2)
dates from Howard and Pelc in 1953, as previously discussed. During a complete
cell cycle, the cell must accurately replicate the DNA once during S phase and
distribute an identical set of chromosomes equally to two progeny cells during M
phase. In recent years, we have learned much more about the mechanisms by
which the cycle is regulated in eukaryotic cells.

Regulation occurs by the periodic activation of different members of the ( ) family.

In its active form, each Cdk is complexed with a particular ( ).

A

cyclin-dependent kinase (Cdk), cyclin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Different Cdk–cyclin complexes are required to phosphorylate several protein
substrates that drive such cell cycle events as the initiation of DNA replication or
the onset of mitosis.

Cdk–cyclin complexes are also vital in preventing the initiation of a cell cycle event at the wrong time.

Extensive regulation of Cdk–cyclin activity by several transcriptional and
posttranscriptional mechanisms ensures perfect timing and coordination of cell
cycle events.

The Cdk catalytic subunit by itself is inactive, requiring association
with a cyclin subunit and ( ) residue to become fully active.

A

phosphorylation of a key threonine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

The Cdk–cyclin complex is reversibly ( ) either by
phosphorylation on a ( ) residue located in the ( ) domain or by association with Cdk inhibitory proteins.

After the completion of the cell cycle transition, the complex is inactivated irreversibly by ( ) subunit.

A

inactivated, tyrosine, adenosine triphosphate–binding, ubiquitin-mediated degradation of the cyclin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q
Entry into (    ) phase is controlled by Cdks that are sequentially regulated by
cyclins (               ). 

( )-type cyclins act as growth factor sensors, with their expression depending more on the extracellular cues than on the cell’s position in the cycle.

A

S, D, E, and A, D

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

( ) stimulation governs both their synthesis and complex formation with ( ) and ( ), and catalytic activity of the assembled complexes persists through the cycle as long as mitogenic stimulation continues.

A

Mitogenic, Cdk4, Cdk6

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Cyclin ( ) expression in proliferating cells is normally periodic and maximal at
the ( ) transition, and throughout this interval, it enters into active complexes
with its catalytic partner, ( ). Figure 4.4 illustrates this view of the cell cycle
and its regulation. This is, in essence, an update of Figure 4.1 and is discussed in
more detail in Chapter 18.

A

E, G1/S, Cdk2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

In the discussion of survival curves in Chapter 3, the assumption was implicit
that the population of irradiated cells was ( ); that is, it consisted of
cells distributed throughout ( ) phases of the cell cycle.

Study of the variation of radiosensitivity with the position or age of the cell in the cell cycle was made possible only by the development of techniques to produce ( ) dividing cell cultures—populations of cells in which all of the cells occupy the ( ) phase of the cell cycle at a given time.

A

asynchronous, all, synchronously, same

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

There are essentially two techniques that have been used to produce a
synchronously dividing cell population.

The first is the ( ) technique, first described by Terasima and Tolmach. This technique can be used only for cultures that grow in ( ) attached to the surface of the growth vessel.

It exploits the fact that if such cells are close to mitosis, they round up
and become loosely attached to the surface. If at this stage the growth medium
over the cells is subjected to gentle motion (by shaking), the mitotic cells
become detached from the surface and float in the medium.

If this medium is then removed from the culture vessel and plated out into new petri dishes, the population consists almost entirely of ( ) cells.

Incubation of these cell cultures at 37° C then causes the cells to move together ( ) in step through their mitotic cycles.

By delivering a dose of radiation at various times after the initial harvesting of mitotic cells, one can irradiate cells at various phases of the cell cycle.

A

mitotic harvest, monolayers, mitotic, synchronously

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

An alternative method for synchronizing cells, which is applicable to cells in
a tissue as well as cells grown in culture, involves the use of a ( ).

Several different substances may be used. One of the most widely applicable drugs is
( ). If this drug is added to a population of dividing cells, it has two
effects on the cell population.

First, all cells that are synthesizing DNA (S phase) take up the drug and are ( ).

Second, the drug imposes a block at the end of the ( ) period; cells that occupy the G2, M, and G1 compartments when the drug is added progress through the cell cycle and accumulate at this block.

A

drug, hydroxyurea, killed, G1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

The dynamics of the action of hydroxyurea are illustrated in Figure 4.5. The
drug is left in position for a period equal to the combined lengths of ( ) for that particular cell line.

By the end of the treatment period, all of the viable cells left in the population are situated in a narrow ( ), poised and ready to enter ( ) phase.

If the drug is then removed from the system, this synchronized cohort of cells proceeds through the cell cycle.

For example, in hamster cells, 5 hours after the removal of the drug, the cohort of synchronized cells occupies a position late in the ( ) phase. Some 9 hours after the removal of the drug, the cohort of cells is at or close to mitosis.

A

G2, M, and G1

“window” at the end of G1

S

S

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

FIGURE 4.5 Mode of action of hydroxyurea as an agent to induce ( ).

A: This drug kills cells in ( ) phase and imposes a “block” at the end of the ( )
phase.

B: Cells in ( ) accumulate at this block when the drug is added.

C: If the block is removed, the synchronized cohort of cells moves on through the cycle.

A

synchrony, S, G1

G2, M, and G1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Techniques involving one or another of a wide range of drugs have been
used to produce ( ) dividing cell populations in culture, in organized
tissues (in a limited number of cases), and even in the whole animal.

Figure 4.6 is a photomicrograph of a squash preparation of the root tip of a ( ) seedling 11 hours after synchrony was induced with ( ). A very large
proportion of the cells are in mitosis.

A

synchronously, Vicia faba plant, hydroxyurea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Figure 4.7 shows results of an experiment in which mammalian cells, which
were harvested at mitosis, were irradiated with a single dose of ( ) Gy at various
times afterward, corresponding to different phases of the cell cycle. The data
(from Sinclair) were obtained using Chinese hamster cells in culture. As can be
seen from the figure, 1 hour after the mitotic cells are seeded into the petri
dishes, when the cells are in ( ), a dose of 6.6 Gy results in a surviving fraction
of about ( )%.

A

6.6, G1, 13

30
Q

The proportion of cells that survive the dose ( ) rapidly with time as the cells move into ( ) phase; by the time the cells near the end of S phase, 42% of the cells survive this same dose.

When the cells move out of ( ) phase and subsequently to a second mitosis, the proportion of surviving cells ( ) again.

This pattern of response is characteristic for most lines of Chinese hamster cells and has been reported by several independent investigators.

A

increases, S, S phase into G2, falls

31
Q

FIGURE 4.7 Fraction of Chinese hamster cells surviving a dose of 6.6 Gy of x-rays as a function of time. Time zero corresponds to the harvesting of ( ). The surviving fraction increases to a maximum ( ) phase. (Adapted from Sinclair WK, Morton RA. X-ray sensitivity during the cell generation cycle of cultured Chinese hamster cells. Radiat Res. 1966;29:450–474, with permission.)

A

mitotic cells, late in S

32
Q

Complete survival curves at several discrete points during the cell cycle were
measured by Sinclair. The results are shown in Figure 4.8. Survival curves are
shown for mitotic cells, for cells in G1 and G2, and for cells in early and late S
phase.

It is at once evident that the most sensitive cells are those in ( ),
which are characterized by a survival curve that is steep and has no ( ).

At the other extreme, cells in the ( ) phase exhibit a survival curve that
is less steep, but the essential difference is that the survival curve has a very
( ) shoulder.

A

M and G2, shoulder, latter part of S, broad

33
Q

The other phases of the cycle, such as ( ), are ( ) in sensitivity between the two extremes.

A

G1 and early S, intermediate

34
Q

FIGURE 4.8 Cell survival curves for Chinese hamster cells at various stages of
the cell cycle. The survival curve for cells in ( ) is steep and has no
( ).

The curve for cells ( ) is shallower and has a large initial shoulder. G1 and early S phases are intermediate in sensitivity. The broken line is a calculated curve expected to apply to mitotic cells under hypoxia. (Adapted from Sinclair WK. Cyclic x-ray responses in mammalian cells in vitro. Radiat Res. 1968;33:620–643, with permission.)

A

mitosis, shoulder, late in S phase

35
Q

The broken line in Figure 4.8 is the calculated survival curve that would be
expected to apply for mitotic cells under conditions of ( ); that is, the slope
is ( ) times shallower than the solid line for mitotic cells, which applies to the
aerated condition.

This line is included in the figure to show that the range of
sensitivity between the most sensitive cells ( ) and the most resistant cells
( ) is of the same order of magnitude as the oxygen effect (the oxygen effect
is discussed in Chapter 6).

A

hypoxia, 2.5, mitotic, late S

36
Q

The experiments of Terasima and Tolmach with HeLa cells, in which a dose
of 3 Gy was delivered to cultures at various intervals after mitotic harvesting of
the cells, are shown in Figure 4.9. From the beginning of S phase onward, the
pattern of sensitivity is very similar to that of hamster cells; the cells become
progressively more ( ) as they proceed toward the ( ), and after
the cells move from S into G2, their sensitivity ( ) rapidly as they
approach ( ).

A

resistant, latter part of S, increases, mitosis

37
Q

The important difference between HeLa and hamster cells is the length of the ( ) phase. The G1 of HeLa cells is appreciably long, and there appears to be a fine structure in the age-response function during this period.

At the ( ) of G1, there is a peak of ( ), followed by a sensitive trough toward the end of G1. This pattern cannot be distinguished in the hamster cell because G1 is too short.

A

G1, beginning, resistance

38
Q

Figure 4.10 compares the ( ) curves for cells with short G1,
represented by V79 hamster cells, and cells with a long G1, represented by HeLa
cells.

If the time scales are adjusted so that S phase has a comparable length for
both cell lines, it is evident that the general pattern of cyclic variation is very
similar, the only important difference being the extra structure during G1 in the
HeLa cells. In later experiments, other sublines of hamster cells were
investigated for which G1 had an appreciable length; an extra peak of resistance
was noted for hamster cells that was similar to the one observed for HeLa cells.

A

age-response

39
Q

The sensitivity of cells in different parts of G2 is difficult to determine if
synchrony is produced by mitotic selection because of ( ) during
the passage of the starting population of mitotic cells through their first G1 and S
phases and because G2 transit times are relatively short (about 1 to 2 hours).

A modification of the technique, however, allows a much greater resolution for
studying ( ).

This is sometimes called ( ):

Cells first are irradiated, and then, as a function of time, cells arriving in mitosis
are harvested by mitotic shake-off and plated for survival.

In this way, it was shown that early G2 cells are as ( ) as late S cells and late G2 cells are nearly as ( ) as mitotic cells; that is, a sharp transition in radiosensitivity occurs around the so-called x-ray transition point (now often called a “checkpoint”) for G2 cell cycle delay.

A

synchrony decay, G2 sensitivity, “retroactive synchronization”

radioresistant, sensitive

40
Q

The following is a summary of the main characteristics of the variation of
radiosensitivity with cell age in the mitotic cycle:

  1. Cells are most sensitive at or close to ( ).
  2. Resistance is usually greatest in the ( ).

The increased resistance is thought to be caused by ( ) between sister chromatids that is more likely to occur after the DNA has replicated (see Chapter 2).

  1. If G1 phase has an appreciable length, a resistant period is evident ( ), followed by a sensitive period toward the end of G1.
A

mitosis, latter part of S phase, homologous recombination repair, early in
G1

41
Q
  1. ( ) phase is usually sensitive, perhaps as sensitive as M phase.

Several cell lines other than HeLa and hamster have been investigated, some
of which tend to agree with these results and some of which are contradictory.
The summary points listed here are widely applicable, but exceptions to every
one of these generalizations have been noted for one cell line or another.

A

G2

42
Q

Cell cycle progression is controlled by a family of genes known as ( ) genes.

It has been known for many years that mammalian cells exposed to radiation tend to experience a block in the ( ) phase of the cell cycle.

For example, the ( ) effect has been reported for cells of human
origin, whereby over a limited range of dose rates around 0.30 to 0.40 Gy per
hour, cells become more ( ) to radiation-induced cell killing as the dose
rate is reduced, resulting in their accumulation in ( ), which is a radiosensitive
phase of the cell cycle.

This is described in Chapter 5. The mechanisms for this observation in human cells are not understood in detail, but the molecular genetics in yeast have been worked out, and the search is on for homologous pathways in mammalian cells.

A

molecular checkpoint, G2, inverse dose-rate, sensitive, G2

43
Q

In several strains of yeast, mutants have been isolated that are more sensitive
than the wild type to both ionizing radiation and ultraviolet light by a factor
between 10 and 100. The mutant gene has been cloned and sequenced and found
to be a ( )

In the most general terms, the function of checkpoint genes is to ensure the
correct order of cell cycle events, that is, to ensure that the ( ).

The particular genes involved in radiation effects halt cells in ( ) so that an inventory of chromosome damage can be taken, and repair is initiated and completed before the complex task of mitosis is attempted (Fig. 4.11).

Mutant cells that lose this ( ) gene function move directly into mitosis with damaged chromosomes and are, therefore, at a higher risk of dying—hence their greater ( ) to radiation or, for that matter, to any DNA-damaging agent.

A

“G2 molecular checkpoint gene.”

initiation of later events depends on the completion of earlier events

G2

G2 checkpoint

sensitivity

44
Q

FIGURE 4.11 Diagram illustrating the site of action and function of the
molecular checkpoint gene. Cells exposed to any DNA-damaging agent,
including ionizing radiation, are arrested in ( ) phase.

The function of the pause in cell cycle progression is to allow a check of ( ) before the complex task of mitosis is attempted.

Cells in which the checkpoint gene is inactivated are much more sensitive to killing by γ-rays or ultraviolet light. The mutant gene isolated from a sensitive strain of yeast functions as a ( ) gene.

A

G2, chromosome integrity, checkpoint

45
Q

It has been proposed that a checkpoint control monitors ( ) function
during mitosis. If the spindle is disrupted by a ( ) poison, progression
through mitosis is blocked.

The checkpoint control is involved in this dependency of ( ) function. It is thought that the mechanism of action of G2 checkpoint genes involves ( ), levels of which control passage through mitosis.

It is likely that mammalian cells that lack checkpoint genes would be sensitive not only to radiation-induced cell killing but also to ( ).

Cells with damaged chromosomes that survive mitosis are likely to give rise to errors in chromosome segregation at mitosis, and this is one of the hallmarks of cancer.

A

spindle, microtubular, mitosis on spindle, Cdk1 (p34 protein kinase), carcinogenesis

46
Q

By combining the most sophisticated techniques of flow cytometry to separate
cells in different phases of the cycle with the most sensitive assays for cell
survival, it has been shown that the ( ) varies significantly through the cycle, at least if measured for fast-growing proliferating cells cultured in vitro.

The OER was measured at ( ) for G2 phase cells, compared with ( ) for S phase, with G1 phase cells showing an ( ) value. This is discussed in more detail in Chapter 6.

A

oxygen enhancement ratio (OER), 2.3 to 2.4, 2.8 to 2.9, intermediate

47
Q

For any given phase of the cell cycle, oxygen was ( );
that is, the value of the OER was the ( ) for all dose levels.

For an (         ) population of cells, however, the OER does vary slightly with
dose or survival level. This is illustrated in Figure 6.1.
A

purely dose modifying, same, asynchronous

48
Q

The OER appears to be smaller at ( ) levels of survival, at which the survival curve is dominated by the killing of the most ( ) moieties of the population;

the OER appears to be larger at ( ) doses and ( ) levels of survival, at which the response of the most ( ) cells, which also happen to exhibit the ( ) OER, dominates.

This is an interesting radiobiologic observation, but the small change of OER
is of little or no clinical significance in radiation therapy.

A

high, sensitive, higher, lower, resistant (S phase), largest

49
Q

Most studies of the variation in radiosensitivity with phase of the mitotic cycle
have been done with mammalian cells cultured in vitro because of the ease with
which they can be made to divide ( ).

The ( ) technique is clearly only applicable to ( ) cultures, but techniques that involve a drug, such as hydroxyurea, to produce a synchronously dividing population can be applied to some ( ).

A

synchronously, mitotic harvest, monolayer, organized tissues

50
Q

The epithelial lining of the mouse ( ) represents a classic self-renewal
tissue. (The technique used to obtain a survival curve for the crypt cells is
described in Chapter 19.)

The rapidly dividing crypt cells can be synchronized by giving each mouse five intraperitoneal injections of ( ) every hour.

The rationale for this regimen is that all ( ) cells are killed by the drug, and cells
in other phases of the cycle are accumulated at the ( ) boundary for at least 4
hours (the overall time of the five injections).

A

jejunum, hydroxyurea, S, G1/S

51
Q

Figure 4.12, from Withers and his colleagues, shows the response of the
jejunal crypt cells to a single dose of 11 Gy of γ-rays (uppermost curve)
delivered at various times after the synchronizing action of the five injections of
( ).

The number of crypt cells per circumference of the sectioned jejunum varies by a factor of 100, according to the phase in the cycle at which the radiation is delivered, ranging from about 2 survivors per circumference for irradiation 2 hours after the last injection of hydroxyurea to about 200 survivors per circumference by 6 hours.

A

hydroxyurea

52
Q

The DNA synthetic activity of the ( ) was monitored by injecting groups of mice with ( ) at hourly intervals after the last injection of hydroxyurea and subsequently removing a sample of the jejunum and assaying the radioactive content.

The bottom curve of Figure 4.12 shows the variation of thymidine uptake with time. The first wave of the thymidine uptake represents the period of ( ) of the synchronized crypt cells.

The peak coincides closely with the period of ( ) to x-rays (about 5 hours after the last injection of hydroxyurea).

A

synchronized jejunal mucosa, tritiated thymidine, DNA synthesis, maximum resistance

53
Q

FIGURE 4.12 The upper three curves represent fluctuations in the survival of
jejunal crypt cells exposed to γ-rays or neutrons as they pass through the cell
cycle after synchronization with hydroxyurea (H-U). The doses were 11 Gy of γ-rays, 7 Gy of neutrons generated by 50 MeV d+ → Be, and 6 Gy of neutrons
generated by 16 MeV d+ → Be.

A

The lower curve represents the uptake of tritiated thymidine (expressed as counts per minute) per wet weight of jejunum as a function of time after the last injection of H-U. The first wave indicates crypt stem cells passing through S phase after synchronization at G1 to S phase by H-U. (Adapted from Withers HR, Mason K, Reid BO, et al. Response of mouse intestine to neutrons and gamma rays in relation to dose fractionation and division cycle. Cancer. 1974;34:39–47, with permission.)

54
Q

These data indicate clearly that the radiosensitivity of crypt cells in the
mouse jejunum varies substantially with the ( ) of the cell cycle at which the
radiation is delivered. Further, the pattern of response in this organized normal
tissue, with a sensitive period between ( ) and maximum radioresistance
( ), is very similar to that characteristic of many cell lines cultured in vitro.

A

phase, G1 and S, late in S

55
Q

Figure 4.12 compares the fluctuations in survival of jejunal crypt cells in the
mouse after irradiation with γ-rays or neutrons. The variation in radiosensitivity
as a function of ( ) is qualitatively similar for neutrons and x-rays; that is,
with both types of radiation, maximum sensitivity is noted at or close to ( ),
and maximum resistance is evident late in ( ).

A

cell age, mitosis, S phase

56
Q

There is, however, a ( ) difference in that the range of radiosensitivity between the most resistant and the most sensitive phases of the cell cycle is much ( ) for fast
neutrons than for x-rays.

As linear energy transfer (LET) increases, the variation in radiosensitivity through the cell cycle ( ) so that at very ( ) LET, the age-response function is almost ( )—that is, radiosensitivity varies little with the phase of the cell cycle.

A

quantitative, less, decreases, high, flat

57
Q

The reasons for radiosensitivity changes through the cell cycle are not fully
understood. The most likely correlation involves the mechanism of DNA repair.

DNA double-strand break (DSB) repair occurs either by ( ) or by ( ).

In the early part of the cycle, before replication has occurred, DSBs must be repaired by ( ) because no template exists to guide gap filling.

This process is error prone.

A

homologous recombination, nonhomologous end-joining, nonhomologous end-joining

58
Q

On the other hand, in S phase after replication, DSBs can be repaired by ( ) because a template is available (i.e., an ( ) is available). This process is ( ) likely to result in errors.

Radiosensitivity correlates with ( ) of DSBs;

A

homologous recombination, identical sister chromatid, less, error-prone nonhomologous end-joining

59
Q

radioresistance correlates with ( ) of DSBs, which is likely to be more faithful.

For a description of homologous and nonhomologous repair, see Chapter 2.

A

homologous recombination

60
Q

If a single dose of radiation is delivered to a population of cells that are
asynchronous—that is, distributed throughout the cell cycle—the effect is
different on cells occupying different ( ) at the time of the
radiation exposure.

A greater proportion of cells are killed in the sensitive portions of the cell cycle, such as those at or close to ( ); a smaller proportion of those in the DNA synthetic phase are killed.

The overall effect is that a dose of radiation, to some extent, tends to ( ) the cell population, leaving most cells in a ( ) phase of the cycle.

A

phases of the cell cycle, mitosis, synchronize, resistant

61
Q

Between dose fractions, movement of cells through the cycle into more ( ) phases may be an important factor in “sensitizing” a cycling population of tumor cells to later doses in fractionated regimen.

This is considered sensitization resulting from ( ).

It results in ( ) because sensitization by this mechanism occurs only in rapidly dividing cells and not in late-responding normal tissues.

A

sensitive, reassortment, a therapeutic gain

62
Q

The cell cycle for mammalian cells can be divided into four phases:

A

mitosis (M), followed by G1, followed by the DNA synthetic phase (S), then G2, and
into mitosis again.

63
Q

The phases of the cycle are regulated by the periodic activation of different
members of the ( ) family.

The fastest cycling mammalian cells in culture, as well as ( ) in the
intestinal epithelium, have cycle times as short as ( ) hours.

A

Cdk, crypt cells, 9 to 10

64
Q

( ) cells in resting mouse skin may have cycle times of more than ( ) hours.

Most of this difference results from the varying length of ( ), the most variable phase
of the cycle.

The M, S, and G2 phases do not vary much.

A

Stem, 200, G1

65
Q
In general, cells are most radiosensitive in the (      ) phases and most
resistant in (     ) phase.
A

M and G2, late S

66
Q

For cells with ( ) cell cycle times and significantly long ( ) phases, there is
a second peak of resistance early in ( ).

A

longer, G1, G1

67
Q

( ) genes stop cells from cycling if exposed to x-rays or any
other DNA-damaging agent, allowing the ( ) to be checked for
integrity before the complex task of mitosis is attempted.

A

Molecular checkpoint, chromosomes

68
Q
The OER varies little with (     ) of the cell cycle but may be slightly lower for
cells in (     ) than for cells in (    ).
A

phase, G1, S

69
Q

The ( ) function for ( ) cells in the mouse jejunum is similar to
that for cells in culture. This is the only tissue in which this has been studied.
The age-response function for ( ) is qualitatively similar to that for x-rays, but the magnitude of changes through the cycle is ( ).

A

age-response, crypt, neutrons, smaller

70
Q

The patterns of radiosensitivity and radioresistance correlate with the
mechanism of repair of ( ).

A

DNA DSBs

71
Q

Radiosensitivity correlates with ( ), which dominates ( ) in the cell cycle and is error prone.

Radioresistance correlates with ( ) repair, which occurs after ( ) and is more faithful. Variations in sensitivity through the cell cycle may be important in radiation therapy because they lead to “sensitization resulting from ( )” in a fractionated regimen.

A

nonhomologous end-joining, early, homologous recombinational, replication (in S phase), reassortment