Week 6 Flashcards

1
Q

What is the target theory as it applies to irradiated cells?

A

Target theory suggests that cell death or damage occurs if radiation inactivates a vital master molecule (likely DNA). Thus, hit probability is crucial in assessing radiation effects.

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2
Q

What is radiation biology and why is it relevant to radiation protection?

A

Radiation biology is the study of the effects of ionizing radiation on living systems. It is relevant to radiation protection because it helps understand how ionizing radiation causes damage and the measures needed to mitigate its effects on biological tissues.

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3
Q

What are the implications of radiation damage to somatic and germ cells?

A

Somatic cell damage can lead to tissue or organ dysfunction, while germ cell damage may cause heritable genetic mutations affecting future generations.

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4
Q

How do the laws of Bergonie and Tribondeau explain radiosensitivity?

A

These laws state that radiosensitivity is directly proportional to a cells reproductive activity and inversely proportional to its degree of differentiation, meaning rapidly dividing, undifferentiated cells are more sensitive to radiation.

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5
Q

How does radiation affect the genetic information passed during meiosis?

A

Radiation can cause mutations by altering DNA bases, potentially transmitting incorrect genetic information during cell division and affecting offspring.

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6
Q

Explain what happens during the protraction of a radiation dose.

A

Protraction involves delivering a radiation dose continuously at a low rate over a long period, minimizing damage by allowing cellular repair mechanisms to act.

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7
Q

Identify and describe chromosomal aberrations caused by ionizing radiation.

A

Aberrations include chromosomal fragments, chromosome and chromatid anomalies, leading to genetic material loss or mutation and impaired cell function.

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8
Q

How does linear energy transfer (LET) influence the effects of ionizing radiation?

A

LET describes the average energy deposited per unit track length by ionizing radiation. It influences biologic damage as higher LET radiation causes more damage due to the high energy deposition within a short distance.

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9
Q

What types of radiation can produce biologic damage through ionization?

A

Types include X-rays, gamma rays, alpha particles, beta particles, and protons.

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10
Q

What factors influence the survival curves for mammalian cells exposed to radiation?

A

Key factors include the radiosensitivity of cell types, dose rate, radiation type, and the presence of oxygen, which can alter the cell’s ability to repair damage.

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11
Q

What are the primary effects of ionizing radiation on DNA?

A

Primary effects include single and double-strand breaks in DNA, mutations due to changes in nitrogenous bases, and covalent cross-links that alter DNA structure and function.

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12
Q

What types of experiments and observations contribute to our understanding of radiation biology?

A

Experiments on animals and plants, as well as observations of humans exposed to radiation (e.g., radiologists, nuclear workers, survivors of atomic bombs), provide valuable insights.

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13
Q

How does cell maturity and specialization affect radiosensitivity?

A

Cells that are immature and undifferentiated, like stem cells, are more radiosensitive because they divide frequently, unlike mature, specialized cells which are more radioresistant.

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14
Q

What effect does oxygen have on radiosensitivity during radiation exposure?

A

Oxygen increases radiosensitivity as it enhances free radical formation, thereby amplifying radiation damage, a principle used in hyperbaric oxygen therapy to boost radiotherapy effectiveness.

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15
Q

What is relative biologic effectiveness (RBE) and how is it calculated?

A

RBE is the ratio of the dose of a reference radiation to the dose of a different type of radiation needed to produce the same biological effect. It is calculated by comparing the effectiveness of various radiations to a standard, typically 250-kVp x-rays.

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16
Q

How do LET and RBE vary between different types of radiation?

A

High LET radiation (e.g., alpha particles) is more damaging, leading to higher RBE, compared to low LET radiation (e.g., X-rays) that causes damage over a longer range.

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17
Q

Describe the process of radiolysis of water and its biological implications.

A

Radiolysis of water is the ionization of water molecules by radiation, leading to free radical formation. These radicals can cause biological damage by interacting with critical cellular components like DNA.

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18
Q

How does the target theory explain cell death following radiation exposure?

A

Target theory posits that cell death occurs if radiation inactivates a vital master molecule, usually DNA, crucial for cell survival and function.

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19
Q

How does ionizing radiation cause damage to the molecular structure of living systems?

A

Ionizing radiation damages molecular structures by ionizing atoms, leading to incorrect molecular bonding and impacting cellular functions.

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20
Q

How does the restitution process affect chromosomal structure after radiation?

A

Restitution refers to the repair and return of chromatid or chromosome to its original configuration, minimizing visible damage and preserving genetic information.

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21
Q

Discuss the single-strand and double-strand breaks in DNA caused by radiation.

A

Single-strand breaks involve rupture of chemical bonds, usually repairable, while double-strand breaks are more severe, potentially leading to cell death if not properly repaired.

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22
Q

Describe the consequences of radiation-induced molecular damage at the cell and organic levels.

A

Molecular damage can impair cell function, leading to potentially visible damage at cellular and organic levels, resulting in disrupted body processes or organ failure.

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23
Q

How does broken-end rearrangement occur, and what are its effects?

A

Broken-end rearrangement occurs when chromosomal ends rejoin incorrectly, forming misshapen chromosomes, which may lead to defective cells unable to function or reproduce.

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24
Q

Define oxygen enhancement ratio (OER) and explain its significance in radiation biology.

A

OER is the ratio of radiation doses required to achieve a specific biological response under anoxic vs. oxygenated conditions. It is significant because oxygen presence enhances radiation effects, increasing tissue radiosensitivity.

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25
Q

What is the outcome of chromosomal deletion in radiation-damaged cells?

A

Deletion results in loss of genetic material, possibly creating acentric fragments, which can severely impact cell function and viability during subsequent cell division.

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26
Q

What are covalent cross-links and how do they affect DNA following irradiation?

A

Covalent cross-links are chemical unions between DNA strands, forming structural changes that can hinder DNA replication and repair, possibly leading to mutations or cell death.

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27
Q

Why does indirect action of low-LET radiation primarily occur in the human body?

A

The body is mostly water, and low-LET radiation often interacts with water molecules, causing indirect damage by producing free radicals that affect critical molecules like DNA.

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28
Q

How do the age and gender of a patient influence radiosensitivity?

A

Younger individuals are more radiosensitive, and men may be slightly more sensitive due to X chromosome susceptibility, influencing risk assessments and treatment planning.

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29
Q

What protective and sensitizing effects can chemical agents have in radiation biology?

A

Protective agents, like antioxidants, reduce damage, while sensitizers, such as some drugs, increase tissue susceptibility, affecting radiation therapy outcomes.

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30
Q

Differentiate between direct and indirect actions of radiation on tissues.

A

Direct action occurs when radiation directly ionizes DNA, while indirect action involves radiation ionizing water molecules, producing free radicals that in turn damage DNA and other molecular structures.

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31
Q

List and define the different classes of cell death due to radiation exposure.

A

Classes include instant death, reproductive death, apoptosis (programmed cell death), mitotic death, mitotic delay, and interference with function.

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32
Q

How might the OER change with different doses of radiation?

A

OER is higher at greater radiation doses (approximately 3 for high doses), as oxygen significantly enhances radiation damage, and is lower (around 2) at doses below 2 Gy.

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33
Q

Define main-chain scission, cross-linking, and point lesions as types of molecular damage.

A

Main-chain scission is the breakage of the molecular chain, cross-linking refers to abnormal attachments within or between molecules, and point lesions are small damage sites.

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34
Q

What role does fractionation play in radiation therapy?

A

Fractionation involves delivering radiation doses in multiple small fractions, allowing normal cells to repair and reducing side effects while maintaining tumor control.

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35
Q

What is the significance of free radical formation in radiobiology?

A

Free radicals, generated via radiolysis of water, are highly reactive and can lead to significant cellular damage by interacting with essential molecules such as DNA and proteins.

36
Q

What are some common molecular damages caused by ionizing radiation?

A

Common damages include single-strand breaks, double-strand breaks, mutations, and covalent cross-links in DNA.

37
Q

How can the induction of mutations in DNA be a consequence of radiation exposure?

A

Radiation can lead to loss or alteration of nitrogenous bases in DNA, resulting in mutations that can affect cell function and be passed on to daughter cells.

38
Q

How are free radicals formed during the radiolysis of water?

A

Free radicals are produced when water molecules are ionized by radiation, resulting in the formation of ions and reactive radicals such as H* and OH*.

39
Q

In what ways may radiation-induced chromosome aberrations manifest?

A

Types of chromosome aberrations include chromosomal fragments, structural anomalies, and changes leading to chromatid aberrations that can disrupt cell function.

40
Q

What distinguishes direct action from indirect action in the context of ionizing radiation?

A

Direct action occurs when radiation interacts directly with DNA or other vital cellular macromolecules, whereas indirect action involves interactions with water that create free radicals which then damage DNA.

41
Q

How can broken-end rearrangement of chromosomes occur and what are its implications?

A

Broken-end rearrangements can result from radiation-induced chromosome breaks, leading to misshapen chromosomes that may affect cell division and function.

42
Q

How is Linear Energy Transfer (LET) defined and measured?

A

LET is defined as the average energy deposited per unit length of track by ionizing radiation, measured in keV/μm.

43
Q

Why do alpha particles have a higher LET compared to x-ray and gamma rays?

A

Alpha particles have a higher LET because they are charged and deposit energy over a shorter distance as they travel through matter, initiating more ionization events.

44
Q

What are the different classes of cell death resulting from radiation exposure?

A

Classes include apoptosis, necrosis, and mitotic death, each defined by the mechanism and pathophysiological changes involved.

45
Q

What role does the oxygen concentration play in the response of cells to radiation?

A

Oxygen enhances the effects of radiation, as it helps stabilize free radicals formed during radiation exposure, leading to increased cellular damage.

46
Q

Can you summarize the laws of Bergonie and Tribondeau?

A

These laws state that the radiosensitivity of living tissues is directly proportional to their reproductive activity and inversely proportional to their degree of differentiation.

47
Q

How does ionizing radiation lead to both somatic and genetic effects?

A

Ionizing radiation can damage somatic cells, leading to functional impairments, and germ cells, causing genetic mutations that may be passed to future generations.

48
Q

How does low-dose fractionation of radiation therapy alter its effects on cells?

A

Low-dose fractionation allows for cellular repair between doses, reducing the cumulative damage compared to delivering the same total dose all at once.

49
Q

What molecular mechanisms contribute to the repair of DNA after radiation damage?

A

Repair mechanisms include enzymatic processes that recognize and fix breaks, as well as pathways that can reconnect broken ends or replace damaged bases.

50
Q

What is the Relative Biological Effectiveness (RBE) and how is it determined?

A

RBE is the ratio of the dose of a reference radiation to the dose of a test radiation necessary to produce the same biological effect under identical conditions.

51
Q

What are the differences between single-strand and double-strand breaks in DNA?

A

Single-strand breaks affect one sugar-phosphate chain and are often repairable, while double-strand breaks occur in both chains and are harder to repair, risking cell survival.

52
Q

What factors contribute to the effectiveness of cellular recovery from radiation damage?

A

Factors include the rate at which radiation is delivered (fractionation), cellular repair capabilities, and the time allowed for recovery between doses.

53
Q

What is radiation biology and why is it important for radiation protection?

A

Radiation biology is the branch of biology that studies the effects of ionizing radiation on living systems, which is critical for ensuring appropriate protection measures in environments exposed to radiation.

54
Q

What are the primary effects of ionizing radiation on DNA?

A

Ionizing radiation can cause single-strand breaks, double-strand breaks, mutations, and covalent cross-links in DNA, potentially impairing cellular function.

55
Q

How do covalent cross-links form as a result of ionizing radiation?

A

Covalent cross-links occur when high-energy radiation causes molecules to fragment and create new bonds between atoms, linking different macromolecules or segments.

56
Q

In what ways does the energy of radiation influence its LET?

A

Higher energy radiation typically results in lower LET, as high-energy photons are less efficient at transferring energy to matter over a distance compared to lower energy particles.

57
Q

What does the target theory imply concerning irradiated cells?

A

Target theory suggests that ionizing radiation damages specific vital cellular components (targets), particularly DNA, which can lead to cell death if these targets are significantly affected.

58
Q

How can ionizing radiation affect the molecular structure of living systems?

A

Radiation can cause ionization of molecules, leading to structural changes that disrupt cellular functions and can trigger biological damage.

59
Q

How does the RBE vary among different types of ionizing radiation?

A

RBE values vary; for example, x-rays and gamma rays have an RBE of approximately 1, while alpha particles have higher RBE values, around 3.

60
Q

What is the significance of the Oxygen Enhancement Ratio (OER) in radiation biology?

A

OER measures the increase in radiation sensitivity of cells in oxygen-rich environments compared to hypoxic conditions, indicating that oxygen enhances the effects of ionizing radiation.

61
Q

How do fragments from opposite ends of chromatids unite before DNA synthesis?

A

They join together to prepare for replication, forming a continuous strand.

62
Q

What is the process by which fragments fully separate from their respective chromatids?

A

Fragments are disconnected through breakage and can exist independently of the original chromatids.

63
Q

What are the potential interactions of photons with biological molecules?

A

Photons can cause damage or alter structures in DNA, proteins, and other cellular components through interactions.

64
Q

What are the immediate consequences of cell damage due to irradiation?

A

Consequences can include instant death, reproductive death, apoptosis, mitotic delay, and functional interference.

65
Q

What factors influence the radiosensitivity of different cells?

A

Factors include cell maturity, specialization, and metabolic activity.

66
Q

In what way does chromatid damage lead to reproductive death of the cell?

A

The cell cannot properly divide due to malfunctioning centromeres, preventing replication.

67
Q

Why is DNA considered a master molecule in terms of cell function?

A

DNA is essential for maintaining normal cell function, serving as the genetic blueprint.

68
Q

What types of cells are considered relatively radioresistant and why?

A

Muscle and nerve cells are relatively radioresistant due to their low rate of division.

69
Q

How does the presence of a centromere affect chromatid function after DNA synthesis?

A

Having two centromeres can lead to improper cell division and potential reproductive death.

70
Q

How does DNA repair mechanisms relate to the types of molecular damage that can occur?

A

Damage like point lesions can sometimes be repaired, maintaining cell function despite radiation exposure.

71
Q

What is a dicentric fragment and how is it formed?

A

A dicentric fragment contains two centromeres formed when ends of two broken chromatids rejoin improperly.

72
Q

How does the age of an organism affect its radiosensitivity to radiation?

A

Younger organisms are generally more radiosensitive, while elderly patients also show increased sensitivity.

73
Q

What is the significance of the ends of chromatids being attached to the centromere?

A

This attachment allows for correct segregation during cell division and can lead to structural abnormalities if disrupted.

74
Q

How do chromosome aberrations manifest as a result of radiation exposure?

A

They can lead to structural changes in chromosomes, such as dicentric formation and deletions.

75
Q

How do survival curves for mammalian cells demonstrate radiosensitivity?

A

They show how different cell types respond to varying doses of radiation, indicating their repair capabilities.

76
Q

How does Target Theory explain cell death when exposed to ionizing radiation?

A

Cell death occurs only if the master molecule, DNA, is inactivated by radiation exposure.

77
Q

How does oxygen enhance the effects of ionizing radiation on tissues?

A

Oxygen increases radiosensitivity, making tissues more susceptible to damage from radiation.

78
Q

What principles did Bergonié and Tribondeau establish regarding radiosensitivity?

A

Radiosensitivity is proportional to cell reproductive activity and inversely proportional to differentiation.

79
Q

What are the consequences of broken-end rearrangement within chromatids?

A

Genetic material rearrangement may occur, leading to malfunction and potentially cell death.

80
Q

What types of damage can occur to large molecules due to irradiation?

A

Damage may include main-chain scission, cross-linking, and point lesions in molecular structure.

81
Q

What are some observable effects of ionizing radiation on DNA?

A

Effects include point mutations and chromosome aberrations that may disrupt cellular function.

82
Q

Why do blood cells, particularly lymphocytes, exhibit high radiosensitivity?

A

Lymphocytes are rapidly dividing cells, making them more susceptible to radiation damage.

83
Q

What role does Linear Energy Transfer (LET) play in biological reactions to radiation?

A

Higher LET radiation generally causes more severe biological effects due to greater energy deposition.

84
Q

How do chromatid breaks occur in different chromatids?

A

Chromatid breaks can happen due to ionizing radiation or other forms of DNA damage.

85
Q

What are the potential effects of chemical agents on radiation sensitivity?

A

Some chemicals may provide protection or increase sensitivity to radiation effects, impacting cellular damage.