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what is the target theory
DNA is irreplaceable master molecule which serves as the target
each cell is believed to contain a sensitive master cell or key molecule which maintains normal cell function
necessary for the survival of the cell
what type of effects can the target be struck by
direct or indirect effects, radiation does not seek out to destroy it but interacts with molecule only by chance
for the cell to die, the _____ must be inactivated
target (can be single or multiple hits)
six adverse effects of irradiation:
instant death
reproductive death
apoptosis or programmed cell death
mitotic, or genetic death
mitotic delay
interference of function
when does instant death occur
when a large number of cells are irradiated with a dose of about 1000Gyt in a period of seconds or few minutes
what happens when instant death occurs in a cell
causes gross disruption of cells form and function
DNA macromolecules break up
cellular proteins coagulate
what does dose does reproductive death occur at
cellular dose between 1-10 Gy
what happens to the cell when reproductive death occurs
the cell does not die, it permanently looses its ability to reproduce, it will try and fail
the cell continues to live and metabolize and synthesis nucleic acids and proteins
why does reproductive death occur
prevents the transmission of damage to future generations of cells
apoptosis was formerly called:
“programed cell death”
when does apoptosis occur
when a cell that has been irradiated dies without attempting division during interphase
what governs the dose required to cause apoptosis
the radiosensitivity of the cell
when does mitotic or genetic death occur
when a cell dies after one or more divisions after irradiation
can be caused by small doses of radiation
how much dose is required to cause mitotic delay
0.01Gyt of ionizing radiation
T or F: after mitotic delay the cell can return to normal mitotic function
True
what is interference of function
permanent or temporary interference of cellular function independent of the cells ability to divide
if repair enzymes can fix damage, the cell can recover and continue to function
a classic method of displaying the sensitivity of a particular type of cell to radiation, usually demonstrates both high and low LET radiation exposures
cell survival curves
the ease with which living tissue can be damaged by radiation
cell radiosensitivity
immature cells are _______ radiosensitive than mature cells
more radiosensitive
non specialized, undifferentiated, undergo rapid cell division
immature cells
specialized in their function, highly differentiated, divide at slow rate or do not divide at all
mature cells
oxygenation increases or decreases radiosensitivity?
increases
states the radiosensitivity of cells is directly proportional to their reproductive activity and inversely proportional to their degree of differentiation
Law of Bergonie and Tribondeau
what does the Law of Bergonie and Tribondeau mean:
stem cells are most radiosensitive
more mature cells are more radio-resistant
the younger the tissue and organs, the more radiosensitive they are
the higher the rate of metabolic activity, the greater the radiosensitivity
the greater the proliferation of cells, the greater the radiosensitivity
high radiosensitive cells
lymphocytes/erythrocytes
erythroblasts
intestinal crypt cells
basal skin cells
intermediate radiosensitive cells:
endothelial cells
osteoblasts
spermatids
fibroblasts
low radiosensitive cells:
nerve
brain
muscle
what dose will decrease blood count within a few days
0.25Gyt (whole body)
how does radiation affect blood cells
adversely effects blood cells by depressing the number of cells in the peripheral circulation
what does will produce measurably hematologic depression within a few days
0.25Gyt
where are most blood cells manufactured
bone marrow
which types of cells rad exposure lessens with age and as they age lose their nucleus making it mature
red blood cells “erythrocytes”
function to transport oxygen and carbon dioxide through the blood stream
red blood cells
depletion as a result of radiation exposure can cause _____
anemia
_________ are among the most sensitive of the human tissues
erythrocytes
LD stands for:
lethal dose
what is the LD 50/30
LD 50/30 is the dose that produces 50% cell death of subjects within 30 days
-top number represents the percentage of the population that will die
-bottom number represents within how many days
human beings have a whole body dose of _______ without treatment
3.0-4.0 Gyt
defends against disease, only live for 24 hours (shortest life span of blood cells)
lymphocytes
are the most radiosensitive blood cells in the body
lymphocytes
what happens when a significant number of lymphocytes are damaged
the body looses its natural ability to combat infection and becomes susceptible to bacterial and viral antigens
at ____ Gyt the number of lymphocytes decreases slightly, at a dose of ____ the lymphocyte count will decrease to 0 within a few days
<0.25Gyt, 0.5-1Gyt
another form of WBC, helps fight infection
neutrophils
____Gyt will noticeably reduce the number of neutrophils circulating in the blood, ____Gyt will decrease number to less than 10% within a few weeks
0.5Gyt, 2-5Gyt
also known as platelets, initiate blood clotting and prevent hemorrhage, have a life span of 30 days
thrombocytes
____Gyt will lessen the number of platelets, at ____ Gyt cells only begin to regain their number after 2 months
0.5Gyt, 1-10Gyt
lines and covers body tissue, lie close together with little or no substances between them, and contains no blood vessels
epithelial tissue
how does epithelial tissue regenerate
mitosis
where is epithelial tissue found
lining of intestines, mucous lining of respiratory tract, in pulmonary alveoli, lining blood and lymphatic vessels
is epithelial tissue high or low radiosensitive
high
highly specialized cells that do not divide, insensitive to radiation
muscle tissue
where is nervous tissue found
in brain and spinal cord
does nervous tissue divide
no
what happens to nervous tissue when the nucleus is destroyed
cell will die and is never restored
what happens to nervous tissue when the nucleus is damaged
the cell may still function, but may be impaired
exposure of ____ Gyt can lead to death within a few hours or days in nervous tissue
50Gyt
when are nervous tissues the most critical
during organogenesis, when the nerve cells of the brain and spinal cord are developing
what type of congenital abnormalities can be caused by nervous tissue damage
spina bifida, hydrocephalus, microcephaly, and intellectual disability
what is the window of maximal sensitivity for nervous tissue damage in an embryo
8-15 weeks
how much fetal EqD is associated with as much as 4% of risk of intellectual disability
0.1 Sv fetal EqD
do human germ cells have high or low radiosensitivity
high
why do human germ cells sensitivity depend on if they are male or female
vary with the process of development from immature to mature cells
T or F: male germ cells contain both immature and mature cells
True
dose of _____ may cause temporary sterility (as long as 12 months) in male germ cells
2Gyt
dose of ____ may cause permanent sterility in male germ cells
5-6Gyt
dose as low as ____ may depress the number of sperm population
0.1Gyt
why must procreation be delayed for at least a few months after exposure to male germ cells
dose of 0.1Gyt or more may cause genetic mutation in future generations, prevents mutations from being passed down
what type of germ cell does not divide continuously
ova (female)
mature ovum is expelled every_____ days and have very ____radiosensitivity
28-36, little
after exposure a mature ovum can unite with a male germ cell, but it may contain ________
damaged chromosomes
a dose of ___ can cause temporary sterility in female germ cells
2 Gyt
a dose of ___ generally causes permanent sterility in female germ cells
5 Gyt
dose of ___ may cause menstrual irregularities such as a delay or suppression
0.1 Gyt
after an exposure of 0.1Gyt, what are women advised to do
postpone attempting conception for 30 days or more to allow the damage immature ova to be expelled
T or F: female germ cells sensitivity is age dependent
True
women between the ages of ___ and ___ are at the lowest level of sensitivity
20 and 30
why do women over the age of 30, until menopause, ovum have the greatest net sensitivity
there are no new ova to replace those being destroyed